
	<!-- Head appended by /OnRequestEnd.cfm file -->
	

document.writeln('\r\n	<!-- Head appended by \/OnRequestEnd.cfm file -->\r\n	\r\n\r\n <p class="fieldtitle">\r\n 	Fields marked with an asterisk (<span style=\'color:red\'>*<\/span>) are required fields.\r\n<\/p>\r\n	<script language="JavaScript">\r\n	<!--\r\n	  function AEFormChangeImageBack(imgSrc) {\r\n	      document["Back"].src=imgSrc;\r\n	  }\r\n	  function AEFormChangeImageNext(img,imgSrc) {\r\n	      img.src=imgSrc;\r\n	  }\r\n	\/\/-->\r\n<\/script>\r\n\r\n		\r\n<!-- m_aeform.cfm start begin -->\r\n\r\n	\r\n		<form name="AEFormName" enctype="multipart\/form-data" method="post" action="http:\/\/www.mywirelessreminder.com:80\/functions\/130\/subscribers\/contact_form_done.cfm" onSubmit="document.aeformSubmitted=true;if(AE_checkFormFieldsAEFormName(this)){if(AEFormName_checkFormImage(this)){return checkForm(this);}else{return false;}}else{return false;}">\r\n	\r\n\r\n	  <table border="0" align="center" cellspacing="0" cellpadding="1"  class="aeform">\r\n	    <tr>\r\n	      <td width="100%" class="tablebg">\r\n	        <table border="0" cellspacing="0" cellpadding="0" width="100%">\r\n			\r\n	          <tr><td width="100%" class="tablefg"><table border="0" cellpadding="0" cellspacing="0" width="100%" class="tablespacing">\r\n	\r\n<!-- m_aeform.cfm start finish -->\r\n\r\n		  <td class="tablefg" nowrap width="left" align="left" valign="center" colspan="1"><div class="fieldtitle">\r\n		  Name<span style=\'color:red\'>**<\/span><\/div><\/td>\r\n		\r\n		<td  width="left" class="tablefg" align="left" colspan="3"><div class="fieldtitlesm" nowrap> \r\n	      <table border="0" cellpadding="2" cellspacing="0">\r\n	        <tr>\r\n	          <td><\/td>\r\n	          <td><div class="fieldtitlesm">First Name<\/div><\/td>\r\n			  \r\n	          <td><div class="fieldtitlesm">Last Name<\/div><\/td>\r\n	        <\/tr>\r\n	        <tr>\r\n	          <td>\r\n				<select size="1" name="Salutation" class="text">\r\n				  <option><\/option>\r\n				  \r\n	             	 <option >Mr.<\/option>\r\n				  \r\n	             	 <option >Ms.<\/option>\r\n				  \r\n	             	 <option >Mrs.<\/option>\r\n				  \r\n	             	 <option >Dr.<\/option>\r\n				  \r\n	             	 <option >Rev.<\/option>\r\n				  \r\n	            <\/select><\/td>\r\n	          <td><input type="text" class="text" name="FirstName" size="12" maxlength="20" value=""><\/td>\r\n			  \r\n	          <td><input type="text" class="text" name="LastName" size="12" maxlength="20" value=""><\/td>\r\n	        <\/tr>\r\n	      <\/table>\r\n	    <\/div><\/td>\r\n	\r\n		<\/tr>\r\n		\r\n		<tr>\r\n			<td class="tablefg" colspan="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="1"><\/td>\r\n		<\/tr> \r\n				<tr class="tablefg2">\r\n					<td class="tablespacing" colspan="4" height="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="5"><\/td>\r\n				<\/tr>\r\n			\r\n			<tr>\r\n			\r\n		  <td class="tablefg2" nowrap width="left" align="left" valign="center" colspan="1"><div class="fieldtitle">\r\n		  Email<span style=\'color:red\'>*<\/span><\/div><\/td>\r\n		\r\n		<td  width="left" class="tablefg2" align="left" colspan="3"><div class="fieldtitlesm" nowrap> <!--\r\n			--><input type="hidden" name="EmailGreaterThan" value=""><!--\r\n			--><input type="hidden" name="EmailGreaterThanEqual" value=""><!