document.write('<form method=post action=http://poll.pollhost.com/vote.cgi>');
document.write('<table border=0 width=150 bgcolor=#FFFFFF cellspacing=0 cellpadding=2>');
document.write('<tr><td colspan=2><font face="Arial" size=-1 color="#000000"><b>What\'s your favorite type of layout?</b></td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=1></td><td><font face="Arial" size=-1 color="#000000">Flashy Defaults</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=2></td><td><font face="Arial" size=-1 color="#000000">Skinny Layouts</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=3></td><td><font face="Arial" size=-1 color="#000000">Celebrities/Bands Layouts</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=4></td><td><font face="Arial" size=-1 color="#000000">Double Background Layouts</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=5></td><td><font face="Arial" size=-1 color="#000000">Div Layouts</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=6></td><td><font face="Arial" size=-1 color="#000000">Defaults</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=7></td><td><font face="Arial" size=-1 color="#000000">movie, cartoons, games layouts</td></tr>');
document.write('<tr><td colspan=2>');
document.write('<input type=hidden name=username value="xxstephyexx">');
document.write('<input type=hidden name=poll value="1220594716">');
document.write('<input type=hidden name=background value="FFFFFF">');
document.write('<input type=hidden name=font_color value="000000">');
document.write('<input type=hidden name=font_face value="Arial">');
document.write('<input type=hidden name=bars value="Gray">');
document.write('<center><input type=submit value=Vote>');document.write('&nbsp;&nbsp;<input type=submit name=view value=View>');
document.write('</center>');
document.write('</td></tr>');
document.write('<tr><td bgcolor=#FFFFFF colspan=2 align=right><font face="Arial" size=-2 color="#000000"><a href=http://www.pollhost.com/><font color=#000099>Free polls from Pollhost.com</font></a></td></tr>');
document.write('</table></form>');