// JavaScript Document

document.write("<div style='background-image:url(http://www.naabt.org/images/banners/119x45-OpioidTreatment.jpg); background-repeat:no-repeat; width:119px; margin:0px; padding:0px; padding-top:30px; padding-bottom:5px; display:block;'>");
document.write("<form action='http://www.naabt.org/local/changeZip_process.cfm' method='post' name='naabt119x45opioidtreatment' style='text-align:center; margin:0px; padding:0px;'>");
document.write("<table border='0' cellpadding='0' cellspacing='0'><tr><td valign='middle'>");
document.write("<input name='zip' type='text' size='5' maxlength='5' style='text-align:center; border:0px solid #2D468B; color:#000000; font-size:7px; letter-spacing:2px; width:49px; margin-right:2px; margin-left:42px; background-color:#fff !important;'>");
document.write("<input name='radius' type='hidden' value='500'>");
document.write("<input type='hidden' name='step value='lookup'>");
document.write("<input type='hidden' name='remember' value='true'>");
document.write("<input type='hidden' name='returnPage' value='/local/'>");
document.write("</td><td>");
//document.write("<input name='Search' type='Submit' value='Go' style='border:1px solid #2D468B; background-color:#fff; color:#2D468B; font-weight:bold; padding:1px; font:Arial, Helvetica, sans-serif; font-size:12px;'>");
document.write("<input type='image' name='submit' id='submit' src='http://www.naabt.org/images/banners/119x45-OpioidTreatment-Go.jpg' onclick='this.form.submit()' alt='Go'>")
document.write("</td></tr></table>");
document.write("</form>");
document.write("</div>");