document.write("<div id=\"cf_pc_widget\" class=\"widgetBox\">\n\t<form action=\"http://corefact.com/home/login?agent_id=\" method=\"post\" target=\"_blank\">\n\t    <p style=\"width: 100%; text-align: center;\">\n\t        <b>Receive a postcard?</b><br>\n\t        <center>Enter your access key for<br> a free home estimate!<center>\n\t    </p>\n\t    <div class=\"codeBox\" >\n\t        <input id=\"userinfo_code1\" maxlength=\"10\" name=\"userinfo[code1]\" \n\t        size=\"4\" type=\"text\" width=\"35\" style=\"width:35px;\" />\n\t        <input id=\"userinfo_code2\" maxlength=\"10\" name=\"userinfo[code2]\"\n\t        size=\"5\" type=\"text\" style=\"width:40px;\" />\n\t        <input id=\"userinfo_code3\" maxlength=\"10\" name=\"userinfo[code3]\"\n\t        size=\"4\" type=\"text\" style=\"width:35px;\" /><br><br>\n\t        <input class=\"button\" name=\"commit\" type=\"image\" value=\"Submit\"\n\t        src=\"http://corefact.s3.amazonaws.com/images/widgets/submit.gif\"/>\n\t    </div>\n\t</form>\n\t<small>Powered by <a href=\"http://www.corefact.com\">CoreFact</a></small>\n</div>\n");