document.write("<FORM ACTION=\"http://www.calvarydenver.org/cgi-bin/CSMailto/CSMailto.cgi\" METHOD=POST enctype=\"multipart/form-data\">\n");
document.write("<input type=hidden name=command value=mailform>\n");
document.write("  <font color=\"#000000\" face=\"verdana,arial,helvetica\" size=\"-1\">Fill \n");
document.write("  out the following information (bold fields are mandatory) and click 'Submit'.<br>\n");
document.write("  <font size=\"-2\">Note: We do not save email addresses entered on this form.</font></font> \n");
document.write("  <table border=\"0\" cellspacing=\"0\" cellpadding=\"2\">\n");
document.write("<font face=\"Verdana\" size=\"-1\"><tr>\n");
document.write("    <td align=right valign=top nowrap><font face=\"verdana,arial,helvetica\" size=\"-1\" color=\"#000000\" >First Name:</b></font></td>\n");
document.write("    <td nowrap><input name=\"FirstName\" size=\"26\"></td>\n");
document.write("  </tr><tr>\n");
document.write("    <td align=right valign=top nowrap><font face=\"verdana,arial,helvetica\" size=\"-1\" color=\"#000000\" >Last Name:</b></font></td>\n");
document.write("    <td nowrap><input name=\"LastName\" size=\"26\"></td>\n");
document.write("  </tr><tr>\n");
document.write("    <td align=right valign=top nowrap><font face=\"verdana,arial,helvetica\" size=\"-1\" color=\"#000000\" >Email Address:</b></font></td>\n");
document.write("    <td nowrap><input name=\"Email\" size=\"26\"></td>\n");
document.write("  </tr><tr>\n");
document.write("    <td align=right valign=top nowrap><font face=\"verdana,arial,helvetica\" size=\"-1\" color=\"#000000\" ><b>Your prayer concern:</b></font></td>\n");
document.write("    <td nowrap><textarea name=\"prayer\" cols=35 rows=2></textarea></td>\n");
document.write("  </tr><tr>\n");
document.write("<td align=right valign=top nowrap><font face=\"verdana,arial,helvetica\" size=\"-1\" color=\"#000000\" ><b>\n");
document.write("Please choose all that apply:</b></font></td><td align=left valign=top nowrap>\n");
document.write("<font face=\"verdana,arial,helvetica\" size=\"-1\" color=\"#000000\" >\n");
document.write("<input type=checkbox name=\"request\" value=\"for pastoral staff information only\">for pastoral staff information only<br>\n");
document.write("<input type=checkbox name=\"request\" value=\"for Sunday announcement in worship\">for Sunday announcement in worship<br>\n");
document.write("<input type=checkbox name=\"request\" value=\"for church prayer phone and prayer list\">for church prayer phone and prayer list<br>\n");
document.write("</b></font></td></tr></font>\n");
document.write("  <tr>\n");
document.write("    <td nowrap colspan=\"2\"></td>\n");
document.write("  </tr>\n");
document.write("  <tr>\n");
document.write("    <td nowrap colspan=\"2\" align=\"center\">\n");
document.write("      <div align=\"center\">\n");
document.write("        <center>\n");
document.write("        <p><br><font face=\"Verdana\" size=\"-1\"><input name=\"B1\" type=\"submit\" value=\"     Submit     \">&nbsp; <input name=\"B2\" type=\"reset\" value=\"     Reset     \"></font></p>\n");
document.write("        </center>\n");
document.write("      </div>\n");
document.write("    </td>\n");
document.write("  </tr>\n");
document.write("</table>\n");
document.write("<font face=\"Verdana\" size=\"2\">\n");
document.write("<input type=hidden name=form-name value=\"prayer_request\">\n");
document.write("<input type=hidden name=form-formheading value=\"\">\n");
document.write("</font></FORM><font face=\"Verdana\" size=\"-1\">\n");
document.write("</font>\n");