
function showtable()
{


		str = '<table border="0" cellpadding="0" cellspacing="0">' +
			' <tr> ' +
				'<td width="15">&nbsp;</td>'+
				'<td width="655" height="27" class="normalfont"><br>'+
					'<b>If you require income protection against accident and sickness and or unemployment/redundancy with claims periods of 12-24 months</b>, please answer the questions in the <b><a href="#qu1">&quot;Income Protection Against Accident And Sickness And Or Unemployement/Redundancy&quot;</a></b> section below and we will email you a quotation. Please note the longest available policy claims period for unemployment cover is 24 months.<br>'+
					'<br>'+
					'<b>If you require cover with longer claims periods (accident and sickness cover only)</b> please fill in the blue <b><a href="#qu2">&#x2018;Income Protection&#x2019;</a></b> area below (these quotes will give one claims periods/cover until your selected retirement age).&#x2019; Please note your email address is required above to receive a quotation from the section below.<br>'+
					'<br>'+
				'</td>'+
			'</tr>'+
		'</table>' +
		'<table border="0" cellpadding="0" cellspacing="0">' +
			'<tr height="3">' +
				'<td width="15" bgcolor="#22294b" height="3"></td>' +
				'<td width="655" bgcolor="#22294b" height="3"></td>' +
			'</tr>' +
			'<tr height="35">' +
				'<td width="15" bgcolor="#5f6897" height="35">&nbsp;</td>' +
				'<td width="655" height="35" bgcolor="#5f6897" class="normalfont"><a name="qu1"><img src="images/form/unemplorred.gif" width="424" height="30" border="0"></a></td>' +
			'</tr>' +
		'</table>' +
		'<table border="0" cellpadding="0" cellspacing="0">' +
			'<tr>' +
				'<td width="670" valign="top">' +
					'<table border="0" cellpadding="0" cellspacing="1">' +
						'<tr>' +
							'<td width="668" bgcolor="#e5e5e5">&nbsp;</td>' +
						'</tr>' +
						'<tr>' +
							'<td width="668">' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr>' +
										'<td width="15">&nbsp;</td>' +
										'<td class="normalfont">' +
											'<table border="0" cellpadding="0" cellspacing="0" width="306">' +
												'<tr height="19">' +
													'<td class="normalfont" height="19" width="306"><b>What type of cover do you require:</b></td>' +
												'</tr>' +
											'</table>' +
										'</td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td width="668">' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="25">' +
										'<td width="15" height="25">&nbsp;</td>' +
										'<td width="194" class="normalfont" height="25">Unemployment &amp;&nbsp;Disability cover</td>' +
										'<td class="normalfont" height="25" width="40"><input type="radio" value="Unemployment And Disability" name="Income_Benefit_Cover" tabindex="25"></td>' +
										'<td class="normalfont" height="25" width="153">Unemployment cover only</td>' +
										'<td class="normalfont" height="25" width="40"><input type="radio" value="Unemployment" name="Income_Benefit_Cover" tabindex="26"></td>' +
										'<td class="normalfont" height="25" width="119">Disability cover only</td>' +
										'<td class="normalfont" height="25"><input type="radio" value="Disability" name="Income_Benefit_Cover" tabindex="27"></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td width="668">' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="23">' +
										'<td width="15" height="23">&nbsp;</td>' +
										'<td width="389" class="normalfont" height="23">For how long are your benefits to be paid 12 MONTHS/24 MONTHS?</td>' +
										'<td class="normalfont" height="23"><select name="Length_Of_Income_Benefit" size="1" tabindex="28">' +
												'<option value="Select">Select</option>' +
												'<option value="12 Months">12 Months</option>' +
												'<option value="24 Months">24 Months</option>' +
											'</select></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td width="668">' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="23">' +
										'<td width="15" height="23">&nbsp;</td>' +
										'<td width="389" class="normalfont" height="23">Do you wish insure your general income or mortgage instalments?</td>' +
										'<td class="normalfont" height="23"><select name="Insure_Mortgage_Installments" size="1" tabindex="29">' +
												'<option value="Select">Select</option>' +
												'<option value="Mortgage">Mortgage</option>' +
