document.write("<form name=\"index\" id=\"index\" action=\"http:\/\/www.travelodge.com\/Travelodge\/control\/Booking\/check_avail\">");
document.write("<div id=\"topbar\" style=\"width:100%; background-color:#03407F; margin: 0 auto; height:30px; position:relative; text-align:right; color: #FFF;\"> ");
document.write("<div style=\"float:left; padding-left:15px;padding-top:5px;\">");
document.write("<span style=\"font-family:Arial, Helvetica, sans-serif; font-size: 14px; color:#FFF; font-weight:bold; padding-right:10px; text-decoration:none;\">Quick Rate Look Up<\/span><\/div>");
document.write("<div style=\"float:right;\">");
document.write("Check In:");
document.write("<span class=\"widgetTxt\">");
document.write("  <input name=\"checkInDate\" id=\"checkInDate\" size=\"6\" class=\"widget\" style=\"margin-top: 4px;\" value=\"MM\/DD\" onfocus=\"if(this.value=='08\/15')this.value=''\" onchange=\"incDatePromo(index.checkOutDate, this.value, 'false', '1')\" type=\"text\" \/>");
document.write("");
document.write("  <label for=\"checkOutDate\">Check-out");
document.write("    <input name=\"checkOutDate\" id=\"checkOutDate\" size=\"6\" class=\"widget\" style=\"margin-top: 4px;\" value=\"MM\/DD\" onfocus=\"if(this.value=='08\/17') this.value=''\" type=\"text\" \/> ");
document.write("    # of Rooms:");
document.write("						  <select name=\"numberRooms2\" id=\"numberRooms2\" class=\"widget\" style=\"margin-top: 4px;\">");
document.write("						    <option value=\"1\" selected=\"selected\">1<\/option>");
document.write("						    <option value=\"2\">2<\/option>");
document.write("						    <option value=\"3\">3<\/option>");
document.write("						    <option value=\"4\">4<\/option>");
document.write("");
document.write("						    <option value=\"5\">5<\/option>");
document.write("						    <option value=\"6\">6<\/option>");
document.write("						    <option value=\"7\">7<\/option>");
document.write("						    <option value=\"8\">8<\/option>");
document.write("						    <option value=\"9\">9<\/option>");
document.write("    <\/select>");
document.write("");
document.write("						  <input class=\"searchButtontext\" style=\"width: 100px; margin-left:15px; margin-right:15px;\" value=\"Check Rates\" alt=\"Search\" type=\"submit\" \/>");
document.write("  <\/label>");
document.write("<\/span>");
document.write("        <input type=\"hidden\" name=\"id\" value=\"10073\">");
document.write("				");
document.write("				<input type=\"hidden\" name=\"propBrandId\" value=\"TL\"><\/div>");
document.write("");
document.write("<\/div>");
document.write("<\/form>");
document.write("");