document.write('<FORM METHOD=POST ACTION="https://www.eProcessingNetwork.com/cgi-bin/wo/order.pl">');
document.write('<INPUT TYPE=HIDDEN NAME="ePNAccount" VALUE="110429">');
document.write('<INPUT TYPE=HIDDEN NAME="ItemQty" MAXLENGTH=1 VALUE="1">');
document.write('<INPUT TYPE=HIDDEN NAME="ItemDesc" VALUE="Asset Search">');
document.write('<INPUT TYPE=HIDDEN NAME="ItemCost" VALUE="24.95">');
document.write('<INPUT TYPE=HIDDEN NAME="URL" VALUE="http://www.texasgumshoe.com/orderasset.html">');
document.write('<INPUT TYPE=HIDDEN VALUE="http://www.texasgumshoe.com/images/top3-1grey.gif" NAME="LogoURL">');
document.write('<INPUT TYPE=HIDDEN VALUE=".082500" NAME="TaxRate">');
document.write('<INPUT TYPE=HIDDEN NAME="BackgroundColor" VALUE="#E5E5E5">');
document.write('<INPUT TYPE=HIDDEN NAME="TextColor" VALUE="#000000">');
document.write('<FONT SIZE="2" FACE="Arial,Verdana,Helvetica" COLOR="#000000"><B>Residents of the State of Texas check the following box</FONT>&nbsp;&nbsp;');
document.write('<INPUT NAME="ApplyTax" TYPE=CHECKBOX><BR><BR>');
document.write('<INPUT TYPE="submit" VALUE="Continue"></form>');