document.write('<p>');
document.write('<form name="form1">');
document.write('Dagen: <input type="text" name="days" value="0" size="3" />');
document.write('Uren: <input type="text" name="hours" value="0" size="4" />');
document.write('Minuten: <input type="text" name="minutes" value="0" size="7" />'); 
document.write('Seconden: <input type="text" name="seconds" value="0" size="7" />');
document.write('</form>');
document.write('</p>');