document.write( "<img src=\"captcha_cache/captcha_71d3780835522c10ce1d6b75561c6325.png\" alt=\"[image] Please enter code as shown in graphic.\"><br>" );
document.write( "<input type=\"hidden\" name=\"captchaImg\" value=\"71d3780835522c10ce1d6b75561c6325\">" );
document.write( "<input type=\"text\" name=\"captchaAttempt\">" );