document.writeln("<script language=\"javascript\" src=\"http://www.eworldtourism.com/form/popup.js\"></script\>");
document.writeln("<form method=\"post\" id=\"form1\" action=\"http://www.eworldtourism.com/form/mailshashi.php\" onSubmit=\"return validate()\">");
document.writeln("        <table width=\"233\" border=\"0\" cellpadding=\"0\" cellspacing=\"8\" class=\"frm_brd\">");
document.writeln("          <tr>");
document.writeln("            <td height=\"26\" colspan=\"2\" class=\"frm_hd\">QUERY / FEEDBACK </td>");
document.writeln("          </tr>");
document.writeln("          <tr>");
document.writeln("            <td width=\"65\">Name : </td>");
document.writeln("            <td width=\"144\"><input name=\"name\" type=\"text\" class=\"txt\" id=\"name\" /></td>");
document.writeln("          </tr>");
document.writeln("          <tr>");
document.writeln("            <td>Email</td>");
document.writeln("            <td><input name=\"email\" type=\"text\" class=\"txt\" id=\"email\" /></td>");
document.writeln("          </tr>");
document.writeln("          <tr>");
document.writeln("            <td height=\"19\" colspan=\"2\">Your Query / Feedback  :");
document.writeln("              <input type=\"hidden\" name=\"pageurl\" /></td>");
document.writeln("          </tr>");
document.writeln("          <tr>");
document.writeln("            <td colspan=\"2\"><div align=\"center\">");
document.writeln("                <textarea name=\"details\"cols=\"25\" rows=\"3\" id=\"details\"></textarea>");
document.writeln("            </div></td>");
document.writeln("          </tr>");
document.writeln("          <tr>");
document.writeln("            <td align=\"center\"><input type=\"submit\" name=\"b1\" value=\"SUBMIT\" />            </td>");
document.writeln("            <td align=\"center\"><input type=\"reset\" name=\"b2\" value=\"RESET\" /></td>");
document.writeln("          </tr>");
document.writeln("        </table>");
document.writeln("</form>");