lnmgmGk=document.write('<img class="special_css_small_screen" style="width:65px; height:31px;" src="/forms/captcha.php?str=lnmgmGk=&type=1" align="absmiddle" alt="Captcha"  />&nbsp;');
document.write('<label><input class="captchacode" name="captchacode" type="text" size="8" maxlength="6" placeholder="Enter code" /><span style="display:none;">Captcha</span></label>');
document.write('<input name="captchacodesalt" type="hidden" value="lnmgmGk=" />');