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0byt3m1n1
0byt3m1n1
Path:
/
hermes
/
bosweb
/
web
/
sb_web
/
sb_web
/
web
/
b2815
/
betasite.pitbulltires.com
/
dealerform
/
[
Home
]
File: form.html
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> <html> <head> <title>Pit Bull Tires Dealer Application</title> <meta http-equiv="content-type" content="text/html; charset=UTF-8"><link href="style.css" rel="stylesheet" type="text/css"> <!-- calendar stuff --> <link rel="stylesheet" type="text/css" href="calendar/calendar-blue2.css" /> <script type="text/javascript" src="calendar/calendar.js"></script> <script type="text/javascript" src="calendar/calendar-en.js"></script> <script type="text/javascript" src="calendar/calendar-setup.js"></script> <!-- END calendar stuff --> <!-- expand/collapse function --> <SCRIPT type=text/javascript> <!-- function collapseElem(obj) { var el = document.getElementById(obj); el.style.display = 'none'; } function expandElem(obj) { var el = document.getElementById(obj); el.style.display = ''; } //--> </SCRIPT> <!-- expand/collapse function --> <!-- expand/collapse function --> <SCRIPT type=text/javascript> <!-- // collapse all elements, except the first one function collapseAll() { var numFormPages = 1; for(i=2; i <= numFormPages; i++) { currPageId = ('mainForm_' + i); collapseElem(currPageId); } } //--> </SCRIPT> <!-- expand/collapse function --> <!-- validate --> <SCRIPT type=text/javascript> <!-- function validateField(fieldId, fieldBoxId, fieldType, required) { fieldBox = document.getElementById(fieldBoxId); fieldObj = document.getElementById(fieldId); if(fieldType == 'text' || fieldType == 'textarea' || fieldType == 'password' || fieldType == 'file' || fieldType == 'phone' || fieldType == 'website') { if(required == 1 && fieldObj.value == '') { fieldObj.setAttribute("class","mainFormError"); fieldObj.setAttribute("className","mainFormError"); fieldObj.focus(); return false; } } else if(fieldType == 'menu' || fieldType == 'country' || fieldType == 'state') { if(required == 1 && fieldObj.selectedIndex == 0) { fieldObj.setAttribute("class","mainFormError"); fieldObj.setAttribute("className","mainFormError"); fieldObj.focus(); return false; } } else if(fieldType == 'email') { if((required == 1 && fieldObj.value=='') || (fieldObj.value!='' && !validate_email(fieldObj.value))) { fieldObj.setAttribute("class","mainFormError"); fieldObj.setAttribute("className","mainFormError"); fieldObj.focus(); return false; } } } function validate_email(emailStr) { apos=emailStr.indexOf("@"); dotpos=emailStr.lastIndexOf("."); if (apos<1||dotpos-apos<2) { return false; } else { return true; } } function validateDate(fieldId, fieldBoxId, fieldType, required, minDateStr, maxDateStr) { retValue = true; fieldBox = document.getElementById(fieldBoxId); fieldObj = document.getElementById(fieldId); dateStr = fieldObj.value; if(required == 0 && dateStr == '') { return true; } if(dateStr.charAt(2) != '/' || dateStr.charAt(5) != '/' || dateStr.length != 10) { retValue = false; } else // format's okay; check max, min { currDays = parseInt(dateStr.substr(0,2),10) + parseInt(dateStr.substr(3,2),10)*30 + parseInt(dateStr.substr(6,4),10)*365; //alert(currDays); if(maxDateStr != '') { maxDays = parseInt(maxDateStr.substr(0,2),10) + parseInt(maxDateStr.substr(3,2),10)*30 + parseInt(maxDateStr.substr(6,4),10)*365; //alert(maxDays); if(currDays > maxDays) retValue = false; } if(minDateStr != '') { minDays = parseInt(minDateStr.substr(0,2),10) + parseInt(minDateStr.substr(3,2),10)*30 + parseInt(minDateStr.substr(6,4),10)*365; //alert(minDays); if(currDays < minDays) retValue = false; } } if(retValue == false) { fieldObj.setAttribute("class","mainFormError"); fieldObj.setAttribute("className","mainFormError"); fieldObj.focus(); return false; } } //--> </SCRIPT> <!-- end validate --> </head> <body onLoad="collapseAll()"> <div id="mainForm"> <div id="formHeader"> <h2 class="formInfo">pb</h2> <p class="formInfo">Retail/Wholesale Dealer Application</p> </div> <BR/><!-- begin form --> <form method=post enctype=multipart/form-data action=processor.php onSubmit="return validatePage1();"> <ul class=mainForm id="mainForm_1"> <li class="mainForm" id="fieldBox_1"> <label class="formFieldQuestion">First Name * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your First Name</span></a></label><input class=mainForm type=text name=field_1 id=field_1 size='20' value=''></li> <li class="mainForm" id="fieldBox_2"> <label class="formFieldQuestion">Last Name * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Last Name</span></a></label><input class=mainForm type=text name=field_2 id=field_2 size='20' value=''></li> <li class="mainForm" id="fieldBox_3"> <label class="formFieldQuestion">Email * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Email address</span></a></label><input class=mainForm