--\r\n			--><input type="hidden" name="EmailMinimum" value=""><!--\r\n			--><input type="hidden" name="EmailMaximum" value=""><!--\r\n			--><input type="hidden" name="EmailIntegersOnly" value="false"><!--\r\n			\r\n			--><input type="Hidden" name="EmailIsNumeric" value="false">\r\n			<input type="Hidden" name="EmailEmailValidation" value="false">\r\n		<input class="text" type="text"  name="Email" size="20" maxlength="50" value="">\r\n<\/div><\/td>\r\n	\r\n		<\/tr>\r\n		\r\n		<tr>\r\n			<td class="tablefg2" colspan="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="1"><\/td>\r\n		<\/tr> \r\n				<tr class="tablefg">\r\n					<td class="tablespacing" colspan="4" height="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="5"><\/td>\r\n				<\/tr>\r\n			\r\n			<tr>\r\n			\r\n		  <td class="tablefg" nowrap width="left" align="left" valign="center" colspan="1"><div class="fieldtitle">\r\n		  US Mobile Phone<span style=\'color:red\'>*<\/span><\/div><\/td>\r\n		\r\n		<td  width="left" class="tablefg" align="left" colspan="3"><div class="fieldtitlesm" nowrap> \r\n<input type="hidden" name="phonefieldlist" value="LoginPhone1">\r\n<input type="Hidden" name="LoginPhone1_Lengths" value="3,3,4">\r\n<font size="4">(<\/font\r\n><font size=2><input class="text" type=text name="LoginPhone1a" value="" size="3" maxlength="3" onkeyup="if(this.value.length == 3)this.form.LoginPhone1b.select();" onclick="this.select();"><\/font><font size="4">)<\/font\r\n><font size=2><input class="text" type=text name="LoginPhone1b" value="" size=3 maxlength="3" onkeyup="if(this.value.length == 3)this.form.LoginPhone1c.select();" onclick="this.select();"><\/font\r\n><font size="4">-<\/font\r\n><font size=2><input class="text" type=text name="LoginPhone1c" value="" size="5" maxlength="4"  onclick="this.select();"><\/font\r\n> <\/div><\/td>\r\n	\r\n		<\/tr>\r\n		\r\n		<tr>\r\n			<td class="tablefg" colspan="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="1"><\/td>\r\n		<\/tr> \r\n		<tr>\r\n			<td class="fieldtitle">\r\n				Wireless Carrier&nbsp;<span style=\'color:red\'>*<\/span>\r\n			<\/td>\r\n			<td class="fieldtitle">\r\n			\r\n					<select name="USCarrierID" id="USCarrierID">\r\n					<OPTION value="">-- Select A Carrier --<\/OPTION>\r\n					\r\n					  <OPTION value="22">Alaskan Communications Services<\/OPTION>\r\n					\r\n					  <OPTION value="21">Alltel<\/OPTION>\r\n					\r\n					  <OPTION value="50">Amp\'d<\/OPTION>\r\n					\r\n					  <OPTION value="15">AT&T<\/OPTION>\r\n					\r\n					  <OPTION value="47">Boost Mobile<\/OPTION>\r\n					\r\n					  <OPTION value="41">Cincinnati Bell<\/OPTION>\r\n					\r\n					  <OPTION value="11">Cingular<\/OPTION>\r\n					\r\n					  <OPTION value="49">Helio<\/OPTION>\r\n					\r\n					  <OPTION value="31">Metro PCS<\/OPTION>\r\n					\r\n					  <OPTION value="16">Nextel<\/OPTION>\r\n					\r\n					  <OPTION value="7">Sprint PCS<\/OPTION>\r\n					\r\n					  <OPTION value="38">SunCom<\/OPTION>\r\n					\r\n					  <OPTION value="17">Tmobile<\/OPTION>\r\n					\r\n					  <OPTION value="19">US Cellular<\/OPTION>\r\n					\r\n					  <OPTION value="18">Verizon<\/OPTION>\r\n					\r\n				  <\/select>\r\n							\r\n			<\/td>\r\n		<\/tr>\r\n		<tr>\r\n			<td colspan="2">&nbsp;<\/td>\r\n		<\/tr>\r\n		<tr> \r\n			<td class="fieldtitle">International Number&nbsp;<\/td>\r\n			<td