document.write('<form action="http://bizstats.com/calculators/financial-ratios/" method="post">');
  document.write('<input type="hidden" name="impression_id" value="" />');
  document.write('<input type="hidden" name="subcalc" value="DaysReceivables" />');
  
  document.write('<table class="tool_table" width="300" cellpadding="2" cellspacing="0"  style="font-family:Verdana, Arial, Helvetica, sans-serif; font-size:12px;">');



document.write('<tr height="10"><td height="10" colspan="2" style="font-family:Verdana, Arial, Helvetica, sans-serif; font-weight:bold"><div align="center">Days Receivables</div></td></tr><tr height="10"><td height="10"><div align="right">Sales</div></td><td align="right"><div align="left"><input name="1" type="text" class="formElements" id="1" size="10" /></div></td></tr><tr height="10"><td height="10"><div align="right">Accounts Receivable</div></td><td align="right"><div align="left"><input name="2" type="text" class="formElements" id="2" size="10" />&nbsp;<input type="image" name="submit" value="Submit" src="http://bizstats.com/images/but_go.gif" border="0" /></div></td></tr><tr height="10"><td height="10"><div align="right"></div></td><td><div align="left"></div></td></tr>');

document.write('<td align="center" colspan="2"><img src="http://bizstats.com/images/poweredby.gif" /></td></tr></table></form>');