var your_email_address='your email address'; var your_cell_phone='your cell phone'; var no_value='';document.getElementById('boomtime_email_signup_emailf').innerHTML = "<div class='email_signup_wrapper'>Sign up for great specials and the latest events at Atlantis Health Network!  You will automatically be enrolled in Rewards and receive 100 points! You will also receive a gift certificate for 10% Off On Your Next Visit.<form id='email_signup' action='https://atlantishn.boomtime.com/lsubscribe' target='_blank' method='post' name='subscribe_form'> <input type='text' class='signup_field' id='email' name='email' size='20' maxvalue='50' value='your email address' style='color: grey;' onfocus='if(this.value==your_email_address) this.value=no_value;this.style.color=no_value'  /> <div style='display: none;'><input type='text' id='confirm_email' name='confirm_email' size='20' maxvalue='50' value='confirm email address' /></div> <input class='submit' type='submit' name='join' value='Join!'  /> </form> </div>"