document.write("<table width=90% border=0 align=right>");
document.write("<tr><td><table width=99% border=0 cellspacing=0 cellpadding=0>");
document.write("<form name=f2>");
document.write("<tr><td width=25% height=22 align=right><div align=center><a href=patient_registration.htm>Patient Registration</a></div></td>");
document.write("<td width=20% height=22 align=right><div align=center><a href=return_policy.htm>Return Policy</a></div></td>");
document.write("<td width=20% height=22 align=right><div align=center><a href=privacy_policy.htm>Privacy Policy</a></div></td>");
document.write("<td width=10% align=right><span class=style9>E-mail: </span></td>");
document.write("<td width=30%><div align=center><input name=email type=text size=16></div></td>");
document.write("<td width=15%><div align=center>&nbsp;&nbsp;<img src=images/signup.gif class=handClass onclick=val() width=67 height=20 border=0></div></td>");
document.write("</tr>");
document.write("</form>");
document.write("</table></td></tr></table>");