document.write('<form action="http://bizstats.com/calculators/startup-costs.php" method="post"><input type="hidden" name="impression_id" value=""><table width="300" cellpadding="0" cellspacing="1" bgcolor="#006699"><tr><td><table width="100%" cellpadding="2" bgcolor="#FFFFFF" cellspacing="0"  style="font-family:Verdana, Arial, Helvetica, sans-serif; font-size:10px;"><tr height="10"><td height="10" colspan="2" align="center" style="font-family:Verdana, Arial, Helvetica, sans-serif; font-weight:bold"><div align="center">Startup Costs</div></td><td height="10" colspan="2" align="center" style="font-family:Verdana, Arial, Helvetica, sans-serif; font-weight:bold">Reserve</td></tr><tr height="10"><td><div align="right">Legal</div></td><td width="150" align="left"><input name="legal" type="text" class="formElements" id="Legal" size="10" tabindex="1" /></td><td><div align="right">Monthly payroll</div></td><td align="left"><input name="payroll" type="text" class="formElements" id="textfield55" size="10" tabindex="9" /></td></tr><tr height="10"><td><div align="right">Accounting</div></td><td align="left"><input name="accounting" type="text" class="formElements" id="textfield53" size="10" tabindex="2" /></td><td><div align="right">Monthly Rent</div></td><td align="left"><input name="rent" type="text" class="formElements" id="textfield56" size="10" tabindex="10"/></td></tr><tr height="10"><td><div align="right">Supplies</div></td><td align="left"><input name="supplies" type="text" class="formElements" id="textfield54" size="10" tabindex="3"/></td><td><div align="right">Other Regular Monthly Expenses</div></td><td align="left"><input name="other_monthly_expenses" type="text" class="formElements" id="textfield108" size="10" tabindex="11" /></td></tr><tr height="10"><td><div align="right">Equipment</div></td><td align="left"><input name="equipment" type="text" class="formElements" id="textfield103" size="10" tabindex="4" /></td><td><div align="right">Desired Number of Months Reserve</div></td><td align="left"><input name="number_months_reserve" type="text" class="formElements" id="textfield109" size="10" tabindex="12"/></td></tr><tr height="10"><td><div align="right">Design</div></td><td align="left"><input name="design" type="text" class="formElements" id="textfield104" size="10" tabindex="5" /></td><td align="left">&nbsp;</td><td align="left">&nbsp;</td></tr><tr height="10"><td><div align="right">Printing</div></td><td align="left"><input name="printing" type="text" class="formElements" id="textfield105" size="10" tabindex="6" /></td><td><div align="right">Startup Inventory</div></td><td align="left"><input name="inventory" type="text" class="formElements" id="textfield55" size="10" tabindex="14"/></td></tr><tr height="10"><td><div align="right">Website</div></td><td align="left"><input name="website" type="text" class="formElements" id="textfield106" size="10" tabindex="7" /></td><td><div align="right">Other Current Assets</div></td><td align="left"><input name="other_current_assets" type="text" class="formElements" id="textfield56" size="10"  tabindex="14"/></td></tr><tr height="10"><td><div align="right">Other</div></td><td align="left"><input name="other" type="text" class="formElements" id="textfield107" size="10" tabindex="8"/></td><td><div align="right">Long Term and Fixed Assets</div></td><td align="left"><input name="longterm_fixed_assets" type="text" class="formElements" id="textfield108" size="10" tabindex="15" /></td></tr><tr height="10"><td height="10"><div align="right"></div></td><td></td><td></td><td></td></tr><tr height="10"><td height="10" colspan="4" style="font-family:Verdana, Arial, Helvetica, sans-serif; font-weight:bold"><div align="center"></div></td></tr><tr height="10"><td height="10" colspan="4" align="center"><input type="image" name="submit" value="Submit" src="http://bizstats.com/images/but_go.gif" border="0" /></td></tr><tr><td align="center" colspan="4"><img src="http://bizstats.com/images/poweredby.gif" /></td></tr></table></td></tr></table></form>');