//AmicaForm module
function amicaForm(){
var strAmicaForm='';
strAmicaForm+='<form name="AmicaForm" method="post" action="">';
strAmicaForm+='<input type="hidden" name="userId" value=""/>';
strAmicaForm+='<input type="hidden" name="application" value=""/>';
strAmicaForm+='<input type="hidden" name="CID" value=""/>';
strAmicaForm+='<input type="hidden" name="CMP" value=""/>';
strAmicaForm+='<input type="hidden" name="encryptedUrl" value=""/>';
strAmicaForm+='<input type="hidden" name="event" value=""/>'; 
strAmicaForm+='<input type="hidden" name="homeQuoteType" value=""/>';
strAmicaForm+='<input type="hidden" name="lob" value=""/>';
strAmicaForm+='<input type="hidden" name="pagename" value=""/>';  
strAmicaForm+='<input type="hidden" name="password" value=""/>';
strAmicaForm+='<input type="hidden" name="lifeRememberMe" value=""/>';
strAmicaForm+='<input type="hidden" name="mutualRememberMe" value=""/>';
strAmicaForm+='<input type="hidden" name="restrict" value=""/>';
strAmicaForm+='<input type="hidden" name="returnUrl" value=""/>'; 
strAmicaForm+='<input type="hidden" name="source" value=""/>';    
strAmicaForm+='<input type="hidden" name="state" value=""/>'; 	
strAmicaForm+='</form>';
document.write(strAmicaForm);
}
amicaForm();