function processEmail() {
	var go_url = "ajax_newsletter.php?date=" + new Date();

	var xmlHttp = new Ajax.Request(go_url, {
		method: "post",
		parameters: Form.serialize('frm_newsletter'),
		onComplete : function(transport) {
			message = transport.responseText;
			alert(message);
			if (message.match(/Success/)) {
				Form.reset('frm_newsletter');
			}
		},
		onFailure : function(transport) {
			alert("There's been an error." + transport.status);
		 }
	});
}

document.write("<form name=\"frm_newsletter\" id=\"frm_newsletter\">");
document.write("  <table width=\"200\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">");
document.write("	<tr>");
document.write("	  <td width=\"70\">Name*</td>");
document.write("	  <td width=\"50\"><input name=\"name\" type=\"text\" id=\"name\" /></td>");
document.write("	</tr>");
document.write("	<tr>");
document.write("	  <td width=\"70\">Lastname*</td>");
document.write("	  <td width=\"50\"><input name=\"lastname\" type=\"text\" id=\"lastname\" /></td>");
document.write("	</tr>");
document.write("	<tr>");
document.write("	  <td width=\"70\">Email*</td>");
document.write("	  <td width=\"50\"><input name=\"email\" type=\"text\" id=\"email\" /></td>");
document.write("	</tr>");
document.write("	<tr>");
document.write("	  <td width=\"150\">&nbsp;</td>");
document.write("	  <td width=\"50\"><a href=\"javascript:processEmail();\"><img src=\"img/bsubmit01.gif\" name=\"Image12\" width=\"50\" height=\"22\" border=\"0\" align=\"absmiddle\" id=\"Image12\" /></a></td>");
document.write("	</tr>");
document.write("  </table>");
document.write("</form>");