document.write("<!--inicio de la forma--><CENTER><FORM ACTION=/cgi-bin/sintacto.cgi METHOD=POST><CENTER><TABLE BORDER=0><TR><TD COLSPAN=2><b><CENTER>Sus datos &nbsp;</CENTER></TD></TR><TR><TD>Nombre</TD><TD><INPUT TYPE=text NAME=nombre size=35></TD></TR><TR><TD>Empresa</TD><TD><INPUT TYPE=text NAME=empresa size=35></TD></TR><TR><TD>Calle y n&uacute;mero</TD><TD><INPUT TYPE=text NAME=calle size=26> <INPUT TYPE=text NAME=numero size=5></TD></TR><TR><TD>Colonia</TD><TD><INPUT TYPE=text NAME=colonia size=35></TD></TR><TR><TD>Ciudad</TD><TD><INPUT TYPE=text NAME=ciudad size=35></TD></TR><TR><TD>C.P.</TD><TD><INPUT TYPE=text NAME=cp size=35></TD></TR><TR><TD>Pa&iacute;s</TD><TD><INPUT TYPE=text NAME=pais size=35></TD></TR><TR><TD>Tel&eacute;fono</TD><TD><INPUT TYPE=text NAME=tel size=15>Fax:<INPUT TYPE=text NAME=fax size=15></TD></TR><TR><TD>e-mail:</TD><TD><INPUT TYPE=text NAME=email size=35></TD></TR></TABLE><HR width=75%><TABLE BORDER=0><TR><TD COLSPAN=2><b><CENTER>&#191;C&oacute;mo nos conoci&oacute;? &nbsp;</CENTER></TD></TR><TR><TD><INPUT TYPE=radio VALUE=exposicion NAME=como_conocio>Por la exposici&oacute;n</TD><TD><INPUT TYPE=text NAME=cual_expo size=35></TD></TR><TR><TD><INPUT TYPE=radio VALUE=distribuidor NAME=como_conocio>Por el distribuidor</TD><TD><INPUT TYPE=text NAME=cual_distribuidor size=35></TD></TR><TR><TD><INPUT TYPE=radio VALUE=internet NAME=como_conocio>En el buscador</TD><TD><INPUT TYPE=text NAME=cual_buscador size=35></TD></TR><TR><TD><INPUT TYPE=radio VALUE=otro NAME=como_conocio>De otro modo</TD><TD><INPUT TYPE=text NAME=cual_otro_modo size=35></TD></TR></TABLE><HR width=75%><table><tr><TD COLSPAN=2><center><b>&#191;Algo m&aacute;s que quiera agregar?:</center></td></tr><tr><td><textarea name=comentarios rows=7 cols=40></textarea><BR><input type=hidden name=actiontotake value=Add><input type=submit value=Enviar><INPUT TYPE=reset VALUE=Borrar></td></tr></table></CENTER><!--fin de la forma-->")