document.write("<br /><form method=\"post\" action=\"http://www.nfns.com/quote.html\" id=\"gtlinline\" class=\"container\"><input type=\"hidden\" name=\"mtgfor\" value=\"REFI\" /><h2>Get Competing Refinance Quotes</h2><div><h3>1. Objective</h3><input type=\"radio\" class=\"radio\" name=\"objective\" value=\"\" /><label>Reduce Payments</label><br /><input type=\"radio\" class=\"radio\" name=\"objective\" value=\"\" /><label>Convert To Fixed Rate</label><br /><input type=\"radio\" class=\"radio\" name=\"objective\" value=\"\" /><label>Cash Out</label><br /><input type=\"radio\" class=\"radio\" name=\"objective\" value=\"\" /><label>Other</label><br /></div><br /><h3>2. State</h3><select name=\"mtgstate\" class=\"required\" title=\"property location\"><option value=\"\">-- Select One --</option><option value=\"Alabama\">Alabama</option><option value=\"Alaska\">Alaska</option><option value=\"Arizona\">Arizona</option><option value=\"Arkansas\">Arkansas</option><option value=\"California\">California</option><option value=\"Colorado\">Colorado</option><option value=\"Connecticut\">Connecticut</option><option value=\"Delaware\">Delaware</option><option value=\"Florida\">Florida</option><option value=\"Georgia\">Georgia</option><option value=\"Hawaii\">Hawaii</option><option value=\"Idaho\">Idaho</option><option value=\"Illinois\">Illinois</option><option value=\"Indiana\">Indiana</option><option value=\"Iowa\">Iowa</option><option value=\"Kansas\">Kansas</option><option value=\"Kentucky\">Kentucky</option><option value=\"Louisiana\">Louisiana</option><option value=\"Maine\">Maine</option><option value=\"Maryland\">Maryland</option><option value=\"Massachusetts\">Massachusetts</option><option value=\"Michigan\">Michigan</option><option value=\"Minnesota\">Minnesota</option><option value=\"Mississippi\">Mississippi</option><option value=\"Missouri\">Missouri</option><option value=\"Montana\">Montana</option><option value=\"Nebraska\">Nebraska</option><option value=\"Nevada\">Nevada</option><option value=\"NewHampshire\">New Hampshire</option><option value=\"NewJersey\">New Jersey</option><option value=\"NewMexico\">New Mexico</option><option value=\"NewYork\">New York</option><option value=\"NorthCarolina\">North Carolina</option><option value=\"NorthDakota\">North Dakota</option><option value=\"Ohio\">Ohio</option><option value=\"Oklahoma\">Oklahoma</option><option value=\"Oregon\">Oregon</option><option value=\"Pennsylvania\">Pennsylvania</option><option value=\"RhodeIsland\">Rhode Island</option><option value=\"SouthCarolina\">South Carolina</option><option value=\"SouthDakota\">South Dakota</option><option value=\"Tennessee\">Tennessee</option><option value=\"Texas\">Texas</option><option value=\"Utah\">Utah</option><option value=\"Vermont\">Vermont</option><option value=\"Virginia\">Virginia</option><option value=\"Washington\">Washington</option><option value=\"WashingtonDC\">Washington DC</option><option value=\"WestVirginia\">West Virginia</option><option value=\"Wisconsin\">Wisconsin</option><option value=\"Wyoming\">Wyoming</option></select><br /><br /><h3>3. Property type</h3>    <select name=\"propertytype\" class=\"required\" title=\"property type\"><option value=\"0\" selected=\"selected\">Single family residence</option><option value=\"1\">Multi-family residence</option><option value=\"2\">Condominium</option><option value=\"3\">Mobile home</option><option value=\"4\">Manufactured home</option></select><br /><br /><h3>4. Credit rating</h3><select name=\"credit_rating\" class=\"required\" title=\"credit rating\"><option value=\"0\">Excellent</option><option value=\"1\" selected=\"selected\">Good</option><option value=\"2\">Fair</option><option value=\"3\">Poor</option></select><br /><br /><div class=\"btn\"><input type=\"image\" src=\"http://www.nfns.com/images/btn-continue.gif\" /></div></form>");