document.write('<table width=\"10%\" border=\"0\" celspacing=\"0\" celpadding=\"0\" bgcolor=\"#cccc99\"><tr><td>');

document.write(' <table width=\"100%\" border=\"0\" celspacing=\"0\" celpadding=\"0\" bgcolor=\"#ffffff\">');
document.write(' <form method=\"post\" action=\"http://www.prv.pl//tool_newsletter-add_subscriber/id,55548\">');
document.write(' <tr><td align=\"center\" bgcolor=\"#cccc99\"><font color=\"#ff6600\">nowa</font></td></tr>');
document.write(' <tr><td align=\"center\"><font color=\"#000000\">Jeśli chcesz być powiadamiany o nowościach wpisz swój adres email</font></td>');
document.write(' <tr><td align=\"center\"><input type=\"text\" name=\"email\"></td>');
document.write(' <tr><td align=\"center\"><input type=\"submit\" value=\"Zapisz\"></td>');
document.write(' </form>');
document.write(' </table>');

document.write('</td></tr>');
document.write('</table>');