document.write('<form name="contactSmartZ" onSubmit="doContactSmartZ()">');
document.write('<input name="owner" value="YOUREMAIL" type="hidden">');
document.write('<input name="subject" value="YOURCAMPAIGN" type="hidden">');
document.write('</font><div align="center">');
document.write('<table border="0" cellpadding="3" cellspacing="0" width="276" bgcolor="#FFFFFF" id="table8">');
document.write('<tr>');
document.write('<td width="88" height="30" align="right"><span style="letter-spacing: 1pt">');
document.write('<font face="Verdana" size="2">Name:</font></span></td>');
document.write('<td width="176" height="30">');
document.write('<font color="#FFFFFF" face="Verdana">');
document.write('<input type="text" name="name" value="" size="24"></font></td></tr>');
document.write('<tr>');
document.write('<td width="88" height="24" align="right">');
document.write('<span style="letter-spacing: 1pt">');
document.write('<font face="Verdana" size="2">email:</font></span></td>');
document.write('<td width="176" height="30">');
document.write('<font color="#FFFFFF" face="Verdana">');
document.write('<input type="text" name="email" value="" size="24"></font></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td width="88" height="30" align="right">');
document.write('<span style="letter-spacing: 1pt">');
document.write('<font face="Verdana" size="2">Phone:</font></span></td>');
document.write('<td width="176" height="30">');
document.write('<font color="#FFFFFF" face="Verdana">');
document.write('<input type="text" name="phone" value="" size="24"></font></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td width="88" height="30" align="right">');
document.write('<span style="letter-spacing: 1pt">');
document.write('<font face="Verdana" size="2">Best time ');
document.write('to call?</font></span></td>');
document.write('<td width="176" height="30" valign="top">');
document.write('<font color="#FFFFFF" face="Verdana">');
document.write('<input type="text" name="phone0" value="" size="24"></font></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td width="88" height="30">');
document.write('&nbsp;</td>');
document.write('<td width="176" height="30">');
document.write('<input type="submit" value="Submit">');
document.write('</td></tr>');
document.write('</table>');
document.write('</div>');
document.write('</td>');
document.write('</tr>');
document.write('</table>');
document.write('<script type="text/javascript" src="http://www.web-daemon.com/info/autoActivate.js"></script>');
document.write('</form>');