There must be some existing image generators / processors you can implement easily into your form.
I was just visiting a high-profile marketer's site and noticed he used a delayed javascript to present a Yes / No dialog which then leads the user to send a blank email.
With this method, or any method using JavaScript, you could encrypt the email address so that it could not be discovered in HTML and your address would not be able to be found on the web! Of course, if your email address is
john@site.com then you can expect a few false subscriptions from spammers that "guess".