document.write("<table width='125' height='120' border='0' cellpadding='0' cellspacing='0' bordercolor='#CCCCCC'>");
document.write("<tr>");
document.write("<td align='left' valign='top'><table width='123' border='0' cellspacing='0' cellpadding='0'>");
document.write("<tr>");
document.write("<td align='left' valign='top'><img src='http://www.progressiveagent.com/images/quote_bnr_mc_sm_head_n.gif' alt='Progressive' width='125' height='46' /></td>");
document.write("</tr>");
document.write("<tr>");
document.write("<td height='65' align='left' valign='top'><table bgcolor='#FFFFFF' width='125' border='0' cellpadding='0' cellspacing='0' style='border-right: 1px solid #CCCCCC; border-left: 1px solid #CCCCCC;border-bottom: 1px solid #CCCCCC;'>");
document.write("<tr><td colspan='2'><img src='http://www.progressiveagent.com/images/quote_bnr_mc_sm_txt.gif'></td></tr>");
document.write("<tr>");
document.write("<td width='40' height='33' align='right' valign='top'>&nbsp;</td>");
document.write("<td align='left' valign='top'><select id='Product' style='width: 106px'>");
document.write("<Option value='MC-M'>Motorcycle </option>");
document.write("<Option value='MC-A'>ATV</option>");
document.write("</select></td>");
document.write("</tr>");
document.write("<tr>");
document.write("<td align='right' valign='top'>&nbsp;</td>");
document.write("<td width='175' align='left' valign='middle'><img src='http://www.progressiveagent.com/images/quote_bnr_mc_sm_zip.gif'><br><input id='ZIP' type='text' size='5' maxlength='5' />");
document.write("&nbsp;<INPUT type='image' id='button1' src='http://www.progressiveagent.com/images/quote_bnr_btn_quote_sm.gif' alt='Quote'  width='46' height='25' align='absmiddle' onclick='return ValidateAndSendBanner(this)'>");
document.write("</tr>");
document.write("</table></td>");
document.write("</tr>");
document.write("</table></td>");
document.write("</tr>");
document.write("</table>");