document.write("          <form id='login' method='post' action='https://prca.biotonix.com/BtxApp/Session/Secured/frmLogin.asp'>");
document.write("          <input type='hidden' id='LoginLanguageID' name='LoginLanguageID' value='1' />");
document.write("          <input type='hidden' id='LoginFromWeb' name='LoginFromWeb' value='yes' />");
document.write("            <table width='100%' border='0' cellspacing='0' cellpadding='0' height='104%' bordercolor='#000000'>");
document.write("              <tr> ")
document.write("                <td width='6%'>&nbsp;</td>");
document.write("                <td width='94%'><font color='#FFFFFF'><b><font color='#003366'>ONLINE EVALUATION")
document.write("                  </font><br><br>");
document.write("                  <input name='LoginID' type='text' id='LoginID' value=\" User Code\" size='30' onfocus='javascript:this.select();'>");
document.write("                  <br>");
document.write("                  <input name='Password' type='password' id='Password' value=' Passwor' size='30' onfocus='javascript:this.select();'>");
document.write("                  </b></font>");
document.write("                  <table width='100%' border='0' cellspacing='0' cellpadding='0'>");
document.write("                    <tr>");
document.write("                      <td width='51%'><font color='#FFFFFF'><b>");
document.write("                        <object classid='clsid:D27CDB6E-AE6D-11cf-96B8-444553540000' codebase='http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=4,0,2,0' width='79' height='62'>");
document.write("                          <param name=movie value='getseal.swf'>");
document.write("                          <param name=quality value=high>");
document.write("                          <param name='BGCOLOR' value='#E8E8E8'>");
document.write("                          <embed src='getseal.swf' width='79' height='62' quality=high pluginspage='http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash' type='application/x-shockwave-flash' bgcolor='#E8E8E8'> </embed>");
document.write("                        </object>");
document.write("                      </b></font></td>");
document.write("                      <td width='49%'><div align='center'><font color='#FFFFFF'><b>");
document.write("                        ");
document.write("                        <input type='submit' name='Submit22' value='Send'>");
document.write("                        <script type='text/javascript' src='ieupdate.js'></script> ");
document.write("                      </b></font></div></td>");
document.write("                    </tr>");
document.write("                  </table>");
document.write("                  </td>");
document.write("              </tr>");
document.write("            </table>");
document.write("          </form>");