document.getElementById('cFormDivI').innerHTML="<form name='customForm' action='http://www.earnvacations.com/?_m=marketing&_a=collectData&tid=a7417eea4650' method=post><table cellspacing=0 cellpadding=0 border=0><tr><td><span style='padding-right:5px;'>First Name   </span></td><td><input type='text' name='First_Name' /></td></tr><tr><td><span style='padding-right:5px;'>Last Name   </span></td><td><input type='text' name='Last_Name' /></td></tr><tr><td><span style='padding-right:5px;'>State   </span></td><td><input type='text' name='State' /></td></tr><tr><td><span style='padding-right:5px;'>Phone Number   </span></td><td><input type='text' name='Phone_Number' /></td></tr><tr><td><span style='padding-right:5px;'>Email   </span></td><td><input type='text' name='Email' /></td></tr><tr><td></td><td><input type='hidden' name='72137' value='72137' /></td></tr></table><br /><input type=submit value='Next Step' /></form>"