var root = "http://www.precisecontact.com";
var pre = "usc";
var prefix = "usc";
var FormName = "Big";

try{
 var docloc = new String(document.location.href);}catch(e){}

function getSearch(s,d){try{var Loc,i,iLen;return unescape(((i=(Loc=new String('&'+(docloc.indexOf('?')==-1?'':docloc.substring(docloc.indexOf('?'),docloc.length))+'&').replace(/\?/g,'')).indexOf('&'+s+'='))==-1?(new String(d)=='undefined'?'':d):Loc.substring(i+(iLen=new String(s).length)+2,i+iLen+2+(Loc.substring(i+iLen+2,Loc.length).indexOf('&')))).replace(/\+/g," "));}catch(e){return '';}}

var alpha = new Array("A","B","C","D","E","F","G","H","I","J","K","L","M","N","O","P","Q","R","S","T","U","V","W","X","Y","Z");
var Months = new Array("January","February","March","April","May","June","July","August","September","October","November","December");
var MaxDays = new Array(31,28,31,30,31,30,31,31,30,31,30,31);

function getNum(str)
{
 str = new String(str);
 var sz = new String("0123456789");
 var tmp = new String("");
 for(var p=0;p<len(str);p++)
  if(sz.indexOf(str.substring(p,p+1))>-1)
   tmp += str.substring(p,p+1)
 return tmp;
}

function getPhone(str)
{
 str = getNum(new String(str));
 if(str!=""){
  if(str.substring(0,1)=="1")
   str=str.substring(1,999);
  str=Left(str,10)
  if(len(str)<10){
   alert("phone must be in '###-###-####' format");
   str="";
  }
 }
 return str==""?str:Left(str,3)+"-"+str.substring(3,6)+"-"+str.substring(6,10);
}

function removeSpecial(str)
{
 return str;
}

function findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

/*
function goto(url)
{
 document.location = url;
 return;
}
*/

function isEmail(str)
{
  // are regular expressions supported?
  var supported = 0;
  if (window.RegExp) {
    var tempStr = "a";
    var tempReg = new RegExp(tempStr);
    if (tempReg.test(tempStr)) supported = 1;
  }
  if (!supported) 
    return (str.indexOf(".") > 2) && (str.indexOf("@") > 0);
  var r1 = new RegExp("(@.*@)|(\\.\\.)|(@\\.)|(^\\.)");
  var r2 = new RegExp("^.+\\@(\\[?)[a-zA-Z0-9\\-\\.]+\\.([a-zA-Z]{2,3}|[0-9]{1,3})(\\]?)$");
  return (!r1.test(str) && r2.test(str));
}

function typeOf(obj)
{
 try
 {
  return typeof(eval(obj));
 }
 catch(error)
 {
  return "undefined";
 }
}

function Year()
{
 var d = new Date();
 return d.getFullYear();
}

function Month()
{
 var d = new Date();
 return d.getMonth()+1;
}

function Day()
{
 var d = new Date();
 return d.getDate();
}

function Hour()
{
 var d = new Date();
 return d.getHours();
}

function Minute()
{
 var d = new Date();
 return d.getMinutes();
}

function Second()
{
 var d = new Date();
 return d.getSeconds();
}

function DateAsString(d)
{
 d = new Date(Date.parse(d.toString()) + ( (d.getMinutes()==14 || d.getMinutes()==29 || d.getMinutes()==44 || d.getMinutes()==59) ? 60000 : 0 ) );
 return new String(Pad(d.getMonth()+1,2) + "/" + Pad(d.getDate(),2) + "/" + d.getFullYear() + " " + ( ( d.getHours()<13 ) ? d.getHours() : d.getHours()-12 ) + ":" + Pad(d.getMinutes(),2) + " " + ( ( d.getHours()<12 ) ? "am" : "pm" ));
}

function FormatShortDate(str)
{
 var d = new Date(str);
 return d.getMonth()+1 + "/" + d.getDate();
}

function FormatDate(str)
{
 var d = new Date(str);
 return new String(Pad(d.getMonth()+1,2) + "/" + Pad(d.getDate(),2) + "/" + d.getFullYear());
}

function FormatDateTime(str)
{
 var d = new Date(str);
 d = new Date(Date.parse(d.toString()) + ( (d.getMinutes()==14 || d.getMinutes()==29 || d.getMinutes()==44 || d.getMinutes()==59) ? 60000 : 0 ) );
 return new String(Pad(d.getMonth()+1,2) + "/" + Pad(d.getDate(),2) + "/" + d.getFullYear() + " " + ( ( d.getHours()<13 ) ? d.getHours() : d.getHours()-12 ) + ":" + Pad(d.getMinutes(),2) + " " + ( ( d.getHours()<12 ) ? "am" : "pm" ));
}

function FormatTime(str)
{
 var d = new Date(str);
 d = new Date(Date.parse(d.toString()) + ( (d.getMinutes()==14 || d.getMinutes()==29 || d.getMinutes()==44 || d.getMinutes()==59) ? 60000 : 0 ) );
 return new String( ( ( d.getHours()<13 ) ? d.getHours() : d.getHours()-12 ) + ":" + Pad(d.getMinutes(),2) + " " + ( ( d.getHours()<12 ) ? "am" : "pm" ));
}

function Now()
{
 var d = new Date();
 return new String(Pad(d.getMonth()+1,2) + "/" + Pad(d.getDate(),2) + "/" + d.getFullYear() + " " + Pad(d.getHours(),2) + ":" + Pad(d.getMinutes(),2) + ":" + Pad(d.getSeconds(),2));
}

function getToday()
{
 return new String(Pad(Month(),2) + "/" + Pad(Day(),2) + "/" + Year() + " 12:00 am");
}

function getTomorrow()
{
 return new String(((Day()==MaxDays[Month()+1]+((Month()==2&&Year()%4==0)?1:0))?((Month()+1==12)?"01\/01\/"+Year()+1:Pad(Month()+1,2)+"\/01\/"+Year()):Pad(Month(),2)+"\/"+Pad((Day()+1),2)+"\/"+Year())+" 12:00 am");
}

function len(str)
{
 var sz = new String(str);
 return sz.length;
}
 
function vacuum(str)
{
 var sz = new String(str);
 return sz.replace(/\s/g,"");
}

function Trim(str)
{
 var sz = new String(str);
 return sz.replace(/^\s*|\s*$/g,"");
}

function trim(str)
{
 var sz = new String(str);
 return sz.replace(/^\s*|\s*$/g,"");
}

function Escape(str)
{
 str = str.replace(/\"/g,"\\\"");
 str = str.replace(/\</g,"\\\<");
 str = str.replace(/\>/g,"\\\>");
 str = str.replace(/\'/g,"\\\'");
 str = str.replace(/\%/g,"\\\%");
 str = str.replace(/\n/g,"\\\n");
 return str;
}
 
function UnEscape(str)
{
 str = str.replace(/\\\"/g,"\"");
 str = str.replace(/\\\</g,"\<");
 str = str.replace(/\\\>/g,"\>");
 str = str.replace(/\\\'/g,"\'");
 str = str.replace(/\\\%/g,"\%");
 str = str.replace(/\\\n/g,"\n");
 return str;
}
 
function Left(str,num)
{
 if(str==""){return "";}
 var sz = new String(str);
 if(sz.length<num){return sz};
 return sz.substring(0,num);
}

function Right(str,num)
{
 if(str==""){return "";}
 var sz = new String(str);
 if(sz.length<num){return sz};
 return sz.substring(sz.length-num,sz.length);
}

function repeat(num,ch)
{
 var sz = new String("");
 for(var iRepeat=0;iRepeat++<num;){sz+=ch;}
 return sz;
}
try{var docloc = new String(document.location.href);}catch(e){}
function getSearch(s,d){try{var Loc,i,iLen;return unescape(((i=(Loc=new String('&'+(docloc.indexOf('?')==-1?'':docloc.substring(docloc.indexOf('?'),docloc.length))+'&').replace(/\?/g,'')).indexOf('&'+s+'='))==-1?(new String(d)=='undefined'?'':d):Loc.substring(i+(iLen=new String(s).length)+2,i+iLen+2+(Loc.substring(i+iLen+2,Loc.length).indexOf('&')))).replace(/\+/g," "));}catch(e){return '';}}

function Base36(ANumber)
{
 var TVal = 0, Multiple = 0, Base36Num = new String("");
 var DecimalValue = ANumber;
 var I = -1;
 var Base36Num = new String("");
 do
  I += 1;
 while((Math.pow(36,I) < DecimalValue))
 for(var J=I-1 ; J>=0 ; J--){
  var Multiple = Math.floor(DecimalValue / Math.pow(36,J)) * Math.pow(36,J);
  if(Multiple == 0){
   var TVal = 0;
  }else{
   TVal = Multiple / Math.pow(36,J);
  }
  if( TVal > 9 ){
   Base36Num += alpha[TVal - 10];
  }else{
   Base36Num += TVal;
  }
  DecimalValue -= Multiple;
 }
 return Base36Num;
}

function Pad(sInput,iNumChars)
{
 var szI = new String(sInput);
 return Right(repeat(iNumChars,"0") + szI,iNumChars)
}

function generateGUID()
{
 var dGUID = new Date();
 var sRandom = new String(Math.round(Math.random()*8)+1 + Pad(Math.round(Math.random()*9999)+1,4));
 var GUID = Base36(parseInt(sRandom.concat(new String(Pad(dGUID.getHours(),2) + Pad(dGUID.getMonth()+1,2) + Pad(dGUID.getDate(),2) + Pad(dGUID.getMinutes(),2) + Pad(dGUID.getSeconds(),2)))));
 if(len(GUID)==9)
 {
  GUID = "A" + GUID;
 }
 return GUID;
}

var PhoneFormatTable = new Object();

PhoneFormatTable["AF"] = "93";
PhoneFormatTable["AL"] = "355";
PhoneFormatTable["DZ"] = "213";
PhoneFormatTable["AS"] = "684";
PhoneFormatTable["AD"] = "376";
PhoneFormatTable["AO"] = "244";
PhoneFormatTable["AI"] = "264";
PhoneFormatTable["AQ"] = "672";
PhoneFormatTable["AG"] = "268";
PhoneFormatTable["AR"] = "54";
PhoneFormatTable["AM"] = "374";
PhoneFormatTable["AW"] = "297";
PhoneFormatTable["AU"] = "61";
PhoneFormatTable["AT"] = "43";
PhoneFormatTable["AZ"] = "994";
PhoneFormatTable["BS"] = "242";
PhoneFormatTable["BH"] = "973";
PhoneFormatTable["BD"] = "880";
PhoneFormatTable["BB"] = "246";
PhoneFormatTable["BY"] = "375";
PhoneFormatTable["BE"] = "32";
PhoneFormatTable["BZ"] = "501";
PhoneFormatTable["BJ"] = "229";
PhoneFormatTable["BM"] = "441";
PhoneFormatTable["BT"] = "975";
PhoneFormatTable["BO"] = "591";
PhoneFormatTable["BA"] = "387";
PhoneFormatTable["BW"] = "267";
PhoneFormatTable["BV"] = "000";
PhoneFormatTable["BR"] = "55";
PhoneFormatTable["IO"] = "000";
PhoneFormatTable["BN"] = "673";
PhoneFormatTable["BG"] = "359";
PhoneFormatTable["BF"] = "226";
PhoneFormatTable["BI"] = "257";
PhoneFormatTable["KH"] = "855";
PhoneFormatTable["CM"] = "237";
PhoneFormatTable["CA"] = "";
PhoneFormatTable["CV"] = "238";
PhoneFormatTable["KY"] = "345";
PhoneFormatTable["CF"] = "236";
PhoneFormatTable["TD"] = "235";
PhoneFormatTable["CL"] = "56";
PhoneFormatTable["CN"] = "86";
PhoneFormatTable["CX"] = "672";
PhoneFormatTable["CC"] = "672";
PhoneFormatTable["CO"] = "57";
PhoneFormatTable["KM"] = "269";
PhoneFormatTable["CG"] = "242";
PhoneFormatTable["CD"] = "242";
PhoneFormatTable["CK"] = "682";
PhoneFormatTable["CR"] = "506";
PhoneFormatTable["CI"] = "225";
PhoneFormatTable["HR"] = "385";
PhoneFormatTable["CU"] = "53";
PhoneFormatTable["CY"] = "357";
PhoneFormatTable["CZ"] = "420";
PhoneFormatTable["DK"] = "45";
PhoneFormatTable["DJ"] = "253";
PhoneFormatTable["DM"] = "767";
PhoneFormatTable["DO"] = "809";
PhoneFormatTable["EC"] = "593";
PhoneFormatTable["EG"] = "20";
PhoneFormatTable["SV"] = "503";
PhoneFormatTable["GQ"] = "245";
PhoneFormatTable["ER"] = "291";
PhoneFormatTable["EE"] = "372";
PhoneFormatTable["ET"] = "251";
PhoneFormatTable["FK"] = "500";
PhoneFormatTable["FO"] = "298";
PhoneFormatTable["FM"] = "691";
PhoneFormatTable["FJ"] = "679";
PhoneFormatTable["FI"] = "358";
PhoneFormatTable["FR"] = "33";
PhoneFormatTable["GF"] = "594";
PhoneFormatTable["PF"] = "689";
PhoneFormatTable["TF"] = "596";
PhoneFormatTable["GA"] = "241";
PhoneFormatTable["GM"] = "220";
PhoneFormatTable["GE"] = "995";
PhoneFormatTable["DE"] = "49";
PhoneFormatTable["GH"] = "233";
PhoneFormatTable["GI"] = "350";
PhoneFormatTable["GR"] = "30";
PhoneFormatTable["GL"] = "299";
PhoneFormatTable["GD"] = "473";
PhoneFormatTable["GP"] = "590";
PhoneFormatTable["GU"] = "671";
PhoneFormatTable["GT"] = "502";
PhoneFormatTable["GN"] = "224";
PhoneFormatTable["GW"] = "245";
PhoneFormatTable["GY"] = "592";
PhoneFormatTable["HT"] = "509";
PhoneFormatTable["HM"] = "000";
PhoneFormatTable["VA"] = "39";
PhoneFormatTable["HN"] = "504";
PhoneFormatTable["HK"] = "852";
PhoneFormatTable["HU"] = "36";
PhoneFormatTable["IS"] = "354";
PhoneFormatTable["IN"] = "91";
PhoneFormatTable["ID"] = "62";
PhoneFormatTable["IR"] = "98";
PhoneFormatTable["IQ"] = "964";
PhoneFormatTable["IE"] = "353";
PhoneFormatTable["IL"] = "972";
PhoneFormatTable["IT"] = "39";
PhoneFormatTable["JM"] = "876";
PhoneFormatTable["JP"] = "81";
PhoneFormatTable["JO"] = "962";
PhoneFormatTable["KZ"] = "7";
PhoneFormatTable["KE"] = "254";
PhoneFormatTable["KI"] = "686";
PhoneFormatTable["KP"] = "82";
PhoneFormatTable["KR"] = "850";
PhoneFormatTable["KW"] = "965";
PhoneFormatTable["KG"] = "7";
PhoneFormatTable["LA"] = "856";
PhoneFormatTable["LV"] = "371";
PhoneFormatTable["LB"] = "961";
PhoneFormatTable["LS"] = "266";
PhoneFormatTable["LR"] = "231";
PhoneFormatTable["LY"] = "218";
PhoneFormatTable["LI"] = "423";
PhoneFormatTable["LT"] = "370";
PhoneFormatTable["LU"] = "352";
PhoneFormatTable["MO"] = "853";
PhoneFormatTable["MK"] = "389";
PhoneFormatTable["MG"] = "261";
PhoneFormatTable["MW"] = "265";
PhoneFormatTable["MY"] = "60";
PhoneFormatTable["MV"] = "90";
PhoneFormatTable["ML"] = "223";
PhoneFormatTable["MT"] = "356";
PhoneFormatTable["MH"] = "692";
PhoneFormatTable["MQ"] = "596";
PhoneFormatTable["MR"] = "222";
PhoneFormatTable["MU"] = "230";
PhoneFormatTable["YT"] = "269";
PhoneFormatTable["MX"] = "52";
PhoneFormatTable["MD"] = "373";
PhoneFormatTable["MC"] = "33";
PhoneFormatTable["MN"] = "976";
PhoneFormatTable["MS"] = "473";
PhoneFormatTable["MA"] = "212";
PhoneFormatTable["MZ"] = "258";
PhoneFormatTable["MM"] = "95";
PhoneFormatTable["NA"] = "264";
PhoneFormatTable["NR"] = "674";
PhoneFormatTable["NP"] = "977";
PhoneFormatTable["NL"] = "31";
PhoneFormatTable["AN"] = "599";
PhoneFormatTable["NC"] = "687";
PhoneFormatTable["NZ"] = "64";
PhoneFormatTable["NI"] = "505";
PhoneFormatTable["NE"] = "227";
PhoneFormatTable["NG"] = "234";
PhoneFormatTable["NU"] = "683";
PhoneFormatTable["NF"] = "672";
PhoneFormatTable["MP"] = "670";
PhoneFormatTable["NO"] = "47";
PhoneFormatTable["OM"] = "968";
PhoneFormatTable["PK"] = "92";
PhoneFormatTable["PW"] = "680";
PhoneFormatTable["PA"] = "507";
PhoneFormatTable["PG"] = "675";
PhoneFormatTable["PY"] = "595";
PhoneFormatTable["PE"] = "51";
PhoneFormatTable["PH"] = "63";
PhoneFormatTable["PN"] = "649";
PhoneFormatTable["PL"] = "48";
PhoneFormatTable["PT"] = "351";
PhoneFormatTable["PR"] = "787";
PhoneFormatTable["QA"] = "974";
PhoneFormatTable["RE"] = "262";
PhoneFormatTable["RO"] = "40";
PhoneFormatTable["RU"] = "7";
PhoneFormatTable["RW"] = "250";
PhoneFormatTable["GS"] = "500";
PhoneFormatTable["KN"] = "869";
PhoneFormatTable["LC"] = "758";
PhoneFormatTable["VC"] = "809";
PhoneFormatTable["SM"] = "378";
PhoneFormatTable["ST"] = "239";
PhoneFormatTable["SA"] = "966";
PhoneFormatTable["SN"] = "221";
PhoneFormatTable["SC"] = "248";
PhoneFormatTable["SL"] = "232";
PhoneFormatTable["SG"] = "65";
PhoneFormatTable["SK"] = "421";
PhoneFormatTable["SI"] = "386";
PhoneFormatTable["SB"] = "677";
PhoneFormatTable["SO"] = "252";
PhoneFormatTable["ZA"] = "27";
PhoneFormatTable["ES"] = "34";
PhoneFormatTable["LK"] = "94";
PhoneFormatTable["SH"] = "290";
PhoneFormatTable["PM"] = "508";
PhoneFormatTable["SD"] = "249";
PhoneFormatTable["SR"] = "597";
PhoneFormatTable["SJ"] = "79";
PhoneFormatTable["SZ"] = "268";
PhoneFormatTable["SE"] = "46";
PhoneFormatTable["CH"] = "41";
PhoneFormatTable["SY"] = "963";
PhoneFormatTable["TW"] = "886";
PhoneFormatTable["TJ"] = "992";
PhoneFormatTable["TZ"] = "255";
PhoneFormatTable["TH"] = "66";
PhoneFormatTable["TG"] = "228";
PhoneFormatTable["TK"] = "690";
PhoneFormatTable["TO"] = "676";
PhoneFormatTable["TT"] = "868";
PhoneFormatTable["TN"] = "216";
PhoneFormatTable["TR"] = "90";
PhoneFormatTable["TM"] = "993";
PhoneFormatTable["TC"] = "649";
PhoneFormatTable["TV"] = "688";
PhoneFormatTable["UG"] = "256";
PhoneFormatTable["UA"] = "380";
PhoneFormatTable["AE"] = "971";
PhoneFormatTable["GB"] = "44";
PhoneFormatTable["US"] = "";
PhoneFormatTable["UM"] = "808";
PhoneFormatTable["UY"] = "598";
PhoneFormatTable["UZ"] = "998";
PhoneFormatTable["VU"] = "678";
PhoneFormatTable["VE"] = "58";
PhoneFormatTable["VN"] = "84";
PhoneFormatTable["VG"] = "284";
PhoneFormatTable["VI"] = "340";
PhoneFormatTable["WF"] = "681";
PhoneFormatTable["EH"] = "212";
PhoneFormatTable["WS"] = "685";
PhoneFormatTable["YE"] = "967";
PhoneFormatTable["YU"] = "381";
PhoneFormatTable["ZM"] = "260";
PhoneFormatTable["ZW"] = "263";

