document.write("<table width=280 border=0 cellspacing=0 cellpadding=0>"+
          "<tr>"+
            "<td align=left valign=top class=consultation><table border=0 cellspacing=0 cellpadding=2>"+
              "<tr>"+
                "<td valign=middle><input name=nameText id='nameText' type=text />                </td>" +
                "<td >&nbsp;</td>"+
              "</tr>"+
              "<tr>"+
                "<td ><input name=emailText id='emailText' type=text /></td>" +
                "<td >&nbsp;</td>"+
              "</tr>"+
              "<tr>"+
                "<td align=left valign=top><input name=phoneText id='phoneText' type=text /></td>" +
                "<td align=left valign=bottom><input name=imageField type=image class=submit_btn src='images/spacer.gif' onclick='return ValidateConsultation();' /></td>"+
              "</tr>"+
            "</table></td>"+
          "</tr>"+
          "<tr>"+
            "<td >&nbsp;</td>"+
          "</tr>"+
          "<tr>"+
            "<td class=testimonial_tab>Frequently Asked Questions</td>"+
          "</tr>"+
          "<tr>"+
            "<td class=testimonial_bg>Are you unsure about how to file for a social security or disability claim? Read some of our frequently asked questions and please feel free to call us for more help. We’re here to advocate for you. <p><strong> <a href='faq.html' style='color:#631E7B; text-decoration:none'>- Read More </a></strong></p></td>"+
          "</tr>"+
          "<tr>"+
            "<td ><img src=images/testimonial_block_btm.jpg width=281 height=36 /></td>"+
          "</tr>"+
          "<tr>"+
            "<td >&nbsp;</td>"+
          "</tr>"+
        "</table>");