document.write("<b>")
document.write("<div align='center' style='color:blue'>OFERTE PRIN EMAIL - NEWSLETTER</div>")
document.write("<table align='center'>")
document.write("<form action='http://www.emsaindustriale.ro/exec_newsletter.php' method='POST'>")
document.write("<tr>")
document.write("	<td>Nume:</td><td><input type='text' size='18' name='nume'></td>")
document.write("</tr>")
document.write("<tr>")
document.write("	<td>Email:</td><td><input type='text' size='18' name='email'></td>")
document.write("</tr>")
document.write("<tr>")
document.write("	<td colspan='2' align='center'><input type='submit' value=' Inscriere '></td>")
document.write("</tr>")
document.write("</form>")
document.write("</table>")
document.write("</b>")