document.write('<form action="/find.php" method="GET"><br>&nbsp;&nbsp;<input type="text" name="q" size="41" value=""><br>&nbsp;&nbsp;Business Name or Category<br><br>&nbsp;&nbsp;<input type="text" name="city" size="21" value=""><select size="1" name="state"><option value="" selected></option><option value="ak">AK</option><option value="AL">AL</option><option value="AR">AR</option><option value="AZ">AZ</option><option value="CA">CA</option><option value="CO">CO</option><option value="CT">CT</option><option value="DC">DC</option><option value="DE">DE</option><option value="FL">FL</option><option value="GA">GA</option><option value="HI">HI</option><option value="IA">IA</option><option value="ID">ID</option><option value="IL">IL</option><option value="IN">IN</option><option value="KS">KS</option><option value="KY">KY</option><option value="LA">LA</option><option value="MA">MA</option><option value="MD">MD</option><option value="ME">ME</option><option value="MI">MI</option><option value="MN">MN</option><option value="MO">MO</option><option value="MS">MS</option><option value="MT">MT</option><option value="NC">NC</option><option value="ND">ND</option><option value="NE">NE</option><option value="NH">NH</option><option value="NJ">NJ</option><option value="NM">NM</option><option value="NV">NV</option><option value="NY">NY</option><option value="OH">OH</option><option value="OK">OK</option><option value="OR">OR</option><option value="PA">PA</option><option value="RI">RI</option><option value="SC">SC</option><option value="SD">SD</option><option value="TN">TN</option><option value="TX">TX</option><option value="UT">UT</option><option value="VA">VA</option><option value="VT">VT</option><option value="WA">WA</option><option value="WI">WI</option><option value="WV">WV</option><option value="WY">WY</option></select>&nbsp;<input type="submit" value="Search"><br>&nbsp;&nbsp;City&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;State&nbsp;</form>')