document.write("<form id='sl_banner_sm' method='get' onsubmit='return ValidateAndSendBanner(this)' action='')>");
document.write("<table width='125' height='120' border='0' cellpadding='0' cellspacing='0'>");
document.write("<tr>");
document.write("<td align='left' valign='top'><table width='123' 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_sl_sm_head_n.gif' alt='Progressive' width='123' height='51' /></td>");
document.write("</tr>");
document.write("<tr>");
document.write("<td height='70' align='left' valign='top'><table bgcolor='#FFFFFF' width='123' border='0' cellpadding='0' cellspacing='0' style='border-right: 1px solid #CCC; border-left: 1px solid #CCC; border-bottom: 1px solid #CCC;'>");
document.write("<tr>");
document.write("<td width='40' height='33' align='right' valign='top'>&nbsp;</td>");
document.write("<td align='left' valign='top'><select id='Product' style='width: 100px'>");
document.write("<option selected value='AU'>Auto</option>");
document.write("<option value='MC-M'>Motorcycle</option>");
document.write("<option value='MC-A'>ATV</option>");
document.write("<option value='BT'>Boat/PWC</option>");
document.write("</select></td>");
document.write("</tr>");
document.write("<tr>");
document.write("<td align='right' valign='top'>&nbsp;</td>");
document.write("<td width='213' align='left' valign='middle'><img src='http://www.progressiveagent.com/images/quote_bnr_sl_sm_zip.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_quote_sm.gif' alt='Get a Quote' align='absmiddle' vspace='4'>");
document.write("</tr>");
document.write("</table></td>");
document.write("</tr>");
document.write("</table></td>");
document.write("</tr>");
document.write("</table>");
document.write("</form>");