document.write('<form action=\"dataProcess1.php\" method=\"post\" name=\"Form1\" onSubmit=\"return checkData()\">\
				<div class=\"contact_box\">\
					<h2>Request A Quote</h2>\
					<label>Name:</label>\
					<input type=\"text\" name=\"fname\" class=\"inputs\" />\
					<!--<label>Company Name:</label>\
					<input type=\"text\" name=\"\" class=\"inputs\" />\
					<label>Industry Type:</label>\
					<input type=\"text\" name=\"\" class=\"inputs\" />-->\
					<label>Email:</label>\
					<input type=\"text\" name=\"from\" class=\"inputs\" />\
					<label>Contact No:</label>\
					<input type=\"text\" name=\"phone\" class=\"inputs\" />\
					<label>Address:</label>\
					<textarea class=\"text_area2\" name=\"message\"></textarea>\
					<input type=\"image\" src=\"images/submit.gif\" class=\"submits\" />');