document.write('
| Address: Level 2, Suite 5 92 Bridge Mall Ballarat VIC Australia 3350 | ');
document.write('Freecall: 1800 615 524 Phone: 03 5334 4916 Fax: 03 5331 8656 | ');
document.write('
Please fill out the below form and we will be in touch shortly.
');