document.write(''
  + ''
  + '<div id="mailBuild">'
  + '<form action="http://richardx.createsend.com/t/r/s/hkudyu/" method="post" id="subForm">'
  + '<strong>Receive our latest news & offers:</strong>'
  + '<label for="name">Name:</label> <input type="text" name="cm-name" id="name" />'
  + '<label for="hkudyu-hkudyu">Email:</label> <input type="text" name="cm-hkudyu-hkudyu" />'
  + '<input value="" type="image" class="subscribe_href" />      '
  + '</form>'
  + '</div> '
  + ''
  + '');