document.write('<form name="myform" action="http://en.paranormal.or.id/primbon.php?op=CariJodoh" method="POST"><center><br><table style="text-align: left; "  border="2" cellpadding="2" cellspacing="2" width=30%><tbody><tr><td>Tanggal Lahir Anda :</td><td><input type="text" size="10" value="00/00/0000" name=tgl1></td></tr><tr><td>Pasangan Anda :</td><td><input type="text" size="10" value="00/00/0000" name=tgl2><input type="hidden" name="op" value="CariJodoh"></td></tr></tbody></table><br><input type="submit" value="Baca Ramalan"></form>');