document.write ("<scr"+"ipt type='text/javascript' src='/js/common.js");
document.write ("'><\/scr"+"ipt>");
document.write ("<scr"+"ipt type='text/javascript' src='/js/scw.js");
document.write ("'><\/scr"+"ipt>");

if (bhadzone == 'pregnancy') 	{
	// if the zone is 'pregnancy', show 40 wk preg email signup form

	document.write ('<div id="right_preg40wkemail"><form name="myform" method="POST" action="/pregnancy-week-by-week.php" accept-charset="utf-8" onsubmit="return preg40wkemail_Validate(this);"><h3>40 Week Pregnancy Email Sign-up</h3><table><tr><td class="left_col">Your Nickname or First Name</td><td><input name="name" type="text" ></td></tr><tr><td>E-mail</td><td><input name="email" type="text" id="email" size="16"></td></tr><tr><td>Your Year Of Birth</td><td><select name="yob">  <option value="">Please Select</option>');

  	for (i=1950;i<2000;i++){
		document.write('<option value="'+i+'">'+i+'</option>');
	}


	document.write ('</select></td></tr><tr><td>Postcode</td><td><input type="text" name="postcode" /></td></tr><tr><td>Baby\'s Due Date</td><td><input  name ="duedate" id="duedate" onclick="scwShow(this,event);" readonly="readonly" /><img src="/images/icon_date_picker.jpg" onclick="scwShow(scwID(\'duedate\'),event);" /> </td></tr><tr><td>&nbsp;</td><td><input id="right_submit" type="submit" name="Submit" value="Submit" /></td></tr> </table> </form></div> ');

}
