document.write('<form name="wvr_searchform" action="http://www.worldvitalrecords.com/GlobalSearch.aspx" method="GET"> <table width="400" border="1" align="center" cellpadding="4" cellspacing="0" bordercolor="#666666" bgcolor="#eeeeee">');
document.write('<tr><td bordercolor="#666666" bgcolor="#666666"><strong><font color="#FFFFFF" size="3" face="Arial, Helvetica, sans-serif">Search For Your Ancestors: </font></strong></td></tr><tr><td><table align="center" bgcolor="#eeeeee"><tr><td><div align="right"><font size="2" face="Arial, Helvetica, sans-serif"><strong>Given Name: </strong></font></div></td>');
document.write('<td><div align="left"><input type="text" name="zfn" value="" size="12"></div></td><td><div align="right"><font size="2" face="Arial, Helvetica, sans-serif"><strong> Family Name: </strong></font></div></td><td><div align="left"><input name="zln" type ="text" value="" size="12"></div></td></tr><tr><td colspan="4" align="center" valign="middle"><center>');
document.write('<a href="http://www.worldvitalrecords.com/myap_offer.aspx?id=1089&cpn=myap1089"><img src="http://www.worldvitalrecords.com/images/logo_sm.gif" alt="WorldVitalRecords.com" width="190" height="24" hspace="0" vspace="0" border="0" align="absmiddle" /></a><input name="Submit" type="submit" value=" Search " alt="Search" /></center></td></tr></table></td></tr></table><input type="hidden" name="qt" value="g"><input type="hidden" name="kbid" value="1089"><input type="hidden" name="cpn" value="myap1089"></form>');
