var mybackend_page = '<form name=Form1250 method=post  action=http://mybackend.com/builders/postform.asp onSubmit="return MybackendSubmit(this);"><table border=0 cellpadding=1 cellspacing=0><tr><td bgcolor=#666633><table border=0 cellpadding=5 cellspacing=0 bgcolor=#FFFFFF width=100% ><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Name</b></font></td></tr><tr><td><input size=25 name=_7068 type=text alt="Name" required=true validation=none persist=false range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Best Phone Number to Reach You</b></font></td></tr><tr><td><input size=25 name=_7069 type=text alt="Best Phone Number to" required=true validation=none persist=false range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Alternate Phone Number</b></font></td></tr><tr><td><input size=25 name=_7071 type=text alt="Alternate Phone Numb" required=false validation=none persist=false range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Best Time to Call</b></font></td></tr><tr><td><input name=_7070 type=checkbox value=13320 alt="Best Time to Call" required=true validation=none persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Evening 6 - 9</font><br><input name=_7070 type=checkbox value=13318 alt="Best Time to Call" required=true validation=none persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>AM 9 - 11</font><br><input name=_7070 type=checkbox value=13319 alt="Best Time to Call" required=true validation=none persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>PM 12 - 5</font><br></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Comments:</b></font></td></tr><tr><td><textarea cols=25 rows=5 wrap=virtual name=_7354 alt="Comments:" required=false validation=none persist=false range=""></textarea></td></tr><tr><td><table border=0><tr><td><input type=submit name=Submit value=Submit></td></tr></table></td></tr></table></td></tr></table><!-- BEGIN DO NOT MODIFY REQUIRED HIDDEN HTML CODE --><input type=hidden name=page><input type=hidden name=frm_id value=1250><input type=hidden name=cust_id value=408><input type=hidden name=preview><script>document.write( "<scr" + "ipt src=http://mybackend.com/includes/FormValidation.js>" + "<\/scr" + "ipt>" )</script><!-- END DO NOT MODIFY REQUIRED HIDDEN HTML CODE --></form>'; document.write(mybackend_page);