function SetState()
{
 var hiddenState = form.txtstate;
 try{
  var state = form.state;
  if(new String(state)=='undefined')
   state = form.esp_state;
 }catch(e){
  var state = form.esp_state;
 }
 
 hiddenState.value = state.selectedIndex;
}

// Handle all events when the country code drop down is changed.
function SetCountryCode()
{   
 var form = findObj(FormName.replace(/\s/g,""));
 try{
  var stateSel = (form.state ? form.state : form.esp_state);
 }catch(e){}

 stateSel.value = -1;

 try{
  var countrySel = (form.country ? form.country : form.esp_country);
 }catch(e){}
 
 var country_code = countrySel[countrySel.selectedIndex].value;
  
 if (country_code == "US" || country_code == "CA")
 {
  if(form.workcc)
  {
   form.workcc.value = "";
   form.homecc.value = "";
   form.othercc.value = "";
   form.workcc.disabled = true;
   form.homecc.disabled = true;
   form.othercc.disabled = true;
   form.workarea.maxLength = 3;
   form.homearea.maxLength = 3; 
   form.otherarea.maxLength = 3; 
   form.worknum.maxLength = 7; 
   form.homenum.maxLength = 7;  
   form.othernum.maxLength = 7;  
  }
  else if(form.esp_workcc)
  {
   form.esp_workcc.value = "";
   form.esp_homecc.value = "";
   form.esp_othercc.value = "";
   form.esp_workcc.disabled = true;
   form.esp_homecc.disabled = true;
   form.esp_othercc.disabled = true;
   form.esp_workarea.maxLength = 3;
   form.esp_homearea.maxLength = 3; 
   form.esp_otherarea.maxLength = 3; 
   form.esp_worknum.maxLength = 7; 
   form.esp_homenum.maxLength = 7;  
   form.esp_othernum.maxLength = 7;  
  }
 }
 else
 {
  if(form.workcc)
  {
   form.workcc.disabled = false;
   form.homecc.disabled = false;
   form.othercc.disabled = false;
   form.workarea.maxLength = 4;
   form.homearea.maxLength = 4; 
   form.otherarea.maxLength = 4; 
   form.worknum.maxLength = 20; 
   form.homenum.maxLength = 20; 
   form.othernum.maxLength = 20; 
  }
  else if(form.esp_workcc)
  {  
   form.esp_workcc.disabled = false;
   form.esp_homecc.disabled = false;
   form.esp_othercc.disabled = false;
   form.esp_workarea.maxLength = 4;
   form.esp_homearea.maxLength = 4; 
   form.esp_otherarea.maxLength = 4; 
   form.esp_worknum.maxLength = 20; 
   form.esp_homenum.maxLength = 20; 
   form.esp_othernum.maxLength = 20; 
  }

  if (form.othercc)
   form.othercc.value = (PhoneFormatTable[country_code] ? PhoneFormatTable[country_code] : "");
  else if (form.esp_othercc)
   form.esp_othercc.value = (PhoneFormatTable[country_code] ? PhoneFormatTable[country_code] : "");
     
  if (form.workcc)
   form.workcc.value = (PhoneFormatTable[country_code] ? PhoneFormatTable[country_code] : "");
  else if (form.esp_workcc)
   form.esp_workcc.value = (PhoneFormatTable[country_code] ? PhoneFormatTable[country_code] : "");
     
  if (form.homecc)
   form.homecc.value = (PhoneFormatTable[country_code] ? PhoneFormatTable[country_code] : "");
  else if (form.esp_homecc)
   form.esp_homecc.value = (PhoneFormatTable[country_code] ? PhoneFormatTable[country_code] : "");
     
 }

 try{
  var stateSel = (form.state ? form.state : form.esp_state);
 }catch(e){}

 stateSel.options.length = 1;
 stateSel.options[0] = new Option("", "");
     
 // populate state drop down content, enable/disable controls dynamically
 if(new String(",AS,CA,FM,GU,MP,MX,PR,US,").indexOf(","+countrySel[countrySel.selectedIndex].value+",")!=-1)
 {
  switch (countrySel[countrySel.selectedIndex].value)
  {
   case "AS":
    stateSel.options[0] = new Option("Select a state or province...", "");
    stateSel.options[1] = new Option("American Samoa", "AS");
    break;
   case "CA":
    stateSel.options[0] = new Option("Select a state or province...", "");
    stateSel.options[1] = new Option("Alberta", "AB");
    stateSel.options[2] = new Option("British Colombia", "BC");
    stateSel.options[3] = new Option("Manitoba", "MB");
    stateSel.options[4] = new Option("New Brunswick", "NB");
    stateSel.options[5] = new Option("Newfoundland", "NF");
    stateSel.options[6] = new Option("Nova Scotia", "NS");
    stateSel.options[7] = new Option("Northwest Territories", "NT");
    stateSel.options[8] = new Option("Nunavut", "NU");
    stateSel.options[9] = new Option("Ontario", "ON");
    stateSel.options[10] = new Option("Prince Edward Island", "PE");
    stateSel.options[11] = new Option("Quebec", "QC");
    stateSel.options[12] = new Option("Saskatchewan", "SK");
    stateSel.options[13] = new Option("Yukon", "YT");
    break;
   case "FM":
    stateSel.options[0] = new Option("Select a state or province...", "");
    stateSel.options[1] = new Option("Federated States of Micronesia", "FM");
    break;
   case "GU":
    stateSel.options[0] = new Option("Select a state or province...", "");
    stateSel.options[1] = new Option("Guam", "GU");
    break;
   case "MP":
    stateSel.options[0] = new Option("Select a state or province...", "");
    stateSel.options[1] = new Option("Northern Mariana Islands", "MP");
    break;
   case "MX":
    stateSel.options[0] = new Option("Select a state or province...", "");
    stateSel.options[1] = new Option("Aguascalientes", "AGS");
    stateSel.options[2] = new Option("Baja California (Norte)", "BC");
    stateSel.options[3] = new Option("Baja California (Sur)", "BCS");
    stateSel.options[4] = new Option("Campeche", "CAMP");
    stateSel.options[5] = new Option("Chihuahua", "CHIH");
    stateSel.options[6] = new Option("Chiapas", "CHIS");
    stateSel.options[7] = new Option("Coahuila", "COAH");
    stateSel.options[8] = new Option("Colima", "COL");
    stateSel.options[9] = new Option("Distrito Federal", "DF");
    stateSel.options[10] = new Option("Durango", "DGO");
    stateSel.options[11] = new Option("Guerrero", "GRO");
    stateSel.options[12] = new Option("Guanajuato", "GTO");
    stateSel.options[13] = new Option("Hidalgo", "HGO");
    stateSel.options[14] = new Option("Jalisco", "JAL");
    stateSel.options[15] = new Option("Mexico", "MEX");
    stateSel.options[16] = new Option("Michoacan", "MICH");
    stateSel.options[17] = new Option("Morelos", "MOR");
    stateSel.options[18] = new Option("Nayarit", "NAY");
    stateSel.options[19] = new Option("Nuevo Leon", "NL");
    stateSel.options[20] = new Option("Oaxaca", "OAX");
    stateSel.options[21] = new Option("Puebla", "PUE");
    stateSel.options[22] = new Option("Quintana Roo", "QR");
    stateSel.options[23] = new Option("Queretaro", "QRO");
    stateSel.options[24] = new Option("Sinaloa", "SIN");
    stateSel.options[25] = new Option("San Luis Potosi", "SLP");
    stateSel.options[26] = new Option("Sonora", "SON");
    stateSel.options[27] = new Option("Tabasco", "TAB");
    stateSel.options[28] = new Option("Tamaulipas", "TAMPS");
    stateSel.options[29] = new Option("Tlaxcala", "TLAX");
    stateSel.options[30] = new Option("Veracruz (-Llave)", "VER");
    stateSel.options[31] = new Option("Yucatan", "YUC");
    stateSel.options[32] = new Option("Zacatecas", "ZAC");
    break;
   case "PR":
    stateSel.options[0] = new Option("Select a state or province...", "");
    stateSel.options[1] = new Option("Puerto Rico", "PR");
    break;
   case "US":
    if(form.state)
    {
     stateSel.options[0] = new Option("Select a state or province...", "");
     stateSel.options[1] = new Option("Alabama", "AL");
     stateSel.options[2] = new Option("Alaska", "AK");
     stateSel.options[3] = new Option("Arizona", "AZ");
     stateSel.options[4] = new Option("Arkansas", "AR");
     stateSel.options[5] = new Option("Armed Forces Africa", "AE");
     stateSel.options[6] = new Option("Armed Forces Americas", "AA");
     stateSel.options[7] = new Option("Armed Forces Canada", "AE");
     stateSel.options[8] = new Option("Armed Forces Europe", "AE");
     stateSel.options[9] = new Option("Armed Forces Middle East", "AE");
     stateSel.options[10] = new Option("Armed Forces Pacific", "AP"); 
     stateSel.options[11] = new Option("California", "CA");
     stateSel.options[12] = new Option("Colorado", "CO");
     stateSel.options[13] = new Option("Connecticut", "CT");
     stateSel.options[14] = new Option("Delaware", "DE");
     stateSel.options[15] = new Option("District of Columbia", "DC");
     stateSel.options[16] = new Option("Florida", "FL");
     stateSel.options[17] = new Option("Georgia", "GA");
     stateSel.options[18] = new Option("Hawaii", "HI");
     stateSel.options[19] = new Option("Idaho", "ID");
     stateSel.options[20] = new Option("Illinois", "IL");
     stateSel.options[21] = new Option("Indiana", "IN"); 
     stateSel.options[22] = new Option("Iowa", "IA");
     stateSel.options[23] = new Option("Kansas", "KS");
     stateSel.options[24] = new Option("Kentucky", "KY");
     stateSel.options[25] = new Option("Louisiana", "LA");
     stateSel.options[26] = new Option("Maine", "ME");
     stateSel.options[27] = new Option("Maryland", "MD");
     stateSel.options[28] = new Option("Massachusetts", "MA");
     stateSel.options[29] = new Option("Michigan", "MI");
     stateSel.options[30] = new Option("Minnesota", "MN");
     stateSel.options[31] = new Option("Missouri", "MO");
     stateSel.options[32] = new Option("Mississippi", "MS");
     stateSel.options[33] = new Option("Montana", "MT");
     stateSel.options[34] = new Option("Nebraska", "NE");
     stateSel.options[35] = new Option("Nevada", "NV");
     stateSel.options[36] = new Option("New Hampshire", "NH");
     stateSel.options[37] = new Option("New Jersey", "NJ");
     stateSel.options[38] = new Option("New Mexico", "NM");
     stateSel.options[39] = new Option("New York", "NY");  
     stateSel.options[40] = new Option("North Carolina", "NC");
     stateSel.options[41] = new Option("North Dakota", "ND");
     stateSel.options[42] = new Option("Ohio", "OH");
     stateSel.options[43] = new Option("Oklahoma", "OK");
     stateSel.options[44] = new Option("Oregon", "OR");
     stateSel.options[45] = new Option("Pennsylvania", "PA");
     stateSel.options[46] = new Option("Rhode Island", "RI");
     stateSel.options[47] = new Option("South Carolina", "SC");
     stateSel.options[48] = new Option("South Dakota", "SD");
     stateSel.options[49] = new Option("Tennessee", "TN");
     stateSel.options[50] = new Option("Texas", "TX");
     stateSel.options[51] = new Option("Utah", "UT");
     stateSel.options[52] = new Option("Vermont", "VT");
     stateSel.options[53] = new Option("Virginia", "VA");
     stateSel.options[54] = new Option("Washington", "WA");
     stateSel.options[55] = new Option("West Virginia", "WV");
     stateSel.options[56] = new Option("Wisconsin", "WI");
     stateSel.options[57] = new Option("Wyoming", "WY");
    }
    else
    {
    stateSel.options[1] = new Option("Alabama", "AL");
    stateSel.options[2] = new Option("Alaska", "AK");
    stateSel.options[3] = new Option("Arizona", "AZ");
    stateSel.options[4] = new Option("Arkansas", "AR");
    stateSel.options[5] = new Option("California", "CA");
    stateSel.options[6] = new Option("Colorado", "CO");
    stateSel.options[7] = new Option("Connecticut", "CT");
    stateSel.options[8] = new Option("Delaware", "DE");
    stateSel.options[9] = new Option("Distrito de Columbia", "DC");
    stateSel.options[10] = new Option("Florida", "FL");
    stateSel.options[11] = new Option("Georgia", "GA");
    stateSel.options[12] = new Option("Hawai", "HI");
    stateSel.options[13] = new Option("Idaho", "ID");
    stateSel.options[14] = new Option("Illinois", "IL");
    stateSel.options[15] = new Option("Indiana", "IN");
    stateSel.options[16] = new Option("Iowa", "IA");
    stateSel.options[17] = new Option("Kansas", "KS");
    stateSel.options[18] = new Option("Kentucky", "KY");
    stateSel.options[19] = new Option("Louisiana", "LA");
    stateSel.options[20] = new Option("Maine", "ME");
    stateSel.options[21] = new Option("Maryland", "MD");
    stateSel.options[22] = new Option("Massachusetts", "MA");
    stateSel.options[23] = new Option("Michigan", "MI");
    stateSel.options[24] = new Option("Minnesota", "MN");
    stateSel.options[25] = new Option("Mississippi", "MS");
    stateSel.options[26] = new Option("Missouri", "MO");
    stateSel.options[27] = new Option("Montana", "MT");
    stateSel.options[28] = new Option("Nebraska", "NE");
    stateSel.options[29] = new Option("Nevada", "NV");
    stateSel.options[30] = new Option("Nueva Hampshire", "NH");
    stateSel.options[31] = new Option("Nueva Jersey", "NJ");
    stateSel.options[32] = new Option("Nuevo México", "NM");
    stateSel.options[33] = new Option("Nueva York", "NY");
    stateSel.options[34] = new Option("Carolina del Norte", "NC");
    stateSel.options[35] = new Option("Dakota del Norte", "ND");
    stateSel.options[36] = new Option("Ohio", "OH");
    stateSel.options[37] = new Option("Oklahoma", "OK");
    stateSel.options[38] = new Option("Oregon", "OR");
    stateSel.options[39] = new Option("Pensilvania", "PA");
    stateSel.options[40] = new Option("Rhode Island", "RI");
    stateSel.options[41] = new Option("Carolina del Sur", "SC");
    stateSel.options[42] = new Option("Dakota del Sur", "SD");
    stateSel.options[43] = new Option("Tennessee", "TN");
    stateSel.options[44] = new Option("Texas", "TX");
    stateSel.options[45] = new Option("Utah", "UT");
    stateSel.options[46] = new Option("Vermont", "VT");
    stateSel.options[47] = new Option("Virginia", "VA");
    stateSel.options[48] = new Option("Washington", "WA");
    stateSel.options[49] = new Option("West Virginia", "WV");
    stateSel.options[50] = new Option("Wisconsin", "WI");
    stateSel.options[51] = new Option("Wyoming", "WY");
    }
    break;
   }
    
