document.write('<form action="php-poll-vote.php" method="post" style="margin:0px; padding:0px">');
document.write(' <input type="hidden" name="ac" value="vote" />');
document.write(' <input type="hidden" name="id" value="41" />');
document.write('  <table width="300px" border="0" cellspacing="0" cellpadding="2" bgcolor="#FFFFCC">');
document.write('    <tr>');
document.write('      <td colspan="2" align="Center" bgcolor="#999999" style="font-family:Arial; font-size:14px; color:#FFFFFF">RESTAURATEUR OF THE YEAR</td>');
document.write('      </tr>');
  document.write('    <tr>');
document.write('      <td width="15px"><input name="answer" type="radio" value="1"></td>');
document.write('      <td width="100%" align="Left" style="font-family:Arial; font-size:11px; color:#000000">Benjy Levit (Benjy\'s)</td>');
document.write('    </tr>');
  document.write('    <tr>');
document.write('      <td width="15px"><input name="answer" type="radio" value="2"></td>');
document.write('      <td width="100%" align="Left" style="font-family:Arial; font-size:11px; color:#000000">Chris Paul (Cafe Rabelais, Brasserie Max & Julie)</td>');
document.write('    </tr>');
  document.write('    <tr>');
document.write('      <td width="15px"><input name="answer" type="radio" value="3"></td>');
document.write('      <td width="100%" align="Left" style="font-family:Arial; font-size:11px; color:#000000">James Silk, Meagan Silk & Richard Knight (Feast)</td>');
document.write('    </tr>');
  document.write('    <tr>');
document.write('      <td width="15px"><input name="answer" type="radio" value="4"></td>');
document.write('      <td width="100%" align="Left" style="font-family:Arial; font-size:11px; color:#000000">Scott Tycer (Gravitas, Textile)</td>');
document.write('    </tr>');
  document.write('    <tr>');
document.write('      <td width="15px"><input name="answer" type="radio" value="5"></td>');
document.write('      <td width="100%" align="Left" style="font-family:Arial; font-size:11px; color:#000000">Marco Wiles (Da Marco, Dolce Vita, Poscol)</td>');
document.write('    </tr>');
  document.write('    <tr>');
document.write('      <td colspan="2" align="center" bgcolor="#999999"><input type="submit" name="Submit4" value="Vote"></td>');
document.write('      </tr>');
document.write('  </table>');
document.write('</form>');