document.write('\	\<FORM\ ACTION\=\"http\:\/\/www\.freeyellow\.com\/StoreSurveyResults\.mpl\"\ METHOD\=\"POST\"\ TARGET\=\'mywindow\'\ onSubmit\=\"window\.open\(\'about\:blank\'\,\'mywindow\'\,\ \'toolbar\=no\,location\=no\,directories\=no\,status\=no\,menubar\=no\,scrollbars\=yes\,resizable\=yes\,copyhistory\=no\,width\=400\,height\=400\'\)\"\>\	\<TABLE\ \ BGCOLOR\=\"\#ffffff\"\ CELLSPACING\=\"0\"\ CELLPADDING\=\"0\"\ border\=\"1\"\ bordercolor\=\"\#336699\"\ \>\	\<TR\>\<TD\>\	\<TABLE\ BGCOLOR\=\"\#ffffff\"\ CELLSPACING\=\"0\"\ CELLPADDING\=\"1\"\>\	\	\<TR\ BGCOLOR\=\"\#336699\"\>\	\	\	\<TD\ COLSPAN\=\"2\"\ ALIGN\=\"CENTER\"\>\	\	\	\	\<FONT\ FACE\=\"Verdana\"\ color\=\"white\"\ SIZE\=\"2\"\>\<B\>Survey\ \<\/font\>\<\/B\>\	\	\	\<\/TD\>\	\	\<\/TR\>\	\	\	\	\<TR\>\	\	\	\	\<TD\ VALIGN\=\"TOP\"\>\	\	\	\	\	\<B\>\<FONT\ FACE\=\"Verdana\"\ SIZE\=\"1\"\>1\&nbsp\;\ \<\/FONT\>\<\/B\>\	\	\	\	\<\/TD\>\	\	\	\	\<TD\>\	\	\	\	\	\<B\>\<FONT\ FACE\=\"Verdana\"\ SIZE\=\"1\"\>Your\ most\ memorable\ moment\ of\ the\ Jamboree\ Weekend\?\ \<\/FONT\>\<\/B\>\<BR\>\	\	\	\	\	\<INPUT\ TYPE\=\"text\"\ NAME\=\"control0\"\ SIZE\=\"30\"\ VALUE\=\"\"\>\	\	\	\	\<\/TD\>\	\	\	\<\/TR\>\	\	\	\	\<TR\>\	\	\<TD\ COLSPAN\=\"2\"\ BGCOLOR\=\"ffffff\"\ ALIGN\=\"CENTER\"\ \>\	\	\	\<INPUT\ TYPE\=\"submit\"\ NAME\=\"SendtoFile\"\ VALUE\=\"Submit\"\ \>\	\	\	\<INPUT\ TYPE\=\"reset\"\ NAME\=\"reset\"\ VALUE\=\"Clear\"\>\	\	\<\/TD\>\	\<\/TR\>\	\<INPUT\ TYPE\=\"hidden\"\ NAME\=\"pollname\"\ VALUE\=\"PanJamMemorableMoments\"\>\	\<INPUT\ TYPE\=\"hidden\"\ NAME\=\"username\"\ VALUE\=\"fy\.panjam\"\>\	\<INPUT\ TYPE\=\"hidden\"\ NAME\=\"noofQuestions\"\ VALUE\=\"1\"\>\	\<INPUT\ TYPE\=\"hidden\"\ NAME\=\"YNview\"\ VALUE\=\"Yes\"\>\	\<\/TABLE\>\	\<\/TD\>\<\/TR\>\<\/TABLE\>\	\<\/FORM\>\	');