  stateSel.disabled = false;
  if(form.province)
  {
   form.province.disabled = true;
   form.province.value = "";
  }
  else
  {
   form.esp_province.disabled = true;
   form.esp_province.value = "";
  }
  
 }
 else
 {
  stateSel.disabled = true;
  if(form.province)
   form.province.disabled = false;
  else
   form.esp_province.disabled = false;
 }
}

function ShowRequirements()
{
 var form = findObj(FormName.replace(/\s/g,""));
 try{
  var rn = form.program.value ;
  if ( rn == "BSN" ) {
   //alert("Thank you for your interest in the Bachelor of Science in Nursing degree program at University of Phoenix Online.  All applicants to this program are expected to meet the following admission requirements:\n\n    • Registered Nurse License\n\nIf you are interested in entering the nursing field, and are not an RN at this time, we suggest that you explore the registered nursing programs at your local community college.  If you would like information on one of our other degree programs, please select another choice.  Thanks again for your interest in University of Phoenix Online and we hope we can help you reach your educational goals.");
   form.licensed0.disabled = false;
   form.licensed1.disabled = false;
   form.gpa0.disabled = false;
   form.gpa1.disabled = false;
   form.uscitizen0.disabled = false;
   form.uscitizen1.disabled = false;
   document.all.prerequisites_div.style.display = "";
  }
  else
  {
   form.licensed0.disabled = true;
   form.licensed1.disabled = true;
   form.gpa0.disabled = true;
   form.gpa1.disabled = true;
   form.uscitizen0.disabled = true;
   form.uscitizen1.disabled = true;
   document.all.prerequisites_div.style.display = "none";
  }
 }catch(e){}
 return;
}


function getNum(str)
{
 str = new String(str);
 var sz = new String("0123456789");
 var tmp = new String("");
 for(var p=0;p<len(str);p++)
  if(sz.indexOf(str.substring(p,p+1))>-1)
   tmp += str.substring(p,p+1)
 return tmp;
}

function findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

try{
 root = root==''?"www.precisecontact.com":root;
}catch(e){
 var root = "www.precisecontact.com";
}
try{
 prefix = pre==''?"usc":pre;
}catch(e){
 var prefix = "usc";
}
try{
 FormName = FormName==''?DBFields[1][0]:FormName;
}catch(e){
 try{
  var FormName = DBFields[1][0];
 }catch(e){
  var FormName = "Big";
 }
}
var InstitutionName = "U.S. Colleges";
var szWebmasterEmailAddress = "mikeklein78@gmail.com;custserv@precisecontact.com";

var bTableColumns2 = FormName=="Home" || FormName=="Tiny" || FormName=="LPMain" || FormName=="LP2" || FormName=="Craigslist" || FormName=="Facebook" || FormName=="Organic1";

//".button#doit { background:url(http://www.ashworthcollege.edu/templates/landing_home/images/submit_free_information.jpg) no-repeat; width:244px; height:80px; text-indent:-1000px; display:block; border:0;}\n" +
var szForm = "" +
( FormName=="Tiny" ? "" +
 "<st"+"yle type=\"text/css\">\n" +
 "#af-form-857984325 { background-color:transparent; border-color:transparent; border-width:0px; border-style:solid; }" +
 "#af-form-857984325 { overflow:auto; }" +
 "#af-form-857984325 { width:180px; }" +
 "#af-form-857984325 { font-size:9px;  }" +
 "label.previewLabel { display:block; float:none; text-align:left; width:auto; color:#000000; text-decoration:none; font-style:normal; font-weight:normal; font-size:9px; font-family:Verdana, sans-serif; }" +
 "input.text, input, select, textarea { background:url(http://www.ashworthcollege.edu/templates/landing_home/images/input_mid.jpg); border-color:#CCCCCC; border-width:1px; border-style:solid; color:#6C6C6C; font-size:9px; padding:2px; width:180px; height:20px; text-decoration:none; font-style:normal; font-weight:normal; font-family:Verdana, sans-serif; }" +
 "input.text:focus, textarea:focus { background-color:#FFFAD6; border-color:#030303; border-width:1px; border-style:solid; }" +
 "fieldset, img { border:0; }" +
 "p { color: inherit; }" +
 "input.text, input, select, label, optgroup, option { float:none; margin:0px; padding:0px; position:static; }" +
 "table { border-collapse:collapse; border-spacing:0; }" +
 "ul, ol { list-style-image:none; list-style-position:outside; list-style-type:disc; padding-left:40px; }" +
 ".af-form-wrapper, .af-form-close-button, #af-form-857984325 img { display:inline; background-color: none; border: none; }" +
 "</st"+"yle>" +
 "<div id=\"af-form-857984325\" class=\"af-form\">" +
"" : "" +
 ( FormName=="Home" || FormName=="LPMain" || FormName=="LP2" || FormName=="Craigslist" || FormName=="Facebook" || FormName=="Organic1" ? "" +
  "<st"+"yle type=\"text/css\">\n" +
  "#af-form-857984325 { background-color:transparent; border-color:transparent; border-width:0px; border-style:solid; }" +
  "#af-form-857984325 { overflow:auto; }" +
  "#af-form-857984325 { width:575px; }" +
  "label.previewLabel { display:block; float:none; text-align:left; width:auto; color:#000000; text-decoration:none; font-style:normal; font-weight:normal; font-size:11px; font-family:Verdana, sans-serif; }" +
  "input.text, select, textarea { background:url(http://www.ashworthcollege.edu/templates/landing_home/images/input_mid.jpg); border-color:#CCCCCC; border-width:1px; border-style:solid; color:#6C6C6C; font-size:10px; padding:2px; width:190px; height:20px; text-decoration:none; font-style:normal; font-weight:normal; font-family:Verdana, sans-serif; }" +
  "input.text:focus, textarea:focus { background-color:#FFFAD6; border-color:#030303; border-width:1px; border-style:solid; }" +
  "fieldset, img { border:0; }" +
  "p { color: inherit; }" +
  "input.text, select, label, optgroup, option { float:none; margin:0px; padding:0px; position:static; }" +
  "table { border-collapse:collapse; border-spacing:0; }" +
  "ul, ol { list-style-image:none; list-style-position:outside; list-style-type:disc; padding-left:40px; }" +
  ".af-form-wrapper, .af-form-close-button, #af-form-857984325 img { display:inline; background-color: none; border: none; }" +
  "</st"+"yle>" +
  "<div id=\"af-form-857984325\" class=\"af-form\">" +
 "" : "" +
  "<st"+"yle type=\"text/css\">\n" +
  "#af-form-857984325 .af-body .af-textWrap, #af-form-857984325 .af-body .af-dateWrap, #af-form-857984325 .af-body .af-selectWrap, #af-form-857984325 .af-body .af-checkWrap, #af-form-857984325 .choiceList-radio-inline, #af-form-857984325 .choiceList-radio-stacked { width:98%; display:block; float:none; }\n" +
  "#af-form-857984325 .af-body .privacyPolicy { color:inherit; font-size:11px; font-family:Verdana, sans-serif; }\n" +
  "#af-form-857984325 .af-body a { color:#094C80; text-decoration:underline; font-style:normal; font-weight:normal; }\n" +
  "#af-form-857984325 .af-body input.text, #af-form-857984325 .af-body textarea { background-color:#FFFFFF; border-color:#919191; border-width:1px; border-style:solid; color:#000000; text-decoration:none; font-style:normal; font-weight:normal; font-size:12px; font-family:Verdana, sans-serif; }\n" +
  "#af-form-857984325 .af-body input.text:focus, #af-form-857984325 .af-body textarea:focus { background-color:#FFFAD6; border-color:#030303; border-width:1px; border-style:solid; }\n" +
  "#af-form-857984325 .af-body label.choice { color:#000000; text-decoration:none; font-style:normal; font-weight:normal; font-size:inherit; font-family:inherit; }\n" +
  "#af-form-857984325 .af-body label.previewLabel { display:block; float:none; text-align:left; width:auto; color:#000000; text-decoration:none; font-style:normal; font-weight:normal; font-size:11px; font-family:Verdana, sans-serif; }\n" +
  "#af-form-857984325 .af-body { padding-bottom:15px; padding-top:15px; background-repeat:repeat-x; background-position:inherit; background-image:url(\"http://forms.aweber.com/images/forms/download/royal/body.png\"); color:inherit; font-size:11px; font-family:Verdana, sans-serif; }\n" +
  "#af-form-857984325 .af-element-radio { margin-left:10px; }\n" +
  "#af-form-857984325 .af-footer { padding-bottom:2px; padding-top:2px; padding-right:10px; padding-left:10px; background-color:#FFFFFF; background-repeat:no-repeat; background-position:top left; background-image:none; border-width:1px; border-bottom-style:none; border-left-style:none; border-right-style:none; border-top-style:none; color:#000000; font-size:11px; font-family:Verdana, sans-serif; }\n" +
  "#af-form-857984325 .af-header { padding-bottom:9px; padding-top:40px; padding-right:10px; padding-left:99px; background-color:transparent; background-repeat:no-repeat; background-position:inherit; background-image:url(\"http://forms.aweber.com/images/forms/download/royal/header.png\"); border-width:1px; border-bottom-style:none; border-left-style:none; border-right-style:none; border-top-style:none; color:inherit; font-size:16px; font-family:Verdana, sans-serif; }\n" +
  "#af-form-857984325 .af-quirksMode .bodyText { padding-top: 2px; padding-bottom: 2px; }\n" +
  "#af-form-857984325 .af-quirksMode { padding-right:10px; padding-left:10px; }\n" +
  "#af-form-857984325 .af-quirksMode { width:210px; }\n" +
  "#af-form-857984325 .af-standards .af-divider { margin-right:10px; margin-left:10px; }\n" +
  "#af-form-857984325 .af-standards .af-element { padding-right:10px; padding-left:10px; }\n" +
  "#af-form-857984325 .bodyText p { margin:1em 0; }\n" +
  "#af-form-857984325 .buttonContainer input.submit { background-image:url(\"http://forms.aweber.com/images/auto/gradient/button/07c.png\"); background-position:top left; background-repeat:repeat-x; background-color:#0057ac; border:1px solid #0057ac; color:#FFFFFF; text-decoration:none; font-style:normal; font-weight:normal; font-size:14px; font-family:Verdana, sans-serif; }\n" +
  "#af-form-857984325 .buttonContainer { text-align:left; }\n" +
  "#af-form-857984325 .choiceList-radio-inline .af-element-radio { margin-right:0px; }\n" +
  "#af-form-857984325 body, #af-form-857984325 dl, #af-form-857984325 dt, #af-form-857984325 dd, #af-form-857984325 h1, #af-form-857984325 h2, #af-form-857984325 h3, #af-form-857984325 h4, #af-form-857984325 h5, #af-form-857984325 h6, #af-form-857984325 pre, #af-form-857984325 code, #af-form-857984325 form, #af-form-857984325 fieldset, #af-form-857984325 legend, #af-form-857984325 textarea, #af-form-857984325 blockquote, #af-form-857984325 th, #af-form-857984325 td, .af-form-wrapper, .af-form-close-button, #af-form-857984325 img { float:none; color: inherit; margin:0px; padding:0px; position:static; }\n" +
  "#af-form-857984325 button, #af-form-857984325 input, #af-form-857984325 submit, #af-form-857984325 textarea { float:none; margin:0px; position:static; }\n" +
  "#af-form-857984325 div { margin:0px; }\n" +
  "#af-form-857984325 fieldset, #af-form-857984325 img { border:0; }\n" +
  "#af-form-857984325 input, #af-form-857984325 button, #af-form-857984325 textarea, #af-form-857984325 select { *font-size:100%; }\n" +
  "#af-form-857984325 p { color: inherit; }\n" +
  "#af-form-857984325 select, #af-form-857984325 label, #af-form-857984325 optgroup, #af-form-857984325 option { float:none; margin:0px; padding:0px; position:static; }\n" +
  "#af-form-857984325 table { border-collapse:collapse; border-spacing:0; }\n" +
  "#af-form-857984325 ul, #af-form-857984325 ol { list-style-image:none; list-style-position:outside; list-style-type:disc; padding-left:40px; }\n" +
  "#af-form-857984325 { background-color:transparent; border-color:transparent; border-width:0px; border-style:solid; }\n" +
  "#af-form-857984325 { overflow:auto; }\n" +
  "#af-form-857984325 { width:210px; }\n" +
  "#af-form-857984325.af-quirksMode { overflow-x:hidden; }\n" +
  ".af-body .af-textWrap input.text, .af-body .af-textWrap textarea { width:100%; }\n" +
  ".af-body .af-textWrap { text-align:left; }\n" +
  ".af-body input.image { border:none !important; }\n" +
  ".af-body input.submit, .af-body input.image { float:none !important; }\n" +
  ".af-body input.text { float:none; }\n" +
  ".af-body input.text, .af-body textarea { padding:2px!important; }\n" +
  ".af-body.af-standards input.submit { padding:4px 12px; }\n" +
  ".af-clear { clear:both; }\n" +
  ".af-divider { display:block; height:12px; margin-bottom:6px; }\n" +
  ".af-divider-parent { padding-bottom:15px; }\n" +
  ".af-divider-parent { padding-top:0 !important; }\n" +
  ".af-element input.radio { width:inherit !important; }\n" +
  ".af-element label { display:block; float:left; }\n" +
  ".af-element label { float:left; text-align:left; }\n" +
  ".af-element { padding-bottom:5px; padding-top:5px; }\n" +
  ".af-element, .af-usaddress { padding: 6px 0; }\n" +
  ".af-element-checkbox .choice { display:inline; }\n" +
  ".af-element-checkbox label, .af-element-checkbox input.checkbox, .af-element-radio label, .af-element-radio input.radio { display:inline !important; float:none !important; }\n" +
  ".af-element-radio label { display:inline; }\n" +
  ".af-element-radio.block { display:block; }\n" +
  ".af-element-radio.inline { display:block !important; float:left; margin-left:0px; margin-right:7px; }\n" +
  ".af-form .af-element input.button { float:none !important; }\n" +
  ".af-form { margin:auto; text-align:left; }\n" +
  ".af-form-wrapper, .af-form-close-button, #af-form-857984325 img { display:inline; background-color: none; border: none; }\n" +
  ".af-header, .af-footer { margin-bottom:0px; margin-top:0px; padding:10px; }\n" +
  ".af-quirksMode .af-element { padding-left: 0px!important; padding-right: 0px!important; }\n" +
  ".af-usaddress input { margin-bottom:5px; }\n" +
  ".choiceList-radio-inline .af-element-radio { float:left; }\n" +
  ".lastNameContainer { margin-top:10px; }\n" +
  ".lbl-right .af-element label{ text-align:right; }\n" +
  ".stacked .af-element label { float:none; display:block; }\n" +
  "</st"+"yle>" +
  "<div id=\"af-form-857984325\" class=\"af-form\">" +
  "<div id=\"af-header-857984325\" class=\"af-header\"><div class=\"bodyText\"><p style=\"text-align: center;\"><span style=\"font-size: 16px;\"><strong><br /></strong></span></p></div></div>" +
 "" ) +
"" ) +
"";
szForm += "" +
( bTableColumns2 ? "" : "" +
"<div id=\"af-body-857984325\" class=\"af-body af-standards\">" +
"" ) +
"";

