document.write("<form name=\"gtkcrform\" method=\"post\" action=\"/estimate/step1/\" onsubmit=\"return submitGtkcrForm();\"><input type=\"hidden\" name=\"service\" value=\"CABINET_REFACING\" /><input type=\"hidden\" name=\"oldform\" value=\"0\" /><div id=\"fbox\"><div id=\"fq1\" class=\"fq\"><div class=\"fqs\">1. How soon do you want to begin the project?</div><div class=\"fqo\"><input type=\"radio\" name=\"BuyTimeframe\" value=\"Immediately\" checked /> Immediately <input type=\"radio\" name=\"BuyTimeframe\" value=\"1-6 months\" /> In the next 6 months <br/><input type=\"radio\" name=\"BuyTimeframe\" value=\"Don't know\" /> Don&#8217;t Know</div></div><div id=\"fq2\" class=\"fq\"><div class=\"fqs\">1. Do you own or rent your home?</div><div class=\"fqo\"><input type=\"radio\" name=\"OwnHome\" value=\"Yes\" checked /> Own <input type=\"radio\" name=\"OwnHome\" value=\"No\" /> Rent</div></div><div id=\"fq3\" class=\"fq\"><span class=\"fqs\">2. Your Zip Code:</span><span class=\"fqo\"><input type=\"text\" name=\"PC\" maxlength=\"5\" style=\"margin-left: 5px; width: 85px\" /></span></div><div id=\"fsubmit\" class=\"fb\"><input type=\"image\" src=\"/images/request-submit.gif\" name=\"submit\" value=\"Submit\" class=\"fbutton\"/></div></div></form>");