document.write ("<div align='center'>");
document.write ("<form action='/mesaj.php' method='POST'>");
document.write ("<div class='sep'></div>");
document.write ("<b>Trimite un mesaj:<b>");
document.write ("<div class='sep'></div>");
document.write ("Nume: <input type='text' name='nume' size='24'><br>");
document.write ("Email: <input type='text' name='email' size='24'><br>");
document.write ("Mesaj:<br><textarea name='mesaj' cols='24' rows='4'></textarea><br>");
document.write ("<input type='submit' value='Trimite mesajul'>");
document.write ("</form>");

document.write ("</div>");