var szRowTemplate = "" +
 ( bTableColumns2 ? "" +
  "szElem" +
 "" : "" +
  "\" <div class=\\\"af-element\\\">\"+" +
  "\"    <label class=\\\"previewLabel\\\">\" + DBFields[j][_Before_Label] + ( (DBFields[j][_Required]==\"\") ? \"\" : \"<font color=red>\" ) + DBFields[j][_Field_Name] + ( (DBFields[j][_Required]==\"\") ? \"\" : \"*</font>\" ) + DBFields[j][_After_Label] + \" </label>\"+" +
  "\"  \"+" +
  "\"  <div class=\\\"af-textWrap\\\">\"+" +
  "szElem+" +
  "\"  </div>\"+" +
  "\" <div class=\\\"af-clear\\\"></div></div>\"" +
 "" ) +
 "";
/*
 "\" <tr bgcolor=\\\"#DCDCDC\\\"><td nowrap valign=\\\"top\\\" align=\\\"right\\\">\"+" +
 "\"    \" + DBFields[j][_Before_Label] + ( (DBFields[j][_Required]==\"\") ? \"\" : \"<font color=\\\"red\\\">\" ) + DBFields[j][_Field_Name] + ( (DBFields[j][_Required]==\"\") ? \"\" : \"*</font>\" ) + DBFields[j][_After_Label] + \"\"+" +
 "\"  </td>\"+" +
 "\"  <td width=\\\"64\\\%\\\" nowrap>\"+" +
 "szElem+" +
 "\"  </td>\"+" +
 "\" </tr>\"";
*/
var Email_Address_Field = "Email_Address";
var First_Name_Field = "First_Name";
var Last_Name_Field = "Last_Name";

var QueryString = new Array("leadid","emailid","GCID");

var Rows = 
[
 [
  "LPMain",
  [
   ["Program","Program","",""],
   ["Campus","Campus","",""],
   ["First_Name","First_Name","",""],
   ["Last_Name","Last_Name","",""],
   ["Email_Address","Email_Address","",""],
   ["Address1","Address1","",""],
   ["City","City","",""],
   ["State","State","",""],
   ["Zip","Zip","",""],
   ["Home_Phone","Home_Phone","",""],
   ["","","","Submit"]
  ]
 ],
 [
  "LP2",
  [
   ["Program","Program","State","State"],
   ["First_Name","First_Name","Zip","Zip"],
   ["Last_Name","Last_Name","Home_Phone","Home_Phone"],
   ["Email_Address","Email_Address","","Submit"],
   ["Address1","Address1","",""],
   ["Address2","Address2","",""],
   ["City","City","",""]
  ]
 ],
 [
  "Facebook",
  [
   ["Program","Program","State","State"],
   ["First_Name","First_Name","Zip","Zip"],
   ["Last_Name","Last_Name","Home_Phone","Home_Phone"],
   ["Email_Address","Email_Address","","Submit"],
   ["Address1","Address1","",""],
   ["Address2","Address2","",""],
   ["City","City","",""]
  ]
 ],
 [
  "Craigslist",
  [
   ["Program","Program","State","State"],
   ["First_Name","First_Name","Zip","Zip"],
   ["Last_Name","Last_Name","Home_Phone","Home_Phone"],
   ["Email_Address","Email_Address","","Submit"],
   ["Address1","Address1","",""],
   ["Address2","Address2","",""],
   ["City","City","",""]
  ]
 ],
 [
  "Organic1",
  [
   ["Program","Program","State","State"],
   ["First_Name","First_Name","Zip","Zip"],
   ["Last_Name","Last_Name","Home_Phone","Home_Phone"],
   ["Email_Address","Email_Address","","Submit"],
   ["Address1","Address1","",""],
   ["Address2","Address2","",""],
   ["City","City","",""]
  ]
 ],
 [
  "Home",
  [
   ["Program","Program","State","State"],
   ["First_Name","First_Name","Zip","Zip"],
   ["Last_Name","Last_Name","Home_Phone","Home_Phone"],
   ["Email_Address","Email_Address","","Submit"],
   ["Address1","Address1","",""],
   ["Address2","Address2","",""],
   ["City","City","",""]
  ]
 ],
 [
  "Tiny",
  [
   ["","","","First_Name|"],
   ["","","","Last_Name|"],
   ["","","","Home_Phone|"],
   ["","","","Email_Address|"],
   ["","","","Area_Of_Study|"],
   ["","","","Submit|"]
  ]
 ]
];

var DBFields = [
["Form","Field_Name","DB_Field_Name","Form_Elements","Calculated_Field_Value","Extraction_Formula","Required","Validation_Formula","Validation_Failure_Text","Before_Label","After_Label","Report","Search","Search_Type","Data_Type"],

["Home","Program","Program","program","","","Required","","You did not indicate a program","","","0","1","select","char"],
["Home","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["Home","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["Home","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["Home","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["Home","Address2","Address2","address2","","","","","You did not indicate your address.","","","0","","","char"],
["Home","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["Home","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["Home","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["Home","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["Home","Submit","Submit","doit2","","","","","You did not indicate a valid home phone number.","","","0","","","text"],

["LPMain","Program","Program","program","","","Required","","You did not indicate a program","","","0","1","select","char"],
["LPMain","Campus","Campus","campus","","","Required","","You did not indicate a campus","","","0","1","text","char"],
["LPMain","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["LPMain","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["LPMain","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["LPMain","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["LPMain","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["LPMain","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["LPMain","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["LPMain","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["LPMain","Submit","Submit","doit1","","","","","You did not indicate a valid home phone number.","","","0","","","text"],

["LP2","Program","Program","program","","","Required","","You did not indicate a program","","","0","1","select","char"],
["LP2","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["LP2","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["LP2","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["LP2","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["LP2","Address2","Address2","address2","","","","","You did not indicate your address.","","","0","","","char"],
["LP2","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["LP2","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["LP2","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["LP2","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["LP2","Submit","Submit","doit2","","","","","You did not indicate a valid home phone number.","","","0","","","text"],

["Facebook","Program","Program","program","","","Required","","You did not indicate a program","","","0","1","select","char"],
["Facebook","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["Facebook","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["Facebook","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["Facebook","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["Facebook","Address2","Address2","address2","","","","","You did not indicate your address.","","","0","","","char"],
["Facebook","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["Facebook","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["Facebook","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["Facebook","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["Facebook","Submit","Submit","doit2","","","","","You did not indicate a valid home phone number.","","","0","","","text"],

["Craigslist","Program","Program","program","","","Required","","You did not indicate a program","","","0","1","select","char"],
["Craigslist","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["Craigslist","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["Craigslist","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["Craigslist","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["Craigslist","Address2","Address2","address2","","","","","You did not indicate your address.","","","0","","","char"],
["Craigslist","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["Craigslist","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["Craigslist","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["Craigslist","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["Craigslist","Submit","Submit","doit2","","","","","You did not indicate a valid home phone number.","","","0","","","text"],

["Organic1","Program","Program","program","","","Required","","You did not indicate a program","","","0","1","select","char"],
["Organic1","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["Organic1","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["Organic1","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["Organic1","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["Organic1","Address2","Address2","address2","","","","","You did not indicate your address.","","","0","","","char"],
["Organic1","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["Organic1","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["Organic1","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["Organic1","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["Organic1","Submit","Submit","doit2","","","","","You did not indicate a valid home phone number.","","","0","","","text"],

["Big","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["Big","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["Big","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["Big","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["Big","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["Big","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["Big","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["Big","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["Big","Campus","Campus","campus","","","Required","","You did not indicate a campus","","","0","1","text","char"],
["Big","Program","Program","program","","","Required","","You did not indicate a program","","","0","1","select","char"],
["Big","Education","Education","education","","","Required","","You did not indicate Education.","","","0","","","char"],
["Big","Grad Year","Grad_Year","gradyear","","","Required","","You did not indicate year of graduation or expected.","","","0","1","text","char"],
["Big","Best Way to Contact Me","Contact","contact","","","","","","","","","","","char"],

["Medium","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["Medium","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["Medium","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["Medium","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["Medium","Campus","Campus","campus","","","Required","","You did not indicate a campus","","","0","1","text","char"],
["Medium","Program","Program","program","","","Required","","You did not indicate a program","","","0","1","select","char"],

["Small","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["Small","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["Small","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["Small","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],

["Tiny","First Name","First_Name","tinyfirstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["Tiny","Last Name","Last_Name","tinylastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["Tiny","Email","Email_Address","tinyemail","","","Required","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["Tiny","Day Phone","Home_Phone","tinydayphone","","","Required","getNum(form.dayphone.value)==\"\" || len(getNum(form.dayphone.value))<10","You did not indicate a valid day phone number.","","","1","","","text"],
["Tiny","Area of Study","Area_Of_Study","areaofstudy","","","Required","form.areaofinterest.value==\"\"","You did not indicate an area of interest.","","","1","","","text"],
["Tiny","","Submit","tinysubmit","","","","","You did not indicate a valid home phone number.","","","0","","","text"],

["Website","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["Website","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["Website","Home Phone","Home_Phone","hphone1|hphone2|hphone3","getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value)","","Evaluate","len(getNum(form.hphone1.value))<3 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["Website","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home number or email address.","","","1","","","char"],
["Website","Campus","Campus","campus","","","Required","","You did not indicate a campus","","","0","1","text","char"],
["Website","Program","Program","program","","","Required","","You did not indicate a proram","","","0","1","select","char"],
["Website","Cell Phone","Other_Phone","ophone1|ophone2|ophone3","","","","","You did not indicate a valid other phone number.","","","1","","","text"],
["Website","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["Website","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["Website","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["Website","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["Website","Education","Education","education","","","Required","","You did not indicate Education.","","","0","","","char"],
["Website","Grad Year","Grad_Year","gradyear","","","Required","","You did not indicate year of graduation or expected.","","","0","1","text","char"],
["Website","Best Way to Contact Me","Contact","contact","","","","","","","","","","","char"],
["Website","Comments","Comments","comments","","","","len(form.comments.value) > 250","Your comments have exceeded the 250 maximum allowable characters.",""," <font size=\"-2\">(250 char. limit)</font>","","","","char"],


["LandingPage","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["LandingPage","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["LandingPage","Home Phone","Home_Phone","","( getNum(form.homenum.value) != \"\" ? ( form.country.value!=\"US\" && form.country.value!=\"CA\" && form.country.value!=\"undefined\" && form.country.value!=\"\" ? getNum(form.homecc.value) + \" \" : \"\" ) + getNum(form.homearea.value) + \"-\" + ( form.country.value==\"US\" || form.country.value==\"CA\" || form.country.value==\"undefined\" || form.country.value==\"\" ? Left(getNum(form.homenum.value),3) + \"-\" + Right(getNum(form.homenum.value),4) : Trim(form.homenum.value) ) : ( getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value) ) )","","Evaluate","len(getNum(form.homenum.value))<7 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["LandingPage","Home Phone Area","Home_Phone_Area","","( getNum(form.homearea.value) != \"\" ? getNum(form.homearea.value) + \"-\" : ( getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) ) )","","Evaluate","len(getNum(form.homenum.value))<7 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["LandingPage","Home Phone Num","Home_Phone_Num","","( getNum(form.homenum.value) != \"\" ? ( form.country.value==\"US\" || form.country.value==\"CA\" || form.country.value==\"undefined\" || form.country.value==\"\" ? Left(getNum(form.homenum.value),3) + \"-\" + Right(getNum(form.homenum.value),4) : Trim(form.homenum.value) ) : ( getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value) ) )","","Evaluate","len(getNum(form.homenum.value))<7 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["LandingPage","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.wphone1.value) < 3 || len(form.wphone2.value) < 3 || len(form.wphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home or work phone number or email address.","","","1","","","char"],
["LandingPage","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["LandingPage","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["LandingPage","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["LandingPage","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["LandingPage","Country","Country","","\"US\"","","","","You did not indicate your zip code.","","","0","","","char"],
["LandingPage","Source","Lead_Source","","\"Web\"","","Evaluate","objManager.AccessLevel!=\"Support\" && objManager.AccessLevel!=\"Assist\" && parseInt(form.status.value)<=1000 && (form.source.value==\"\" || (form.source.value==\"Other\" && form.othersource.value==\"\")) || (objManager.AccessLevel!=\"Assist\" && objManager.AccessLevel!=\"Manager\" && objManager.Profile.getProfile(\"Lead_Source\")!=\"\" && objManager.Profile.getProfile(\"Lead_Source\")!=form.source.value)","You did not select a source, or you do not have permission to change it","","","0","1","multiselect","char"],
["LandingPage","Lead Type","Lead_Type","","\"Internet\"","","Evaluate","objManager.AccessLevel!=\"Support\" && objManager.AccessLevel!=\"Assist\" && parseInt(form.status.value)<=1000 && (form.source.value==\"\" || (form.source.value==\"Other\" && form.othersource.value==\"\")) || (objManager.AccessLevel!=\"Assist\" && objManager.AccessLevel!=\"Manager\" && objManager.Profile.getProfile(\"Lead_Source\")!=\"\" && objManager.Profile.getProfile(\"Lead_Source\")!=form.source.value)","You did not select a source, or you do not have permission to change it","","","0","1","multiselect","char"],
["LandingPage","Campaign","Campaign_ID","","\"Landing Page\"","","","","","","","0","1","text","char"],
["LandingPage","Comments","Comments","comments","","","","len(form.comments.value) > 250","Your comments have exceeded the 250 maximum allowable characters.",""," <font size=\"-2\">(250 char. limit)</font>","","","","char"],


