<div id="small_contact_form">
<form onsubmit="$.ajax({beforeSend:function(request){;}, complete:function(request){}, data:$.param($(this).serializeArray()) + '&authenticity_token=' + encodeURIComponent('5myNByt7ZhD369RQ/6Po5jdvYiEC18nDQAleKSIx1iI='), success:function(request){$('#small_contact_form').html(request);}, type:'post', url:'/contact_us/consultation'}); ; return false;" name="contact_us_form" method="post" id="contact_us_form" action="/contact_us/consultation"><div style="margin: 0pt; padding: 0pt;"><input type="hidden" value="5myNByt7ZhD369RQ/6Po5jdvYiEC18nDQAleKSIx1iI=" name="authenticity_token"/></div><input type="text" value="Name" style="height: 16px;" size="30" onfocus="if(this.value=='Name')this.value=''" onblur="if(this.value=='')this.value='Name'" name="letter[name]" id="letter_name" class="contact_box_inputs"/><input type="text" value="Phone" style="height: 16px;" size="30" onfocus="if(this.value=='Phone')this.value=''" onblur="if(this.value=='')this.value='Phone'" name="letter[phone]" id="letter_phone" class="contact_box_inputs"/><textarea class="contact_box_inputs" cols="40" id="letter_note" name="letter[note]" onblur="if(this.value=='')this.value='Note'" onfocus="if(this.value=='Note')this.value=''" rows="20" style="height: 55px;">Note</textarea>
<input type="image" src="/images/send_button.jpg" alt="" title="" value="" name="" id="" style="margin-top: 2px; float: left;"/>
</form>
</div>