var address = window.location;
myaddress = address + '';

function crop(str)
{
return(str.substring(0,5));
}

https = crop(myaddress);

if (https == "https") {
https_yes = 1 } else {
https_yes = 0 }


document.write("<center><a name=signup></a>");
document.write("<table width=100% cellpadding=10><tr>");

document.write("<td align=center width=30%>");
document.write("<font size=\"2\" face=\"Verdana, Arial, Helvetica, sans-serif\"><strong>*FREE GROUND SHIPPING on all orders over $99.00, $6.95 Shipping Charge per order on discounted merchandise and orders under $99</strong></font>");
document.write("<form name=\"signup\" method=\"post\" action=\"http://www.ezquicklist.com/12all/box.php\">");
document.write("</td><td align=center width=40%>");

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document.write("    <tr> ");
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document.write("      <td> <input name=\"email\" type=\"text\" id=\"email\"  size=\"16\"> </td>");
document.write("    </tr>");
document.write("    <tr> ");
document.write("      <td width=\"75\"><div align=\"right\"><strong>Name</strong></div></td>");
document.write("      <td> <input name=\"name\" type=\"text\" id=\"name\"  size=\"16\"> </td>");
document.write("    </tr>");
document.write("    <tr> ");
document.write("      <td width=\"75\"><div align=\"right\"><strong>Birthday</strong></div></td>");
document.write("      <td> <input type=\"text\" name=\"field[3]\" value=\"mm/dd/yyyy\"> </td>");
document.write("    </tr>");
document.write("    <tr> ");
document.write("    <td><div align=\"right\"> </div></td>");
document.write("    <td> <div align=\"left\">     ");
document.write("    <input name=\"funcml\" type=\"radio\" value=\"add\" checked>Subscribe");
document.write("    </div></td>");
document.write("    </tr>");
document.write("    <tr> ");
document.write("    <td><div align=\"right\"> </div></td>");
document.write("    <td> <div align=\"left\">     ");
document.write("    <input name=\"funcml\" type=\"radio\" value=\"unsub2\">Unsubscribe");
document.write("    </div></td>");
document.write("    </tr>");
document.write("    <tr> ");
document.write("      <td width=\"75\"><input name=\"p\" type=\"hidden\" id=\"p\" value=\"16\"> ");
document.write("        <input type=\"hidden\" name=\"nlbox[1]\" value=\"4\"> </td>");
document.write("      <td> <input type=\"submit\" name=\"Submit\" value=\"Submit\"> </td>");
document.write("    </tr>");
document.write("  </table>");

document.write("</td><td width=30% align=center>");
document.write("</form>");
document.write("<A HREF=\"javascript:void window.open('../emailpage.html','plain','width=500,height=375,resizable,scrollbars');\"><img src=../buttons/email-page.gif border=0></a>");
document.write("</td></tr><tr><td colspan=3>");
document.write("<div class=smalltext align=center><b>Please call with questions at 1-800-617-0087.</b>");
document.write("<br><b>For information regarding lighting products, lampshades, or finials, please call 1-866-908-1396.</b>");
document.write("<br>Copyright 2007 - BrownsOn5th.com - All Rights Reserved</div>");
document.write("</td></tr></table>");
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