document.write ('<DIV ALIGN=CENTER>')
document.write ('<FORM METHOD="POST" ACTION="http://mailform.servery.cz/mf_send.php3" accept-charset="windows-1250">')
document.write ('<INPUT TYPE="hidden" NAME="mf_id" VALUE="17510">')
document.write ('<DIV ALIGN=CENTER>')
document.write ('<TABLE BORDER=0 BGCOLOR=white>')
document.write ('<TR>')
document.write ('<TD ALIGN="RIGHT"><FONT COLOR=black>')
document.write ('Email:')
document.write ('</FONT></TD>')
document.write ('<TD ALIGN="LEFT"><FONT COLOR=black>')
document.write ('')
document.write ('<INPUT TYPE=text NAME="email" VALUE="uzivatel@domena" SIZE="15">')
document.write ('</FONT></TD>')
document.write ('</TR>')
document.write ('<TR>')
document.write ('<TD ALIGN="RIGHT"><FONT COLOR=black>')
document.write ('Jmeno:')
document.write ('</FONT></TD>')
document.write ('<TD ALIGN="LEFT"><FONT COLOR=black>')
document.write ('')
document.write ('<INPUT TYPE=text NAME="jmeno" VALUE="" SIZE="15">')
document.write ('</FONT></TD>')
document.write ('</TR>')
document.write ('<TR><TD colspan=2 ALIGN=CENTER>')
document.write ('<INPUT TYPE=submit NAME="" VALUE="Odeslat">')
document.write ('</TD></TR>')
document.write ('</TABLE>')
document.write ('</FORM>')
document.write (' ')