document.write('<form action="http://altberger.comperia.pl/kredyty_samochodowe/index.php" method="get" name="f1">');
document.write('<input type="hidden" name="p" value="2">');
document.write('			<input type="hidden" value="170" name="_id_widget"/>');
document.write('			<input type="hidden" value="37" name="id_partner"/>');
document.write('	<style> ');
document.write(' .widget_table3 td { font-family:2;font-size:14px;color:#000000;  }' );
document.write(' </style>' );
document.write('<table class="widget_table3" cellpadding="3" cellspacing=0 width="350" >');
document.write('<tr>');
document.write('	<td bgcolor="#f2f2f2" class="wynik_o">Cel kredytowania</td>');
document.write('	<td bgcolor="#f2f2f2" class="wynik_o">');
document.write('		<select name="cel_" class="okno" >');
document.write('			<option VALUE="0">wybierz...</OPTION>');
document.write('			<option VALUE="1" SELECTED >nowy</OPTION>');
document.write('			<option VALUE="2"  >używany</OPTION>');
document.write('		</select>');
document.write('	</TD>');
document.write('</tr>');
document.write('<tr>');
document.write('	<td bgcolor="" class="wynik_o">Rok produkcji</td>');
document.write('	<td bgcolor="" class="wynik_o"><input type="text" name="rok_produkcji_" value="2009" size="14"></TD>');
document.write('</tr>');
document.write('<tr>');
document.write('	<td bgcolor="#f2f2f2" class="wynik_o">Cena samochodu</td>');
document.write('	<td bgcolor="#f2f2f2" class="wynik_o"><input type="text" name="cena_samochodu_" value="60000" size="14"></TD>');
document.write('</tr>');
document.write('<tr>');
document.write('	<td bgcolor="" class="wynik_o">Kwota kredytu</td>');
document.write('	<td bgcolor="" class="wynik_o"><input type="text" name="kwota_kredytu_" value="50000" size="14">  </TD>');
document.write('</tr>');
document.write('<tr>');
document.write('	<td bgcolor="#f2f2f2" class="wynik_o">Waluta</td>');
document.write('	<td bgcolor="#f2f2f2" class="wynik_o">');
document.write('		<select name="waluta_" class="okno" >');
document.write('			<option VALUE="0">wybierz...</OPTION>');
document.write('			<option VALUE="1"   SELECTED >PLN</OPTION>');
document.write('			<option VALUE="4"  >CHF</OPTION>');
document.write('			<option VALUE="2"  >EUR</OPTION>');
document.write('			<option VALUE="3"  >USD</OPTION>');
document.write('		</select>');
document.write('	</TD>');
document.write('</tr>');
document.write('<tr>');
document.write('	<td bgcolor="" class="wynik_o">Raty</td>');
document.write('	<td bgcolor="" class="wynik_o">');
document.write('		<select name="raty_" class="okno" >');
document.write('			<option VALUE="0">wybierz...</OPTION>');
document.write('			<option VALUE="2"   SELECTED >równe</OPTION>');
document.write('			<option VALUE="1"  >malejące</OPTION>');
document.write('		</select>');
document.write('	</TD>');
document.write('</tr>');
document.write('<tr>');
document.write('	<td bgcolor="#f2f2f2" class="wynik_o">Okres kredytowania</td>');
document.write('	<td bgcolor="#f2f2f2" class="wynik_o"><input type="text" name="okres_kredytu_" value="84"> miesiące </TD>');
document.write('</tr>');
document.write('<tr>');
document.write('	<td colspan="3" align="right">');
document.write('				<input type="submit" value="PORÓWNAJ AUTOKREDYTY">' );	
document.write('	</td>');
document.write('</tr>');
document.write('</table>');
document.write('</form>');