document.write("<script language=\"javascript\" type=\"text/javascript\" src=\"http://www.qualityherb.net/statics/js/dialog.js\"></script><link href=\"http://www.qualityherb.net/statics/css/table_form.css\" rel=\"stylesheet\" type=\"text/css\" /><link href=\"http://www.qualityherb.net/statics/css/dialog.css\" rel=\"stylesheet\" type=\"text/css\" /><script type=\"text/javascript\" src=\"http://www.qualityherb.net/statics/js/dialog.js\"></script><div class=\"box\">    <div class=\"content\"><form method=\"post\" action=\"http://www.qualityherb.net/index.php?m=formguide&c=index&a=show&formid=12&siteid=1\" name=\"myform\" id=\"myform\"><table class=\"table_form\" width=\"100%\" cellspacing=\"0\"><tbody> <tr>      <th width=\"80\"> <font color=\"red\">*</font> Name  </th>      <td><input type=\"text\" name=\"info[NAMEe]\" id=\"NAMEe\" size=\"20\" value=\"\"  class=\"input-text\"  >  </td>    </tr><tr>      <th width=\"80\"> <font color=\"red\">*</font> Tel  </th>      <td><input type=\"text\" name=\"info[tel]\" id=\"tel\" size=\"20\" value=\"\"  class=\"input-text\"  >  </td>    </tr><tr>      <th width=\"80\"> <font color=\"red\">*</font> Email  </th>      <td><input type=\"text\" name=\"info[e_mail]\" id=\"e_mail\" size=\"20\" value=\"\"  class=\"input-text\"  >  </td>    </tr><tr>      <th width=\"80\">      </th>      <td><textarea name=\'info[mess]\' id=\'mess\' style=\'width:60%;height:200px;\'   ></textarea>  </td>    </tr><tr><td></td><td><div class=\"submit ib\"><input type=\"submit\" name=\"dosubmit\" id=\"dosubmit\" value=\" Submit \"></div> </td></tr></tbody></table></form>    </div></div>");