document.write("");
document.write("");
document.write("");
document.write("<div class=\"login\"><h2>Member login / <a href=\"http://www.onlinepharmacychecker.com/register.php\">Free sign in &rarr;</a></h2>");
document.write("");
document.write("");
document.write("<div class=\"col1\">");
document.write("<form action=\"http://www.onlinepharmacychecker.com/login.php\" method=\"post\">");
document.write("");
document.write("<input type=\"hidden\" name=\"pflag\" value=\"login\" />");
document.write("<input type=\"hidden\" name=\"b\" value=\"\" />");
document.write("<input type=\"hidden\" name=\"f\" value=\"1\" />");
document.write("<p>Username:</p>");
document.write("<input type=\"text\" name=\"username\" class=\"key\" />");
document.write("");
document.write("<p><input type=\"checkbox\" name=\"remember_me\" value=\"1\" />&nbsp;<label for=\"rememberme\">Remember</label></p>");
document.write("</div>");
document.write("");
document.write("<div class=\"col2\">");
document.write("");
document.write("<p>Password:</p>");
document.write("<input type=\"password\" name=\"password\" class=\"key\" />");
document.write("<p><a href=\"http://www.onlinepharmacychecker.com/send_pwd.php\">Forgot Password?</a></p>");
document.write("</div>");
document.write("");
document.write("<div class=\"col3\"><input type=\"submit\" value=\"ENTER\" class=\"btn\" /></div>");
document.write("");
document.write("</form>");
document.write("</div>");
document.write("");
document.write("");
document.write("");
document.write("");