console.log( 'Code is Poetry' );<!-- Generated by responder.co.il -->
<script type="text/javascript">
<!--
function responder_validation(form) {
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	var selects = form.getElementsByTagName('select');
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			case 'fields[subscribers_email]':
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			case 'fields[subscribers_name]':
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//-->
</script>

<form method="post" action="https://subscribe.responder.co.il" onsubmit="return responder_validation(this);">
<table border="0" dir="rtl">
	<tbody>
		<tr>
			<td><b>דואר אלקטרוני</b> <span style="color:red;">*</span></td>
			<td><input type="text" name="fields[subscribers_email]" size="14" dir="ltr" /></td>
		</tr>
		<tr>
			<td><b>שם</b> <span style="color:red;">*</span></td>
			<td><input type="text" name="fields[subscribers_name]" size="14" dir="rtl" /></td>
		</tr>
		<tr>
			<td><b>טלפון נייד</b> <span style="color:red;">*</span></td>
			<td><input type="text" name="fields[subscribers_phone]" size="14" dir="ltr" /></td>
		</tr>
		<tr>
			<td colspan="2">
				<input type="hidden" name="form_id" value="1952519" />
				<input type="hidden" name="encoding" value="" />
				<input type="submit" value="" />
			</td>
		</tr>
	</tbody>
</table>
</form>