// JavaScript Document
document.writeln('<form action="http://' + client + '.dymapic.com/apps2/default.aspx" method="post" name="fDymapic">');
//document.writeln('<form action="http://localhost/webs/dymapic/default.aspx" method="post" name="fDymapic">');
//document.writeln('<input type="hidden" name="lon" value=' + lon + '>');
//document.writeln('<input type="hidden" name="lat" value=' + lat + '>');
//document.writeln('<input type="hidden" name="txt" value=' + txt + '>');
document.writeln('<table width="140" border="0" cellspacing="0" cellpadding="2">');
document.writeln('<tr>');
document.writeln('<td>Address</td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td><input name="txtAddress" type="text"></td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td>City, State, and/or Zip</td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td><input name="txtCityStateZip" type="text" id="txtCityStateZip"></td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td align="center"><input type="submit" name="Submit" value="Locate Hotels">');
document.writeln('</td>');
document.writeln('</tr>');
document.writeln('</table>');
document.writeln('</form>');