document.write("<form name=\"inviomail\" action=\"http://ITALIANMENSHIRTS.sartoriamoderna.com/ORDERSHIRTS/SHIRTORDERS/FORM/ORDER2.asp\" METHOD=POST ONSUBMIT=\"MM_validateForm('Request_information','','R','Email','','RisEmail');return document.MM_returnValue\" style=\"clear:left\">"																										+ "<div ID=SHIRTSFORM2><p>Fields with * are required</p><br><br></div>"
+ "<div ID=ORDERFORM2>"
+ "<p><b>First Name</b></p><br>"
+ "<input type=\"text\" class=\"textv\" size=\"30\" name=\"nome\"><br>"
+ "<p><b>* E-mail</b></p><br>"
+ "<input type=\"text\" class=\"textv\" size=\"30\" name=\"Email\"><br>"
+ "<p><b>City</b></p><br>"
+ "<input type=\"text\" class=\"textv\" size=\"24\" name=\"citta\"><br>"
+ "</div>"
+ "<div ID=SHIRTSORDERFORM2>"							
+ "<p><b>Last Name</b></p><br>"
+ "<input type=\"text\" class=\"textv\" size=\"30\" name=\"cognome\"><br>"
+ "<P><b>Telephone number</b></P><br>"
+ "<input type=\"text\" class=\"textv\" size=\"15\" name=\"tel\"><br>"
+ "<P><b>Country</b></P><br>"
+ "<input type=\"text\" class=\"textv\" size=\"24\" name=\"stato\"><br></DIV>"
+ "<DIV ID=ORDER_SHIRTS_FORM2>"
+ "<P><b>* Request information</b></P><br>"
+ "<textarea class=\"textv\" name=\"Request_information\" rows=\"8\" cols=\"60\"></textarea><br>"
+ "<input type=HIDDEN name=\"subject\" value=\"Info da sartoriamoderna.com\">" 
+ "<input type=\"image\" src=\"http://www.sartoriamoderna.com/img_b2b_2/btn_invia.gif\" name=\"Submit\" align=right></DIV></form>");