inc_form_js =
'<form name="frmcustomize" id="frmcustomize" method="post'
+ '" action="act_customized.asp"  >\n                   '
+ '     <table width="90%" border="0" align="center" \ncell'
+ 'padding="0" cellspacing="0" bordercolor="#b23f0c" class='
+ '"maintables" style="BORDER-COLLAPSE: collapse">\n       '
+ '                   <tr>\n                            <td'
+ ' >&nbsp;</td>\n                            <td>&nbsp;</t'
+ 'd>\n                            <td >&nbsp;</td>\n      '
+ '                      <td>&nbsp;</td>\n                 '
+ '         </tr>\n                          <tr>\n        '
+ '                    <td width="23%" ><div align="right">'
+ '<strong>Date of Travel :</strong></div></td>\n          '
+ '                  <td width="28%"><input class="bd-qr" s'
+ 'ize="22" name="Date_of_Travel" id="Date_of_Travel" /></t'
+ 'd>\n                            <td width="14%" ><div al'
+ 'ign="right"><strong>Name :</strong></div></td>\n        '
+ '                    <td width="35%"><input class="bd-qr"'
+ ' maxlength="30" size="22" name="S_name" id="S_name" /></'
+ 'td>\n                          </tr>\n                  '
+ '        <tr>\n                            <td ><div alig'
+ 'n="right"><strong>Duration of stay : </strong></div></td'
+ '>\n                            <td><input class="bd-qr" '
+ 'size="22" name="duration_of_stay" id="duration_of_stay" '
+ '/></td>\n                            <td ><div align="ri'
+ 'ght"><strong>Email :</strong></div></td>\n              '
+ '              <td><input class="bd-qr" size="22" name="S'
+ '_email" id="S_email" /></td>\n                          '
+ '</tr>\n                          <tr>\n                 '
+ '           <td ><div align="right"><strong>No. of Person'
+ 's :</strong></div></td>\n                            <td'
+ '><input class="bd-qr" size="22" name="No_of_person" id="'
+ 'No_of_person" /></td>\n                            <td >'
+ '<div align="right"><strong>Phone :</strong></div></td>\n'
+ '                            <td><input class="bd-qr" siz'
+ 'e="22" name="S_phone" id="S_phone" /></td>\n            '
+ '              </tr>\n                          <tr>\n   '
+ '                         <td ><div align="right"><strong'
+ '>Budget in US$ :</strong></div></td>\n                  '
+ '          <td><select size="1" name="approx_budget" id="'
+ 'approx_budget">\n                                <option'
+ ' selected="selected">per person/per \n                  '
+ '                night</option>\n                        '
+ '        <option value="25$ - 50$">25$ - 50$</option>\n  '
+ '                              <option \n        value="5'
+ '0$ - 100$">50$ - 100$</option>\n                        '
+ '        <option value="100$ - 150$">100$ \n             '
+ '                     - 150$</option>\n                  '
+ '              <option value="150$ - 200$">150$ - 200$</o'
+ 'ption>\n                                <option \n      '
+ '  value="above 200$">above 200$</option>\n              '
+ '              </select></td>\n                          '
+ '  <td ><div align="right"><strong>Country :</strong></di'
+ 'v></td>\n                            <td><input class="b'
+ 'd-qr" size="22" name="S_country" id="S_country"/></td>\n'
+ '                          </tr>\n                       '
+ '   <tr>\n                            <td align="middle" '
+ '\ncolspan="4">&nbsp;</td>\n                          </t'
+ 'r>\n                          <tr>\n                    '
+ '        <td class="form-txt" align="middle" colspan="4">'
+ '<div align="center"><strong>Other Travel/Tour Requiremen'
+ 't \n                              :</strong></div></td>\n'
+ '\n                          </tr>\n                      '
+ '    <tr>\n                            <td align="middle"'
+ ' colspan="4"><div align="center">\n                     '
+ '           <textarea class="bd-qr" name="Description1" i'
+ 'd="Description1" rows="8" wrap="physical" cols="50"></te'
+ 'xtarea>\n                                <input type="hi'
+ 'dden" name="pagename" id="pagename" />\n                '
+ '                <input type="hidden" name="tour_name" id'
+ '="tour_name" />\n                            </div></td>'
+ '\n                          </tr>\n                     '
+ '     <tr>\n                            <td align="middle'
+ '" \ncolspan="4">&nbsp;</td>\n                          <'
+ '/tr>\n                          <tr>\n                  '
+ '          <td align="middle" \ncolspan="4"><div align="c'
+ 'enter">\n                                <input type="bu'
+ 'tton" name="btnsubmit" id="btnsubmit" onclick="javascrip'
+ 't:return validate();" value="SUBMIT" class="buttons" />\n'
+ '\n                            </div></td>\n              '
+ '            </tr>\n                          <tr>\n     '
+ '                       <td align="middle" \ncolspan="4">'
+ '&nbsp;</td>\n                          </tr>\n          '
+ '              </table>\n                      </form>';

// end_var_declaration
document.write(inc_form_js);