document.write('<table width="450" border="0" cellspacing="0" cellpadding="0">');
document.write('                            <tr>');
document.write('                              <td width="77" height="35" class="sidemenu">Name * </td>');
document.write('                              <td width="373" height="35"><label>');
document.write('                                <input name="name" type="text" id="name" size="20" maxlength="50" />');
document.write('                              </label></td>');
document.write('                            </tr>');
document.write('                            <tr>');
document.write('                              <td height="35" class="sidemenu">Company</td>');
document.write('                              <td height="35"><label>');
document.write('                                <input name="company" type="text" id="company" size="20" maxlength="50" />');
document.write('                              </label></td>');
document.write('                            </tr>');
document.write('                            <tr>');
document.write('                              <td height="35" class="sidemenu">Phone*</td>');
document.write('                              <td height="35"><input name="phone" type="text" id="phone" size="20" maxlength="50" /></td>');
document.write('                            </tr>');
document.write('                            ');
document.write('                            <tr>');
document.write('                              <td height="35" class="sidemenu">Email*</td>');
document.write('                              <td height="35"><input name="email" type="text" id="email" size="20" maxlength="50" /></td>');
document.write('                            </tr>');
document.write('							  <tr>');
document.write('                              <td height="35" class="sidemenu">Comments</td>');
document.write('                              <td height="35"><textarea name="comments" ');
document.write('							  id="comments" cols="30" rows="5" ></textarea></td>');
document.write('                            </tr>');
document.write('<tr>');
document.write('				');   	                  
document.write('				        <td colspan="2" class="questions"><label for="questions"><input type="hidden"  name="questions" id="questions" /></label></td>');
document.write('                   </tr>');
document.write('');
document.write('                            <tr>');
document.write('                              <td height="35" class="sidemenu">&nbsp;</td>');
document.write('                              <td height="35" class="submitquote"><label for="submit"><input type="submit" name="submit" id="submit" value="Submit" /></label></td>');
document.write('                            </tr>');
document.write('                          </table>');