/*--- Avanquest WebEasy Custom Script ---*/

<style> 
.link, 
.link a, 
.signupframe 
{ 
	color: #edded0; 
	font-family: Arial, Helvetica, sans-serif; 
	font-size: 13px; 
	} 
	.link, 
	.link a { 
		text-decoration: none; 
		} 
	.signupframe { 
		border: 1px solid #281400; 
		background: #281400; 
		} 
.signupframe .required { 
	font-size: 10px; 
	} 
</style> 
<form method="post" action="https://app.icontact.com/icp/signup.php" name="icpsignup" id="icpsignup10069" accept-charset="UTF-8" onsubmit="return verifyRequired10069();" > 
<input type="hidden" name="redirect" value="http://www.icontact.com/www/signup/thanks.html"> 
<input type="hidden" name="errorredirect" value="http://www.icontact.com/www/signup/error.html"> 
 
<div id="SignUp"> 
<table width="260" class="signupframe" border="0" cellspacing="0" cellpadding="5"> 
	<tr> 
      <td valign="top" align="right"> 
        <span class="required">*</span> Email 
      </td> 
      <td align="left"> 
        <input type="text" name="fields_email"> 
      </td> 
    </tr> 
    <input type="hidden" name="listid" value="80733"> 
    <input type="hidden" name="specialid:80733" value="HHLJ"> 
 
    <input type="hidden" name="clientid" value="951836"> 
    <input type="hidden" name="formid" value="10069"> 
    <input type="hidden" name="reallistid" value="1"> 
    <input type="hidden" name="doubleopt" value="0"> 
    <tr> 
	  <td> </td> 
	  <td>View my <a href="http://community.icontact.com/p/5621628711308005395">publisher profile</a>.</td> 
 
	</tr> 
    <tr> 
      <td> </td> 
      <td><span class="required">*</span> = Required Field</td> 
    </tr> 
    <tr> 
      <td> </td> 
      <td><input type="submit" name="Submit" value="Submit"></td> 
    </tr> 
    </table> 
</div> 
</form> 
<script type="text/javascript"> 
 
var icpForm10069 = document.getElementById('icpsignup10069'); 
 
if (document.location.protocol === "https:") 
 
	icpForm10069.action = "https://app.icontact.com/icp/signup.php"; 
function verifyRequired10069() { 
  if (icpForm10069["fields_email"].value == "") { 
    icpForm10069["fields_email"].focus(); 
    alert("The Email field is required."); 
    return false; 
  } 
 
 
return true; 
} 
</script> 
<span class="link"><a href="http://www.icontact.com">Email Marketing</a> You Can Trust</span> 
 


/*--- EndOfFile ---*/