document.write('<form action=http://www.email3x.com/cgi-bin/zmail_ge.cgi method=get><table width=100% border=0 align=center cellpadding=0 cellspacing=0><tr><td width=100% bgcolor=#ffcc00 align=center valign=middle><font face="Arial, Helvetica, sans-serif" size="2" color="#000000"><b>');
document.write('XXX-Bilder <font color="#800000">GRATIS</font> per Email erhalten:</b>');

		document.write('<input type=checkbox name=teens_18-20> Teens 18-20');
		
		document.write('<input type=checkbox name=hardcore> Hardcore');
		
		document.write('<input type=checkbox name=asiatisch> Asiatisch');
		
		document.write('<input type=checkbox name=gay> Gay');
		
		document.write('<input type=checkbox name=hentai> Hentai');
		
document.write('<input type=hidden name=id value=sexstaat>');
document.write('<input type=hidden name=ctn value=add>');
document.write('<input type=hidden name=lg value=ge>');
document.write(' <input type=text name=email  value="Email-Adresse" onFocus=this.value="";>');
document.write(' <input type=submit value=Bestätigen>');
document.write('</font></td></tr></table></form>');