var str = '';

str += '<STYLE TYPE=\"text/css\">';
str += '<!--';
str += 'INPUT {font-size:11px; font-family:Verdana;}';
str += 'SELECT {font-size:11px; font-family:Verdana;}';
str += '.labeltext {font-size: 12px; font-family:Verdana;}';

str += '-->';
str += '</STYLE>';
str += '<center>';
str += '<table style="width:316px;">';
str += '<form action="http://www.airport-hotel-shop.co.uk/list_results.html" method="post" onsubmit="if(this.elements && this.elements[\'airport\'] && (this.elements[\'airport\'].selectedIndex == 0)){ alert(\'Please select an location\');return false; }">';
str += '<tr><td style="height:30px;">';
str += '<div style="width:130px; float:left;"><span class="labeltext"><label for="fqairport">Select Location:</label></span></div>';
str += '<div style="float:left; clear:right;">';
str += '<select name="airport" id="fqairport" tabindex="1"><option selected value="ALL">Select a Location</option><option value="ABZ">Aberdeen</option><option value="BFS">Belfast</option><option value="BHX">Birmingham</option><option value="BRS">Bristol</option><option value="CWL">Cardiff</option><option value="COV">Coventry</option><option value="DOV">Dover</option><option value="DUB">Dublin</option><option value="EMA">East Midlands</option><option value="EDI">Edinburgh</option><option value="LGW">Gatwick</option><option value="GLA">Glasgow</option><option value="LHR">Heathrow</option><option value="HUY">Humberside</option><option value="LBA">Leeds/Bradford</option><option value="LPL">Liverpool</option><option value="LCY">London City</option><option value="LTN">Luton</option><option value="MAN">Manchester</option><option value="NCL">Newcastle</option><option value="NWI">Norwich</option><option value="SOU">Southampton</option><option value="STN">Stansted</option><option value="MME">Teesside</option></select>';
str += '</div>';
str += '</td></tr>';
str += '<tr><td style="height:30px;">';
str += '<div style="width:130px; float:left;"><span class="labeltext"><label for="fqdate">Night of Stay:</label></span></div>';
str += '<div style="float:left; clear:right;">';
str += '<select style="margin-right:8px; width:40px;" size="1" name="ArrivalDayAdv" id="fqdayAdv" tabindex="2"><option value="01">1</option><option selected value="02">2</option><option value="03">3</option><option value="04">4</option><option value="05">5</option><option value="06">6</option><option value="07">7</option><option value="08">8</option><option value="09">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>';
str += '<select style="width:130px;" size="1" name="ArrivalMonYrAdv" id="fqmonyrAdv" tabindex="3"><option value="sep-10">September, 2010</option><option value="oct-10">October, 2010</option><option value="nov-10">November, 2010</option><option value="dec-10">December, 2010</option><option value="jan-11">January, 2011</option><option value="feb-11">February, 2011</option><option value="mar-11">March, 2011</option><option value="apr-11">April, 2011</option><option value="may-11">May, 2011</option><option value="jun-11">June, 2011</option><option value="jul-11">July, 2011</option><option value="aug-11">August, 2011</option><option value="sep-11">September, 2011</option></select>';
str += '</div>';
str += '</td></tr>';
str += '<tr><td style="height:3px;"></td></tr>';
str += '<tr>';
str += '<td style="text-align:right; padding-right: 4px;">';
str += '<input type="hidden" name="affiliate" value="10">';
str += '<input type="hidden" name="is_adv" value="1"/>';
str += '<input type="hidden" name="stage" value="1" tabindex="-1"/>';
str += '<input type="hidden" name="skipStage" value="1" tabindex="-1"/>';
str += '<input type="submit" value="Click to Quote">';
str += '</td>';
str += '</tr>';
str += '</form>';
str += '</table>';
str += '</center>';

document.write(str);