function Contact() {
	var dc = "dc" + Math.floor( Math.random() * 1001 );
	var na = "na" + Math.floor( Math.random() * 1001 );
	var em = "em" + Math.floor( Math.random() * 1001 );
	var ty = "ty" + Math.floor( Math.random() * 1001 );
	var ms = "ms" + Math.floor( Math.random() * 1001 );

	document.write("<form action='contact.php' method='post'><input name='"+dc+"' value='1' type='hidden'><table style='color: #186490; font-size: 11px;'><tbody><tr><td style='text-align: right;' width='50%'>Your Name &nbsp;</td><td width='50%'>&nbsp; <input name='"+na+"' type='text' style='width: 250px'></td></tr><tr><td style='text-align: right;' width='50%'>E-mail Address &nbsp;</td><td width='50%'>&nbsp; <input name='"+em+"' type='text' style='width: 250px'></td></tr><tr><td style='text-align: right;' width='50%'>Your Inquiry Regards &nbsp;</td><td width='50%'>&nbsp; <select name='"+ty+"' style='width: 250px'><option>DATABASE (re)design</option> <option>DATA Cleanup</option> <option>DATA Conversion</option> <option>Search Engine Optimization (SEO)</option><option>Creating a new website</option><option>Modifying an existing website</option><option>Ongoing maintenance of existing website</option><option>Web-business consultation</option><option>Banner Exchange</option></select></td></tr><tr><td colspan='2' align='center'><div align='left'>Message:</div><textarea name='"+ms+"' style='width: 520px; height: 100px; font-family: Arial,Helvetica;'></textarea></td></tr><tr><td colspan='2' style='text-align: center;'><input value=' Send  Message ' type='submit'><br></td></tr></tbody></table></form>");
}