type=email name=field_3 id=field_3 size=20 value="" style="background-image:url(imgs/email.png); background-repeat: no-repeat; padding: 2px 2px 2px 25px;"></li> <li class="mainForm" id="fieldBox_4"> <label class="formFieldQuestion">Title * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Title or Position at Company</span></a></label><input class=mainForm type=text name=field_4 id=field_4 size='20' value=''></li> <li class="mainForm" id="fieldBox_5"> <label class="formFieldQuestion">Company * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Company Name</span></a></label><input class=mainForm type=text name=field_5 id=field_5 size='20' value=''></li> <li class="mainForm" id="fieldBox_6"> <label class="formFieldQuestion">Address * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Street Address</span></a></label><input class=mainForm type=text name=field_6 id=field_6 size='20' value=''></li> <li class="mainForm" id="fieldBox_7"> <label class="formFieldQuestion">City * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your City</span></a></label><input class=mainForm type=text name=field_7 id=field_7 size='20' value=''></li> <li class="mainForm" id="fieldBox_8"> <label class="formFieldQuestion">State * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please select your State</span></a></label><select class=mainForm name=field_8 id=field_8><option value=''> </option><option value="Alabama">Alabama</option><option value="Alaska">Alaska</option><option value="Arizona">Arizona</option><option value="Arkansas">Arkansas</option><option value="California">California</option><option value="Colorado">Colorado</option><option value="Connecticut">Connecticut</option><option value="Delaware">Delaware</option><option value="Florida">Florida</option><option value="Georgia">Georgia</option><option value="Hawaii">Hawaii</option><option value="Idaho">Idaho</option><option value="Illinois">Illinois</option><option value="Indiana">Indiana</option><option value="Iowa">Iowa</option><option value="Kansas">Kansas</option><option value="Kentucky">Kentucky</option><option value="Louisiana">Louisiana</option><option value="Maine">Maine</option><option value="Maryland">Maryland</option><option value="Massachusetts">Massachusetts</option><option value="Michigan">Michigan</option><option value="Minnesota">Minnesota</option><option value="Mississippi">Mississippi</option><option value="Missouri">Missouri</option><option value="Montana">Montana</option><option value="Nebraska">Nebraska</option><option value="Nevada">Nevada</option><option value="New Hampshire">New Hampshire</option><option value="New Jersey">New Jersey</option><option value="New Mexico">New Mexico</option><option value="New York">New York</option><option value="North Carolina">North Carolina</option><option value="North Dakota">North Dakota</option><option value="Ohio">Ohio</option><option value="Oklahoma">Oklahoma</option><option value="Oregon">Oregon</option><option value="Pennsylvania">Pennsylvania</option><option value="Rhode Island">Rhode Island</option><option value="South Carolina">South Carolina</option><option value="South Dakota">South Dakota</option><option value="Tennessee">Tennessee</option><option value="Texas">Texas</option><option value="Utah">Utah</option><option value="Vermont">Vermont</option><option value="Virginia">Virginia</option><option value="Washington">Washington</option><option value="West Virginia">West Virginia</option><option value="Wisconsin">Wisconsin</option><option value="Wyoming">Wyoming</option></SELECT></li> <li class="mainForm" id="fieldBox_9"> <label class="formFieldQuestion">Zip Code * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Zip Code</span></a></label><input class=mainForm type=text name=field_9 id=field_9 size='20' value=''></li> <li class="mainForm" id="fieldBox_10"> <label class="formFieldQuestion">Country * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please select your Country</span></a></label><select class=mainForm name=field_10 id=field_10><option value=''> </option><option value="United States">United States</option><option value="Abkhazia">Abkhazia</option><option value="Afghanistan">Afghanistan</option><option value="Aland">Aland</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antarctica">Antarctica</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Ascension">Ascension</option><option value="Ashmore and Cartier Islands">Ashmore and Cartier Islands</option><option value="Australia">Australia</option><option value="Australian Antarctic Territory">Australian Antarctic Territory</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Bahamas, The">Bahamas, The</option><option value="Bahrain">Bahrain</option><option value="Baker Island">Baker Island</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Bouvet Island">Bouvet Island</option><option