document.write("");
document.write("");
document.write("<div class=\"login\">");
document.write("<h2>MEMBER LOGIN / <a href=\"http://www.onlinepharmacychecker.com/register.php\">Free Registration &gt;&gt;&gt;</a></h2>");
document.write("<form action=\"login.php\" method=\"post\">");
document.write("<div class=\"log1\">");
document.write("<input type=\"hidden\" name=\"pflag\" value=\"login\" />");
document.write("<p>Username:</p>");
document.write("<input type=\"text\" name=\"username\" value=\"\" class=\"key\" />");
document.write("<p><input type=\"checkbox\" name=\"remember_me\" value=\"1\" />&nbsp;<label for=\"rememberme\">Remember Me</label></p>");
document.write("</div>");
document.write("<div class=\"log2\"><p>Password:</p><input type=\"password\" name=\"password\" value=\"\" class=\"key\" />");
document.write("<p><a href=\"http://www.onlinepharmacychecker.com/send_pwd.php\">Forgot Password?</a></p>");
document.write("</div>");
document.write("<div class=\"log3\"><input type=\"submit\" value=\"ENTER\" class=\"btn\" /></div>");
document.write("</form>");
document.write("");
document.write("");
document.write("</div>");
document.write("");
document.write("");