document.write('<table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse" bordercolor="#800000" width="200"  bgcolor="#EAEDAF">');
document.write('  <tr>');
document.write('    <td>');
document.write('    <table border="0" cellpadding="3" cellspacing="0" width="100%">');
document.write('    <form method="POST" action="asppollx/process.asp" target="_blank">');
document.write('        <tr><td width="100%" height="40" bgcolor="#408080" colspan="2"><p class="questionx">How old were you when you accepted Jesus as your savior?</td></tr>');
document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=2></td><td width="99%" height="30"><p class="responsex">3 to 9 years</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=4></td><td width="99%" height="30"><p class="responsex">10 to 17 years</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=6></td><td width="99%" height="30"><p class="responsex">18 to 29 years</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=8></td><td width="99%" height="30"><p class="responsex">30 to 50 years</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=10></td><td width="99%" height="30"><p class="responsex">50 and over</td></tr>');
document.write('        <tr><td width="100%" height="30" colspan="2"><p class="votebuttonx" ><input type="hidden" name="return" value="0"><input type="submit" value="Vote" name="B1">&nbsp;<br><a target="_blank" href="asppollx/results.asp">Results</a></td></tr>');
document.write('    </form>');
document.write('    </table>');
document.write('    </td>');
document.write('  </tr>');
document.write('</table>');