document.write('<form action="http://tgp.pornsponsors.com/tgp_ll/tgp_ll_public/site_submission.cgi" method="POST">');
document.write('<input type="hidden" name="account_id" value="418">');
document.write('<table>');
document.write('<tr>');
document.write('<th>Name/Nick:</th>');
document.write('<td><input type="text" name="name" value="" size="40" maxlength="255"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<th>E-mail Address:</th>');
document.write('<td><input type="text" name="email" value="" size="40" maxlength="255"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<th>Description:</th>');
document.write('<td><textarea name="description" rows="1" cols="40"></textarea></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<th>Site Type:</th>');
document.write('<td>');
document.write('<select name="type">');
document.write('<option>pics</option>');
document.write('<option>movs</option>');
document.write('</select>');
document.write('</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<th>Site Niche:</th>');
document.write('<td>');
document.write('<select name="niche">');
document.write('<option>Amateurs</option>');
document.write('<option>Anal</option>');
document.write('<option>Asian</option>');
document.write('<option>Babes</option>');
document.write('<option>BigTits</option>');
document.write('<option>Bikini</option>');
document.write('<option>Bizarre</option>');
document.write('<option>Black</option>');
document.write('<option>BDSM</option>');
document.write('<option>Celebrity</option>');
document.write('<option>Cheerleaders</option>');
document.write('<option>FatGirls</option>');
document.write('<option>Fetish</option>');
document.write('<option>Fist</option>');
document.write('<option>Foot</option>');
document.write('<option>Gangbang</option>');
document.write('<option>Gay</option>');
document.write('<option>Granny</option>');
document.write('<option>Group</option>');
document.write('<option>Hardcore</option>');
document.write('<option>Hairy</option>');
document.write('<option>Housewife</option>');
document.write('<option>Indian</option>');
document.write('<option>Interracial</option>');
document.write('<option>Latina</option>');
document.write('<option>Lesbians</option>');
document.write('<option>Lingerie</option>');
document.write('<option>Mature</option>');
document.write('<option>Milf</option>');
document.write('<option>Outdoor</option>');
document.write('<option>Panties</option>');
document.write('<option>Pantyhose</option>');
document.write('<option>Pissing</option>');
document.write('<option>Pornstar</option>');
document.write('<option>Pregnant</option>');
document.write('<option>Secretaries</option>');
document.write('<option>Shemales</option>');
document.write('<option>Smoking</option>');
document.write('<option>Spanking</option>');
document.write('<option>Stocking</option>');
document.write('<option>Strapon</option>');
document.write('<option>Teens</option>');
document.write('<option>Toons</option>');
document.write('<option>Toys</option>');
document.write('<option>Uniform</option>');
document.write('<option>Upskirts</option>');
document.write('<option>Voyeur</option>');
document.write('<option>Other</option>');
document.write('</select>');
document.write('</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<th>Gallery Page:</th>');
document.write('<td><input type="text" name="gallery_page" value="" size="40"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<th>Recip Page:</th>');
document.write('<td><input type="text" name="recip_page" value="" size="40"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<th></th>');
document.write('<td><input type="submit" name="_SUBMIT_" value="Submit Site" onClick="exit=false"></td>');
document.write('</tr>');
document.write('</table>');
document.write('</form>');