function writeJS(){
var str='';
str+='<form name="sdptReOnlineCU" action="forms\/register_process.php" method="post">';
str+='									<input type="hidden" name="print_config" value="realname,email">';
str+='                                    <input type="hidden" name="redirect" value="http:\/\/www.sandpointrealestateonline.com\/thanks.html">';
str+='                                    <input type="hidden" name="recipient" value="1">';
str+='                                    <input type="hidden" name="theSubject" value="Information Request">';
str+='									<input type="hidden" name="required" value="realname,street_address,city,state,zip">';
str+='									<table border="0" cellpadding="2" cellspacing="0" width="596">';
str+='										<tr>';
str+='											<td>';
str+='												<div align="right">';
str+='													<p><span class="text">Name:<\/span><\/p>';
str+='												<\/div>';
str+='											<\/td>';
str+='											<td><input type="text" maxlength="255" size="45" name="realname"><\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td>';
str+='												<div align="right">';
str+='													<p><span class="text">Street Address:<\/span><\/p>';
str+='												<\/div>';
str+='											<\/td>';
str+='											<td><input type="text" maxlength="255" size="45" name="street_address"><\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td>';
str+='												<div align="right">';
str+='													<p><span class="text">City:<\/span><\/p>';
str+='												<\/div>';
str+='											<\/td>';
str+='											<td><input type="text" maxlength="255" size="45" name="city"><\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td>';
str+='												<div align="right">';
str+='													<p><span class="text">State:<\/span><\/p>';
str+='												<\/div>';
str+='											<\/td>';
str+='											<td><input type="text" maxlength="255" size="25" name="state"><\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td>';
str+='												<div align="right">';
str+='													<p><span class="text">Zip:<\/span><\/p>';
str+='												<\/div>';
str+='											<\/td>';
str+='											<td><input type="text" maxlength="255" size="25" name="zip"><\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td>';
str+='												<div align="right">';
str+='													<p><span class="text">Phone:<\/span><\/p>';
str+='												<\/div>';
str+='											<\/td>';
str+='											<td><input type="text" maxlength="255" size="25" name="phone"><\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td>';
str+='												<div align="right">';
str+='													<p><span class="text">Fax:<\/span><\/p>';
str+='												<\/div>';
str+='											<\/td>';
str+='											<td><input type="text" maxlength="255" size="25" name="fax"><\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td>';
str+='												<div align="right">';
str+='													<p><span class="text">E-mail address:<\/span><\/p>';
str+='												<\/div>';
str+='											<\/td>';
str+='											<td><input type="text" maxlength="255" size="45" name="email"><\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td colspan="2">';
str+='												<p><span class="text">How would you prefer to be contacted regarding the information which you have requested? <\/span><\/p>';
str+='											<\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td colspan="2">';
str+='												<div align="center">';
str+='													<p><span class="text">Mail';
str+='													    <input type="checkbox" name="contact_preference[]" value="mail">';
str+='        Phone<input type="checkbox" name="contact_preference[]" value="phone"> ';
str+='        E-mail';
str+='<input type="checkbox" name="contact_preference[]" value="email">         Fax<input type="checkbox" name="contact_preference[]" value="fax"><\/span><\/p>';
str+='											  <\/div>';
str+='											<\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td colspan="2">';
str+='												<div align="center">';
str+='													<p><span class="text">How may we assist you:<\/span><\/p>';
str+='												<\/div>';
str+='											<\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='											<td colspan="2">';
str+='												<div align="center">';
str+='													<textarea rows="6" cols="54" wrap="VIRTUAL" name="comments"><\/textarea><\/div>';
str+='											<\/td>';
str+='										<\/tr>';
str+='										<tr>';
str+='										  <td colspan="2" align="center"><img id="image" src="forms\/securimage_show.php" alt="CAPTCHA Image" \/><a href="#" onClick="document.getElementById(\'image\').src = \'forms\/securimage_show.php?sid=\' + Math.random(); return false"><img style="padding:10px" src="forms\/images\/refresh.gif" width="22" height="20" border="0"><\/a><\/td>';
str+='									  <\/tr>';
str+='										<tr>';
str+='										  <td colspan="2" align="center"><input type="text" name="captcha_code" size="8" \/><\/td>';
str+='									  <\/tr>';
str+='										<tr>';
str+='											<td colspan="2">';
str+='												<div align="center">';
str+='													<input type="SUBMIT" name="Submit" value="Submit your request"><\/div>';
str+='											<\/td>';
str+='										<\/tr>';
str+='									<\/table>';
str+='								<\/form>';
document.write(str);
}