var ref= window.location.href;
document.writeln("<form action='http://www.web-set.com/cgi-bin/register/step2.cgi' method=post>");
document.writeln("<table width='100%' border='0' cellpadding='0' cellspacing=2>");
document.writeln(" <tr bgcolor='#FFFFFF'>");
document.writeln("  <td width='100%' valign=top>");
document.writeln("     <b>Registrazione dominio</b>:<br>");
document.writeln("     <input type='text' name='domainname' size='30' value='www.' style='width: 150px;'>");
document.writeln("  </td>");
document.writeln(" </tr>");
document.writeln("<tr>");
document.writeln(" <td width='100%'  valign=to><b>Prodotto:</b><br>");
document.writeln("   <select name='pr1' style='width: 150px;'>");
document.writeln("   <option value='FREE'>FREE: 200 MB + 1 Email");
document.writeln("   <option value='1000' selected>1000 MB + 10 Email");
document.writeln("   <option value='10000'>10000 MB + Email illim.");
document.writeln("   </select>");
document.writeln("  </td>");
document.writeln("</tr>");
document.writeln("<tr>");
document.writeln("<td>");
document.writeln("<br>");
document.writeln("<input type='hidden' value='it' name='lang'>");
document.writeln("<input type='hidden' value='eu' name='land'>");
document.writeln("<input type='hidden' value='ref' name='");
document.writeln(ref);
document.writeln("'>");
document.writeln("<input type='hidden' name='domain' value='n'>");
document.writeln("<input type='submit' value='>> REGISTRA <<' style='width: 150px;'></td>");
document.writeln("</tr>");
document.writeln("</table>");
document.writeln("</form>");