<script language="javascript">
function do_scan_file_01()
{
var left = (screen.width - 640)/2;
var top = (screen.height - 400)/2;
window.open( "",
"drweb_scan_form_popup_window",
"width=640"+",height=400,left="+left+",top="+top+",scrollbars=yes,resizable=yes" );
document.getElementById( "drweb_online_scan_form" ).submit();
return false;
}
</script>

<center><form method="post" id="drweb_online_scan_form" enctype="multipart/form-data" action="http://online.drweb.com/result" target="drweb_scan_form_popup_window">
<table background="/DRWEB/fon.png" border="0" cellpadding="0" cellspacing="0" width="468" height="60">
<tbody><tr>
<td><table border="0" cellpadding="0" cellspacing="0" width="468" height="60">
<tbody><tr>
<td width="100"><br></td>
<td width="200"><input name="file" id="file_selection_input" size="30" type="file"></td>
<td align="left" width="100"><table border="0" cellpadding="0" cellspacing="6" width="100">
<tbody><tr><td width="20"><br></td></tr><tr>
<td><input onclick="return do_scan_file_01();" src="/DRWEB/prov.png" type="image" width="150" height="58"></td>
</tr>
</tbody></table></td>
</tr>
</tbody></table></td>
</tr>
</tbody></table>
</form></center>