document.write('<form action="http://www.rus-women.com/gal__.html" method="post" name="search1" class="">\
    <strong>Search women:</strong>\
    Age from <input name="age_from" value="" type="text" class="q8">\
    to <input name="age_to" value="" type="text" class="q8">\
    <label for="sex2"><input name="sex" value="2" checked type="radio" id="sex2">female</label>\
    <label for="sex1"><input name="sex" value="1" type="radio" id="sex1">male</label>\
    <input type="hidden" name="mode" value="editfilterfast">\
    <input type="hidden" name="submitform" value="Search">\
    <input type="image" value="" src="/img/searchkv.gif" class="q9">\
   </form>')