document.write("<div class='poll'>")
document.write("	<p><b>Suggest a poll question:</b><br clear='all' />")
document.write("	<div><b>Name: </b>&nbsp;<input name='Name' type='text' id='txtname' style='width:100px; height:15px' /></div><br />")
document.write("	<div><b>Poll: </b>&nbsp; &nbsp; &nbsp;<input name='Name' type='text' id='txtpoll' style='width:100px; height:15px' /></div><br clear='all' />")
document.write("	<button type='submit' style='float:left;' value='' onclick='return showresult1()' class='green_btn' border='0'><span class='whitelink'>Submit</span></button>")
document.write("</div>")
document.write("<script src='/scripts/PollMailResult.js' type='text/javascript'></script>")