["PPL-5Star","First Name","First_Name","firstname","","","Required","","You did not indicate your first name.","","","1","0","text","char"],
["PPL-5Star","Last Name","Last_Name","lastname","","","Required","","You did not indicate your last name.","","","1","0","text","char"],
["PPL-5Star","Home Phone","Home_Phone","","( getNum(form.homenum.value) != \"\" ? ( form.country.value!=\"US\" && form.country.value!=\"CA\" && form.country.value!=\"undefined\" && form.country.value!=\"\" ? getNum(form.homecc.value) + \" \" : \"\" ) + getNum(form.homearea.value) + \"-\" + ( form.country.value==\"US\" || form.country.value==\"CA\" || form.country.value==\"undefined\" || form.country.value==\"\" ? Left(getNum(form.homenum.value),3) + \"-\" + Right(getNum(form.homenum.value),4) : Trim(form.homenum.value) ) : ( getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) + \"-\" + getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value) ) )","","Evaluate","len(getNum(form.homenum.value))<7 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["PPL-5Star","Home Phone Area","Home_Phone_Area","","( getNum(form.homearea.value) != \"\" ? getNum(form.homearea.value) + \"-\" : ( getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone1.value) ) )","","Evaluate","len(getNum(form.homenum.value))<7 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["PPL-5Star","Home Phone Num","Home_Phone_Num","","( getNum(form.homenum.value) != \"\" ? ( form.country.value==\"US\" || form.country.value==\"CA\" || form.country.value==\"undefined\" || form.country.value==\"\" ? Left(getNum(form.homenum.value),3) + \"-\" + Right(getNum(form.homenum.value),4) : Trim(form.homenum.value) ) : ( getNum(form.hphone1.value)==\"\" ? \"\" : getNum(form.hphone2.value) + \"-\" + getNum(form.hphone3.value) ) )","","Evaluate","len(getNum(form.homenum.value))<7 && len(getNum(form.hphone2.value)+getNum(form.hphone3.value))<7","You did not indicate a valid home phone number.","","","1","","","text"],
["PPL-5Star","Email","Email_Address","email","","","Evaluate","(len(form.hphone1.value) < 3 || len(form.hphone2.value) < 3 || len(form.hphone3.value) < 4) && (len(form.wphone1.value) < 3 || len(form.wphone2.value) < 3 || len(form.wphone3.value) < 4) && (len(form.email.value)==0 || !isEmail(form.email.value))","You did not indicate a valid home or work phone number or email address.","","","1","","","char"],
["PPL-5Star","Address1","Address1","address1","","","","","You did not indicate your address.","","","0","","","char"],
["PPL-5Star","City","City","city","","","","","You did not indicate your city.","","","0","","","char"],
["PPL-5Star","State","State","state","","","","","You did not indicate your state.","","","0","","","char"],
["PPL-5Star","Zip","Zip","zip","","","","","You did not indicate your zip code.","","","0","","","char"],
["PPL-5Star","Country","Country","","\"US\"","","","","You did not indicate your zip code.","","","0","","","char"],
["PPL-5Star","Source","Lead_Source","","\"Web\"","","Evaluate","objManager.AccessLevel!=\"Support\" && objManager.AccessLevel!=\"Assist\" && parseInt(form.status.value)<=1000 && (form.source.value==\"\" || (form.source.value==\"Other\" && form.othersource.value==\"\")) || (objManager.AccessLevel!=\"Assist\" && objManager.AccessLevel!=\"Manager\" && objManager.Profile.getProfile(\"Lead_Source\")!=\"\" && objManager.Profile.getProfile(\"Lead_Source\")!=form.source.value)","You did not select a source, or you do not have permission to change it","","","0","1","multiselect","char"],
["PPL-5Star","Lead Type","Lead_Type","","\"Internet\"","","Evaluate","objManager.AccessLevel!=\"Support\" && objManager.AccessLevel!=\"Assist\" && parseInt(form.status.value)<=1000 && (form.source.value==\"\" || (form.source.value==\"Other\" && form.othersource.value==\"\")) || (objManager.AccessLevel!=\"Assist\" && objManager.AccessLevel!=\"Manager\" && objManager.Profile.getProfile(\"Lead_Source\")!=\"\" && objManager.Profile.getProfile(\"Lead_Source\")!=form.source.value)","You did not select a source, or you do not have permission to change it","","","0","1","multiselect","char"],
["PPL-5Star","Campaign","Campaign_ID","","\"PPL-5 Star\"","","","","","","","0","1","text","char"],
["PPL-5Star","Comments","Comments","comments","","","","len(form.comments.value) > 250","Your comments have exceeded the 250 maximum allowable characters.",""," <font size=\"-2\">(250 char. limit)</font>","","","","char"],


["QuickResponse","Comments & Questions","RawData","comments","","","","","Your comments have exceeded the 250 maximum allowable characters.","</td><td></td></tr><tr><td align=center colspan=2><font size=3 color=red face=\"Arial,Helvetica\">Don't reply to this e-mail - Use this form instead!</font><br><h2><font face=\"Arial,Helvetica\">Instant Response Box</font></h2></td></tr><tr bgcolor=\"#DCDCDC\"><td nowrap valign=\"top\" align=\"right\"><FONT FACE=\"Arial, Helvetica\" SIZE=\"2\">","","","","","char"]

];


try{

//["country","select","","","=Select a Country|US=United States of America|AF=Afghanistan|AL=Albania|DZ=Algeria|AS=American Samoa|AD=Andorra|AO=Angola|AI=Anguilla|AQ=Antarctica|AG=Antigua and Barbuda|AR=Argentina|AM=Armenia|AW=Aruba|AU=Australia|AT=Austria|AZ=Azerbaijan|BS=Bahamas|BH=Bahrain|BD=Bangladesh|BB=Barbados|BY=Belarus|BE=Belgium|BZ=Belize|BJ=Benin|BM=Bermuda|BT=Bhutan|BO=Bolivia|BA=Bosnia and Herzegowina|BW=Botswana|BV=Bouvet Island|BR=Brazil|IO=British Indian Ocean Territory|BN=Brunei Darussalam|BG=Bulgaria|BF=Burkina Faso|BI=Burundi|KH=Cambodia|CM=Cameroon|CA=Canada|CV=Cape Verde|KY=Cayman Islands|CF=Central African Republic|TD=Chad|CL=Chile|CN=China|CX=Christmas Island|CC=Cocos (Keeling) Islands|CO=Colombia|KM=Comoros|CG=Congo|CK=Cook Islands|CR=Costa Rica|CI=Cote D\\\'Ivoire|HR=Croatia|CU=Cuba|CY=Cyprus|CZ=Czech Republic|DK=Denmark|DJ=Djibouti|DM=Dominica|DO=Dominican Republic|TP=East Timor|EC=Ecuador|EG=Egypt|SV=El Salvador|GQ=Equatorial Guinea|ER=Eritrea|EE=Estonia|ET=Ethiopia|FK=Falkland Islands|FO=Faroe Islands|FJ=Fiji|FI=Finland|FR=France|FX=France, Metropolitan,|GF=French Guiana|PF=French Polynesia|TF=French Southern Territories|GA=Gabon|GM=Gambia|GE=Georgia|DE=Germany|GH=Ghana|GI=Gibraltar|GR=Greece|GL=Greenland|GD=Grenada|GP=Guadeloupe|GU=Guam|GT=Guatemala|GN=Guinea|GW=Guinea-Bissau|GY=Guyana|HT=Haiti|HM=Heard and Mc Donald Islands|HN=Honduras|HK=Hong Kong|HU=Hungary|IS=Iceland|IN=India|ID=Indonesia|IR=Iran|IQ=Iraq|IE=Ireland|IL=Israel|IT=Italy|JM=Jamaica|JP=Japan|JO=Jordan|KZ=Kazakhstan|KE=Kenya|KI=Kiribati|KP=Korea, Democratic People\\\'s Republic of|KR=Korea, Republic of|KW=Kuwait|KG=Kyrgyzstan|LA=Lao People\\\'s Democratic Republic|LV=Latvia|LB=Lebanon|LS=Lesotho|LR=Liberia|LY=Libyan Arab Jamahiriya|LI=Liechtenstein|LT=Lithuania|LU=Luxembourg|MO=Macau|MK=Macedonia, The Former Yugoslav Republic of,|MG=Madagascar|MW=Malawi|MY=Malaysia|MV=Maldives|ML=Mali|MT=Malta|MH=Marshall Islands|MQ=Martinique|MR=Mauritania|MU=Mauritius|YT=Mayotte|MX=Mexico|FM=Micronesia, Federated States of,|MD=Moldova, Republic of,|MC=Monaco|MN=Mongolia|MS=Montserrat|MA=Morocco|MZ=Mozambique|MM=Myanmar|NA=Namibia|NR=Nauru|NP=Nepal|NL=Netherlands|AN=Netherlands Antilles|NC=New Caledonia|NZ=New Zealand|NI=Nicaragua|NE=Niger|NG=Nigeria|NU=Niue|NF=Norfolk Island|MP=Northern Mariana Islands|NO=Norway|OM=Oman|PK=Pakistan|PW=Palau|PA=Panama|PG=Papua New Guinea|PY=Paraguay|PE=Peru|PH=Philippines|PN=Pitcairn|PL=Poland|PT=Portugal|PR=Puerto Rico|QA=Qatar|RE=Reunion|RO=Romania|RU=Russian Federation|RW=Rwanda|KN=Saint Kitts and Nevis|LC=Saint Lucia|VC=Saint Vincent and the Grenadines|WS=Samoa|SM=San Marino|ST=Sao Tome and Principe|SA=Saudi Arabia|SN=Senegal|SC=Seychelles|SL=Sierra Leone|SG=Singapore|SK=Slovakia (Slovak Republic)|SI=Slovenia|SB=Solomon Islands|SO=Somalia|ZA=South Africa|GS=South Georgia and the South Sandwich Islands|ES=Spain|LK=Sri Lanka|SH=St. Helena|PM=St. Pierre and Miquelon|SD=Sudan|SR=Suriname|SJ=Svalbard and Jan Mayen Islands|SZ=Swaziland|SE=Sweden|CH=Switzerland|SY=Syrian Arab Republic|TW=Taiwan, Province of China,|TJ=Tajikistan|TZ=Tanzania, United Republic of,|TH=Thailand|TG=Togo|TK=Tokelau|TO=Tonga|TT=Trinidad and Tobago|TN=Tunisia|TR=Turkey|TM=Turkmenistan|TC=Turks and Caicos Islands|TV=Tuvalu|UG=Uganda|UA=Ukraine|AE=United Arab Emirates|GB=United Kingdom|UM=United States Minor Outlying Islands|USA=United States of America|UY=Uruguay|UZ=Uzbekistan|VU=Vanuatu|VA=Vatican City State (Holy See)|VE=Venezuela|VN=Viet Nam|VG=Virgin Islands (British)|VI=Virgin Islands (U.S.)|WF=Wallis and Futuna Islands|EH=Western Sahara|YE=Yemen|YU=Yugoslavia|ZR=Zaire|ZM=Zambia|ZW=Zimbabwe","","","",""," onchange=\\\"SetCountryCode()\\\"","","","1"],

