document.write("<script language=\"javascript\" type=\"text/javascript\" src=\"/statics/js/dialog.js\"></script> <style>   .table_form{margin:10px;overflow:hidden;}  .input-text{border:1px solid #ddd;width:300px;padding:5px;}  table tr{height:50px; line-height:50px;}  .submit{background:#bc0c16;padding:5px 20px;color:#fff; border:none;} </style><link href=\"/statics/css/dialog.css\" rel=\"stylesheet\" type=\"text/css\" /><script type=\"text/javascript\" src=\"/statics/js/dialog.js\"></script>  <form method=\"post\" action=\"/index.php?m=formguide&c=index&a=show&formid=12&siteid=1\" name=\"myform\" id=\"myform\"><div style=\"width:700px; position:relative;\"><table class=\"table_form\" width=\"100%\" cellspacing=\"0\"><tbody> <tr>      <th width=\"140\" align=\"right\" style=\"padding-right:10px; text-transform:capitalize\"> name  </th>      <td><input type=\"text\" name=\"info[f1]\" id=\"f1\" size=\"50\" value=\"\"  class=\"input-text\"  >  </td>      <td>&nbsp;</td>    </tr><tr>      <th width=\"140\" align=\"right\" style=\"padding-right:10px; text-transform:capitalize\"> E-mail  </th>      <td><input type=\"text\" name=\"info[f2]\" id=\"f2\" size=\"50\" value=\"\"  class=\"input-text\"  >  </td>      <td>&nbsp;</td>    </tr><tr>      <th width=\"140\" align=\"right\" style=\"padding-right:10px; text-transform:capitalize\"> Tel  </th>      <td><input type=\"text\" name=\"info[f3]\" id=\"f3\" size=\"50\" value=\"\"  class=\"input-text\"  >  </td>      <td>&nbsp;</td>    </tr><tr>      <th width=\"140\" align=\"right\" style=\"padding-right:10px; text-transform:capitalize\">  message  </th>      <td><input type=\"text\" name=\"info[f4]\" id=\"f4\" size=\"50\" value=\"\"  class=\"input-text\"  >  </td>      <td>&nbsp;</td>    </tr><tr><td></td><td colspan=\"2\" align=\"center\"><div style=\"position:absolute;top:150px;left:550px;\"><input type=\"submit\" name=\"dosubmit\" id=\"dosubmit\" value=\" SUBMIT \" class=\"submit\"></div> </td></tr></tbody></table></div></form> ");