document.write("<div class=\"rwspage\">\n<h1>KTIC Birthdays & Anniversaries</h1>\n<h3></h3>\n<div></div>\n</div>\n<div id=\"rwsform_5976f404-8251-49e6-8841-181919f6d450\">\n<form id=\"rws_form\" action=\"http://www.radiowebservices.com/forms/post/5976f404-8251-49e6-8841-181919f6d450\" method=\"post\" onsubmit=\"document.getElementById(\'rwsf_submit\').disabled = \'true\'; new Ajax.Updater(\'rwsform_5976f404-8251-49e6-8841-181919f6d450\', \'/home/rwspost/5976f404-8251-49e6-8841-181919f6d450\', {asynchronous:true, evalScripts:true, parameters:Form.serialize(this)}); return false;\">\n<div>\n<label for=\"form_49cf1572-e975-42ac-96e7-4678538f21a2\"><font color=\"#cc0000\">Birthday or Anniversary Greetings to</font></label>\n<input type=\"text\" name=\"rwsform[49cf1572-e975-42ac-96e7-4678538f21a2]\" id=\"form_49cf1572-e975-42ac-96e7-4678538f21a2\" value=\"\">\n</div>\n<div>\n<label for=\"form_8ac6eb25-b1bd-4aba-ad02-3beb04085979\"><font color=\"#cc0000\">Who the Greetings are from!</font></label>\n<input type=\"text\" name=\"rwsform[8ac6eb25-b1bd-4aba-ad02-3beb04085979]\" id=\"form_8ac6eb25-b1bd-4aba-ad02-3beb04085979\" value=\"\">\n</div>\n<div>\n<label for=\"form_be70fd31-b28c-4eb0-9e72-89ccee6c2301\"><font color=\"#cc0000\">Is it a Birthday or Anniversary?</font></label>\n<input type=\"text\" name=\"rwsform[be70fd31-b28c-4eb0-9e72-89ccee6c2301]\" id=\"form_be70fd31-b28c-4eb0-9e72-89ccee6c2301\" value=\"\">\n</div>\n<div>\n<label for=\"form_ea6ece83-0477-47c2-8a2b-f18c4ded27b4\"><font color=\"#cc0000\"> Birthday or Anniversary Person\'s Address</font></label>\n<input type=\"text\" name=\"rwsform[ea6ece83-0477-47c2-8a2b-f18c4ded27b4]\" id=\"form_ea6ece83-0477-47c2-8a2b-f18c4ded27b4\" value=\"\">\n</div>\n<div>\n<label for=\"form_292d72e4-03a2-4107-a9f5-f7476b71c442\"><font color=\"#cc0000\">Their City</font></label>\n<input type=\"text\" name=\"rwsform[292d72e4-03a2-4107-a9f5-f7476b71c442]\" id=\"form_292d72e4-03a2-4107-a9f5-f7476b71c442\" value=\"\">\n</div>\n<div>\n<label for=\"form_f68c9542-9f97-4531-b2dc-ea132b7880b6\"><font color=\"#cc0000\">Their State</font></label>\n<input type=\"text\" name=\"rwsform[f68c9542-9f97-4531-b2dc-ea132b7880b6]\" id=\"form_f68c9542-9f97-4531-b2dc-ea132b7880b6\" value=\"\">\n</div>\n<div>\n<label for=\"form_5ff491e5-2693-4b67-8aad-c9e0633b526f\"><font color=\"#cc0000\">Their Zip Code</font></label>\n<input type=\"text\" name=\"rwsform[5ff491e5-2693-4b67-8aad-c9e0633b526f]\" id=\"form_5ff491e5-2693-4b67-8aad-c9e0633b526f\" value=\"\">\n</div>\n<div>\n<label for=\"form_d20ecc6b-b905-4212-a7ec-f7faba4c2304\">Date of Birthday or Anniversary</label>\n<input type=\"text\" name=\"rwsform[d20ecc6b-b905-4212-a7ec-f7faba4c2304]\" id=\"form_d20ecc6b-b905-4212-a7ec-f7faba4c2304\" value=\"\">\n</div>\n<input type=\"submit\" value=\"Submit Entry\" id=\"rwsf_submit\">\n</form>\n</div>\n");