												'<option value="Income">Income</option>' +
											'</select></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td width="668">' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="36">' +
										'<td width="15" height="36">&nbsp;</td>' +
										'<td width="412" class="normalfont" height="36">Enter the monthly benefit you require (maximum &pound;2500 pm or 50% of your gross monthly income including all other similar insurances).</td>' +
										'<td class="normalfont" height="36"><input type="text" name="Income_Monthly_Benefit" size="16" tabindex="30"></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td width="668">' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="36">' +
										'<td width="15" height="36">&nbsp;</td>' +
										'<td width="412" class="normalfont" height="36">What is your monthly income (before tax and deductions) including bonuses, overtime and benefits in kind i.e. company car allowance.</td>' +
										'<td class="normalfont" height="36"><input type="text" name="Income_Benefit_Gross_Income" size="16" tabindex="31"></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td width="668" bgcolor="#e5e5e5">&nbsp;</td>' +
						'</tr>' +
					'</table>' +
				'</td>' +
			'</tr>' +
		'</table>' +
		'<table border="0" cellpadding="0" cellspacing="0">' +
			'<tr height="3">' +
				'<td width="15" bgcolor="#22294b" height="3"></td>' +
				'<td width="655" bgcolor="#22294b" height="3"></td>' +
			'</tr>' +
			'<tr height="27">' +
				'<td width="15" bgcolor="#5f6897" height="27">&nbsp;</td>' +
				'<td width="655" height="35" bgcolor="#5f6897" class="normalfont">' +
					'<table border="0" cellpadding="0" cellspacing="0">' +
						'<tr>' +
							'<td width="560" class="normalfont"><a name="qu2"><img src="images/form/incomepro.gif" width="159" height="12" border="0"></a><br>' +
								'<font color="white">Protect your income from the consequences of being unable to work due to accident or sickness.</font></td>' +
							'<td width="24" valign="top"><a href="javascript:void(window.open(\'popup.html?info=income\', \'_blank\', \'width=450, height=400\'));"><img src="images/form/infobutton.gif" width="24" height="19" name="button3" border="0" alt="For further information on Income Protection please click here"></a></td>' +
						'</tr>' +
					'</table>' +
				'</td>' +
			'</tr>' +
		'</table>' +
		'<table border="0" cellpadding="0" cellspacing="0">' +
			'<tr>' +
				'<td width="670" valign="top">' +
					'<table border="0" cellpadding="0" cellspacing="1" width="670">' +
						'<tr>' +
							'<td bgcolor="#e5e5e5">&nbsp;</td>' +
						'</tr>' +
						'<tr>' +
							'<td>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr>' +
										'<td width="15">&nbsp;</td>' +
										'<td class="normalfont">' +
											'<table border="0" cellpadding="0" cellspacing="0" width="524">' +
												'<tr height="19">' +
													'<td class="normalfont" height="19" width="306">How much monthly income benefit do you require?&nbsp;&pound;</td>' +
													'<td class="normalfont" height="19" width="127"><input type="text" name="Income_Protection_Amount" size="16" tabindex="32"></td>' +
													'<td class="normalfont" height="19" width="66">per month</td>' +
													'<td class="normalfont" height="19" width="25"><a href="javascript:void(window.open(\'popup.html?info=benefit\', \'_blank\', \'width=450, height=400\'));"><img src="images/form/infograybutton.gif" width="25" height="19" name="button6" border="0" alt="For further information on Income Benefit please click here"></a></td>' +
												'</tr>' +
											'</table>' +
										'</td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="23">' +
										'<td width="15" height="23">&nbsp;</td>' +
										'<td width="405" class="normalfont" height="23">After how many weeks do you require your monthly benefit to begin?</td>' +
										'<td class="normalfont" height="23"><select name="Start_Offset" size="1" tabindex="33">' +
												'<option selected value="Please specify">Select</option>' +
												'<option value="4 Weeks">4 Weeks</option>' +
												'<option value="8 Weeks">8 Weeks</option>' +
												'<option value="13 Weeks">13 Weeks</option>' +
												'<option value="26 Weeks">26 weeks</option>' +
												'<option value="52 Weeks">52 Weeks</option>' +
