document.write('<form method="post" enctype="multipart/form-data" action="http://pub38.bravenet.com/emailfwd/senddata.php" accept-charset="utf-8">')
document.write('<input type="hidden" name="usernum" value="3193535440">')
document.write('<input type="hidden" name="cpv" value="2">')
document.write('<table border="0" cellpadding="0" cellspacing="0" align="center">')
document.write('<tr>')
document.write('<td><h3 style="border-bottom:1px solid black;">Cookbook Recipe Form</h3></td>')
document.write('</tr><tr><td>')
document.write('<label for="ContributorNames" style="float:left;width:140px;">Contributor Name(s) (First and Last):</label><input type="text" name="ContributorNames" id="ContributorNames" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>')
document.write('<label for="Email" style="float:left;width:140px;">E-Mail Address:</label><input type="text" name="Email" id="Email" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>')
document.write('<label for="RecipeTitle" style="float:left;width:140px;">Recipe Title</label><input type="text" name="RecipeTitle" id="RecipeTitle" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>')
document.write('<label for="RecipeSubTitle" style="float:left;width:140px;">Recipe Sub Title (Optional):</label><input type="text" name="RecipeSubTitle" id="RecipeSubTitle" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>')
document.write('<label style="float:left;width:140px;" for="CategorySelection">Category Selection :</label><select name="CategorySelection" id="CategorySelection"><option value="Appetizers">Appetizers and Beverages</option><option value="Soups">Soups and Salads</option><option value="Vegetables">Vegetables and Side Dishes</option><option value="MainDish">Main Dish</option><option value="Breads">Breads and Rolls</option><option value="Desserts">Desserts</option><option value="Cookies">Cookies and Candy</option><option value="Misc">This and That</option></select><div style="clear:left;height:20px;"> </div>')
document.write('<label for="Ingredients" style="display:block;margin-bottom:5px;">Recipe Part Ingredients (include amount needed: 1 cup, 1tbsp, etc.)</label><textarea name="Ingredients" id="Ingredients" style="width:400px;height:250px;"></textarea><div style="clear:left;height:20px;"> </div>')
document.write('<label for="Instructions" style="display:block;margin-bottom:5px;">Recipe Instructions:</label><textarea name="Instructions" id="Instructions" style="width:400px;height:150px;"></textarea><div style="clear:left;height:20px;"> </div>')
document.write('<label for="Notes" style="display:block;margin-bottom:5px;">Recipe Notes:</label><textarea name="Notes" id="Notes" style="width:400px;height:100px;"></textarea><div style="clear:left;height:20px;"> </div>')
document.write('<label style="float:left;width:140px;" for="Source">Source of Recipe:</label><select name="Source" id="Source"><option value="Family">Family Recipe</option><option value="Copyrighted">Previously Published Recipe</option><option value="Other">Other</option></select><div style="clear:left;height:20px;"> </div>')
document.write('<label style="float:left;width:140px;">Photograph of Finished Recipe Available?</label><span name="Photograph" style="display:block;width: 400px;"><input type="radio" name="Photograph" id="Photograph1radioOption" value="Yes" style="vertical-align: middle;border:0px;background-color:transparent" checked><label for="Photograph1radioOption">Yes</label><input type="radio" name="Photograph" id="Photograph2radioOption" value="No" style="vertical-align: middle;border:0px;background-color:transparent"><label for="Photograph2radioOption">No</label></span><div style="clear:left;height:20px;"> </div>')
document.write('<label for="Comments" style="display:block;margin-bottom:5px;">Other Comments:</label><textarea name="Comments" id="Comments" style="width:400px;height:50px;"></textarea><div style="clear:left;height:20px;"> </div>')
document.write('</td><tr><td align="right">')
document.write('<input type="submit" value=" Submit "> <input type="reset" value=" Reset ">')
document.write('</td></tr></table></form> ')