class="fieldtitle">\r\n				<input type="text" name="intPhone" id="intPhone" maxlength="20" onkeyup="return checkit(this.form);">\r\n\r\n			<\/td>\r\n		<\/tr>\r\n		<tr>\r\n			<td class="fieldtitle">\r\n				Int. Wireless Carrier&nbsp;\r\n			<\/td>\r\n			<td class="fieldtitle">\r\n				\r\n					<select name="intCarrierID" id="intCarrierID">\r\n					<OPTION value="">-- Select A Carrier --<\/OPTION>\r\n					\r\n					  <OPTION value="42">O2<\/OPTION>\r\n					\r\n					  <OPTION value="44">T-Mobile UK<\/OPTION>\r\n					\r\n				  <\/select>\r\n			  \r\n			<\/td>\r\n		<\/tr>\r\n		\r\n				<tr class="tablefg2">\r\n					<td class="tablespacing" colspan="4" height="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="5"><\/td>\r\n				<\/tr>\r\n			\r\n			<tr>\r\n			\r\n		  <td class="tablefg2" nowrap width="left" align="left" valign="center" colspan="1"><div class="fieldtitle">\r\n		  Gender<\/div><\/td>\r\n		\r\n		<td  width="left" class="tablefg2" align="left" colspan="3"><div class="fieldtitlesm" nowrap> \r\n				<select  size="1" name="Gender">\r\n					<option value="0">-<\/option> \r\n					<option   value="M">Male<\/option>\r\n					\r\n					<option   value="F">Female<\/option>\r\n					\r\n				<\/select>\r\n		<\/div><\/td>\r\n	\r\n		<\/tr>\r\n		\r\n		<tr>\r\n			<td class="tablefg2" colspan="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="1"><\/td>\r\n		<\/tr> \r\n				<tr class="tablefg">\r\n					<td class="tablespacing" colspan="4" height="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="5"><\/td>\r\n				<\/tr>\r\n			\r\n			<tr>\r\n			\r\n		  <td class="tablefg" nowrap width="left" align="left" valign="center" colspan="1"><div class="fieldtitle">\r\n		  Age Group<\/div><\/td>\r\n		\r\n		<td  width="left" class="tablefg" align="left" colspan="3"><div class="fieldtitlesm" nowrap> \r\n				<select  size="1" name="AgeGroup">\r\n					<option value="0"> - <\/option> \r\n					<option   value="Under 20">Under 20<\/option>\r\n					\r\n					<option   value="21-25">21-25<\/option>\r\n					\r\n					<option   value="26-30">26-30<\/option>\r\n					\r\n					<option   value="31-35">31-35<\/option>\r\n					\r\n					<option   value="36-40">36-40<\/option>\r\n					\r\n					<option   value="41-50">41-50<\/option>\r\n					\r\n					<option   value="51-60">51-60<\/option>\r\n					\r\n					<option   value="61+">61+<\/option>\r\n					\r\n				<\/select>\r\n		<\/div><\/td>\r\n	\r\n		<\/tr>\r\n		\r\n		<tr>\r\n			<td class="tablefg" colspan="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="1"><\/td>\r\n		<\/tr> \r\n				<tr class="tablefg2">\r\n					<td class="tablespacing" colspan="4" height="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="5"><\/td>\r\n				<\/tr>\r\n			\r\n			<tr>\r\n			\r\n		  <td class="tablefg2" nowrap width="left" align="left" valign="center" colspan="1"><div class="fieldtitle">\r\n		  Birth Day<\/div><\/td>\r\n		\r\n		<td  width="left" class="tablefg2" align="left" colspan="3"><div class="fieldtitlesm" nowrap> <input type="hidden" name="datefieldlist" value="DateOfBirth"> \r\n				<input type="hidden" name="hours" value="15">\r\n				<input type="hidden" name="minutes" value="1">\r\n				<input type="hidden" name="seconds" value="14">\r\n				\r\n				<select name="DateOfBirthMonth"  class="text">\r\n					<option value="0" >-<\/option>\r\n					\r\n						<option value="1" >January<\/option>\r\n						