document.write("<form method=post action=http://www.malettrex.com/mailbn.php3 target=_blank>\
<table width='500' height='150' border='0' cellpadding='0' cellspacing='0'>\
<tr>\
<td align=left valign=top background=http://www.xponsor.com/mlx/ban/6.jpg>\
<table width=500 height=150 border=0 cellpadding=0 cellspacing=0>\
<tr>\
<td width='286' height='1'></td>\
<td></td>\
</tr>\
<tr>\
<td></td>\
<td><input type='text' value='Votre E-mail' name='mailx' size='15'><input type='hidden' name='partenaire' value='"+loginmlx+"'> <input type='hidden' name='site' value='mlx6'><input type='submit' value='Inscription'></td>\
</tr>\
</table>\
</td>\
</tr>\
</table>\
</form>\
");