var FormFields =[
["Name","Type","Size","Maxlength","Selectlist","Selected","Value","Cols","Rows","Attrib","Before_Element","After_Element","Tab_Index"],
["address1","text","26","50","","","","","","","","",""],
["address2","text","26","50","","","","","","","","",""],
["areaofstudy","select","","","=--SELECT--|Business|Healthcare","","","",""," style=\\\"width:149px\\\"","","",""],
["campus","select","","","=|Riverside|Montclair|Anaheim|San Marcos|San Diego","","","",""," style=\\\"width:175px\\\"","","",""],
["city","text","26","50","","","","","","","","",""],
["college","text","","50","","","","","","","","",""],
["collyear","text","","16","","","","","","","","",""],
["comments","textarea","","","","","","45","3","","","",""],
["contact","text","","50","","","","",""," style=\\\"width:175px\\\"","","",""],
["country","select","","","US=United States of America|AF=Afghanistan|AL=Albania|DZ=Algeria|AS=American Samoa|AD=Andorra|AO=Angola|AI=Anguilla|AQ=Antarctica|AG=Antigua and Barbuda|AR=Argentina|AM=Armenia|AW=Aruba|AU=Australia|AT=Austria|AZ=Azerbaijan|BS=Bahamas|BH=Bahrain|BD=Bangladesh|BB=Barbados|BY=Belarus|BE=Belgium|BZ=Belize|BJ=Benin|BM=Bermuda|BT=Bhutan|BO=Bolivia|BA=Bosnia and Herzegowina|BW=Botswana|BV=Bouvet Island|BR=Brazil|IO=British Indian Ocean Territory|BN=Brunei Darussalam|BG=Bulgaria|BF=Burkina Faso|BI=Burundi|KH=Cambodia|CM=Cameroon|CA=Canada|CV=Cape Verde|KY=Cayman Islands|CF=Central African Republic|TD=Chad|CL=Chile|CN=China|CX=Christmas Island|CC=Cocos (Keeling) Islands|CO=Colombia|KM=Comoros|CG=Congo|CK=Cook Islands|CR=Costa Rica|CI=Cote D\\\'Ivoire|HR=Croatia|CU=Cuba|CY=Cyprus|CZ=Czech Republic|DK=Denmark|DJ=Djibouti|DM=Dominica|DO=Dominican Republic|TP=East Timor|EC=Ecuador|EG=Egypt|SV=El Salvador|GQ=Equatorial Guinea|ER=Eritrea|EE=Estonia|ET=Ethiopia|FK=Falkland Islands|FO=Faroe Islands|FJ=Fiji|FI=Finland|FR=France|FX=France, Metropolitan,|GF=French Guiana|PF=French Polynesia|TF=French Southern Territories|GA=Gabon|GM=Gambia|GE=Georgia|DE=Germany|GH=Ghana|GI=Gibraltar|GR=Greece|GL=Greenland|GD=Grenada|GP=Guadeloupe|GU=Guam|GT=Guatemala|GN=Guinea|GW=Guinea-Bissau|GY=Guyana|HT=Haiti|HM=Heard and Mc Donald Islands|HN=Honduras|HK=Hong Kong|HU=Hungary|IS=Iceland|IN=India|ID=Indonesia|IR=Iran|IQ=Iraq|IE=Ireland|IL=Israel|IT=Italy|JM=Jamaica|JP=Japan|JO=Jordan|KZ=Kazakhstan|KE=Kenya|KI=Kiribati|KP=Korea, Democratic People\\\'s Republic of|KR=Korea, Republic of|KW=Kuwait|KG=Kyrgyzstan|LA=Lao People\\\'s Democratic Republic|LV=Latvia|LB=Lebanon|LS=Lesotho|LR=Liberia|LY=Libyan Arab Jamahiriya|LI=Liechtenstein|LT=Lithuania|LU=Luxembourg|MO=Macau|MK=Macedonia, The Former Yugoslav Republic of,|MG=Madagascar|MW=Malawi|MY=Malaysia|MV=Maldives|ML=Mali|MT=Malta|MH=Marshall Islands|MQ=Martinique|MR=Mauritania|MU=Mauritius|YT=Mayotte|MX=Mexico|FM=Micronesia, Federated States of,|MD=Moldova, Republic of,|MC=Monaco|MN=Mongolia|MS=Montserrat|MA=Morocco|MZ=Mozambique|MM=Myanmar|NA=Namibia|NR=Nauru|NP=Nepal|NL=Netherlands|AN=Netherlands Antilles|NC=New Caledonia|NZ=New Zealand|NI=Nicaragua|NE=Niger|NG=Nigeria|NU=Niue|NF=Norfolk Island|MP=Northern Mariana Islands|NO=Norway|OM=Oman|PK=Pakistan|PW=Palau|PA=Panama|PG=Papua New Guinea|PY=Paraguay|PE=Peru|PH=Philippines|PN=Pitcairn|PL=Poland|PT=Portugal|PR=Puerto Rico|QA=Qatar|RE=Reunion|RO=Romania|RU=Russian Federation|RW=Rwanda|KN=Saint Kitts and Nevis|LC=Saint Lucia|VC=Saint Vincent and the Grenadines|WS=Samoa|SM=San Marino|ST=Sao Tome and Principe|SA=Saudi Arabia|SN=Senegal|SC=Seychelles|SL=Sierra Leone|SG=Singapore|SK=Slovakia (Slovak Republic)|SI=Slovenia|SB=Solomon Islands|SO=Somalia|ZA=South Africa|GS=South Georgia and the South Sandwich Islands|ES=Spain|LK=Sri Lanka|SH=St. Helena|PM=St. Pierre and Miquelon|SD=Sudan|SR=Suriname|SJ=Svalbard and Jan Mayen Islands|SZ=Swaziland|SE=Sweden|CH=Switzerland|SY=Syrian Arab Republic|TW=Taiwan, Province of China,|TJ=Tajikistan|TZ=Tanzania, United Republic of,|TH=Thailand|TG=Togo|TK=Tokelau|TO=Tonga|TT=Trinidad and Tobago|TN=Tunisia|TR=Turkey|TM=Turkmenistan|TC=Turks and Caicos Islands|TV=Tuvalu|UG=Uganda|UA=Ukraine|AE=United Arab Emirates|GB=United Kingdom|UM=United States Minor Outlying Islands|USA=United States of America|UY=Uruguay|UZ=Uzbekistan|VU=Vanuatu|VA=Vatican City State (Holy See)|VE=Venezuela|VN=Viet Nam|VG=Virgin Islands (British)|VI=Virgin Islands (U.S.)|WF=Wallis and Futuna Islands|EH=Western Sahara|YE=Yemen|YU=Yugoslavia|ZR=Zaire|ZM=Zambia|ZW=Zimbabwe","US","","","","","","",""],
["degree","select","","","=|DNC=Did Not Complete|AA/AS|BA|MA","","","","","","","",""],
["doit1","button","","","","","","",""," alt=\\\"Submit Form\\\" style=\\\"background:url(http://www.uscmed.com/ppl/button.gif) no-repeat; width:186px; height:65px; text-indent:-1000px; display:block; border:0; cursor:hand; cursor:pointer;\\\" onClick=\\\"javascript:validate()\\\"","<div align=\\\"right\\\">","</div>",""],
["doit2","button","","","","","","","4"," alt=\\\"Submit Form\\\" style=\\\"background:url(http://www.uscmed.com/ppl/button1.gif) no-repeat; width:267px; height:76px; text-indent:-1000px; display:block; border:0; cursor:hand; cursor:pointer;\\\" onClick=\\\"javascript:validate()\\\"","<div align=\\\"right\\\">","</div>",""],
["education","select","","","=|GED|High School|Some College|College Degree","","","",""," style=\\\"width:175px\\\"","","",""],
["email","text","26","100","","","","",""," style=\\\"width:175px\\\"","","",""],
["firstname","text","26","50","","","","",""," style=\\\"width:175px\\\"","","",""],
["gradyear","select","","","=|2015|2014|2013|2012|2011|2010|2009|2008|2007|2006|2005|2004|2003|2002|2001|2000|1999|1998|1997|1996|1995|1994|1993|1992|1991|1990|1989|1988|1987|1986|1985|1984|1983|1982|1981|1980|1979|1978|1977|1976|1975|1974|1973|1972|1971|1970|1969|1968|1967|1966|1965|1964|1963|1962|1961|1960","2010","2010","",""," style=\\\"width:175px\\\"","","",""],
["highschool","select","","","=|OUT OF AREA|Academy at Charlotte Voc Tech|Academy of the Holy Names H.S.|Admiral Farragut Academy|Alonso High School|Armwood High School|Barron-Collier High School|Bayshore Christian School|Bayshore HS|Berkeley Preparatory School|Bishop Verot High School|Blake High School|Bloomingdale High School|Boca Ciega High School|Booker HS|Bradenton Academy|Bradenton Christian School|Brandon High School|Cantebury School of Florida|Cape Coral High School|Cardinal Mooney HS|Central High School|Chamberlain High School|Charlotte County HS|Charlotte Regional Christian Academy|Citrus Park Christian School|Clearwater Academy Intl|Clearwater Central Catholic H.S.|Clearwater High School|Clewiston Christian Academy|Clewiston HS|Clewiston Youth Dev Academy|Community Christian School|Cyesis Program|Cypress Lake High School|DeSoto HS|Dixie Hollins High School|Dunbar HS|Dunedin Academy and Day School|Dunedin High School|Durant High School|East Bay High School|East Lake High School|Elfers Christian School|Estero High School|Evangel Christian School|Farm School|First Baptist Christian School|Fort Myers High School|Freedom High School|Gaither High School|George Jenkins High School|Gibbs High School|Grace Christian School|Gulf Coast High School|Gulf High School|Gulfcoast Christian Academy|Heritage Christian Academy|Hernando Christian Academy|Hernando High School|Hillsborough Baptist School|Hillsborough High School|Hudson High School|Immokalee HS|Indian Rocks Christian School|J. W. Mitchell High School|Jefferson High School|Kathleen Senior High School|Keswic Christian School|King High School|Lake Gibson High School|Lakeland Christian School|Lakeland Senior High School|Lakeside Christian School|Lakewood High School|Lakewood Ranch HS|Land O' Lakes High School|Largo High School|Le High High School|LeBelle HS|LeBelle Youth Dev Academy|Lely High School|Lemon Bay HS|Leto High School|MacFarlane Park Alt. School|Manatee County Juvenile Justice CS|Manatee HS|Mariner HS|Middleton High SchoolMoore Have Jr/Sr HS|Morningstar Learning Center|Mulberry High School|Naples High School|Newsome High School|North Fort Myers HS|North Port HS|Northest High School|Norwood Secondary Alt. School|Notre Dame Interparochial School|Oldsmar Christian School|Omega School|Opportunity High School|Osceola High School|Palm Grove Mennonite School|Palm Harbor University H.S.|Palmetto HS|Pasco High School|Peace River Christian Academy|Pepin School of Tampa|Pine View HS|Pinellas High School|Plant City Senior High School|Plant Senior High School|Port Charlotte Christian School|Port Charlotte HS|Precision Academy|Providence Christian School|Richard Milburn Academy|Ridgewood High School|River Ridge High School|Riverdale High School|Riverview High School|Robinson High School|Ruskin Christian School|Saddlebrook Prep School|Sante Fe Catholic Regional H.S.|Sarasota HS|Sarasota Military Academy|Seffner Christian Academy|Seminole High School|Seminole Presbyterian School|Shepherd Hill Christian School|Shorecrest Prep School|Sickles High School|Southeast HS|Spring Hill Christian Academy|Springstead High School|St Stephen's Espiscopal School|ST. Petersburg Catholic H.S.|St. Petersburg High School|St.John Neumann High School|Sunnyside Mennonite School|SW FL Christian High School|Tampa Baptist Academy|Tampa Bay Technical High School|Tarpon Springs High School|Temple Christian School|Temple Heights Christian School|The Academy|Transition At Bryan Alt. School|Triad School|Universal Academy of Florida|Venice HS|Wesley Chapel High School|West Coast Christian Academy|West Coast School Human Dev|West Florida Christian School|West Gate Christian School|West Hernando Christian School|Wharton High School|Wider Horizons School|Zephyrhills High School","","","","","","","",""],
["hphone1","text","3","3","","","","",""," onkeyup=\\\"javascript:if(form.hphone1.value.length>2)form.hphone2.focus()\\\" style=\\\"width:28px\\\"","(",")",""],
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["mi","text","1","1","","","","","","","","",""],
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["ophone3","text","4","4","","","","","","","","",""],
["othersource","text","20","50","","","","","","","","",""],
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["source","select","","","=|TV|NP|Radio|PDL/Ref|YP|DM|Web|Unknown|Other","","","","","","","",""],
["state","select","","","CA=California ONLY|AL=Alabama|AK=Alaska|AZ=Arizona|AR=Arkansas|CO=Colorado|CT=Connecticut|DE=Delaware|DC=District Of Columbia|FL=Florida|GA=Georgia|HI=Hawaii|ID=Idaho|IL=Illinois|IN=Indiana|IA=Iowa|KS=Kansas|KY=Kentucky|LA=Louisiana|ME=Maine|MD=Maryland|MA=Massachusetts|MI=Michigan|MN=Minnesota|MS=Mississippi|MO=Missouri|MT=Montana|NE=Nebraska|NV=Nevada|NH=New Hampshire|NJ=New Jersey|NM=New Mexico|NY=New York|NC=North Carolina|ND=North Dakota|OH=Ohio|OK=Oklahoma|OR=Oregon|PA=Pennsylvania|RI=Rhode Island|SC=South Carolina|SD=South Dakota|TN=Tennessee|TX=Texas|UT=Utah|VT=Vermont|VA=Virginia|WA=Washington|WV=West Virginia|WI=Wisconsin|WY=Wyoming","","","",""," disabled style=\\\"width:175px\\\"","","",""],
["suffix","select","","","=|Jr.|Sr.|II|III|IV","","","","","","","",""],
["tinydayphone","text","14","14","","","","",""," style=\\\"width:149px\\\" onblur=\\\"var sz=this.value;try{this.value=getPhone(this.value);}catch(err){this.value=sz;}\\\"","","",""],
["tinyfirstname","text","26","50","","","","",""," style=\\\"width:149px\\\"","","",""],
["tinylastname","text","26","50","","","","",""," style=\\\"width:149px\\\"","","",""],
["tinyemail","text","26","100","","","","",""," style=\\\"width:149px\\\"","","",""],
["tinysubmit","button","","","","","","",""," alt=\\\"Submit Form\\\" style=\\\"background:url(http://www.uscmed.com/ppl/button5.gif) no-repeat; width:149px; height:40px; text-indent:-1000px; display:block; border:0; cursor:hand; cursor:pointer;\\\" onClick=\\\"javascript:validate()\\\"","","<br><font color=red>*</font> <i>required fields</i>",""],
["wphone1","text","3","3","","","","",""," onkeyup=\\\"javascript:if(form.wphone1.value.length>2)form.wphone2.focus()\\\"","(",")",""],
["wphone2","text","3","3","","","","",""," onkeyup=\\\"javascript:if(form.wphone2.value.length>2)form.wphone3.focus()\\\"",""," -",""],
["wphone3","text","4","4","","","","","","","","",""],
["zip","text","26","10","","","","","","","","",""]
];

