<script language="JavaScript1.2" type="text/javascript">
	function rm_validateForm(theForm){
		var x = theForm.email.value;

		var regExp=/^([\w-]+(?:\.[\w-]+)*)@((?:[\w-]+\.)*\w[\w-]{0,66})\.([a-z]{2,6}(?:\.[a-z]{2})?)$/i

		if (regExp.test(x)){
			return true;
		}else{
			alert("Please provide a valid email address.");
			return false;
		}
		
	}
</script>
<form name="rm_subscription" method="post" action="http://rm.resultsmail.com/api/remoteSubscription.cfm" onSubmit="return rm_validateForm(this);">

<TABLE border="0" cellspacing="2" cellpadding="2">
	<TR>
		<TD>Email: *
		</TD>
		<TD>								
			<INPUT TYPE="text" NAME="email" MAXLENGTH="250" VALUE="">
		</TD>

<TD>Name: *
		</TD>
		<TD>								
			<INPUT TYPE="text" NAME="First Name" MAXLENGTH="250" VALUE="">
		</TD>

 </TR> <tr> <td colspan="2" align="center"> <input type="hidden" name="cid" value="9505f53d-9ecb-4ce0-a288-8b4a713f069a"> <input type="hidden" name="formType" value="subscribe"> <!-- The default form type is for subscription of new contacts. Please replace the above hidden form field with this one to make an unsubscribe form. <input type="hidden" name="formType" value="unsubscribe"> --> <input type="submit" name="submit" value="submit"> </td> </tr> </table> </form>