document.write('<form method="post" action="http://www.amanobooks.com/cgi-bin/gm.pl">');
document.write('<input type=hidden name="recipient" value="gm@amanobooks.com">');
document.write('<input type=hidden name="redirect" value="http://www.guerzonmills.com/info/thanks_contact.html">');
document.write('<input type=hidden name="required" value="email">');