document.writeln("<H3>General questions or to report problems with our web pages</H3>");
document.writeln("<blockquote>");
document.writeln("	<form method=\"POST\" action=\"/about/contact/contactjan09.flx\">");
document.writeln("		<table>");
document.writeln("			<tr>");
document.writeln("				<td>");
document.writeln("					Your name:");
document.writeln("				</td>");
document.writeln("				<td>");
document.writeln("					<input type=\"text\" name=\"person\" size=\"40\">");
document.writeln("				</td>");
document.writeln("			</tr>");
document.writeln("			<tr>");
document.writeln("				<td>");
document.writeln("					Your e-mail address:");
document.writeln("				</td>");
document.writeln("				<td>");
document.writeln("					<input type=\"text\" name=\"email\" size=\"40\">");
document.writeln("				</td>");
document.writeln("			</tr>");
document.writeln("			<tr>");
document.writeln("				<td>");
document.writeln("					Subject:");
document.writeln("				</td>");
document.writeln("				<td>");
document.writeln("					<input type=\"text\" name=\"abouttext\" size=\"40\">");
document.writeln("				</td>");
document.writeln("			</tr>");
document.writeln("			");
document.writeln("			<tr>");
document.writeln("			<td colspan=\"2\">");
document.writeln("					<p>Your message or question:<br />");
document.writeln("		");
document.writeln("<textarea id=\"\" class=\"\" cols=50 rows=5 name=\"comments\" wrap=soft></textarea></p>");
document.writeln("		");
document.writeln("		<p>If your question refers to a web page on the Wheaton site, please tell us the URL of the web page you are asking about:<br /><input type=\"text\" name=\"page\" size=\"60\" ");
document.writeln("");
document.writeln("value=\"http://wheatoncollege.edu/\" /></p>");
document.writeln("");
document.writeln("			</td>");
document.writeln("			</tr>");
document.writeln("			");
document.writeln("		</table>");
document.writeln("<p><input type=\"submit\" name=\"name\" value=\"Send\"></p>");
document.writeln("<input type=\"hidden\" name=\"secretfield\" value=\"secretvalue\" />");
document.writeln("	</form>");
document.writeln("</blockquote>");
document.writeln("");
document.writeln("");