info =		"<table width=\"222\" border=\"0\" align=\"right\" cellpadding=\"1\" cellspacing=\"0\" bgcolor=\"#FFF000\">"	+"\n"+
		"  <tr bgcolor=\"#FFF000\">"	+"\n"+
		"    <td colspan=\"2\">"	+"\n"+
		"      <div align=\"center\"><img src=\"http://www.tibettravel.info/images/pic-question.gif\" width=\"20\" height=\"18\">Got a question? Ask us here</div></td>"	+"\n"+
		"  </tr>"	+"\n"+
		"  <tr bgcolor=\"#FFF000\">"	+"\n"+
		"    <td>"	+"\n"+
		"      <div align=\"right\">Name:</div></td>"	+"\n"+
		"    <td><input name=\"realname\" type=\"text\" id=\"realname\" style=\"border:1px double rgb(88,88,88);font:9pt\"></td>"	+"\n"+
		"  </tr>"	+"\n"+
		"  <tr bgcolor=\"#FFF000\">"	+"\n"+
		"    <td><div align=\"right\">Email:</div></td>"	+"\n"+
		"    <td><input name=\"email\" type=\"text\" id=\"email\" style=\"border:1px double rgb(88,88,88);font:9pt\"></td>"	+"\n"+
		"  </tr>"	+"\n"+
		"  <tr bgcolor=\"#FFF000\">"	+"\n"+
		"    <td width=\"95\" valign=\"top\">"	+"\n"+
		"      <div align=\"right\">Question:</div></td>"	+"\n"+
		"    <td width=\"153\" valign=\"top\"><textarea name=\"Aquestion\" cols=\"40\" rows=\"6\" id=\"question\"></textarea></td>"	+"\n"+
		"  </tr>"	+"\n"+
		"  <tr bgcolor=\"#FFF000\">"	+"\n"+
		"    <td colspan=\"2\" valign=\"top\"><div align=\"center\">"	+"\n"+
		"        <input type=\"submit\" name=\"Submit\" value=\"Send\">"	+"\n"+
		"        <input type=\"reset\" name=\"Submit2\" value=\"Reset\">"	+"\n"+
		"    </div></td>"	+"\n"+
		"    </tr>"	+"\n"+
		"</table>"

document.write(info)