									
									function RemoveBlanks(s)
									{
									   var temp="";
									   for(var i=0; i<s.length; ++i) {
									   var c=s.charAt(i);
									   if(c!=" ") temp +=c;
									   }
									   return temp;
									}
									function CheckIsBlank()
									{
										
										txt = document.glogon.Why.value;
										
										if( txt == "NotSelected")  
										{
										   alert("Please fill in the appropriate reason, so we can have the right person call you.");
										   return (false);
										}
										
										return (true);
									}
									
									document.write('<Form name=glogon onsubmit="return CheckIsBlank()" METHOD="POST" ACTION="/cgi-bin/sendit.exe">');
									 document.write('<input type="hidden" name="SMTP" value="mail.savvy.net">');
									 document.write('<input type="hidden" name="RCPT" value="pbrar@HomeCareForYou.com">');
									 document.write('<input type="hidden" name="refer" value="/thankyou.html">');
									 document.write('<input type="hidden" name="Subject" value="Contact Me">');
									 document.write('<input type="hidden" name="From" value="contactMe@HomeCareForYou.com">');
									document.write('<table width="210" border="0" cellspacing="1" cellpadding="1">');
										document.write('<tr><td colspan="2" class="textTitle">&nbsp;&nbsp;Call me now!</td></tr>');
										document.write('<tr>');
											document.write('<td class="topSmall" align="right">');
											document.write('<input type="text" class="topInput" name="Name" value="Name" onfocus="if(this.value==this.defaultValue)this.value=\'\';" onblur="if(this.value==\'\')this.value=this.defaultValue;" >');
											document.write('</td>');
											document.write('<td class="topSmall">');
											document.write('<input type="text" class="topInput" name="Phone#" value="Phone" onfocus="if(this.value==this.defaultValue)this.value=\'\';" onblur="if(this.value==\'\')this.value=this.defaultValue;" >');
											document.write('</td>');
										document.write('</tr>');
										document.write('<tr>');
											document.write('<td class="topSmall" colspan="2">');
											document.write('<select name="Why" class="topInput">');
												document.write('<option value="NotSelected" SELECTED>Reason for the call</option>');
												document.write('<option value="Services">Services</option>');
												document.write('<option value="Employment">Employment</option>');
												document.write('<option value="Other">Other</option>');
											document.write('</select>');
											if (document.getElementById("blog"))
														{
											document.write('<input type="image" src="../buttons/submit_home.gif" border="0"><br>');
											}
											
											if (document.getElementById("home"))
														{
											document.write('<input type="image" src="buttons/submit_home.gif" border="0"><br>');
											}
											
											
											if (document.getElementById("green"))
														{
											document.write('<input type="image" src="../buttons/submit_green.gif" border="0"><br>');
											}
											
											
											if (document.getElementById("brick"))
														{
											document.write('<input type="image" src="../buttons/submit_brick.gif" border="0"><br>');
											}
											
											if (document.getElementById("blue"))
														{
											document.write('<input type="image" src="../buttons/submit_blue.gif" border="0"><br>');
											}
											
											if (document.getElementById("khaki"))
														{
											document.write('<input type="image" src="../buttons/submit_khaki.gif" border="0"><br>');
											}
											
											if (document.getElementById("brown"))
														{
											document.write('<input type="image" src="../buttons/submit_brown.gif" border="0"><br>');
											}
											
											if (document.getElementById("dkBrown"))
														{
											document.write('<input type="image" src="../buttons/submit_dkBrown.gif" border="0"><br>');
											}
											
											if (document.getElementById("purple"))
														{
											document.write('<input type="image" src="../buttons/submit_purple.gif" border="0"><br>');
											}
											
											document.write('</td>');
										document.write('</tr></form>');
									document.write('</table>');