\r\n						<option value="2" >February<\/option>\r\n						\r\n						<option value="3" >March<\/option>\r\n						\r\n						<option value="4" >April<\/option>\r\n						\r\n						<option value="5" >May<\/option>\r\n						\r\n						<option value="6" >June<\/option>\r\n						\r\n						<option value="7" selected>July<\/option>\r\n						\r\n						<option value="8" >August<\/option>\r\n						\r\n						<option value="9" >September<\/option>\r\n						\r\n						<option value="10" >October<\/option>\r\n						\r\n						<option value="11" >November<\/option>\r\n						\r\n						<option value="12" >December<\/option>\r\n						\r\n				<\/select>\r\n				\r\n					<input type="text" class="text" name="DateOfBirthDay" size="2" maxlength=2 value="30" > \r\n							<input type="Hidden" name="DateOfBirthYear" value="2010">\r\n							<input type="Hidden" name="DateOfBirthYearHidden" value="true">\r\n						<\/div><\/td>\r\n	\r\n		<\/tr>\r\n		\r\n		<tr>\r\n			<td class="tablefg2" colspan="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="1"><\/td>\r\n		<\/tr> \r\n				<tr class="tablefg">\r\n					<td class="tablespacing" colspan="4" height="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="5"><\/td>\r\n				<\/tr>\r\n			\r\n			<tr>\r\n			\r\n		  <td class="tablefg" nowrap width="left" align="left" valign="center" colspan="1"><div class="fieldtitle">\r\n		  Zip Code<span style=\'color:red\'>*<\/span>&nbsp;<\/div><\/td>\r\n		\r\n		<td  width="left" class="tablefg" align="left" colspan="3"><div class="fieldtitlesm" nowrap> <!--\r\n			--><input type="hidden" name="zipcodeGreaterThan" value=""><!--\r\n			--><input type="hidden" name="zipcodeGreaterThanEqual" value=""><!--\r\n			--><input type="hidden" name="zipcodeMinimum" value=""><!--\r\n			--><input type="hidden" name="zipcodeMaximum" value=""><!--\r\n			--><input type="hidden" name="zipcodeIntegersOnly" value="false"><!--\r\n			\r\n			--><input type="Hidden" name="zipcodeIsNumeric" value="true">\r\n			<input type="Hidden" name="zipcodeEmailValidation" value="false">\r\n		<input class="text" type="Number"  name="zipcode" size="8" maxlength="none" value="">\r\n<\/div><\/td>\r\n	\r\n		<\/tr>\r\n		\r\n		<tr>\r\n			<td class="tablefg" colspan="4"><img src="http:\/\/www.mywirelessreminder.com:80\/cns\/icons\/blankpixel.gif" height="4" width="1"><\/td>\r\n		<\/tr> \r\n			\r\n		<tr>\r\n			<td colspan=2 align="center">\r\n			<input type="hidden" name="siteloginid" value="121108" \/>\r\n			<input type="hidden" name="confirmationlink" value="http:\/\/www.destinyworldchurch.org\/txtconfirm.html" \/>\r\n			<input type="button" value="Cancel" onclick="document.location=\'http:\/\/www.destinyworldchurch.org\/txtcancel.html\';">\r\n			<input  type="submit" value="Submit" name="submit">\r\n			<\/td>\r\n		<\/tr>	\r\n		\r\n	<script language="Javascript">\r\n		function checkForm(formObj)\r\n		{\r\n			if (!formObj.FirstName.value.length>0){\r\n				alert("Please enter a first name.");\r\n				formObj.FirstName.focus();\r\n				return false;\r\n			\r\n			}\r\n			if (!formObj.LastName.value.length>0){\r\n				alert("Please enter a last name.");\r\n				formObj.LastName.focus();\r\n				return false;\r\n			}\r\n			\/\/mg check to see if two numbers were entered.