document.writeln('<script>function _fbcheck(f) { if (f.n.value=="") { alert("Please enter your Name"); f.n.focus(); return false; } if (f.t.value=="") { alert("Please enter your Contact No"); f.t.focus(); return false; } if (f.e.value!="" && !/^[a-z0-9_.-]+@[a-z0-9-]+\.[a-z0-9-]+(\.[a-z0-9-]+)*$/.test(f.e.value)) { alert("Please enter valid Email"); f.e.focus(); return false; }  return true; }</script>');
document.writeln('<font color=red>*</font> = required fields<div class=feedbackform><div id=fdiv><form method=post action="/feedback.php?fdiv=fdiv" target=_irs onsubmit="return _fbcheck(this)"><table style="font-size:1em">');
document.writeln('<tr><td><b>Name</b><font color=red>*</font></td><td><input name=n size=50 value=""></td></tr>');
document.writeln('<tr><td><b>Email</b></td><td><input name=e size=30 value=""></td></tr>');
document.writeln('<tr><td><b>Contact No.<font color=red>*</font></b></div></td><td><input name=t size=30 value=""></td></tr>');
document.writeln('<tr><td valign=top><b>Message</b></td><td><textarea name=c rows=10 cols=50></textarea></td></tr>');
document.writeln('<tr><td colspan=2 align=center><input type=submit value="Send"></td></tr>');
document.writeln('</table>');
document.writeln('</form></div></div><div style="display:none"><iframe width=1 height=1 name=_irs></iframe></div>');