document.write("<form name=\"credit_estimator\" id=\"credit_estimator\" action=\"/ce/credit_estimator-fcr.php\" method=\"post\" >");
document.write("<div class=\"c3_appsorter_call1\">Free Credit Scores</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=\"na\">Free Credit Scores</option>");
document.write("</select>-->");

document.write("<input name=\"submit\" type=\"image\" src=\"http://www.creditloan.com/panda/images/c3_applynow_big.jpg\" style=\"margin-top: 15px;\" /></div></form></div>");