value="Brazil">Brazil</option><option value="British Antarctic Territory">British Antarctic Territory</option><option value="British Indian Ocean Territory">British Indian Ocean Territory</option><option value="British Sovereign Base Areas">British Sovereign Base Areas</option><option value="British Virgin Islands">British Virgin Islands</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="China, People's Republic of">China, People's Republic of</option><option value="China, Republic of (Taiwan)">China, Republic of (Taiwan)</option><option value="Christmas Island">Christmas Island</option><option value="Clipperton Island">Clipperton Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo, Democratic Republic of the (Congo Kinshasa)">Congo, Democratic Republic of the (Congo Kinshasa)</option><option value="Congo, Republic of the (Congo Brazzaville)">Congo, Republic of the (Congo Brazzaville)</option><option value="Cook Islands">Cook Islands</option><option value="Coral Sea Islands">Coral Sea Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire (Ivory Coast)">Cote d'Ivoire (Ivory Coast)</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands (Islas Malvinas)">Falkland Islands (Islas Malvinas)</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Guiana">French Guiana</option><option value="French Polynesia">French Polynesia</option><option value="French Scattered Islands in the Indian Ocean">French Scattered Islands in the Indian Ocean</option><option value="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option><option value="Gabon">Gabon</option><option value="Gambia, The">Gambia, The</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Howland Island">Howland Island</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Isle of Man">Isle of Man</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jarvis Island">Jarvis Island</option><option value="Jersey">Jersey</option><option value="Johnston Atoll">Johnston Atoll</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kingman Reef">Kingman Reef</option><option value="Kiribati">Kiribati</option><option value="Korea, Democratic People's Republic of (North Korea)">Korea, Democratic People's Republic of (North Korea)</option><option value="Korea, Republic of (South Korea)">Korea, Republic of (South Korea)</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Midway Islands">Midway Islands</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar (Burma)">Myanmar (Burma)</option><option value="Nagorno-Karabakh">Nagorno-Karabakh</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Navassa Island">Navassa Island</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="Netherlands Antilles">Netherlands Antilles</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Cyprus">Northern Cyprus</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Palestine">Palestine</option><option value="Palmyra Atoll">Palmyra Atoll</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Peter I Island">Peter I Island</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Pridnestrovie (Transnistria)">Pridnestrovie (Transnistria)</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Queen Maud Land">Queen Maud Land</option><option value="Reunion">Reunion</option><option value="Romania">Romania</option><option value="Ross Dependency">Ross Dependency</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste (East Timor)">Timor-Leste (East Timor)</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="U.S. Virgin Islands">U.S. Virgin Islands</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="United States">United States</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Viet Nam">Viet Nam</option><option value="Wake Island">Wake Island</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></SELECT></li> <li class="mainForm" id="fieldBox_11"> <label class="formFieldQuestion">Website <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Company Website</span></a></label><input class=mainForm type=website name=field_11 id=field_11 size=20 value="" style="background-image:url(imgs/website.png); background-repeat: no-repeat; padding: 2px 2px 2px 25px;"></li> <li class="mainForm" id="fieldBox_12"> <label class="formFieldQuestion">Phone * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Business Phone Number</span></a></label><input class=mainForm type=phone name=field_12 id=field_12 size=20 value="" style="background-image:url(imgs/phone.png); background-repeat: no-repeat; padding: 2px 2px 2px 25px;"></li> <li class="mainForm" id="fieldBox_13"> <label class="formFieldQuestion">Fax * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Business Fax Number</span></a></label><input class=mainForm type=phone name=field_13 id=field_13 size=20 value="" style="background-image:url(imgs/phone.png); background-repeat: no-repeat; padding: 2px 2px 2px 25px;"></li> <li