\r\n			if (formObj.intPhone.value.length>0 && formObj.LoginPhone1a.value.length>0){\r\n				alert("Only one wireless number may be submitted. Please remove one of the wireless numbers and try again.");\r\n				return false;\r\n			\r\n			}\r\n			\/\/mg if a US number is entered, make sure a US carrier is selected.\r\n			if(formObj.LoginPhone1a.value.length>0 && (formObj.USCarrierID.value=="" || formObj.USCarrierID.value=="0" )){\r\n				alert("Please select a wireless carrier for the US mobile number entered.");\r\n				formObj.USCarrierID.focus();\r\n				return false;			\r\n			\r\n			}\r\n			\/\/mg if an international number is entered, make sure an international carrier is selected.\r\n			if(formObj.intPhone.value.length>0 && (formObj.intCarrierID.value=="" || formObj.intCarrierID.value=="0" )){\r\n				alert("Please select a wireless carrier for the international mobile number entered.");\r\n				formObj.intCarrierID.focus();\r\n				return false;	\r\n			\r\n			}\r\n			\r\n			\/\/mg Only run the zip code check for US numbers.\r\n			if(formObj.zipcode.value == "" && formObj.intPhone.value == ""){\r\n				alert("Please enter a US zip code.  This will be used to determine the appropriate time zone.");\r\n				formObj.zipcode.focus();\r\n				return false;\r\n			}\r\n			\r\n			\/\/mg A wireless phone number is required.\r\n			if (formObj.intPhone.value == "" && (formObj.LoginPhone1a.value == "" || formObj.LoginPhone1b.value == "" || formObj.LoginPhone1c.value == "")){\r\n				alert("Please enter a US mobile phone number or an internaltional mobile number.");\r\n				formObj.LoginPhone1a.focus();\r\n				return false;\r\n			}\r\n			\r\n			\r\n		}\r\n		function checkit(formObj){\r\n			if(formObj.intPhone.value.length>0 && formObj.LoginPhone1a.value.length>0)\r\n			{\r\n				if (confirm("Entering an international number will erase the US wireless number.  Are you sure you want to enter an international number?"))\r\n				{\r\n					formObj.LoginPhone1a.value="";\r\n					formObj.LoginPhone1b.value="";\r\n					formObj.LoginPhone1c.value="";\r\n					formObj.USCarrierID[0].selected=true;\r\n					}\r\n				else{\r\n						formObj.intPhone.value = \'\';\r\n						formObj.intCarrierID[0].selected=true;\r\n					}\r\n			}\r\n			if(formObj.intPhone.value.length>0 && isNaN(formObj.intPhone.value)){\r\n				alert("Only numeric values are permitted for international numbers. Please remove any spaces or special characters.");\r\n				formObj.intPhone.focus();\r\n			}\r\n			return true;\r\n		}\r\n	<\/script>\r\n<script language="JavaScript">\r\n	<!--\r\n	  function AEFormChangeImageBack(imgSrc) {\r\n	      document["Back"].src=imgSrc;\r\n	  }\r\n	  function AEFormChangeImageNext(img,imgSrc) {\r\n	      img.src=imgSrc;\r\n	  }\r\n	\/\/-->\r\n<\/script>\r\n\r\n		\r\n<!-- m_aeform.cfm end begin -->\r\n		\r\n	        	<\/table><\/td><\/tr>\r\n			\r\n	        <\/table>\r\n	      <\/td>\r\n	    <\/tr>\r\n\r\n	<\/form>\r\n	  <\/table>\r\n\r\n\r\n	<script language="Javascript"><!--\r\n	function AEFormName_checkFormImage(formObj){\r\n		\r\n		return true;\r\n	}\r\n	\/\/--><\/script>\r\n\r\n\r\n	\r\n	<script language="Javascript"><!--\r\n	function AE_checkFormFieldsAEFormName(formObj){\r\n	\/\/ DW\r\n	\/\/		If and only If a file is uploaded we want to display a dialog\r\n	\/\/		telling the user their file is being uploaded.\r\n	\/\/		If FileUploaded = 1 then we need to dispaly a popup to the user.