document.write("<form action='/n.php' method='get' style='margin:0px;padding:0px;'>Search Near You: ");
document.write("<input type='text' name='city' value='City' class='sel' /> ");
document.write("<input type='text' name='state' value='ST' class='sel' style='width:20px;' /> ");
document.write("<input type='text' name='q' value='Type' class='sel' /> ");
document.write("<input type='submit' name='submit' value='GO' style='width:20px;' class='sel'></form>");