document.write("<form name=\"credit_estimator\" id=\"credit_estimator\" action=\"/ce/credit_estimator.php\" method=\"post\">");
document.write("<div class=\"c3_appsorter_call1\">Bad Credit Loans</div><div class=\"c3_appsorter_call2\">NOW!</div>");
document.write("<div class=\"c3_appsorter_options\">");
document.write("<select name=\"loan_choice\" id=\"loan_choice\">");
document.write("<option value=\"bcl\">Bad Credit Loans</option>");
document.write("</select>");

document.write("</div><!-- end of options -->");
document.write("<input name=\"submit\" type=\"image\" src=\"https://www.creditloan.com/panda/images/c3_applynow.jpg\"></form>");
document.write("<div class=\"c3_appsorter_secure\">Secure Application</div>");