document.write('<table width="75%" cellpadding="5"><form action="/webmasters/signup.html" method="POST">');

document.write('<tr><td width="30%"><b>Your name</b> <font color="red">*</font></td><td><input name="p[name]" type="text" style="width: 80%"></td></tr>');
document.write('<tr><td><b>Your email</b> <font color="red">*</font></td><td><input name="p[email]" type="text" style="width: 80%"></td></tr>');
document.write('<tr><td><b>Your ICQ</b></td><td><input name="p[icq]" type="text" style="width: 80%"></td></tr>');

document.write('<tr><td><b>Password</b> <font color="red">*</font></td><td><input name="p[password]" type="password" style="width: 80%"></td></tr>');
document.write('<tr><td><b>Confirm password</b> <font color="red">*</font><br></font></td><td><input name="p[confirm_password]" type="password" style="width: 80%"></td></tr>');

document.write('<tr><td><img src="/imgs/s.gif" width="1" height="1" /></td><td><input type="submit" value="Create account" style="font: bold 16px Arial; height: 30px;"></td></tr>');
document.write('<tr><td><img src="/imgs/s.gif" width="1" height="1" /></td><td class="t_comment"><font color="red">*</font> field is required</td></tr></form></table>');