// JavaScript Document
function CreateFeedback(productName) {
	var documentContent = '<div id="feedback"> ' + 
												'<h2>Interested?</h2> ' + 
												'<p> If you would like more information about ' + productName + ', please enter your details below and someone will be in touch</p> ' + 
												'<div id="form-container"> ' +  
												'<form action="http://www.tuckerfrenchbathrooms.co.uk/?mode=feedback" method="post" style="margin:0; paddding:0;"> ' + 
												'<input type="hidden" name="subject" value="Product Interest in ' + productName + '"> ' + 
												'<input type="hidden" name="_recipient" value="charlotte@tucker-french.com"> ' + 
												'<input type="hidden" name="_redirect" value="http://www.tuckerfrenchbathrooms.co.uk/html/3012.html"> ' + 
												'<div> ' + 
												'<label for="CustomerName">Your Name</label> ' + 
												'<input type="text" name="CustomerName"> ' + 
												'</div> ' + 
												'<div> ' + 
												'<label for="Email">Your Email</label> ' + 
												'<input type="text" name="Email"> ' + 
												'</div> ' + 
												'<div> ' + 
												'<label for="CustomerPhone">Your Telephone Number</label> ' +  
												'<input type="text" name="CustomerPhone"> ' + 
												'</div> ' +  
												'<div>' + 
												'<input type="submit" value="please contact me &raquo;"> ' + 
												'</div> ' + 
												'</form> ' +  
												'</div> ' + 
												'</div>'
												
document.write(documentContent);
	}