document.write("<form action='scripts/contact/contact2.php' method='post' id='form1' name='myform'><div id='sidebar-content' class='form'><form><p>Name:</p><input name='name_from' type='text' maxlength='30' class='text-box' /><p>Phone:</p><input name='phone' class='text-box' type='text' maxlength='16' onkeydown='__FormatPhoneNumber(event, this)' onkeyup='__FormatPhoneNumber(event, this)' /><p>Email:</p><input name='email_from' type='text' maxlength='255' class='text-box' /><p>Comments / Questions:</p><textarea name='comments' class='text-box'></textarea><p>Security Code: <input style='float:right;margin-top:-2px;' type='text' name='security_code' value='' size='17' maxlength='6' id='security_code'></p><a href='#ref' onclick='document.getElementById(&#39;captcha&#39;).src = document.getElementById(&#39;captcha&#39;).src + &#39;?&#39; + (new Date()).getMilliseconds()' style='font-size:10px;line-height:25px;float:left;'>Refresh Image</a><img src='scripts/contact/captcha-image.php' style='margin-top:2px;' alt='Security Image' name='captcha' align='right' width='120' height='25' id='captcha' /><input type='submit' value='Submit' name='submit' style='margin: 5px 0 0 0px;background-image:none;background-color:#fff;cursor:pointer;' /></div></form>");