//<!-- Begin 
//-->
document.write('<div class="SideBarLcontent">');
document.write('<div id="CaseWorthForm">');
document.write('<form method="POST" action="http://kmnaldc.fatcow.com/tectiteformmail.php" target="_top" required="full_name,email">');
document.write('<INPUT TYPE="HIDDEN" NAME="recipients" VALUE="gerry_*_cadreinc.com,helen_*_nashville-accident-lawyer.com">');
document.write('<INPUT TYPE="HIDDEN" NAME="subject"  VALUE="KAM Nashville PI WebSite Case Worth Form">');
<!--document.write('<INPUT TYPE="HIDDEN" NAME="required" VALUE="realname,email">');
-->
document.write('<input type="hidden" name="good_url" value="http://www.nashville-accident-lawyer.com/thanks.htm" />');
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document.write('<input type="text" name="cfld1" size="30" class="shadeformhidden" value="k7a8m9">');
document.write('<input type="text" name="cfld2" size="30" class="shadeformhidden" value="">');

document.write('<div id="form-style">');
document.write('Name (required)');
document.write('<input type="text" name="realname" size="30" class="shadeform"><br /><br />');
document.write('Phone:');
document.write('<input type="text" name="phone" size="30" class="shadeform"><br /><br />');
document.write('Email Address (required)');
document.write('<input type="text" name="email" size="30" class="shadeform"><br /><br />');
document.write('Briefly describe your injury');
document.write('<textarea name="comments" rows="6" cols="35" class="textarea"></textarea>');
document.write('<br /><br />');
document.write('<input type="submit" value="Send Info" class="button" onmouseover="this.className=\'buttonon\'" onmouseout="this.className=\'button\'">&nbsp;<input type="reset" value="Clear Form" class="button" onmouseover="this.className=\'buttonon\'" onmouseout="this.className=\'button\'"><br />');
document.write('</div> <!--end form-style -->');

document.write('</form>');
document.write('</div> <!--end CaseWorthForm -->');
document.write('</div> <!--end SideBarLcontent -->');