document.write("<form name='dispo_blog_externe' method='post' action='http://www.oldiblog.com/traitement/verif_dispo.php' target='_blank'><input type='hidden' name='num_gen' value='357435244'><input type='hidden' name='num_pa' value='oldi336458st'><table border='0' align='left' width='160' cellpadding='3' cellspacing='0' style='border: solid; border-color: #000000; border-width: 1px'><tr>	<td align=center><font face='arial' size='2' color='000000'><b>Créez votre blog</b></font></td></tr><tr>	<td align=center><font face='arial' size='1' color='000000'>Quel nom de blog souhaitez-vous?</font></td></tr><tr>	<td align=center><input type='text' value='' name='titre_blog' style='border: solid; border-width: 1px; border-color: #000000; width: 150px; height: 20px; font-family: arial; font-size: 9pt; color: #000000'></td></tr><tr>	<td align=center><input type='submit' value='Créer le blog' name='verif_disp_blog' style='border: solid 1px #000000; font-family: arial; font-size: 9pt; color: #; font-weight: bold; background-color: cccccc'></td></tr></form></table>");