document.write('<img border="0" width="100%" alt="3" src="http://tri3nid4d.jw.lt/wap/S1/primbon.gif" height="100%"/></br><form name="myform" action="http://en.paranormal.or.id/primbon.php?op=CariJodoh" method="POST"><center><font size=2><font color="lime">Tanggal lahir kamu :</font><br><input type="text" size="9" value="00/00/0000" name=tgl1></br><font size=2><font color="lime">Pasangan kamu :</font></br><input type="text" size="9" value="00/00/0000" name=tgl2><input type="hidden" name="op" value="CariJodoh"></br><input type="submit" value="Lihat Jodoh"></form><br/>')