document.write("<script src=\"http://www.simpletuition.com/scripts/widget_validation.js\" type=\"text/javascript\"></script>\n<style type=\"text/css\">\n\tdiv#col1 {float:left; width:284px;}\n\tdiv#col2 {float:left; width:120px; background:#EFEFEF; padding-top:4px;}\n\tdiv#caption {width:400px; background:#006699; color:#FFFFFF; text-align:left; font-family:arial; font-size:12px; font-weight:bold; padding:3px 0 3px 5px; border-bottom:1px solid #FFFFFF;}\n\ttable#wg {background:#EFEFEF; padding-bottom:4px; font-family:arial; font-size:12px;}\n\ttable#wg td {padding:2px 0 2px 0; vertical-align:top;}\n\ttable#wg td.first {width:180px; padding-left:4px;}\n\ttable#wg td fieldset {padding:0; margin:0; border:0;}\n\ttable#wg td select { padding:0 0 0 2px; margin-top:2px; border:1px #666666 solid; font-size:100%; background-color:#FFFFFF; vertical-align:middle;}\n\ttable#wg td label {display:block; font-weight:bold; padding:0; margin:0;}\n\ttable#wg td input.radio {padding:0; margin:0;}\n\tdiv#wg div.text-logo {display:none;}\n\tdiv#wg div.img-logo {background:#EFEFEF; min-height:45px; height:auto !important;}\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<form id=\"vertical-wg\" style=\"padding:0; margin:0;\" method=\"post\" name=\"wg_form\" onsubmit=\"return validate_form(false, this);\" action=\"http://www.simpletuition.com/partner_landing?brnd=neci\">\n<input type=\"hidden\" name=\"trackingId\" value=\"\"/>\n<input type=\"hidden\" name=\"optIn\" value=\"false\"/>\n\t\t\t<input type=\"hidden\" name=\"loanType\" value=\"11\"/>\n\t\n<div id=\"caption\">Search Stafford Loans</div>\n<div id=\"col1\">\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" id=\"wg\">\n\t<tr>\n\t\t<input type=\"hidden\" name=\"product\" value=\"undergraduate\" />\n\t\t<td class=\"first\">\n\t\t\t<fieldset>\n\t\t\t\t<label class=\"first\" for=\"amt\">Loan amount:</label>\n\t\t\t\t$&nbsp;<input id=\"amt\" name=\"amt\" type=\"text\" size=\"16\" style=\"border:1px #666666 solid; background-color:#FFFFFF;font-family:arial; font-size:.9em;\" value=\"\" />\n\t\t\t</fieldset>\n\t\t</td>\n\t\t<td style=\"width:240px;\">\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\t</td>\n\t</tr>\n\t<tr>\n\t\t<td>&nbsp;</td>\n\t\t<td>\n\t\t\t<fieldset>\n\t\t\t\t<label>Graduation:</label>\n\t\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\t</fieldset>\n\t\t</td>\n\t</tr>\n</table>\n</div>\n<div id=\"col2\">\n\t<input type=\"image\" style=\"border:0;\" src=\"http://www.simpletuition.com/images/widget/button.gif\" name=\"New Loan\" alt=\"New Loan\" title=\"New Loan\" />\n</form>");