// 

document.write('<form name="eform" action="/wp-content/themes/s2n-4/s/rc/rjs.php" method="post" onSubmit="return validateStandard(this, \'error\');">');
document.write('<table align="center" border="0" cellspacing="8" cellpadding="0">');
document.write('<tr>');
document.write('<td align="right" class="mandatory">Name:</td>');
document.write('<td><input id="name" name="name" type="text" size="27" maxlength="30" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td align="right">Company:</td>');
document.write('<td><input name="company" type="text" size="27" maxlength="30" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td align="right">Where are you from?</td>');
document.write('<td>');
document.write('<input name="address" type="text" size="27" maxlength="30" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td align="right" class="mandatory">Email:</td>');
document.write('<td><input id="email" name="email" type="text" size="27" maxlength="30" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td align="right">Message:</td>');
document.write('<td><textarea name="message" rows="6" cols="41"></textarea></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="v10">&nbsp;</td>');
document.write('<td align="center"><input type="submit" value="submit" /></td>');
document.write('</tr>');
document.write('</table>');
document.write('</form>');