// Validate the lead form, then data to iframe
	function ValidateForm()	{
		var isFormValid = 1;
		var errorMessage = '';
		var firstName = document.getElementById('FirstName');
		var lastName = document.getElementById('LastName');
		var emailAddress = document.getElementById('EmailAddress');
		var homePhone = document.getElementById('HomePhone');
		
		if(firstName.value.length < 1) 
		{
			isFormValid = 0;
			errorMessage = errorMessage + '- First Name is required.\n';
		}
		if(lastName.value.length < 1) 
		{
			isFormValid = 0;
			errorMessage = errorMessage + '- Last Name is required.\n';
		}
		if(emailAddress.value.length < 1) 
		{
			isFormValid = 0;
			errorMessage = errorMessage + '- Email Address is required.\n';
		}
		if(homePhone.value.length < 1) 
		{
			isFormValid = 0;
			errorMessage = errorMessage + '- Phone Number is required.\n';
		}
		if(IsEmailValid(emailAddress.value) == false)
		{
			isFormValid = 0;
			errorMessage = errorMessage + '- Email Address is not valid.\n';
		}
		

		
		if(isFormValid == 0)
		{
			alert(errorMessage);
		}
		else
		{
			window.location = 'http://www.aftermarketsites.com/DataStream-DC.aspx?FirstName=' + escape(document.getElementById('FirstName').value) + '&LastName=' + escape(document.getElementById('LastName').value) + '&HomePhone=' + escape(document.getElementById('HomePhone').value) + '&emailAddress=' + escape(document.getElementById('EmailAddress').value) + '&ContactTime=' + escape(document.getElementById('ContactTime').options[document.getElementById('ContactTime').selectedIndex].value) + '&State=' + escape(document.getElementById('State').options[document.getElementById('State').selectedIndex].value) + '&TotalDebt=' + escape(document.getElementById('TotalDebt').options[document.getElementById('TotalDebt').selectedIndex].value) + '&ReferURL=' + escape(document.referrer);
		
			// Send the data to the iframe
			//document.getElementById('PassData').src = 'http://www.aftermarketsites.com/DataStream-DC.aspx?FirstName=' + escape(document.getElementById('FirstName').value) + '&LastName=' + escape(document.getElementById('LastName').value) + '&HomePhone=' + escape(document.getElementById('HomePhone').value) + '&emailAddress=' + escape(document.getElementById('EmailAddress').value) + '&ContactTime=' + escape(document.getElementById('ContactTime').options[document.getElementById('ContactTime').selectedIndex].value) + '&State=' + escape(document.getElementById('State').options[document.getElementById('State').selectedIndex].value) + '&TotalDebt=' + escape(document.getElementById('TotalDebt').options[document.getElementById('TotalDebt').selectedIndex].value) + '&ReferURL=' + escape(document.referrer);
			//alert('Success!  You will be contacted shortly during normal business hours.');
			//window.location = 'http://www.debtco.org/ThankYou.php';
		}
	}
	
	function IsEmailValid(emailAddress) {
		var emailReg = "^[\\w-_\.]*[\\w-_\.]\@[\\w]\.+[\\w]+[\\w]$";
		var regex = new RegExp(emailReg);
		return regex.test(emailAddress);
	}

document.write('<table border="0" cellspacing="0" cellpadding="0" class="formTable">');
document.write('<tr>');
document.write('<td class="form">First Name:<br><input name="FirstName" type="text" id="FirstName" size="20"></td>');
document.write('<td class="form">State:<br>');
document.write('<select name="State" id="State">');
document.write('<option value="" selected>(select a state)</option>');
document.write('<option value="AL">Alabama</option>');
document.write('<option value="AK">Alaska</option>');
document.write('<option value="AZ">Arizona</option>');
document.write('<option value="AR">Arkansas</option>');
document.write('<option value="CA">California</option>');
document.write('<option value="CO">Colorado</option>');
document.write('<option value="CT">Connecticut</option>');
document.write('<option value="DC">D.C.</option>');
document.write('<option value="DE">Delaware</option>');
document.write('<option value="FL">Florida</option>');
document.write('<option value="GA">Georgia</option>');
document.write('<option value="HI">Hawaii</option>');
document.write('<option value="ID">Idaho</option>');
document.write('<option value="IL">Illinois</option>');
document.write('<option value="IN">Indiana</option>');
document.write('<option value="IA">Iowa</option>');
document.write('<option value="KS">Kansas</option>');
document.write('<option value="KY">Kentucky</option>');
document.write('<option value="LA">Louisiana</option>');
document.write('<option value="ME">Maine</option>');
document.write('<option value="MD">Maryland</option>');
document.write('<option value="MA">Massachusetts</option>');
document.write('<option value="MI">Michigan</option>');
document.write('<option value="MN">Minnesota</option>');
document.write('<option value="MS">Mississippi</option>');
document.write('<option value="MO">Missouri</option>');
document.write('<option value="MT">Montana</option>');
document.write('<option value="NE">Nebraska</option>');
document.write('<option value="NV">Nevada</option>');
document.write('<option value="NH">New Hampshire</option>');
document.write('<option value="NJ">New Jersey</option>');
document.write('<option value="NM">New Mexico</option>');
document.write('<option value="NY">New York</option>');
document.write('<option value="NC">North Carolina</option>');
document.write('<option value="ND">North Dakota</option>');
document.write('<option value="OH">Ohio</option>');
document.write('<option value="OK">Oklahoma</option>');
document.write('<option value="OR">Oregon</option>');
document.write('<option value="PA">Pennsylvania</option>');
document.write('<option value="PR">Puerto Rico</option>');
document.write('<option value="RI">Rhode Island</option>');
document.write('<option value="SC">South Carolina</option>');
document.write('<option value="SD">South Dakota</option>');
document.write('<option value="TN">Tennessee</option>');
document.write('<option value="TX">Texas</option>');
document.write('<option value="UT">Utah</option>');
document.write('<option value="VT">Vermont</option>');
document.write('<option value="VA">Virginia</option>');
document.write('<option value="WA">Washington</option>');
document.write('<option value="WV">West Virginia</option>');
document.write('<option value="WI">Wisconsin</option>');
document.write('<option value="WY">Wyoming</option>');
document.write('</select></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="form">Last Name:<br>');
document.write('<input name="LastName" type="text" id="LastName" size="20"></td>');
document.write('<td class="form">Best Time to Call:<br>');
document.write('<select name="ContactTime" id="ContactTime">');
document.write('<option value="Morning">Morning</option>');
document.write('<option value="Afternoon" selected>Afternoon</option>');
document.write('<option value="Evening">Evening</option>');
document.write('</select></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="form">Email:<br>');
document.write('<input name="EmailAddress" type="text" id="EmailAddress" size="20"></td>');
document.write('<td class="form">Total Unsecured Debt:<br>');
document.write('<select name="TotalDebt" id="TotalDebt">');
document.write('<option value="2000-5000">2000-5000</option>');
document.write('<option value="5001-10000">5001-10000</option>');
document.write('<option value="10001-20000" selected>10001-20000</option>');
document.write('<option value="20001-50000">20001-50000</option>');
document.write('<option value="Over 50000">Over 50000</option>');
document.write('</select></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="form">Phone:<br>');
document.write('<input name="HomePhone" type="text" id="HomePhone" size="20"></td>');
document.write('<td class="form" valign="bottom"><a href="#"><input name="SubmitButton" id="SubmitButton" type="image" onClick="return ValidateForm();" value="submit" class="no-border" src="http://www.debtco.org/images/submit.gif" width="120" height="27"></a></td>');
document.write('</tr>');
document.write('</table>');