var temp = ' ' ;



temp += '<form action=http://www.seniorencadeau.nl/cadeaubestellen.php target="vers"><INPUT TYPE=HIDDEN name=extern value="X">'
temp += '<table border=1 cellspacing=0 cellpadding=4 bgcolor=#FFFFFF BORDERCOLOR=#8087BF>'
temp += '<td align=left valign=bottom><font face=Verdana,Arial,Helvetica,sans-serif size=2 color=#000000>'
  temp += '<table border=0 width=100% cellspacing=0 cellpadding=4 bgcolor=#8087BF>'
  temp += '<td align=left valign=bottom><a href="http://www.seniorencadeau.nl" target="_top"><img src="http://www.seniorencadeau.nl/SC_los_blok_RGB.jpg" width=40 border="0" alt="senioren cadeau"></a></td>'
  temp += '<td align=left valign=center><a href="http://www.seniorencadeau.nl" target="_top"><font size=2 color="#FFFFFF" height="28"><b>Seniorencadeau</b></a></td>'
  temp += '</td></tr></table>'

temp += '<font size=2 color="#8087BF" height="24"><b>Wilt u een gratis cadeaukoffer ontvangen?</b><br><br>'

temp += '<INPUT TYPE=radio NAME="pakket" value="a"> Ja, ik word binnenkort 60 (of ouder)<br><br>'

temp += '<input type=submit value="Bestel hem NU" style="font-size:9px;border:solid 1px;font-weight:bold;"><br>'
temp += '</td></tr></table>'
temp += '</form>'
document.write(temp);

