document.write('<style>\n#flexiform dt { margin: 0px; padding: 0px; float: none; width: auto; text-align: left; font-weight: bold; }\n#flexiform dd { margin: 0px 0px 0px 0px; padding: 0px; float: none; width: auto; }\n\n\nform{\nfont-family:Arial,Helvetica,sans-serif;\nfont-size: 1.2em;\ncolor: #726f65;\nfont-weight: normal;\n}\n\ninput{ \nmargin: 2px 0 10px 0;\npadding: 2px;\nborder: 1px solid #726f65;\nfont-size: 1em;\n }\n\ntextarea{\nmargin: 2px 0 10px 0;\npadding: 2px;\nborder: 1px solid #726f65;\n}\n\n\n</style>\n<div id=\"flexiform\">\n\n  <p></p>\n\n  <form method=\"post\" action=\"http://forms.flexikit.net/public/javascript_collect/3741500\">\n\n    <dl>\n    \n      \n      <dt>\n        Name\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n        \n        \n          <input type=\"text\" name=\"results[456]\" size=\"50\" value=\"\" class=\"flexiform-text\" />\n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        Email Address\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n        \n        \n          <input type=\"text\" name=\"results[457]\" size=\"50\" value=\"\" class=\"flexiform-text\" />\n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        Your Comments\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n        \n        \n          <textarea name=\"results[458]\" rows=\"8\" cols=\"40\" /></textarea>\n        \n        \n        \n      </dd>\n    \n    </dl>\n\n    <p><input type=\"submit\" value=\"Submit Form\" id=\"flexiform-submit\" /></p>\n  </form>\n\n  <p></p>\n\n</div>');