document.write('<form action=http://www.email3x.com/cgi-bin/zmail_es.cgi method=get>');
document.write('<table height=100 border=0 align="CENTER" cellpadding=0 cellspacing=0><tr><td width=19 height=19><img src="http://www.email3x.com/g/img/boite_01.gif" width=19 height=19></td><td width=173 height=100 bgcolor="#FF0000" rowspan=3><img src="http://www.email3x.com/g/img/boite_02.jpg" width=173 height=100></td><td background="http://www.email3x.com/g/img/boite_03.jpg" align="CENTER" valign="center" rowspan=3><font face="Arial, Helvetica, sans-serif" size="2" color=#FFFFFF><b>Gratis en tu e-mail: fotos, links secretos y mucho más.</b><br>');

		document.write('<input type=checkbox name=jovencitas_18-20> Jovencitas 18-20');
		
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		document.write('<input type=checkbox name=manga> Manga');
		
document.write('</font><br>');
document.write('<input type=hidden name=id value=gaysi>');
document.write('<input type=hidden name=ctn value=add>');
document.write('<input type=hidden name=lg value=es>');
document.write('<input type=text name=email value="su e-mail" onFocus=this.value="";> ');
document.write('  <input type=submit value=Enviar>');
document.write('</td><td width=19 height=19><img src="http://www.email3x.com/g/img/boite_04.gif" width=20 height=19></td></tr><tr><td width=19 height=19 bgcolor="#FF0000"><img src="http://www.email3x.com/g/img/boite_05.jpg" width=19 height=61></td><td width=19 height=19 bgcolor="#FF0000"><img src="http://www.email3x.com/g/img/boite_06.jpg" width=20 height=61></td></tr><tr><td width=19 height=19><img src="http://www.email3x.com/g/img/boite_07.gif" width=19 height=20></td><td width=19 height=19><img src="http://www.email3x.com/g/img/boite_08.gif" width=20 height=20></td></tr></table>');
document.write('</form>');