var mybackend_page = '<form name=Survey781 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>What is your favorite Wild Utah Upland Bird?</b></font></td></tr><tr><td><select name=_4264 alt="What is your favorit" required=true validation=none persist=false range=""><option value=7516>Valley Quail</option><option value=7517>Chukar Partridge</option><option value=7518>Pheasant</option><option value=7519>Blue Grouse</option></select></td></tr><tr><td><table border=0><tr><td><input type=submit name=Submit value=Submit>&nbsp;<font face=arial size=1><a href=javascript:preview(document.Survey781);>[Preview Results]</a></font></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=781><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);