document.write('<div align="center"><center><form action="http://www.collectinghq.com/chqp.asp" method="post"><table  border="1" style="border-collapse: collapse" bordercolor="#FFFFFF" width="550" cellspacing="0" cellpadding="3">  <tr>      <td bgcolor="#529AC6" colspan="2" nowrap><b>      <font size="2" face="Arial" color="#FFFFFF">&nbsp;Password recovery</font></b></td>  </tr>  <tr>      <td bgcolor="#EFEBEF">&nbsp;</td>      <td bgcolor="#EFEBEF" nowrap><font color="#426D94" size="2" face="Arial">Please enter your email and get your account information.</font></td>  </tr>  <tr>    <td bgcolor="#EFEBEF" nowrap><font color="#8C344A" size="2" face="Arial">Email address:</font></td>    <td bgcolor="#EFEBEF" nowrap><input name="e" type="text" size="25" maxlength="100" value="">    <br><br><font color=red></font>    </td>  </tr>  <tr>  <td bgcolor="#EFEBEF"></td>  <td bgcolor="#EFEBEF"><input class="btn" type="submit" value="Retrieve password"></td>  </tr>  <tr>  <td bgcolor="#529AC6" colspan="2">&nbsp;</td>  </tr></table>  </form></center></div>');