document.write("<div id='quote'><form id='calc' name='calc' action=''><table>");

document.write("<tr><td colspan='3'><a href='http://www.f-i-f.co.uk'><img border='0' src='http://www.f-i-f.co.uk/i-Max/images/farming-input-finance-logo.png' alt='First Independent Finance Ltd' /></a></td></tr>");

document.write("<tr><td class='label'><label>Loan Amount</label></td><td><label class='required'>*</label></td><td>");

     document.write("<input class='standard' type='tel' id='amount' name='amount' onchange='calc_btf()' />");

document.write("</td></tr>");
document.write("<tr style='display:none;'><td class='label'><label>Deposit</label></td><td></td><td>");

     document.write("<input class='standard' type='hidden' id='deposit' name='deposit' onchange='calc_btf()' />");
		 
document.write("</td></tr>");

document.write("<tr style='display:none;'><td class='label'><label>Balloon</label></td><td></td><td>");

     document.write("<input class='standard' type='hidden' id='residual' name='residual' />");
		 
document.write("</td></tr>");
document.write("<tr style='display:none;'><td class='label'><label>Frequency</label></td><td><label class='required'></label></td><td>");

	 document.write("<select class='standard' id='frequency' name='frequency'>");
	 document.write("<option value='Monthly' selected='selected'>Monthly</option>");
	 document.write("<option value='Quarterly'>Quarterly</option>");
	 document.write("<option value='Half Annually'>Half Annually</option>");
	 document.write("<option value='Annually'>Annually</option>");
	 document.write("</select>");
		 
document.write("</td></tr>");
document.write("<tr style='display:none;'><td class='label'><label>Payments in Adv</label></td><td></td><td>");

     document.write("<select class='standard' id='adv_payments' name='adv_payments'>");
     document.write("<option value='0' selected='selected'>0</option>");
     document.write("<option value='1'>1</option>");
     document.write("<option value='2'>2</option>");
     document.write("<option value='3'>3</option>");
     document.write("<option value='4'>4</option>");
     document.write("<option value='5'>5</option>");
     document.write("<option value='6'>6</option>");
     document.write("</select>");
		 
document.write("</td></tr>");
document.write("<tr style='display:none;'><td class='label'><label>Term of Loan</label></td><td><label class='required'>*</label></td><td>");

     document.write("<select class='standard' id='total_payments' name='total_payments'>");
     document.write("<option value='0'></option>");
     document.write("<option value='12' selected='selected'>1 Year</option>");
     document.write("<option value='24'>2 Years</option>");
     document.write("<option value='36'>3 Years</option>");
     document.write("<option value='48'>4 Years</option>");
     document.write("<option value='60'>5 Years</option>");
     document.write("</select>");
		 
document.write("</td></tr>");
document.write("<tr><td class='label'><label>Email Address</label></td><td><label class='required'>*</label></td><td>");

     document.write("<input class='standard' type='email' id='email' name='email' />");
		 
document.write("</td></tr>");
document.write("<tr><td class='label'><label>Postcode</label></td><td><label class='required'>*</label></td><td>");

     document.write("<input class='standard' type='text' id='postcode' name='postcode' title='If you don&#39;t wish to register online for your quote (Step 2), entering your postcode will allow us to suggest a local sales person that you could contact instead' />");
		 
document.write("</td></tr>");

document.write("<tr><td class='label'><label>Phone</label></td><td><label class='required'>*</label></td><td>");
document.write("<input class='standard' type='text' id='phone' name='phone' title='If you don&#39;t wish to register online for your quote (Step 2), entering your phone number will allow us to suggest a local sales person that you could contact instead' />");
document.write("</td></tr>");

document.write("<tr><td class='label' colspan='2'></td><td>");

     document.write("<input class='button' type='button' value='Calculate' onclick='return validateQuoteOnSubmit(calc)' />");
		 
document.write("</td></tr>");

document.write("<tr style='display:none;'><td class='label'></td><td></td><td>");

     document.write("<input type='hidden' id='dealer_id' name='dealer_id' value='417' />");
     document.write("<input type='hidden' id='dealer_type' name='dealer_type' value='merchant' />");
		 document.write("<input type='hidden' id='reference' name='reference' value='Farming Input Finance' />");
		 
document.write("</td></tr>");

document.write("</table></form>");
document.write("</div>");