function MM_findObj(n, d) { //v3.0
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
	d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document); return x;
}

function sqHandler() {
	formObj = MM_findObj('sqForm');
	stateSel = formObj.state.selectedIndex;
	if (stateSel < 1) {
		alert('Please choose a state/province');
		return false;
	}
	qs = "4d_sitequest_mini.html";
	qs += "?" + "address=" + escape(formObj.elements['address'].value); 
	qs += "&" + "city=" + escape(formObj.city.value); 
	qs += "&" + "state=" + escape(formObj.state.options[stateSel].text);
	qs += "&" + "zip=" + escape(formObj.elements['zip'].value); 
	window.location = qs;
	return false;
}

a = "";
a += "<form name=\"sqForm\" method=\"get\" action=\"4d_sitequest_mini2.html\" onsubmit=\"return sqHandler();\">";
a += "<input type=\"hidden\" name=\"address\" value=\"\">";
a += "<input type=\"hidden\" name=\"city\" value=\"\">";
a += "<!--- <input type=\"hidden\" name=\"zip\" value=\"\"> --->";
a += "		<span class=\"text\">Select your state/province:</span><br>";
a += "		<select name=\"state\" size=\"1\">";
a += "			<option value=\"\">--</option>";
a += "			<option value=\"AK\">AK</option>";
a += "			<option value=\"AL\">AL</option>";
a += "			<option value=\"AR\">AR</option>"; 
a += "			<option value=\"AZ\">AZ</option>";
a += "			<option value=\"CA\">CA</option>"; 
a += "			<option value=\"CO\">CO</option>"; 
a += "			<option value=\"CT\">CT</option>"; 
a += "			<option value=\"DC\">DC</option>"; 
a += "			<option value=\"DE\">DE</option>"; 
a += "			<option value=\"FL\">FL</option>"; 
a += "			<option value=\"GA\">GA</option>"; 
a += "			<option value=\"HI\">HI</option>"; 
a += "			<option value=\"IA\">IA</option>";
a += "			<option value=\"ID\">ID</option>"; 
a += "			<option value=\"IL\">IL</option>"; 
a += "			<option value=\"IN\">IN</option>"; 
a += "			<option value=\"KS\">KS</option>"; 
a += "			<option value=\"KY\">KY</option>"; 
a += "			<option value=\"LA\">LA</option>"; 
a += "			<option value=\"MA\">MA</option>"; 
a += "			<option value=\"MD\">MD</option>"; 
a += "			<option value=\"ME\">ME</option>"; 
a += "			<option value=\"MI\">MI</option>"; 
a += "			<option value=\"MN\">MN</option>"; 
a += "			<option value=\"MO\">MO</option>"; 
a += "			<option value=\"MS\">MS</option>"; 
a += "			<option value=\"MT\">MT</option>"; 
a += "			<option value=\"NC\">NC</option>"; 
a += "			<option value=\"ND\">ND</option>"; 
a += "			<option value=\"NE\">NE</option>"; 
a += "			<option value=\"NH\">NH</option>"; 
a += "			<option value=\"NJ\">NJ</option>"; 
a += "			<option value=\"NM\">NM</option>"; 
a += "			<option value=\"NV\">NV</option>"; 
a += "			<option value=\"NY\">NY</option>"; 
a += "			<option value=\"OH\">OH</option>"; 
a += "			<option value=\"OK\">OK</option>"; 
a += "			<option value=\"OR\">OR</option>"; 
a += "			<option value=\"PA\">PA</option>"; 
a += "			<option value=\"RI\">RI</option>"; 
a += "			<option value=\"SC\">SC</option>"; 
a += "			<option value=\"SD\">SD</option>"; 
a += "			<option value=\"TN\">TN</option>"; 
a += "			<option value=\"TX\">TX</option>"; 
a += "			<option value=\"UT\">UT</option>"; 
a += "			<option value=\"VA\">VA</option>"; 
a += "			<option value=\"VT\">VT</option>"; 
a += "			<option value=\"WA\">WA</option>"; 
a += "			<option value=\"WI\">WI</option>"; 
a += "			<option value=\"WV\">WV</option>"; 
a += "			<option value=\"WY\">WY</option>";
a += "			<option value=\"Canada\">Canada</option>";
a += "			<option value=\"Mexico\">Mexico</option>";
a += "		</select>";
a += " 		<input type=\"image\" src=\"/usen/ultrasound/4d/images/arrow.gif\" border=\"0\" align=\"absmiddle\"><br>";
a += "	</form>";
document.write(a);
a="";