document.writeln("<form action = 'http://www.engr.uconn.edu/bme/compreg/cregister.php' method = 'get' name = 'frmCRegister' onSubmit = 'return checkForm(this);'>");
document.writeln("	<table>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>Company Name:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'compname' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>First Name:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'cfname' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>Middle Initial</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'cmname' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>Last Name:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'clname' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>Address 1:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'addressone' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>Address 2:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'addresstwo' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>City:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'city' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>State:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'state' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>Postal Code:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'zipcode' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>Telephone:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'telephone' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>Website:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'website' value = '' />");
document.writeln("                        </tr>");
document.writeln("                         <tr>");
document.writeln("                                         <td style = 'font-family: arial;font-size: 12px'><b>Contact E-mail:</b></td>");
document.writeln("                                         <td><input type = 'text' name = 'email' value = '' />");
document.writeln("                        </tr>");
document.writeln("                          <tr>");
document.writeln("                                         <td colspan = '2' align = 'center'><input type = 'reset' name = 'btnRes' value = 'Clear' /> <input type = 'submit' name = 'btnReg' value = 'Register' /></td>");
document.writeln("                        </tr>");
document.writeln("	</table>");
document.writeln("</form>");

