I did that and this what I get(code first). . . . .
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "
<html xmlns="
<!-- DW6 -->
<head>
<!-- Copyright 2005 Macromedia, Inc. All rights reserved. -->
<title>Text</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<link rel="stylesheet" href="mm_travel2.css" type="text/css" />
<script language="JavaScript" type="text/javascript">
//--------------- LOCALIZEABLE GLOBALS ---------------
var d=new Date();
var monthname=new Array("January","February","March","April","May","June","July","August","September","October","November","December");
//Ensure correct for language. English is "January 1, 2004"
var TODAY = monthname[d.getMonth()] + " " + d.getDate() + ", " + d.getFullYear();
//--------------- END LOCALIZEABLE ---------------
</script>
</head>
<body bgcolor="#C0DFFD">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr bgcolor="#3366CC">
<td width="382" colspan="2" rowspan="2" nowrap="nowrap"><img src="mm_travel_photo.jpg" alt="Header image" width="382" height="127" border="0" /></td>
<td width="378" height="63" id="logo" valign="bottom" align="center" nowrap="nowrap">insert website name</td>
<td width="100%"> </td>
</tr>
<tr bgcolor="#3366CC">
<td height="64" id="tagline" valign="top" align="center">OPTIONAL TAGLINE HERE</td>
<td width="100%"> </td>
</tr>
<tr>
<td colspan="4" bgcolor="#003366"><img src="mm_spacer.gif" alt="" width="1" height="1" border="0" /></td>
</tr>
<tr bgcolor="#CCFF99">
<td> </td>
<td colspan="3" id="dateformat" height="25"><a href="javascript:;">HOME</a> :: <script language="JavaScript" type="text/javascript">
document.write(TODAY); </script> </td>
</tr>
<tr>
<td colspan="4" bgcolor="#003366"><img src="mm_spacer.gif" alt="" width="1" height="1" border="0" /></td>
</tr>
<tr>
<td width="40"> </td>
<td colspan="2" valign="top"> <br />
<br />
<table border="0" cellspacing="0" cellpadding="2" width="500">
<tr>
<td class="pageName">Page Name Here</td>
</tr>
<tr>
<td class="bodyText"><p><span name="intelliTxt" id="intelliTxt"><div id=maincontent style="width:100%"><br />
<div id="left_stuff" style="float:left;"><br />
\\ <div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;" >Type of Loan</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div>
<div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Purchase Price</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div>
<div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Loan Amount</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div>
<div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Are you a first time buyer?</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Down Payment Amount?</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Sales Contract</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Anticipated Closing Date</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Do you have an agent?</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div></p><br />
<p><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;" >First Name</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div>
<div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Last Name</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div>
<div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Address</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div>
<div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">City, State, Zip</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Work Status</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Co-Borrower Yes or No?</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Home Phone Number</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Work Number</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Cell Number</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">E-mail</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><div id="textboxwrapper" style="overflow:hidden; width:300px; border:0px solid #FFFFFF;"><span id="label" style="float:left;">Best time to call</span><span id="textbox" style="float:right;"><input type=text name="mytextbox"></span></div><br />
</div><br />
<br />
<div id="right_stuff" style="float:right;"><br />
\\1.) Property Type
Single Family Residence Condominium / Townhome Second Home Investment Home
2.) Loan Purpose
Purchase Refinance Cash-out / Debt Consolidation New Construction To-Permanent Financing
3.) Estimated Credit Score
580-620 620-640 640-680 680-720 720+ Uknown
<br />
</div><br />
<br />
</div></span></p>
</td>
</tr>
</table> </td>
<td width="100%"> </td>
</tr>
<tr>
<td width="40"> </td>
<td width="342"> </td>
<td width="378"> </td>
<td width="100%"> </td>
</tr>
</table>
</body>
</html>
And heres a screenshot of it
Hope that helps.