document.write('\
\
\
<h3 class="footer_grey">Free Quote</h3>\
<form action="/webformmailer.php" method="post">\
<input type="hidden" name="subject" value="Request for Free Quote" />\
<input name="redirect" value="proposal_success.htm" type="hidden" />\
<p class="reduced">Name:<br>\
<input type="text" name="name" class="with_height" size="43"/></p>\
<p class="reduced">Email:<br><input type="text" name="email" class="with_height" size="43"/></p><p>Comments:<br>\
<textarea name="comments" cols="33" rows="3"></textarea></p>\
<input type="image" src="images/button_send.png" alt="Submit button" name="submit" value="submit"/>\
<input type="hidden" name="form_interval" value="default"/>\
<input type="hidden" name="form_order" value="default" />\
<input type="hidden" name="form_delivery" value="hourly_digest" />\
<input type="hidden" name="form_format" value="html" />\
</form>\
\
\
')