document.write("<div class=\"form\">");
document.write("<form action=\"dataProcess.php\" method=post>");
document.write("<table align=center border=0>");
document.write("");
document.write("<tr> ");
document.write("<td nowrap> ");
document.write("<h2>Contact Us<\/h2>");
document.write("<br><br>");
document.write("<p>&nbsp;&nbsp;&nbsp;&nbsp;Your name:&nbsp;&nbsp;");
document.write("&nbsp;");
document.write("<input maxlength=25 name=name size=20>");
document.write("<\/td><\/tr> ");
document.write("<tr> ");
document.write("<td nowrap> ");
document.write("    <br>");
document.write("<p>&nbsp;&nbsp;&nbsp;&nbsp;Your email:&nbsp;&nbsp;");
document.write("&nbsp;<input name=from size=20 maxlength=50>");
document.write("<\/td><\/tr>");
document.write("<tr>");
document.write("<td colspan=2><p align=center>");
document.write("    <br>");
document.write("  <p align=center>How can we help you?");
document.write("    <br>");
document.write("    ");
document.write("      <textarea cols=25 name=message rows=4><\/textarea>");
document.write("  <p align=center>");
document.write("<input type=submit onClick=\"return checkData ()\" value=\"Send Mail\">");
document.write("<input type=reset value=Reset name=\"reset\">");
document.write("<\/td><\/tr><\/table>");
document.write("<\/form>");
document.write("<\/div>");