document.write( '<form method="post" action="http://atticahub.membersmanager.org/signup2.php" enctype="application/x-www-form-urlencoded">' );
document.write( '	<table border="0" width="275" cellspacing="0" cellpadding="0">' );
document.write( '		<tr>' );
document.write( '			<td align="right" width="150">First Name:&nbsp;&nbsp;</td>' );
document.write( '			<td align="left" width="125"><input type="text" name="firstname" /></td>' );
document.write( '		</tr>' );
document.write( '		<tr>' );
document.write( '			<td align="right" width="150">Last Name:&nbsp;&nbsp;</td>' );
document.write( '			<td align="left" width="125"><input type="text" name="lastname" /></td>' );
document.write( '		</tr>' );
document.write( '		<tr>' );
document.write( '			<td align="right" width="150">Email Address:&nbsp;&nbsp;</td>' );
document.write( '			<td align="left" width="125"><input type="text" name="email" /></td>' );
document.write( '		</tr>' );
document.write( '		<tr>' );
document.write( '			<td align="center" width="275" colspan="2"><input type="submit" value="Signup" /></td>' );
document.write( '		</tr>' );
document.write( '	</table>' );
document.write( '</form>' );