}catch(e){


var FormFields =[
["Name","Type","Size","Maxlength","Selectlist","Selected","Value","Cols","Rows","Attrib","Before_Element","After_Element","Tab_Index"],
["address1","text","26","50","","","","","","","","",""],
["address2","text","26","50","","","","","","","","",""],
["areaofstudy","select","","","=--SELECT--|Business|Healthcare","","","",""," style=\\\"width:175px\\\"","","",""],
["campus","select","","","=|Riverside|Montclair|Anaheim|San Marcos|San Diego","","","",""," style=\\\"width:175px\\\"","","",""],
["city","text","26","50","","","","","","","","",""],
["college","text","","50","","","","","","","","",""],
["collyear","text","","16","","","","","","","","",""],
["comments","textarea","","","","","","45","3","","","",""],
["contact","text","","50","","","","",""," style=\\\"width:175px\\\"","","",""],
["country","select","","","US=United States of America|AF=Afghanistan|AL=Albania|DZ=Algeria|AS=American Samoa|AD=Andorra|AO=Angola|AI=Anguilla|AQ=Antarctica|AG=Antigua and Barbuda|AR=Argentina|AM=Armenia|AW=Aruba|AU=Australia|AT=Austria|AZ=Azerbaijan|BS=Bahamas|BH=Bahrain|BD=Bangladesh|BB=Barbados|BY=Belarus|BE=Belgium|BZ=Belize|BJ=Benin|BM=Bermuda|BT=Bhutan|BO=Bolivia|BA=Bosnia and Herzegowina|BW=Botswana|BV=Bouvet Island|BR=Brazil|IO=British Indian Ocean Territory|BN=Brunei Darussalam|BG=Bulgaria|BF=Burkina Faso|BI=Burundi|KH=Cambodia|CM=Cameroon|CA=Canada|CV=Cape Verde|KY=Cayman Islands|CF=Central African Republic|TD=Chad|CL=Chile|CN=China|CX=Christmas Island|CC=Cocos (Keeling) Islands|CO=Colombia|KM=Comoros|CG=Congo|CK=Cook Islands|CR=Costa Rica|CI=Cote D\\\'Ivoire|HR=Croatia|CU=Cuba|CY=Cyprus|CZ=Czech Republic|DK=Denmark|DJ=Djibouti|DM=Dominica|DO=Dominican Republic|TP=East Timor|EC=Ecuador|EG=Egypt|SV=El Salvador|GQ=Equatorial Guinea|ER=Eritrea|EE=Estonia|ET=Ethiopia|FK=Falkland Islands|FO=Faroe Islands|FJ=Fiji|FI=Finland|FR=France|FX=France, Metropolitan,|GF=French Guiana|PF=French Polynesia|TF=French Southern Territories|GA=Gabon|GM=Gambia|GE=Georgia|DE=Germany|GH=Ghana|GI=Gibraltar|GR=Greece|GL=Greenland|GD=Grenada|GP=Guadeloupe|GU=Guam|GT=Guatemala|GN=Guinea|GW=Guinea-Bissau|GY=Guyana|HT=Haiti|HM=Heard and Mc Donald Islands|HN=Honduras|HK=Hong Kong|HU=Hungary|IS=Iceland|IN=India|ID=Indonesia|IR=Iran|IQ=Iraq|IE=Ireland|IL=Israel|IT=Italy|JM=Jamaica|JP=Japan|JO=Jordan|KZ=Kazakhstan|KE=Kenya|KI=Kiribati|KP=Korea, Democratic People\\\'s Republic of|KR=Korea, Republic of|KW=Kuwait|KG=Kyrgyzstan|LA=Lao People\\\'s Democratic Republic|LV=Latvia|LB=Lebanon|LS=Lesotho|LR=Liberia|LY=Libyan Arab Jamahiriya|LI=Liechtenstein|LT=Lithuania|LU=Luxembourg|MO=Macau|MK=Macedonia, The Former Yugoslav Republic of,|MG=Madagascar|MW=Malawi|MY=Malaysia|MV=Maldives|ML=Mali|MT=Malta|MH=Marshall Islands|MQ=Martinique|MR=Mauritania|MU=Mauritius|YT=Mayotte|MX=Mexico|FM=Micronesia, Federated States of,|MD=Moldova, Republic of,|MC=Monaco|MN=Mongolia|MS=Montserrat|MA=Morocco|MZ=Mozambique|MM=Myanmar|NA=Namibia|NR=Nauru|NP=Nepal|NL=Netherlands|AN=Netherlands Antilles|NC=New Caledonia|NZ=New Zealand|NI=Nicaragua|NE=Niger|NG=Nigeria|NU=Niue|NF=Norfolk Island|MP=Northern Mariana Islands|NO=Norway|OM=Oman|PK=Pakistan|PW=Palau|PA=Panama|PG=Papua New Guinea|PY=Paraguay|PE=Peru|PH=Philippines|PN=Pitcairn|PL=Poland|PT=Portugal|PR=Puerto Rico|QA=Qatar|RE=Reunion|RO=Romania|RU=Russian Federation|RW=Rwanda|KN=Saint Kitts and Nevis|LC=Saint Lucia|VC=Saint Vincent and the Grenadines|WS=Samoa|SM=San Marino|ST=Sao Tome and Principe|SA=Saudi Arabia|SN=Senegal|SC=Seychelles|SL=Sierra Leone|SG=Singapore|SK=Slovakia (Slovak Republic)|SI=Slovenia|SB=Solomon Islands|SO=Somalia|ZA=South Africa|GS=South Georgia and the South Sandwich Islands|ES=Spain|LK=Sri Lanka|SH=St. Helena|PM=St. Pierre and Miquelon|SD=Sudan|SR=Suriname|SJ=Svalbard and Jan Mayen Islands|SZ=Swaziland|SE=Sweden|CH=Switzerland|SY=Syrian Arab Republic|TW=Taiwan, Province of China,|TJ=Tajikistan|TZ=Tanzania, United Republic of,|TH=Thailand|TG=Togo|TK=Tokelau|TO=Tonga|TT=Trinidad and Tobago|TN=Tunisia|TR=Turkey|TM=Turkmenistan|TC=Turks and Caicos Islands|TV=Tuvalu|UG=Uganda|UA=Ukraine|AE=United Arab Emirates|GB=United Kingdom|UM=United States Minor Outlying Islands|USA=United States of America|UY=Uruguay|UZ=Uzbekistan|VU=Vanuatu|VA=Vatican City State (Holy See)|VE=Venezuela|VN=Viet Nam|VG=Virgin Islands (British)|VI=Virgin Islands (U.S.)|WF=Wallis and Futuna Islands|EH=Western Sahara|YE=Yemen|YU=Yugoslavia|ZR=Zaire|ZM=Zambia|ZW=Zimbabwe","US","","","","","","",""],
["dayphone","text","14","14","","","","",""," style=\\\"width:175px\\\"","","",""],
["degree","select","","","=|DNC=Did Not Complete|AA/AS|BA|MA","","","","","","","",""],
["doit1","button","","","","","","",""," alt=\\\"Submit Form\\\" style=\\\"background:url(http://www.uscmed.com/ppl/button.gif) no-repeat; width:186px; height:65px; text-indent:-1000px; display:block; border:0; cursor:hand; cursor:pointer;\\\" onClick=\\\"javascript:validate()\\\"","<div align=\\\"right\\\">","</div>",""],
["doit2","button","","","","","","","4"," alt=\\\"Submit Form\\\" style=\\\"background:url(http://www.uscmed.com/ppl/button1.gif) no-repeat; width:267px; height:76px; text-indent:-1000px; display:block; border:0; cursor:hand; cursor:pointer;\\\" onClick=\\\"javascript:validate()\\\"","<div align=\\\"right\\\">","</div>",""],
["education","select","","","=|GED|High School|Some College|College Degree","","","",""," style=\\\"width:175px\\\"","","",""],
["email","text","26","100","","","","","","","","",""],
["firstname","text","26","50","","","","","","","","",""],
["gradyear","select","","","=|2015|2014|2013|2012|2011|2010|2009|2008|2007|2006|2005|2004|2003|2002|2001|2000|1999|1998|1997|1996|1995|1994|1993|1992|1991|1990|1989|1988|1987|1986|1985|1984|1983|1982|1981|1980|1979|1978|1977|1976|1975|1974|1973|1972|1971|1970|1969|1968|1967|1966|1965|1964|1963|1962|1961|1960","2010","2010","",""," style=\\\"width:175px\\\"","","",""],
["highschool","select","","","=|OUT OF AREA|Academy at Charlotte Voc Tech|Academy of the Holy Names H.S.|Admiral Farragut Academy|Alonso High School|Armwood High School|Barron-Collier High School|Bayshore Christian School|Bayshore HS|Berkeley Preparatory School|Bishop Verot High School|Blake High School|Bloomingdale High School|Boca Ciega High School|Booker HS|Bradenton Academy|Bradenton Christian School|Brandon High School|Cantebury School of Florida|Cape Coral High School|Cardinal Mooney HS|Central High School|Chamberlain High School|Charlotte County HS|Charlotte Regional Christian Academy|Citrus Park Christian School|Clearwater Academy Intl|Clearwater Central Catholic H.S.|Clearwater High School|Clewiston Christian Academy|Clewiston HS|Clewiston Youth Dev Academy|Community Christian School|Cyesis Program|Cypress Lake High School|DeSoto HS|Dixie Hollins High School|Dunbar HS|Dunedin Academy and Day School|Dunedin High School|Durant High School|East Bay High School|East Lake High School|Elfers Christian School|Estero High School|Evangel Christian School|Farm School|First Baptist Christian School|Fort Myers High School|Freedom High School|Gaither High School|George Jenkins High School|Gibbs High School|Grace Christian School|Gulf Coast High School|Gulf High School|Gulfcoast Christian Academy|Heritage Christian Academy|Hernando Christian Academy|Hernando High School|Hillsborough Baptist School|Hillsborough High School|Hudson High School|Immokalee HS|Indian Rocks Christian School|J. W. Mitchell High School|Jefferson High School|Kathleen Senior High School|Keswic Christian School|King High School|Lake Gibson High School|Lakeland Christian School|Lakeland Senior High School|Lakeside Christian School|Lakewood High School|Lakewood Ranch HS|Land O' Lakes High School|Largo High School|Le High High School|LeBelle HS|LeBelle Youth Dev Academy|Lely High School|Lemon Bay HS|Leto High School|MacFarlane Park Alt. School|Manatee County Juvenile Justice CS|Manatee HS|Mariner HS|Middleton High SchoolMoore Have Jr/Sr HS|Morningstar Learning Center|Mulberry High School|Naples High School|Newsome High School|North Fort Myers HS|North Port HS|Northest High School|Norwood Secondary Alt. School|Notre Dame Interparochial School|Oldsmar Christian School|Omega School|Opportunity High School|Osceola High School|Palm Grove Mennonite School|Palm Harbor University H.S.|Palmetto HS|Pasco High School|Peace River Christian Academy|Pepin School of Tampa|Pine View HS|Pinellas High School|Plant City Senior High School|Plant Senior High School|Port Charlotte Christian School|Port Charlotte HS|Precision Academy|Providence Christian School|Richard Milburn Academy|Ridgewood High School|River Ridge High School|Riverdale High School|Riverview High School|Robinson High School|Ruskin Christian School|Saddlebrook Prep School|Sante Fe Catholic Regional H.S.|Sarasota HS|Sarasota Military Academy|Seffner Christian Academy|Seminole High School|Seminole Presbyterian School|Shepherd Hill Christian School|Shorecrest Prep School|Sickles High School|Southeast HS|Spring Hill Christian Academy|Springstead High School|St Stephen's Espiscopal School|ST. Petersburg Catholic H.S.|St. Petersburg High School|St.John Neumann High School|Sunnyside Mennonite School|SW FL Christian High School|Tampa Baptist Academy|Tampa Bay Technical High School|Tarpon Springs High School|Temple Christian School|Temple Heights Christian School|The Academy|Transition At Bryan Alt. School|Triad School|Universal Academy of Florida|Venice HS|Wesley Chapel High School|West Coast Christian Academy|West Coast School Human Dev|West Florida Christian School|West Gate Christian School|West Hernando Christian School|Wharton High School|Wider Horizons School|Zephyrhills High School","","","","","","","",""],
["hphone1","text","3","3","","","","",""," onkeyup=\\\"javascript:if(form.hphone1.value.length>2)form.hphone2.focus()\\\" style=\\\"width:28px\\\"","(",")",""],
["hphone2","text","3","3","","","","",""," onkeyup=\\\"javascript:if(form.hphone2.value.length>2)form.hphone3.focus()\\\" style=\\\"width:28px\\\"",""," -",""],
["hphone3","text","4","4","","","","",""," style=\\\"width:35px\\\"","","",""],
["interest","select","","","=|Medical|Legal|Information Tech|Business|Design/Drafting","","","","","","","",""],
["lastname","text","26","50","","","","","","","","",""],
["mi","text","1","1","","","","","","","","",""],
["ophone1","text","3","3","","","","",""," onkeyup=\\\"javascript:if(form.ophone1.value.length>2)form.ophone2.focus()\\\"","(",")",""],
["ophone2","text","3","3","","","","",""," onkeyup=\\\"javascript:if(form.ophone2.value.length>2)form.ophone3.focus()\\\"",""," -",""],
["ophone3","text","4","4","","","","","","","","",""],
["othersource","text","20","50","","","","","","","","",""],
["program","select","","","=|A&CMA=Admin. & Clin. Med. Asst.|AMC=Adv Medical Coder|AP=Adv Phlebotomy|CMA=Clin Med Assistant|COS=Comp Office Spec.|COAS=Comp Office & Acct Spec.|CPT=Cert. Phlebotomy Tech|MAS=Med Admin Secretary|MB=Med Biller|MOA=Med Office Admin|MT=Med Transcriptionist|PI=Private Investigator|SM=Sports Med Tech","","","","","","","",""],
["source","select","","","=|TV|NP|Radio|PDL/Ref|YP|DM|Web|Unknown|Other","","","","","","","",""],
["state","select","","","CA=California ONLY|AL=Alabama|AK=Alaska|AZ=Arizona|AR=Arkansas|CO=Colorado|CT=Connecticut|DE=Delaware|DC=District Of Columbia|FL=Florida|GA=Georgia|HI=Hawaii|ID=Idaho|IL=Illinois|IN=Indiana|IA=Iowa|KS=Kansas|KY=Kentucky|LA=Louisiana|ME=Maine|MD=Maryland|MA=Massachusetts|MI=Michigan|MN=Minnesota|MS=Mississippi|MO=Missouri|MT=Montana|NE=Nebraska|NV=Nevada|NH=New Hampshire|NJ=New Jersey|NM=New Mexico|NY=New York|NC=North Carolina|ND=North Dakota|OH=Ohio|OK=Oklahoma|OR=Oregon|PA=Pennsylvania|RI=Rhode Island|SC=South Carolina|SD=South Dakota|TN=Tennessee|TX=Texas|UT=Utah|VT=Vermont|VA=Virginia|WA=Washington|WV=West Virginia|WI=Wisconsin|WY=Wyoming","","","",""," disabled style=\\\"width:175px\\\"","","",""],
["suffix","select","","","=|Jr.|Sr.|II|III|IV","","","","","","","",""],
["tinysubmit","button","","","","","","",""," alt=\\\"Submit Form\\\" style=\\\"background:url(http://www.uscmed.com/ppl/button5.gif) no-repeat; width:149px; height:40px; text-indent:-1000px; display:block; border:0; cursor:hand; cursor:pointer;\\\" onClick=\\\"javascript:validate()\\\"","<div align=\\\"right\\\">","</div>",""],
["wphone1","text","3","3","","","","",""," onkeyup=\\\"javascript:if(form.wphone1.value.length>2)form.wphone2.focus()\\\"","(",")",""],
["wphone2","text","3","3","","","","",""," onkeyup=\\\"javascript:if(form.wphone2.value.length>2)form.wphone3.focus()\\\"",""," -",""],
["wphone3","text","4","4","","","","","","","","",""],
["zip","text","26","10","","","","","","","","",""]
];

}

/*
*/

for(var col=0 ; col<DBFields[0].length ; col++)
 eval("var _" + DBFields[0][col] + " = " + col);

for(var col=0 ; col<FormFields[0].length ; col++)
 eval("var _" + FormFields[0][col] + " = " + col);

// alert(FormName);
var submitted = 0;
var szRow;

try{
 var docloc = new String(document.location.href);}catch(e){}
function getSearch(s,d){try{var Loc,i,iLen;return unescape(((i=(Loc=new String('&'+(docloc.indexOf('?')==-1?'':docloc.substring(docloc.indexOf('?'),docloc.length))+'&').replace(/\?/g,'')).indexOf('&'+s+'='))==-1?(new String(d)=='undefined'?'':d):Loc.substring(i+(iLen=new String(s).length)+2,i+iLen+2+(Loc.substring(i+iLen+2,Loc.length).indexOf('&')))).replace(/\+/g," "));}catch(e){return '';}}

function repeat(num,ch)
{
 var sz = new String("");
 for(var iRepeat=0;iRepeat++<num;){sz+=ch;}
 return sz;
}

this.writeRow =  function (row)
{ 
 var szTemp = new String("");
 var szRow = new String("");
 var col=0;
 szRow += "  \<tr\>\n";
 if(row[0]!="")
 {
  for(i=1 ; i<DBFields.length ; i++)
   if(DBFields[i][_Form]==FormName && DBFields[i][_DB_Field_Name]==row[0])
    szTemp = DBFields[i][_Before_Label] + ( ( DBFields[i][_Required]!="Required" && DBFields[i][_Required]!="Evaluate" ) ? "" : "" ) + DBFields[i][_Field_Name] + ( ( DBFields[i][_Required]!="Required" && DBFields[i][_Required]!="Evaluate" ) ? "" : "*" )+ DBFields[i][_After_Label];
  szRow += "    \<td valign=top nowrap\>\<font face=\"Arial\" size=\"2\"\><label class=\"previewLabel\">" + ( (szTemp=="") ? row[0] : szTemp ) + "</label>\<\/font\>\<\/td\>\n";
  col=1;
 }
 if(row[1]!="")
 {
   szRow += "    \<td valign=top nowrap" + ( (col=0 || (szTemp=="" && row[0]=="")) ? " colspan=\"2\"" : "" ) + getRowSpan(row[1]) + "\>"  + writeField(row[1]) + "\<\/td\>\n";
  col=2;
 } 
 szTemp = "";
 if(row[2]!="")
 {
  for(i=1 ; i<DBFields.length ; i++)
   if(DBFields[i][_Form]==FormName && DBFields[i][_DB_Field_Name]==row[2])
    szTemp = DBFields[i][_Before_Label] + ( ( DBFields[i][_Required]!="Required" && DBFields[i][_Required]!="Evaluate" ) ? "" : "" ) + DBFields[i][_Field_Name] + ( ( DBFields[i][_Required]!="Required" && DBFields[i][_Required]!="Evaluate" ) ? "" : "*" ) + DBFields[i][_After_Label];
  szRow += "    \<td valign=top nowrap" + ( (col<2) ? " colspan=\"" + (3-col) + "\"" : "" ) + "\>\<font face=\"Arial\" size=\"2\"\><label class=\"previewLabel\">" + ( (szTemp=="") ? row[2] : szTemp ) + "</label>\<\/font\>\<\/td\>\n";
  col=3;
 }
 if(row[3]!="")
 {
  szRow += "    \<td valign=top nowrap" + ( (col<3 || (szTemp=="" && row[2]=="")) ? " colspan=\"" + (4-col) + "\"" : "" ) + getRowSpan(row[3]) + "\>" + writeField(row[3]) + "\<\/td\>\n";
 } 
 szRow += "  \<\/tr\>\n";
 //alert(szRow);
 return szRow;
}

function getRowSpan(fname)
{
 for(var f=1 ; f < DBFields.length ; f++)
  if(DBFields[f][_Form]==FormName && DBFields[f][_DB_Field_Name]==fname)
   for(var l=1 ; l < FormFields.length ; l++)
    if(FormFields[l][_Name]==DBFields[f][_Form_Elements]){
     if( ( FormFields[l][_Type]=="image" || FormFields[l][_Type]=="button" || FormFields[l][_Type]=="submit" ) && FormFields[l][_Rows]!="")
      return " rowspan=\"" + FormFields[l][_Rows] + "\"";
     else
      break;
    }
 return "";
}

