document.write('<form action="http://ndezo.net/plus/quran/" method="post"> <table><tr><td>Nomor Surat</td> <td><input type="text"name="surat"size="4"maxlenght="3"></td></tr> <tr><td>Nomor ayat</td> <td><input type="text"name="ay"size="4"maxlenght="3"></td></tr> <tr><td></td><td><input type="submit"name="ok"value="Terjemah"></td></tr></table> </form>')