<!--
document.writeln('<form method="post" action="cgi-bin/MasterFeedback.cgi">');
document.writeln('        <input type="hidden" name="subject" value="Business Specialties Contact Form" />');
document.writeln('        <input type="hidden" name="thankyou" value=');
document.writeln('        "http://www.business-specialties.com/thanks.htm" />');
document.writeln('');
document.writeln('        <table border="0">');
document.writeln('          <caption>');
document.writeln('            <strong>Contact Form</strong>');
document.writeln('          </caption>');
document.writeln('');
document.writeln('          <tr>');
document.writeln('            <td align="right">Name&nbsp;(required):</td>');
document.writeln('');
document.writeln('            <td><input type="text" name="realname" size="50" /></td>');
document.writeln('          </tr>');
document.writeln('');
document.writeln('          <tr>');
document.writeln('            <td align="right">Email&nbsp;(required):</td>');
document.writeln('');
document.writeln('            <td><input type="text" name="email" size="50" /></td>');
document.writeln('          </tr>');
document.writeln('');
document.writeln('          <tr>');
document.writeln('            <td align="right">Telephone:</td>');
document.writeln('');
document.writeln('            <td><input type="text" name="x_telephone" size="21" /></td>');
document.writeln('          </tr>');
document.writeln('');
document.writeln('          <tr>');
document.writeln('            <td align="right" valign="top">Comments:</td>');
document.writeln('');
document.writeln('            <td>');
document.writeln('            <textarea name="x_comments" cols="40" rows="3">');
document.writeln('</textarea></td>');
document.writeln('          </tr>');
document.writeln('');
document.writeln('          <tr>');
document.writeln('            <td align="right" valign="top"></td>');
document.writeln('');
document.writeln('            <td><input type="radio" name="x_contact" value="Contact me" />Please contact me</td>');
document.writeln('          </tr>');
document.writeln('');
document.writeln('          <tr>');
document.writeln('            <td></td>');
document.writeln('');
document.writeln('            <td><input name="submit" type="submit" value="Submit" />');
document.writeln('            <input name="reset" type="reset" value="Start Over" /></td>');
document.writeln('          </tr>');
document.writeln('        </table>');
document.writeln('      </form>');
//-->