function writeField(fname)
 { 
  var szElem = new String("");
  var szRow = new String("");
  var szValue = new String("");
  var fields = fname.split("|");
  if(fields.length>1)
  {
   for(var fNum=0 ; fNum < fields.length ; fNum++)
    for(var j=1 ; j < DBFields.length ; j++)
     if(DBFields[j][_Form] == this.parent.FormName && DBFields[j][_DB_Field_Name]==fields[fNum])
      szRow += "<td><font size=\"2\" face=\"Arial\"><label class=\\\"previewLabel\\\">" + ( ( DBFields[j][_Required]=="" && DBFields[j][_Required]!="Evaluate" ) ? "" : "" ) + DBFields[j][_Field_Name] + ( ( DBFields[j][_Required]=="" && DBFields[j][_Required]!="Evaluate" ) ? "" : "</label><font color=red>*</font>" ) + "&nbsp;</font></td>\n";
   szRow = "<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\">\n<tr>\n" + szRow + "</tr>\n<tr>\n";
  }
  for(var fNum=0 ; fNum < fields.length ; fNum++)
  {
   if(fields.length>1)
    szRow += "<td><font size=\"2\" face=\"Arial\">";
   for(var j=1 ; j < DBFields.length ; j++)
    if(DBFields[j][_Form] == FormName && DBFields[j][_DB_Field_Name]==fields[fNum])
    {
     var elements = new String(DBFields[j][_Form_Elements]).split("|");
     var extract = new String(DBFields[j][_Extraction_Formula]).split("|");
     for(var eNum=0 ; eNum < elements.length ; eNum++)
      for(var l=1 ; l < FormFields.length ; l++)
       if(FormFields[l][_Name]==elements[eNum])
       {
        var sz = "";
        try{var szValue = getSearch(elements[eNum]);}catch(e){var szValue = new String("");}
        var Selectlist = ( ( new String(FormFields[l][_Selectlist]).indexOf("eval(")!=-1 ) ? eval(FormFields[l][_Selectlist]) : FormFields[l][_Selectlist] )
        switch(FormFields[l][_Type])
        {
         case "text" :
          sz += "\"\\\<input type=\\\"text\\\" name=\\\"" + FormFields[l][_Name] + "\\\"" + " id=\\\"" + FormFields[l][_Name] + "\\\"" + ((FormFields[l][_Tab_Index]!="") ? " tabindex=\\\"" + FormFields[l][_Tab_Index] + "\\\"" : "") + ((szValue!="") ? " value=\\\"" + szValue + "\\\"" : "") + ((FormFields[l][_Size]!="") ? " size=\\\"" + FormFields[l][_Size] + "\\\"" : "") + ((FormFields[l][_Maxlength]!="") ? " maxlength=\\\"" + FormFields[l][_Maxlength] + "\\\"" : "") + ((FormFields[l][_Attrib]!="") ? " " + FormFields[l][_Attrib] : "") + "\\\>\"";
          break;
         case "button" :
          sz += "\"\\\<input type=\\\"button\\\" name=\\\"" + FormFields[l][_Name] + "\\\" id=\\\"" + FormFields[l][_Name] + "\\\" value=\\\"" + FormFields[l][_Value] + "\\\" " + FormFields[l][_Attrib] + "\\\>\"";
          break;
         case "hidden" :
          sz += "\"\\\<input type=\\\"hidden\\\" name=\\\"" + FormFields[l][_Name] + "\\\"" + " id=\\\"" + FormFields[l][_Name] + "\\\"" + ((FormFields[l][_Tab_Index]!="") ? " tabindex=\\\"" + FormFields[l][_Tab_Index] + "\\\"" : "") + ((szValue!="") ? " value=\\\"" + szValue + "\\\"" : "") + ((FormFields[l][_Attrib]!="") ? " " + FormFields[l][_Attrib] : "") + "\\\>\"";
          break;
         case "checkbox" :
          sz += "\"\\\<input type=\\\"hidden\\\" name=\\\"" + FormFields[l][_Name] + "\\\"" + " id=\\\"" + FormFields[l][_Name] + "\\\"" + ((FormFields[l][_Tab_Index]!="") ? " tabindex=\\\"" + FormFields[l][_Tab_Index] + "\\\"" : "") + ((szValue!="") ? " value=\\\"" + szValue + "\\\"" : "") + ((FormFields[l][_Attrib]!="") ? " " + FormFields[l][_Attrib] : "") + "\\\>\"";
          var a = new String(FormFields[l][_Selectlist]).split("|");
          var events = new Array();
          for(n=0 ; n<a.length ; n++)
          {
           var szEvent = " onClick=\\\"if(form." + FormFields[l][_Name] + n + ".checked){form." + FormFields[l][_Name] + ".value=form." + FormFields[l][_Name] + n + ".value;";
           for(p=0 ; p<a.length ; p++)
            if(p!=n){szEvent += "form." + FormFields[l][_Name] + p + ".checked=!form." + FormFields[l][_Name] + n + ".checked;"}
           events[n] = szEvent + "}else{form." + FormFields[l][_Name] + ".value=\\\'\\\';}\\\"";
          }
          for(n=0 ; n<a.length ; n++)
          { 
          var b = a[n].split("=");
           var value = b[0];
           var label = ((b.length<2) ? b[0] : b[1]);
           sz += "+\"\\\<input type=\\\"checkbox\\\" name=\\\"" + FormFields[l][_Name] + n + "\\\" value=\\\"" + value + "\\\"" + ((value==szValue) ? " checked" : "") + events[n] + "\\\>" + label + "&nbsp;\"";
          }
          break;
         case "radio" :
          sz += "\"\\\<input type=\\\"hidden\\\" name=\\\"" + FormFields[l][_Name] + "\\\"" + " id=\\\"" + FormFields[l][_Name] + "\\\"" + ((szValue!="") ? " value=\\\"" + szValue + "\\\"" : "") + ((FormFields[l][_Attrib]!="") ? " " + FormFields[l][_Attrib] : "") + "\\\>\"";
          var a = new String(FormFields[l][_Selectlist]).split("|");
          for(n=0 ; n<a.length ; n++)
          {
           var szEvents = new String("");
           for(p=0 ; p<a.length ; p++)
            if(p!=n){szEvents += "form." + FormFields[l][_Name] + p + ".checked=false;"}
           var b = a[n].split("=");
           var value = b[0];
           var label = ((b.length<2) ? b[0] : b[1]);
           sz += "+\"\\\<input type=\\\"radio\\\" id=\\\"" + FormFields[l][_Name] + n + "\\\" name=\\\"" + FormFields[l][_Name] + n + "\\\" value=\\\"" + value + "\\\"" + ((value==szValue) ? " checked" : "") + " onClick=\\\"" + szEvents + "form." + FormFields[l][_Name] + ".value='"+value.replace(/'/g,"\\\'")+"';\\\"\\\>" + label + "&nbsp;\"";
          }
          break;
         case "select" :
          sz += "\"\\\<select name=\\\"" + FormFields[l][_Name] + "\\\"" + " id=\\\"" + FormFields[l][_Name] + "\\\"" + ((FormFields[l][_Tab_Index]!="") ? " tabindex=\\\"" + FormFields[l][_Tab_Index] + "\\\"" : "") + ((FormFields[l][_Attrib]!="") ? " " + FormFields[l][_Attrib] : "") + "\\\>\\n";
          var a = new String(Selectlist).split("|");
          for(n=0 ; n<a.length ; n++)
          {
           var b = a[n].split("=");
           var value = b[0];
           var option = ((b.length<2) ? b[0] : b[1]);
           sz += "    \\\<option value=\\\"" + value + "\\\"" + ((value==szValue) ? " selected" : "") + "\\\>" + option + "\\\<\\\/option\\\>\\n";
          }
          sz += "\\\<\\\/select\\\>\"";
          break;
         case "multiple" :
          sz += "\"\\\<select multiple name=\\\"" + FormFields[l][_Name] + "\\\"" + " id=\\\"" + FormFields[l][_Name] + "\\\"" + ((FormFields[l][_Tab_Index]!="") ? " tabindex=\\\"" + FormFields[l][_Tab_Index] + "\\\"" : "") + ((FormFields[l][_Size]!="") ? " size=\\\"" + FormFields[l][_Size] + "\\\"" : "") + ((FormFields[l][_Attrib]!="") ? " " + FormFields[l][_Attrib] : "") + "\\\>\\n";
          var a = new String(Selectlist).split("|");
          for(n=0 ; n<a.length ; n++)
          {
           var b = a[n].split("=");
           var value = b[0];
           var option = ((b.length<2) ? b[0] : b[1]);
           sz += "    \\\<option value=\\\"" + value + "\\\"" + ((value==szValue) ? " selected" : "") + "\\\>" + option + "\\\<\\\/option\\\>\\n";
          }
          sz += "\\\<\\\/select\\\>\"";
          break;
         case "textarea" :
          sz += "\"\\\<textarea name=\\\"" + FormFields[l][_Name] + "\\\"" + ((FormFields[l][_Tab_Index]!="") ? " tabindex=\\\"" + FormFields[l][_Tab_Index] + "\\\"" : "") + ((FormFields[l][_Rows]!="") ? " rows=\\\"" + FormFields[l][_Rows] + "\\\"" : "") + ((FormFields[l][_Cols]!="") ? " cols=\\\"" + FormFields[l][_Cols] + "\\\"" : "") + ((FormFields[l][_Attrib]!="") ? " " + FormFields[l][_Attrib] : "") + "\\\>" + ((szValue!="") ? szValue : "") + "\\\<\\\/textarea\\\>\"";
          break;
         case "submit" :
          sz += "\"\\\<input type=\\\"submit\\\" name=\\\"" + FormFields[l][_Name] + "\\\" id=\\\"" + FormFields[l][_Name] + "\\\" value=\\\"\\\" " + FormFields[l][_Attrib] + "\\\>\"";
          break;
         case "image" :
          sz += "\"\\\<input type=\\\"image\\\" name=\\\"" + FormFields[l][_Name] + "\\\" id=\\\"" + FormFields[l][_Name] + "\\\" src=\\\"" + FormFields[l][_Selected] + "\\\" value=\\\"" + FormFields[l][_Value] + "\\\" " + FormFields[l][_Attrib] + "\\\>\"";
          break;
        }
        //alert("sz = " + sz);
          sz = "\"" + FormFields[l][_Before_Element] + "\"+" + sz + "+\"" + FormFields[l][_After_Element] + "\"";
        //alert("sz = " + sz);
        szElem += ((szElem!="") ? "+" : "") + sz;
       }
     var szTemp = szRowTemplate.replace(/szElem/,szElem);
     //alert(szTemp);
     //alert(eval(szTemp))
     szRow += eval(szTemp);
    }
    if(fields.length>1)
    szRow += "</font></td>\n";
  }
  if(fields.length>1)
   szRow += "</tr>\n</table>";
  //alert(szRow);
  return (szRow);
 }

function validate()
{
  var szAlert = new String("");
  var szSubmit = new String("");
  var ProfileData = new String("");
  var form = findObj(FormName.replace(/\s/g,""));
  var validation = FormName;
  for(var v=1 ; v<DBFields.length ; v++)
  {
   if(DBFields[v][_Form]==validation && (DBFields[v][_Form_Elements]!="" || DBFields[v][_Calculated_Field_Value]!=""))
   {
    var varField_Value = removeSpecial( (DBFields[v][_Calculated_Field_Value]=="") ? ( (DBFields[v][_Form_Elements].indexOf("|")==-1) ? eval("form."+DBFields[v][_Form_Elements]+".value") : "" ) : eval(DBFields[v][_Calculated_Field_Value]) ).replace(/\n/g,"\\n").replace(/\r/g,"");
    var FoundError = false;
    if(DBFields[v][_Required] == "Required" && varField_Value == "")
     FoundError = true;
    if(DBFields[v][_Required] == "Conditional" && varField_Value != "" && DBFields[v][_Validation_Formula]!="")
     if( eval( DBFields[v][_Validation_Formula] ) )
      FoundError = true;
    if(DBFields[v][_Required] == "Evaluate" && DBFields[v][_Validation_Formula]!="")
     if( eval( DBFields[v][_Validation_Formula] ) )
      FoundError = true;
    //if(FoundError){alert("Error Found on " + DBFields[v][_Field_Name]);}else{alert("NO Error Found on " + DBFields[v][_Field_Name]);}
    if(FoundError)
    {
     if(szAlert == "")
      try{eval("form." + ( (new String(DBFields[v][_Form_Elements]).indexOf("|")==-1) ? DBFields[v][_Form_Elements] : new String(DBFields[v][_Form_Elements]).substring(0,new String(DBFields[v][_Form_Elements]).indexOf("|")) ) + ".focus()");}catch(e){}
     szAlert += "\t\- " + ( (DBFields[v][_Validation_Failure_Text]=="") ? "Error on "+DBFields[v][_Field_Name] : DBFields[v][_Validation_Failure_Text] ) + "\n";
    }
    else if(varField_Value!="")
     szSubmit += repeat(25-(len(DBFields[v][_Field_Name].replace(/\<br\>/g," ") + ": " + Left(varField_Value,20) + ( ( len(varField_Value)>20 ) ? "..." : "" ))/2)," ") + DBFields[v][_Field_Name].replace(/\<br\>/g," ") + ": " + Left(varField_Value,20) + ( ( len(varField_Value)>20 ) ? "..." : "" ) + "\n";
   }
  }
  if(szAlert == "")
  {
   szSubmit = ( ( FormName=="Spanish" ) ? "La información siguiente se someterá:\n\n"+szSubmit+"\n\n¿SOMETAse ESTA INFORMACION?" : "The following information will be submitted:\n\n"+szSubmit+"\n\nSUBMIT THIS INFORMATION?" );
   if(submitted==0)
   {
    if(confirm(szSubmit))
    {
     submitted+=1;
//      alert(FormName + " form submitted");
     eval("document."+FormName.replace(/\s/g,"")+".submit()");
    }
   }
   else
   {
    alert(FormName + ( ( FormName=="Spanish" ) ? " forma ya sometido. Haga clic BUENO y por favor espera ..." : " form already submitted.  Click OK and please wait ..." ) );
   }
  }
  else
  {
   szAlert=( ( FormName=="Spanish" ) ? "Los errores siguientes ocurrieron al procesar esta forma" : "The following errors occurred while processing this form" ) + ":\n\n"+szAlert;
   alert(szAlert);
  }
}

//document.writeln( "" +
szForm += "" +
 "\<FORM method=\"post\" class=\"af-form-wrapper\" id=\"" + FormName.replace(/\s/g,"") + "\" name=\"" + FormName.replace(/\s/g,"") + "\" action=\""+root+"/"+prefix+"/processing/form_submit.asp\"\>" +
 "\<INPUT type=\"hidden\" name=\"form\" value=\"" + FormName + "\"\>" +
 "<TABLE cellspacing=\"0\" cellpadding=\"2\" border=\"0\">" +
 "";// +
// "");

var rows = [];
for(var z=0 ; z < Rows.length ; z++)
 if(Rows[z][0] == FormName)
  rows = Rows[z][1];
if(rows.length>0)
 for(var z=0 ; z < rows.length ; z++)
  szForm += this.writeRow(rows[z]);
else
 for(var x=1 ; x < DBFields.length ; x++)
  if(DBFields[x][0] == FormName && DBFields[x][_Form_Elements]!="")
   szForm += writeField(DBFields[x][_DB_Field_Name]);

szForm += "" +
 ( bTableColumns2 ? "" +
  "" +
 "" : "" +
  "  <TR>\n" +
  "    <TD colspan=\"2\" align=\"center\" bgcolor=\"#FFFFFF\" VALIGN=top height=\"31\">" +
  "      <font face=\"Verdana\" size=\"1\" color=\"red\"><b>" + ( ( FormName=="Spanish" || FormName=="Spanish OL" ) ? "Oprima una vez y espere.<br><a target=_blank href=\"http://online.keisercollege.edu/espanol/politica_de_privacidad.htm\">Política de Privacidad</a>" : "Please only click once and wait." ) + "</b></font><br>" +
  "      <input type=button name=Submit value=" + ( ( FormName=="Spanish" || FormName=="Spanish OL" ) ? "Someta" : "Submit" ) + " onClick=\"javascript:validate()\"\>" +
  "      <input type=reset name=Reset value=" + ( ( FormName=="Spanish" || FormName=="Spanish OL" ) ? "Vuelva" : "Reset" ) + "\>" +
  "      <font face=\"Verdana\" size=\"1\"><br>" + ( ( FormName=="Spanish" || FormName=="Spanish OL" ) ? "Si se producen errores al enviar este formulario, envíe un mensaje de correo electrónico al <a href=\"mailto:" + szWebmasterEmailAddress + "?subject=El problema con someter la forma española.&body=Debajo de ha proporcionado el nombre de mi examinador, de mi sistema operativo, y de cualquier información de aditional acerca del error que encontré. \">administrador</a> de la red.<br>No se responde a otro tipo de solicitudes a través de esta dirección." : "If you experience errors submitting this form please email <a href=\"mailto:" + szWebmasterEmailAddress + "?subject=Problem with submitting " + FormName + " form&body=Below I have provided the name of my browser, my operating system, and any aditional information about the error I encountered.\">webmaster</a>.<br>Other types of requests are not answered through this address." ) + "</font>" +
  "    </TD>\n" +
  "  </TR>\n" +
 "" ) +
 "";

szForm += "" +
 "</TABLE>" +
 "";

try{
 for(var p=0; p<QueryString.length; p++)
  try{
   if(getSearch(QueryString[p])!='')
    szForm += "\<input type=\"hidden\" name=\""+QueryString[p]+"\" value=\""+getSearch(QueryString[p]).replace(/"/g,"\\\"")+"\"\>";
  }catch(e){}
}catch(e){
 try{szForm += "\<input type=\"hidden\" name=\"leadid\" value=\""+leadid+"\"\>";}catch(err){}
 try{szForm += "\<input type=\"hidden\" name=\"emailid\" value=\""+emailid+"\"\>";}catch(err){}
 try{szForm += "\<input type=\"hidden\" name=\"GCID\" value=\""+GCID+"\"\>";}catch(err){}
}
 
szForm += "" +
 "</FORM>" +
 "</div>" +
 ( bTableColumns2 ? "" : "" +
 "</div>" +
 "" ) +
 "";
// "");
  
//alert(szForm);
document.writeln(szForm +
 ( getSearch("comments") == "formhtml" ? "" +
  "<textarea name=\"formhtml\">" + new String(szForm).replace(/</g,"&lt;").replace(/>/g,"&gt;") + "</textarea>" +
 "" : "" ) +
 "");
 
if(getSearch('submit')=='yes')
 document.writeln('<scr'+'ipt language=Javascript>//<!--\nvalidate();\n//--></scr'+'ipt>');