											'</select></td>' +
									'</tr>' +
								'</table>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="36">' +
										'<td width="15" height="36">&nbsp;</td>' +
										'<td class="normalfont" height="36"><i>This time is called the \'deferred period\', which is normally 4, 8, 13, 26 or 52 weeks. The longer you can wait before receiving your monthly benefit, the cheaper your premium will be.<br>' +
											'</i></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="23">' +
										'<td width="15" height="23">&nbsp;</td>' +
										'<td width="243" class="normalfont" height="23">Until what age do you require protection?</td>' +
										'<td class="normalfont" height="23"><select name="Age_Required_Till" size="1" tabindex="34">' +
												'<option selected value="Please specify">Select</option>' +
												'<option value="50 Yrs Old">50 Yrs Old</option>' +
												'<option value="55 Yrs Old">55 Yrs Old</option>' +
												'<option value="60 Yrs Old">60 Yrs Old</option>' +
												'<option value="65 Yrs Old">65 Yrs Old</option>' +
											'</select></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="23">' +
										'<td width="15" height="23">&nbsp;</td>' +
										'<td width="517" class="normalfont" height="23">Do you require income to remain level in payment or increase by the Retail Prices Index?</td>' +
										'<td class="normalfont" height="23"><select size="1" name="Increase_Benefit_by_RPI" tabindex="35">' +
												'<option>Remain level</option>' +
												'<option selected>Increase by R.P.I.</option>' +
											'</select></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="23">' +
										'<td width="15" height="23">&nbsp;</td>' +
										'<td width="256" class="normalfont" height="23">What is your exact occupation and job title?</td>' +
										'<td class="normalfont" height="23"><input type="text" name="Occupation" size="25" maxlength="50" tabindex="36"></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="36">' +
										'<td width="15" height="36">&nbsp;</td>' +
										'<td width="448" class="normalfont" height="36">Is the income benefit you are requesting less than 50% of your annual salary including benefits in kind or your annual profit if you are self employed?</td>' +
										'<td class="normalfont" height="36"><select name="Less_than_50_Percent" size="1" tabindex="37">' +
												'<option value="Yes">Yes</option>' +
												'<option value="No" selected>No</option>' +
											'</select></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="23">' +
										'<td width="15" height="23">&nbsp;</td>' +
										'<td class="normalfont" height="23"><i>This information may allow 1 Click (UK) Ltd to quote a lower premium</i></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="23">' +
										'<td width="15" height="23">&nbsp;</td>' +
										'<td width="349" class="normalfont" height="23">Do you require <b>Guaranteed</b> or <b>Reviewable</b> premiums?**</td>' +
										'<td class="normalfont" height="23" width="94"><select size="1" name="Type_of_Income_Protection_Premiums" tabindex="38">' +
												'<option>Guaranteed</option>' +
												'<option>Reviewable</option>' +
											'</select></td>' +
										'<td height="23"><a href="javascript:void(window.open(\'popup.html?info=premiums\', \'_blank\', \'width=450, height=400\'));"><img src="images/form/infograybutton.gif" width="25" height="19" name="button7" border="0" alt="For further information on Guaranteed and Reviewable Premiums please click here"></a></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td>' +
								'<table border="0" cellpadding="0" cellspacing="0" bgcolor="#e5e5e5" width="100%">' +
									'<tr height="36">' +
										'<td width="15" height="36">&nbsp;</td>' +
										'<td width="397" class="normalfont" height="36">What is your monthly income (before tax and deductions) including bonuses, overtime and benefits in kind i.e. company car allowance.</td>' +
										'<td class="normalfont" height="36"><input type="text" name="Gross_Income" size="16" tabindex="39"></td>' +
									'</tr>' +
								'</table>' +
							'</td>' +
						'</tr>' +
						'<tr>' +
							'<td bgcolor="#e5e5e5">&nbsp;</td>' +
						'</tr>' +
					'</table>' +
				'</td>' +
			'</tr>' +
		'</table>';



		

	return str;
}



