document.write('<FORM ACTION="http://match.terra.com/search/search.aspx" METHOD="get" TARGET="_blank">');
document.write('<INPUT TYPE="hidden" NAME="EXEC" ID="GO" VALUE="GO">');
document.write('<INPUT TYPE="hidden" NAME="TP" ID="TP" VALUE="Q">');
document.write('<!-- <INPUT TYPE="hidden" NAME="GC" ID="GC" VALUE="1"> -->');
document.write('<!-- <INPUT TYPE="hidden" NAME="TR" ID="TR" VALUE="2"> -->');
document.write('<INPUT TYPE="hidden" NAME="LAge" ID="LAge" VALUE="18">');
document.write('<INPUT TYPE="hidden" NAME="UAge" ID="UAge" VALUE="35">');
document.write('<INPUT TYPE="hidden" NAME="CL" ID="CL" VALUE="226">');
document.write('<!-- <INPUT TYPE="hidden" NAME="SL" ID="SL" VALUE="1008"> -->');
document.write('<!-- <INPUT TYPE="hidden" NAME="CIL" ID="CIL" VALUE="0"> -->');
document.write('<!-- <INPUT TYPE="hidden" NAME="DIST" ID="DIST" VALUE="500"> -->');
document.write('<INPUT TYPE="hidden" NAME="PO" ID="PO" VALUE="1">');
document.write('<!-- <INPUT TYPE="hidden" NAME="OLN" ID="OLN" VALUE="1"> -->');
document.write('<INPUT TYPE="hidden" NAME="DO" ID="DO" VALUE="2">');
document.write('<!-- <INPUT TYPE="hidden" NAME="Tag" ID="Tag" VALUE="cariÒosa" -->');
document.write('<INPUT TYPE="hidden" NAME="trackingid" ID="trackingid" VALUE="250212">');
document.write('<table width="120" border="0" cellpadding="0" cellspacing="0" background="http://www.terra.com/match/backg.gif">');
document.write('<tr>');
document.write('<td width="10" rowspan="4"><img src="http://www.terra.com/match/pixel.gif" width="10" height="90" /></td>');
document.write('<td width="63"><img src="http://www.terra.com/match/pixel.gif" width="4" height="24" /></td>');
document.write('<td width="47" rowspan="4"><input name="imageField" type="image" src="http://www.terra.com/match/pixel.gif" width="32" height="75" border="0"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top"><select name="GC" ID="GC" style="font-size:11px;font-family:arial;">');
document.write('<option value="1" selected="selected">Hombre</option>');
document.write('<option value="2">Mujer</option>');
document.write('</select></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td><img src="http://www.terra.com/match/pixel.gif" width="4" height="6" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top"><select name="TR" ID="TR" style="font-size:11px;font-family:arial;">');
document.write('<option value="2" selected="selected">Mujer</option>');
document.write('<option value="1">Hombre</option>');
document.write('</select></td>');
document.write('</tr>');
document.write('</table>');
document.write('</FORM>');