document.write("<form method='post' action='contact.php'><table border='0' cellpadding='2' cellspacing='0'><tr><td align='right' class='whtlinkBOLD'>Name:</td><td><input size='25' name='Name'></td></tr><tr><td align='right' class='whtlinkBOLD'>Email:</td><td><input size='25' name='Email'></td></tr><tr><td align='right' class='whtlinkBOLD'>Zip Code:</td><td><input size='10' name='Zip'></td></tr><tr><td colspan='2' align='center'><input type='submit' name='send' value='Submit'><label  for="top-keywords" accesskey="2" class="inside">search</label>
<input name="search_keywords" type="text" id="top-keywords" value="" accesskey="s" />
<input type="image" src="spacer.gif" style="width:20px;height20px;border0;" title="SEARCH!" value="{L_SEARCH}" /> </td></tr></table></form>");