var urlc = "http://" + location.host + location.pathname;

urlc = escape(urlc);


document.writeln('<form name="av_newsletter" action="http://www.altervista.org/servizi/m_list/m_list.php" method="get">');

document.writeln('<table border=0><tr>');

document.writeln('	<td align=center>');

document.writeln('		<input type="text" name="email" size="16">');

document.writeln('	</td></tr><tr><td>');

document.writeln('		&nbsp;&nbsp; <input type="radio" name="azione" value="iscrivi" checked><font face="Verdana" size=1>Iscriviti</font>');

document.writeln('	</td></tr><tr><td>');

document.writeln('		&nbsp;&nbsp; <input type="radio" name="azione" value="rimuovi"><font face="Verdana" size=1>Cancellati</font>');

document.writeln('		<input type="hidden" name="ID" value="' + urlc + '">');

document.writeln('	</td>');

document.writeln('	</tr><tr><td colspan=2 align=center>');

document.writeln('		<input type="submit" value="invia">');

document.writeln('	</td></tr><tr>');

document.writeln('</tr></table></form>');