function buildmail ()
{
var html="";
html+="<form method=POST action=\"http://www.dentecariato.it/contactus/FormMail.pl\">";
html+="<input type=\"hidden\" name=\"redirect\" value=\"http://www.dentecariato.it/grazie.htm\"/>";
html+="<input type=\"hidden\" name=\"recipient\" value=\"info@welfare-assistance.it\"/>";
html+="<input type=\"hidden\" name=\"subject\" value=\"Contatto da www.dentecariato.it\"/>";
html+="<input type=\"hidden\" name=\"domain\" value=\"dentecariato.it\"/>";
html+="<input type=\"hidden\" name=\"print_config\" value=\"subject,email\"/>";
html+="<input type=\"hidden\" name=\"required\" value=\"email,oggetto,messaggio\"/>";
html+="<input type=\"hidden\" name=\"env_report\" value=\"REMOTE_HOST,REMOTE_ADDR,HTTP_USER_AGENT\"/>";
html+="<input type=\"hidden\" name=\"print_blank_fields\" value=\"1\"/>";
html+="<input type=\"hidden\" name=\"missing_fields_redirect\" value=\"http://www.dentecariato.it/error.htm\"/>";
html+="<table width=\"100%\">";
html+="<tr><td>&nbsp;</td><td></td></tr>";
html+="<tr><td>E-mail:&nbsp;(*)&nbsp;</td><td><input type=\"text\" size=\"40\" name=\"email\"/></td></tr>";
html+="<tr><td>Cognome: </td><td><input type=\"text\" size=\"40\" name=\"cognome\"/></td></tr>";
html+="<tr><td>Nome: </td><td><input type=\"text\" size=\"40\" name=\"nome\"/></td></tr>";
html+="<tr><td>Indirizzo: </td><td><input type=\"text\" size=\"40\" name=\"indirizzo\"/></td></tr>";
html+="<tr><td>Cittą: </td><td><input type=\"text\" size=\"40\" name=\"citta\"/></td></tr>";
html+="<tr><td>CAP: </td><td><input type=\"text\" size=\"10\" name=\"cap\"/></td></tr>";
html+="<tr><td>&nbsp;</td><td></td></tr>";
html+="<tr><td>Oggetto: (*)</td><td><input type=\"text\" size=\"40\" name=\"oggetto\"/></td></tr>";
html+="<tr><td>Messaggio (*)</td><td></td></tr>";
html+="<tr><td colspan=\"2\"><textarea name=\"messaggio\" rows=\"10\" cols=\"50\"></textarea></td></tr>";
html+="<tr><td>&nbsp;</td><td></td></tr>";
html+="<tr><td colspan=\"2\"><input type=\"checkbox\" name=\"privacy\" value=\"ON\" checked />";
html+="In ottemperanza ai dettami della legge 675/96, autorizzo il trattamento dei miei dati personali";
html+=" nell'ambito delle finalitą e modalitą di cui all'oggetto. In nessun caso i miei dati potranno essere";
html+=" ceduti a terzi.</td></tr>";
html+="<tr><td>&nbsp;</td><td></td></tr>";
html+="<tr><td><input type=\"submit\" value=\"INVIA\"/></td><td><input type=\"reset\" value=\"ANNULLA\"/></td></tr>";
html+="</table>";
html+="</form>";
document.write(html);

}
