document.write('');
document.write('<table vorder="0"><tr><form method="post" action="http://100853.vote.onetwomax.de/"><td>');
document.write('<table cellspacing="2" bgcolor="#FFE3CC" width="170" style="border: 1px solid #FFA75F">');
document.write('  <tr>');
document.write('    <td nowrap><font color="Black" face="Tahoma" size="2"><b>How old are you ?</b></font></td>');
document.write('  </tr>');
document.write('  <tr>');
document.write('    <td><font color="Black" face="Tahoma" size="2">To know your age will help us to provide the right Hairstyles and relatet Topics </font></td>');
document.write('  </tr>');
document.write('  <tr>');
document.write('    <td nowrap><font color="Black" face="Tahoma" size="2">');
document.write('      <input type="radio" name="vote" value="0">');
document.write('      Female under 15<br>');
document.write('      <input type="radio" name="vote" value="1">');
document.write('      Female 15 - 20<br>');
document.write('      <input type="radio" name="vote" value="2">');
document.write('      Female 20 - 30<br>');
document.write('      <input type="radio" name="vote" value="3">');
document.write('      Female 30 - 40<br>');
document.write('      <input type="radio" name="vote" value="4">');
document.write('      Female 40 - 50<br>');
document.write('      <input type="radio" name="vote" value="5">');
document.write('      Female 50 - 60<br>');
document.write('      <input type="radio" name="vote" value="6">');
document.write('      Female over 60<br>');
document.write('      <input type="radio" name="vote" value="7">');
document.write('      Male under 20<br>');
document.write('      <input type="radio" name="vote" value="8">');
document.write('      Male 20 - 35<br>');
document.write('      <input type="radio" name="vote" value="9">');
document.write('      Male 35 - 45<br>');
document.write('      <input type="radio" name="vote" value="10">');
document.write('      Male 45 - 55<br>');
document.write('      <input type="radio" name="vote" value="11">');
document.write('      Male over 55');
document.write('      </font>');
document.write('    </td>');
document.write('  </tr>');
document.write('  <tr>');
document.write('    <td><font color="Black" face="Tahoma" size="2">');
document.write('      <input type="submit" name="submit" value="Abstimmen">');
document.write('      <a href="http://100853.vote.onetwomax.de/?view=result">Ergebnis</a></font>');
document.write('    </td>');
document.write('  </tr>');
document.write('  <tr>');
document.write('    <td><font color="Black" face="Tahoma" size="2"><font size="-2">Bisher abgegebene Stimmen: 29300<br>');
document.write('      </font></font></td>');
document.write('  </tr>');
document.write('  <tr>');
document.write('    <td><font color="Black" face="Tahoma" size="2"><font size="-2">by <a href="http://www.onetwomax.de" target="_blank">OneTwoMax</a> Vote Script</font></font></td>');
document.write('  </tr>');
document.write('</table>');
document.write('</td></form></tr></table>');
document.write('');