document.write('<script type="text/javascript">')
document.write('function validate_elist_700397241()')
document.write('{')
document.write('e = document.getElementById("elist_err700397241");')
document.write('e.innerHTML="";')
document.write('regexPattern = "^[-!#$%&"')
document.write("'*+./0-9=?A-Z^_`a-z{|}]+@[-!#$%&'*+/0-9=?A-Z^_`a-z{|}~.]+?.+[a-zA-Z]{2,4}$")
document.write('";')
document.write('if (!document.getElementById("elistaddress700397241").value.match(regexPattern))')
document.write('{')
document.write('e.innerHTML += "Invalid email address";')
document.write('}')
document.write('if (e.innerHTML != "") return false;')
document.write('return true;')
document.write('}')
document.write('</script>')
document.write('<div align="center">')
document.write('<div style="border:1px solid #BE0027; width:250px; margin: 0px; background-color:#F2F4FA;">')
document.write('<form action="http://pub38.bravenet.com/elist/add.php" method="post" style="margin:0px;" onsubmit="return validate_elist_700397241()">')
document.write('<div style="background-color:#3b5aa3; padding:3px; font:12px arial; color:white;"><b>Join the Vennekretsen Lodge Mailing List</b></div>')
document.write('<div style="margin:10px; font: 11px arial; color: black; text-align:right;">')
document.write('<div style="margin-bottom:5px;">Enter your name and email address below:</div>')
document.write('Name: <input type="text" id="elistname" name="ename" size="15" maxlength="60" style="width: 170px"><br>')
document.write('Email: <input type="text" name="emailaddress" id="elistaddress700397241" size="15" maxlength="100" style="width: 170px"><br>')
document.write('<input type="radio" name="action" value="join" checked style="border: 0px;">Subscribe ')
document.write('<input type="radio" name="action" value="leave" style="border: 0px;">Unsubscribe ')
document.write('<input type="hidden" name="usernum" style="border: 0px solid black; height: 0px; width: 0px;" value="3193535440"><input type="hidden" name="cpv"  style="border: 0px solid black; height: 0px; width: 0px;"  value="1">')
document.write('<input type="submit" name="submit" value="GO"></div>')
document.write('<div style="color: red" id="elist_err700397241"></div>')
document.write('<div align="center" style="margin-bottom:10px;"><a title="Free Mailing Lists from Bravenet.com" href="http://www.bravenet.com/webtools/elist/" style="font: bold 11px tahoma, sans-serif; color: #004891;" target="_blank">Get your Free Mailing List</a><br><a title="Free Mailing Lists from Bravenet.com" href="http://www.bravenet.com" style="font: 10px tahoma, sans-serif; color: #004891;" target="_blank">by Bravenet.com</a></div></form>')
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