document.write('<form name="credit_estimator" id="credit_estimator" action="/ce/credit_estimator_home.php" method="post">');
document.write('<div class="c3_appsorter_call1" style="font-size:30px;">Get Solutions</div><div class="c3_appsorter_call2">NOW!</div>');
document.write('<div class="c3_appsorter_options">');
document.write('<select name="loan_choice" id="loan_choice">');
document.write('<option value="na" selected="selected">Choose your Product</option>');
document.write('<option value="bcl">Bad Credit Loans</option>');
document.write('<option value="dc2">Debt Consolidation</option>');
document.write('<option value="pl">Personal Loans</option>');
document.write('</select>');

document.write('</div><!-- end of options -->');
document.write('<input name="submit" type="image" src="//www.creditloan.com/panda/images/applynow_greenblue.png"></form>');
document.write('<div class="c3_appsorter_secure">Secure Application</div>');