\n");
document.write(" | First Name: | \n");
document.write(" | \n");
document.write("
\n");
document.write(" | Last Name: | \n");
document.write(" | \n");
document.write("
\n");
document.write(" | Email Address: | \n");
document.write(" | \n");
document.write("
\n");
document.write(" | Home Phone: | \n");
document.write(" | \n");
document.write("
\n");
document.write(" | Business Phone: | \n");
document.write(" | \n");
document.write("
\n");
document.write("| \n");
document.write("Type of comment: | \n");
document.write("\n");
document.write("Complaint
Problem
Suggestion
Praise
\n");
document.write(" |
\n");
document.write("| \n");
document.write("Area of comment: | \n");
document.write("\n");
document.write("Membership Inquiry
Members Area
General Site Inquiry
Your Tryst Magazine
\n");
document.write(" |
\n");
document.write(" | Comments: | \n");
document.write(" | \n");
document.write("
\n");
document.write("\n");
document.write("Best way to
contact you?: | \n");
document.write("\n");
document.write("Phone (during the day)
Email
\n");
document.write(" |
\n");
document.write("