document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<form name=\"myform\" action=\"/plus/form.asp\" method=\"post\"> ')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\">')
document.writeln('<input type=\"hidden\" value=\"7\" name=\"id\">')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"m\">')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"d\">')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"35\" align=\"right\" class=\"lefttdbg\">Your name：</td>')
document.writeln('  <td height=\"35\"><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" name=\"KS_xhn\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"35\" align=\"right\" class=\"lefttdbg\">Contact number：</td>')
document.writeln('  <td height=\"35\"><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" name=\"KS_dh\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"35\" align=\"right\" class=\"lefttdbg\">E-mail：</td>')
document.writeln('  <td height=\"35\"><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" name=\"KS_em\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"35\" align=\"right\" class=\"lefttdbg\">Company：</td>')
document.writeln('  <td height=\"35\"><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:280px\" name=\"KS_dw\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"115\" align=\"right\" class=\"lefttdbg\">Message：</td>')
document.writeln('  <td height=\"115\"><textarea style=\"width:436px;height:100px\" rows=\"5\" name=\"KS_nrt\"></textarea><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td height=\"35\" align=\"right\" class=\"lefttdbg\">Verification Code：</td>')
document.writeln('<td height=\"35\"><input name=\"Verifycode\" type=\"text\" name=\"textbox\" size=5><span style=\"color:#999\">Please enter the right characters</span><IMG style=\"cursor:pointer\" src=\"/plus/verifycode.asp\" onClick=\"this.src=\'/plus/verifycode.asp?n=\'+ Math.random();\" align=\"absmiddle\"></td></tr>')
document.writeln('<tr><td height=\"50\" colspan=\"2\" align=\"center\" class=\"subtdbg\"><input type=\"submit\" value=\"Confirm submission\" name=\"submit1\"></td></tr>')
document.writeln('</form>')
document.writeln('</table>')
document.writeln('')