document.writeln('<div id="pjWrapperNewsletter_theme1"><div class="container-fluid pjCfContainer nsl-form-container"><br><div class="panel panel-default pjCfForm"><div class="panel-heading pjCfFormHead"><strong class="pjCfFormTitle">Subscription form</strong></div><!-- /.panel-heading pjCfFormHead --><div class="panel-body pjCfFormBody"><form action="" method="post" id="nsl_subscribe_form_2408" name="nsl-subscribe-form_2408" class="form-horizontal nsl-form" novalidate="true" data-toggle="validator" role="form" ><div class="form-group"><label class="col-sm-3 control-label">Select a list</label><div class="col-sm-9"><select name="group_id" class="form-control nsl-select required" lang="Select a list is required."><option value="">-- Choose--</option><option value="1">information</option></select></div></div><div id="nsl_form_field_2408"><div class="form-group"><label for="inputPasswordConfirm" class="col-sm-3 control-label">&nbsp;</label><div class="col-sm-9"><span>Please select a list that you want to subscribe to.</span></div></div></div></form></div></div></div></div><script type="text/javascript">var stivaObj_2408 = new stivaNSL({subscribe_form_name: "nsl-subscribe-form_2408",subscribe_form_subscribe_name: "nsl_subscribe_form_subscribe_2408",check_email_url: "http://rccarchikin.org/news/index.php?controller=pjFront&action=pjActionCheckEmail",check_captcha_url: "http://rccarchikin.org/news/index.php?controller=pjFront&action=pjActionCheckCaptcha",subscribe_url: "http://rccarchikin.org/news/index.php?controller=pjFront&action=pjActionFormSave",load_field_url: "http://rccarchikin.org/news/index.php?controller=pjFront&action=pjActionLoadField",load_captcha_url: "http://rccarchikin.org/news/index.php?controller=pjFront&action=pjActionCaptcha&rand=",index: "2408",group_id: "",validate: {"email_invalid":"Email address is invalid.","email_used":"Email address was already in use.","birthday_invalid":"Birthday is invalid.","captcha_incorrect":"Captcha is incorrect.","200":"List is missing.","201":"Captcha is missing.","202":"Captcha cannot be empty.","203":"Captcha is not correct.","204":"First name is missing.","205":"First name cannot be empty.","206":"Last name is missing.","207":"Last name cannot be empty.","208":"Email is missing.","209":"Email cannot be empty.","210":"Email is not valid.","211":"Phone is missing.","212":"Phone cannot be empty.","213":"Website is missing.","214":"Website cannot be empty.","215":"Gender is missing.","216":"Gender cannot be empty.","217":"Age is missing.","218":"Age cannot be empty.","219":"Day is missing.","220":"Day cannot be empty.","221":"Month is missing.","222":"Month cannot be empty.","233":"Year is missing.","234":"Year cannot be empty.","223":"Address is missing.","224":"Address cannot be empty.","225":"City is missing.","226":"City cannot be empty.","235":"State is missing.","236":"State cannot be empty.","227":"Country is missing.","228":"Country cannot be empty.","229":"Zip is missing.","230":"Zip cannot be empty.","231":"Company name is missing.","232":"Company name cannot be empty."},validation: {error_email_invalid: "Email address is invalid.",error_email_used: "Email address was already in use.",error_birthday_invalid: "Birthday is invalid.",error_captcha_incorrect: "Captcha is incorrect."},message: {info: "Subscription form is processing...",success: "Subscription form has been saved.",error: "Subscription form was failed to save."}});</script>');