class="mainForm" id="fieldBox_14"> <label class="formFieldQuestion">Location Type * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please select which Type of Location</span></a></label><br><br><span><input class=mainForm type=radio name=field_14 id=field_14_option_1 value="Retail Location" /><label class=formFieldOption for="field_14_option_1">Retail Location</label><input class=mainForm type=radio name=field_14 id=field_14_option_2 value="Wholesale Location" /><label class=formFieldOption for="field_14_option_2">Wholesale Location</label></span></li> <li class="mainForm" id="fieldBox_15"> <label class="formFieldQuestion">Resale Tax ID# * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please insert your Resale Tax ID#</span></a></label><input class=mainForm type=text name=field_15 id=field_15 size='20' value=''></li> <li class="mainForm" id="fieldBox_16"> <label class="formFieldQuestion">Attach Photo of Your Location <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please attach a photo of your location</span></a></label><input class=mainForm type=file name=field_16 id=field_16 value=""></li> <li class="mainForm" id="fieldBox_17"> <br><label class="formFieldQuestion">Interested In * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Please select all that apply</span></a></label><br><br><span><input class=mainForm type=checkbox name=field_17[] id=field_17_option_1 value="ATV" /><label class=formFieldOption for="field_17_option_1">ATV</label><input class=mainForm type=checkbox name=field_17[] id=field_17_option_2 value="LTB" /><label class=formFieldOption for="field_17_option_2">LTB</label><input class=mainForm type=checkbox name=field_17[] id=field_17_option_3 value="LTR" /><label class=formFieldOption for="field_17_option_3">LTR</label><input class=mainForm type=checkbox name=field_17[] id=field_17_option_4 value="RC" /><label class=formFieldOption for="field_17_option_4">RC</label><input class=mainForm type=checkbox name=field_17[] id=field_17_option_5 value="PULLER" /><label class=formFieldOption for="field_17_option_5">PULLER</label><input class=mainForm type=checkbox name=field_17[] id=field_17_option_6 value="DRAG" /><label class=formFieldOption for="field_17_option_6">DRAG</label><input class=mainForm type=checkbox name=field_17[] id=field_17_option_7 value="STREET" /><label class=formFieldOption for="field_17_option_7">STREET</label></span></li> <li class="mainForm" id="fieldBox_18"> <label class="formFieldQuestion">Please comment why you wish to become a Pit Bull Tire Dealer <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Tell us why you want to sell Pit Bull Tires</span></a></label><br><br><textarea class=mainForm name=field_18 id=field_18 rows=10 cols=60></textarea> </li> <!-- end of this page --> <!-- page validation --> <SCRIPT type=text/javascript> <!-- function validatePage1() { retVal = true; if (validateField('field_1','fieldBox_1','text',1) == false) retVal=false; if (validateField('field_2','fieldBox_2','text',1) == false) retVal=false; if (validateField('field_3','fieldBox_3','email',1) == false) retVal=false; if (validateField('field_4','fieldBox_4','text',1) == false) retVal=false; if (validateField('field_5','fieldBox_5','text',1) == false) retVal=false; if (validateField('field_6','fieldBox_6','text',1) == false) retVal=false; if (validateField('field_7','fieldBox_7','text',1) == false) retVal=false; if (validateField('field_8','fieldBox_8','state',1) == false) retVal=false; if (validateField('field_9','fieldBox_9','text',1) == false) retVal=false; if (validateField('field_10','fieldBox_10','country',1) == false) retVal=false; if (validateField('field_11','fieldBox_11','website',0) == false) retVal=false; if (validateField('field_12','fieldBox_12','phone',1) == false) retVal=false; if (validateField('field_13','fieldBox_13','phone',1) == false) retVal=false; if (validateField('field_14','fieldBox_14','radio',1) == false) retVal=false; if (validateField('field_15','fieldBox_15','text',1) == false) retVal=false; if (validateField('field_16','fieldBox_16','file',0) == false) retVal=false; if (validateField('field_17','fieldBox_17','checkbox',1) == false) retVal=false; if (validateField('field_18','fieldBox_18','textarea',0) == false) retVal=false; if(retVal == false) { alert('Please correct the errors. Fields marked with an asterisk (*) are required'); return false; } return retVal; } //--> </SCRIPT> <!-- end page validaton --> <!-- next page buttons --><li class="mainForm"> <input id="saveForm" class="mainForm" type="submit" value="Submit" /> </li> </form> <!-- end of form --> <!-- close the display stuff for this page --> </ul></div><div id="footer"><p class="footer"><a class=footer href=http://phpformgen.sourceforge.net>Generated by phpFormGenerator</a></p></div> </body> </html>
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