document.write('<FORM METHOD=POST ACTION="http://www.cgiconnection.com/cgi-bin/cgi-con/support.cgi">');
document.write('<INPUT TYPE=hidden NAME=area VALUE="send">');
document.write('<TABLE BORDER=0 CELLPADDING=0 CELLSPACING=0>');
document.write('<TR><TD BGCOLOR="CCCCCC" COLSPAN=2><CENTER><B>Support Center</B><BR>Provided by <A HREF="http://www.cgiconnection.com" target=_blank>CGIConnection.com</A><HR></CENTER></TD></TR>');
document.write('<TR><TD BGCOLOR="CCCCCC"><B>Name:</B></TD> <TD BGCOLOR="CCCCCC"><INPUT NAME=name VALUE=""></TD></TR>');
document.write('<TR><TD BGCOLOR="CCCCCC"><B>E-mail:</B></TD> <TD BGCOLOR="CCCCCC"><INPUT NAME=from VALUE=""></TD></TR>');
document.write('<TR><TD BGCOLOR="CCCCCC"><B>Subject:</B></TD> <TD BGCOLOR="CCCCCC"><INPUT NAME=subject VALUE=""></TD></TR>');
document.write('<TR><TD BGCOLOR="CCCCCC" VALIGN=TOP><B>Message:</B></TD> <TD BGCOLOR="CCCCCC"><TEXTAREA NAME=message COLS=40 ROWS=5></TEXTAREA></TD></TR>');
document.write('<TR><TD BGCOLOR="CCCCCC" COLSPAN=2><INPUT TYPE=submit NAME=submit VALUE="Send"></TD></TR>');
document.write('</TABLE></FORM>');