document.write('<form method=\"post\" action=\"https://www.colohubs.com/portal/cart.php?a=add&pid=45\"><div class=\"form-group\"><select name=\"billingcycle\" class=\"form-control\"><option value=\"semiannually\">6 Month Price - $3.00 USD/mo</option><option value=\"annually\">12 Month Price - $3.00 USD/mo</option></select></div> <input type=\"submit\" class=\"btn btn-primary btn-block\" value=\"Order Now!\" /></form>');