document.write("<script src=\"http://www.simpletuition.com/scripts/widget_validation.js\" type=\"text/javascript\"></script>\n<style type=\"text/css\">\n\tdiv#wg {width:161px; background:#EFEFEF; font-family:arial; font-size:12px;}\n\tdiv#wg div#header {font-size:12px; background:#8A0808; color:#FFFFFF; font-weight:bold; padding:5px; margin:0; border-bottom:1px solid #FFFFFF;}\n\tdiv#wg div#content {padding:5px; border:0;}\n\tdiv#wg div#content fieldset {border:0; padding:0; margin-bottom:6px;}\n\tdiv#wg div#content fieldset select {width:60px; padding:0 0 0 2px; margin-top:2px; font-size:100%; border:1px #666666 solid; background-color:#FFFFFF; vertical-align:middle;}\n\tdiv#wg div#content fieldset label {display:block; font-weight:bold;}\n\tdiv#wg div#content input.radio {padding:0; margin:0;}\n\tdiv#wg div.text-logo {background:#EFEFEF; padding:0 5px 3px 5px; font-weight:bold; font-size:11px;}\n\tdiv#wg div.text-logo a {text-decoration:none; color:#333333;}\n\tdiv#wg div.img-logo {display:none;}\n\tdiv#wg div.img-logo span {color:#666666; font-weight:normal; font-family:arial; font-size:11px;}\n\tdiv#wg img {border:0;}\n</style>\n\n\t<div id=\"header\">Find Student Loans</div>\n\t<div id=\"content\">\n\t<form method=\"post\" name=\"wg_form\" action=\"http://www.simpletuition.com/partner_landing?brnd=fmd\" onsubmit=\"return validate_form(false, this);\" style=\"padding:0; margin:0;\">\n\t\t<input type=\"hidden\" name=\"trackingId\" value=\"\"/>\n<input type=\"hidden\" name=\"optIn\" value=\"true\"/>\n\t<input type=\"hidden\" name=\"WT.mc_id\" value=\"238A0808\"/>\n\t\t<fieldset>\n\t\t\t<label for=\"select\">Select:</label>\n\t\t\t<input type=\"radio\" class=\"radio\" name=\"product\" id=\"select1\" value=\"undergraduate\" checked=\"checked\" />&nbsp;Student&nbsp;&nbsp;\n\t\t\t\t\t\t\t<br /><input type=\"radio\" class=\"radio\" name=\"product\" id=\"select2\" value=\"graduate\" />&nbsp;Graduate Student<br />\n\t\t\t\t\t\t<input type=\"radio\" class=\"radio\" name=\"product\" id=\"select2\" value=\"parent\" />&nbsp;Parent\n\t\t</fieldset>\n\t\n\t\t<fieldset>\n\t\t\t<label for=\"amt\">Loan amount:</label>\n\t\t\t$&nbsp;<input id=\"amt\" name=\"amt\" type=\"text\" size=\"18\" style=\"border:1px #666666 solid; background-color:#FFFFFF;font-family:arial; font-size:.9em;\" value=\"\" />\n\t\t</fieldset>\n\t\n\t\t<fieldset>\n\t\t\t<label>Loan needed:</label>\t\t\t\n\t\t\t<select name=\"initialDisbursement\" >\n\t<option >Jan</option>\n\t<option >Feb</option>\n\t<option >Mar</option>\n\t<option >Apr</option>\n\t<option >May</option>\n\t<option >Jun</option>\n\t<option selected>Jul</option>\n\t<option >Aug</option>\n\t<option >Sep</option>\n\t<option >Oct</option>\n\t<option >Nov</option>\n\t<option >Dec</option>\n</select>\n<select name=\"initialDisbursement\" >\n\t<option selected>2010</option>\n\t<option >2011</option>\n\t<option >2012</option>\n\t<option >2013</option>\n\t<option >2014</option>\n\t<option >2015</option>\n\t<option >2016</option>\n\t<option >2017</option>\n</select>\n\t\t</fieldset>\n\t\n\t\t<fieldset>\n\t\t\t<label>Graduation:</label>\n\t\t\t<select name=\"gradDate\" >\n\t<option >Jan</option>\n\t<option >Feb</option>\n\t<option >Mar</option>\n\t<option >Apr</option>\n\t<option >May</option>\n\t<option >Jun</option>\n\t<option selected>Jul</option>\n\t<option >Aug</option>\n\t<option >Sep</option>\n\t<option >Oct</option>\n\t<option >Nov</option>\n\t<option >Dec</option>\n</select>\n<select name=\"gradDate\" >\n\t<option selected>2010</option>\n\t<option >2011</option>\n\t<option >2012</option>\n\t<option >2013</option>\n\t<option >2014</option>\n\t<option >2015</option>\n\t<option >2016</option>\n\t<option >2017</option>\n</select>\n\t\t</fieldset>\n\t\t\n\t\t\n\t\t<p style=\"margin:12px 0 0 0; padding:0; font-weight:bold; font-size:11px;\">\n\t\t\t<input type=\"image\" name=\"New Loan\" src=\"http://www.simpletuition.com/images/widget/button.gif\" alt=\"New Loan\" style=\"border:0; margin-bottom:5px;\" title=\"New Loan\" /><br />\n\t\t</p>\n\t</form>\n\t</div>\n");