Pure javascript examples? Can't upgrade to php5

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Pure javascript examples? Can't upgrade to php5

We're building a Flash interactive that as part of the flow will let people register for email. We want to set up a simple form that registers the contact's data without taking them out of the interactive's context, and they need to come in tagged with the appropriate autoresponder interest group.

I see there's a php5 example here, but my server only supports ph4 and I can't upgrade to php5 without migrating to a new one, which is way outside the scope of the project. Can someone point me to a javascript example? So far I've only found C# and ASP, which I don't use.

Thanks for any help.
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