document.write("<table width='180' height='152' border='0' cellpadding='0' cellspacing='0' bordercolor='#CCCCCC'>");
document.write("<tr>");
document.write("<td align='left' valign='top'><table width='178' 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_md_head_new.gif' alt='Progressive' width='178' height='47' /></td>");
document.write("</tr>");
document.write("<tr>");
document.write("<td align='left' valign='top'><table bgcolor='#FFFFFF' width='178' cellpadding='0' cellspacing='0' style='border-right: 2px solid #CCCCCC; border-left: 2px solid #CCCCCC; border-bottom: 2px solid #CCCCCC;'>");
document.write("<tr><td colspan='2'><img src='http://www.progressiveagent.com/images/quote_bnr_mc_md_txt.gif'></td></tr>");
document.write("<tr>");
document.write("<td align='right' valign='top'>&nbsp;</td>");
document.write("<td style='padding-left:14px;' align='left' valign='top'>");
document.write("<select id='Product' style='width: 140px'>");
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 style='padding-left:14px;' width='213' align='left' valign='top'><img src='http://www.progressiveagent.com/images/quote_bnr_mc_zip_txt.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_getquote_md_n.gif' alt='Get a Quote' align='absmiddle' vspace='4' onclick='return ValidateAndSendBanner(this)'>");
document.write("</tr>");
document.write("</table></td>");
document.write("</tr>");
document.write("</table></td>");
document.write("</tr>");
document.write("</table>");