<%@language="javascript"%>
<%
function echo(str){
Response.Write(str);
}
function getDateOptions(){
for(var i=1;i<32;i++){
echo("");
}
}
function getMonthOptions(){
var arrMonths=new Array("Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec");
for(var i=0;i<12;i++){
echo("");
}
}
function getYearOptions(){
var objDate=new Date();
var intPresentYear=objDate.getFullYear();
var intEndingYear=intPresentYear-60;
var intStartingYear=intPresentYear-18;
for(var i=intStartingYear;i>=intEndingYear;i--){
echo("");
}
}
%>
Application Form
THINK
CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME.
YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON A
MORTGAGE OR ANY OTHER DEBT SECURED ON IT
