// quickcontact.js
document.write('<script src="/ufm3/createToken.js.php"></script><form onSubmit="return checkrequired(this)" method=post action="/ufm3/mailit.php" name="contact"><input type="hidden" name="recipient" value="1" /><input type=hidden name="subject" value="Quick Contact Form"><table width="170" border="0" cellspacing="0" cellpadding="0"><tr><td><img src="/images/tab_contact-1.gif" width=170 height=39 border=0></td></tr></table><table width="170" border="0" cellspacing="0" cellpadding="1"><tr><td bgcolor=#A2A2A2><table width="100%" cellpadding="4" bgcolor="DAEEA2"><tr><td><table width="100%" border="0" cellspacing="0" cellpadding="0"><tr><td class=privTxt><P ALIGN=JUSTIFY>Call us at (877)-292-1571 to schedule an appointment or fill out our form and one of our professional staff members will contact you.<br><br>Name</td></tr><tr><td><input type="Text" name="requiredName" class=privTxt size="24"></td></tr><tr><td class=privTxt>Phone</td></tr><tr><td><input type="Text" name="Phone" class=privTxt size="24"></td></tr><tr><td class=privTxt>Email</td></tr><tr><td><input type="Text" name="requiredEmail" class=privTxt size="24"></td></tr><tr><td class=privTxt>Message</td></tr><tr><td class=privTxt><textarea name="message" cols="24" rows="4" class=privTxt></textarea><br><input name="newsletter" type="checkbox" value="subscribe" checked />Please subscribe me to the FREE e-Newsletter!</td></tr><tr><td class=privTxt><input type="Image" name="Submit" align="RIGHT" src="/images/btn_contact.gif"></form></td></tr></table></td></tr></table></td></tr></table>');