document.write('<img border="0" width="100%" alt="3" src="http://tri3nid4d.jw.lt/wap/S1/pln.jpg" height="100%"/></br><form method="post" action="http://202.162.217.251/info_billing/index.php">  <input type="hidden" name="action" id="action" value="submit"><br/>  <span class="msg"><font color="lime"><b>Masukkan 12 digit<br />ID Pelanggan</b></font><br/>  <input type="text" name="txt_idpel" id="txt_idpel" size="20" maxlength=10><br/>  <input type="submit" value="Login" class="button1"></form>')