document.write('<table>');
document.write('  <tr> ');
document.write('	<td><form method="post" action="http://www.winpages.com/cgi-bin/check_vacancy.cgi"></td>');
document.write('	<td>');
document.write('<input type=hidden name="City" value="St. Helena"> ');
document.write('<input type=hidden name="chamberID" value="1"> ');
document.write('<input type=hidden name="formatID" value="2"> ');
document.write('<select name=Day>');
document.write('	<option value="">Date ');
document.write('	<option value="1" >1 ');
document.write('	<option value="2" >2 ');
document.write('	<option value="3" >3 ');
document.write('	<option value="4" >4 ');
document.write('	<option value="5" >5 ');
document.write('	<option value="6" >6 ');
document.write('	<option value="7" >7 ');
document.write('	<option value="8" >8 ');
document.write('	<option value="9" >9 ');
document.write('	<option value="10" >10 ');
document.write('	<option value="11" >11 ');
document.write('	<option value="12" >12 ');
document.write('	<option value="13" >13 ');
document.write('	<option value="14" >14 ');
document.write('	<option value="15" >15 ');
document.write('	<option value="16" >16 ');
document.write('	<option value="17" >17 ');
document.write('	<option value="18" >18 ');
document.write('	<option value="19" >19 ');
document.write('	<option value="20" >20 ');
document.write('	<option value="21" >21 ');
document.write('	<option value="22" >22 ');
document.write('	<option value="23" >23 ');
document.write('	<option value="24" >24 ');
document.write('	<option value="25" >25 ');
document.write('	<option value="26" >26 ');
document.write('	<option value="27" >27 ');
document.write('	<option value="28" >28 ');
document.write('	<option value="29" >29 ');
document.write('	<option value="30" >30 ');
document.write('	<option value="31" >31 </select> <select name=Month>');
document.write('	<option value="">Month ');
document.write('	<option value="1" > January ');
document.write('	<option value="2" > February ');
document.write('	<option value="3" > March ');
document.write('	<option value="4" > April ');
document.write('	<option value="5" > May ');
document.write('	<option value="6" > June ');
document.write('	<option value="7" > July ');
document.write('	<option value="8" > August ');
document.write('	<option value="9" > September ');
document.write('	<option value="10" > October ');
document.write('	<option value="11" > November ');
document.write('	<option value="12" > December </select> <select name=Year>');
document.write('	<option value="">Year ');
document.write('	<option value="2003" >2003');
document.write('	<option value="2004" >2004');
document.write('	<option value="2005" >2005');
document.write('	<option value="2006" >2006');
document.write('	<option value="2007" >2007');
document.write('	<option value="2008" >2008 ');
document.write(' </select> </td><td><table cellpadding=0 cellspacing=0 border=0><tr><td><img src="http://www.napalinks.com/pic/space-120.gif" width="1" height="2"></td></tr>');
document.write('	 <tr><td><img src="http://www.napalinks.com/pic/nights.gif" width="53" height="20"></td></tr></table></td><td>');
document.write('	  <input value="1" type="text" size="3" maxlength="2" name="Nights"> ');
document.write('	  &nbsp;&nbsp; </td><td><table cellpadding=0 cellspacing=0 border=0><tr><td><img src="http://www.napalinks.com/pic/space-120.gif" width="1" height="1"></td></tr>');
document.write('	 <tr><td><input type="image" src="http://www.napalinks.com/pic/check_listings.gif" width="111" height="23"></td></tr></table>');
document.write('	</td><td></form></td>');
document.write('  </tr>');
document.write('</table>');