\r\n	var FileUploaded = 0;\r\n		\r\n			\/\/ cfswitch handles js checking for each field type\r\n			\r\n							if(formObj.Email.value == ""){\r\n								alert("Please enter an email address.");\r\n								formObj.Email.focus();\r\n								return false;\r\n							}\r\n						\r\n					if(formObj.Email.value != "" && formObj.EmailEmailValidation.value.toLowerCase() == "true"){\r\n						var emailRe = \/^\\w+([\\.-]?\\w+)*@\\w+([\\.-]?\\w+)*\\.(\\w{2}|(com|net|org|edu|int|mil|gov|arpa|biz|aero|name|coop|info|pro|museum))$\/\r\n                  		if(!formObj.Email.value.match(emailRe)){\r\n							alert("Please enter a properly formatted email address, such as \'john.doe@some-domain.com\'");\r\n							formObj.Email.focus();\r\n							return false;\r\n						}\r\n					}\r\n				\r\n			\/\/ cfswitch handles js checking for each field type\r\n			\r\n					var fieldLengths = formObj.LoginPhone1_Lengths.value.split(\',\');\r\n					var LengthA = fieldLengths[0] * 1;\r\n					var LengthB = fieldLengths[1] * 1;\r\n					var LengthC = fieldLengths[2] * 1;\r\n\r\n					\r\n					\r\n					if((formObj.LoginPhone1a.value != "" || formObj.LoginPhone1b.value != ""\r\n							|| formObj.LoginPhone1c.value != ""\r\n							|| (formObj.LoginPhone1d && formObj.LoginPhone1d.value != ""))\r\n						&&\r\n						!(formObj.LoginPhone1a.value.length == LengthA && formObj.LoginPhone1b.value.length == LengthB\r\n							&& formObj.LoginPhone1c.value.length == LengthC)\r\n					  ){\r\n							\r\n								alert("Please fill the phone number in completely, or leave it blank.");\r\n							\r\n							if(formObj.LoginPhone1a.value.length != LengthA)formObj.LoginPhone1a.select();\r\n							else if(formObj.LoginPhone1b.value.length != LengthB)formObj.LoginPhone1b.select();\r\n							else if(formObj.LoginPhone1c.value.length != LengthC)formObj.LoginPhone1c.select();\r\n							return false;\r\n					}\r\n					if(formObj.LoginPhone1a.value != ""){\r\n						if(formObj.LoginPhone1a.value.length < LengthA){\r\n							alert("\\rYou have entered an incomplete or invalid phone number");\r\n							formObj.LoginPhone1a.select();\r\n							return false;\r\n						}\r\n						if(formObj.LoginPhone1a.value.toString().indexOf(".")!=-1){\r\n							alert("\\rYou have entered an incomplete or invalid phone number");\r\n							formObj.LoginPhone1a.select();\r\n							return false;\r\n						}\r\n						if(isNaN(formObj.LoginPhone1a.value) || formObj.LoginPhone1a.value == "   "){\r\n							alert("The Phone Number must be numeric");\r\n							formObj.LoginPhone1a.select();\r\n							return false;\r\n						}\r\n					}\r\n					if(formObj.LoginPhone1b.value != ""){\r\n						if(formObj.LoginPhone1b.value.length < LengthB){\r\n							alert("\\rYou have entered an incomplete or invalid phone number");\r\n							formObj.LoginPhone1b.select();\r\n							return false;\r\n						}\r\n						if(formObj.LoginPhone1b.value.toString().indexOf(".")!=-1){\r\n							alert("\\rYou have entered an incomplete or invalid phone number");\r\n							formObj.LoginPhone1b.select();\r\n							return false;\r\n						}\r\n						if(isNaN(formObj.LoginPhone1b.value) || formObj.LoginPhone1a.value == "   "){\r\n							alert("The Phone Number must be numeric");\r\n							formObj.LoginPhone1b.select();\r\n							return false;\r\n						}\r\n					}\r\n					if(formObj.LoginPhone1c.value != ""){\r\n						if(formObj.LoginPhone1c.value.length < LengthC){\r\n							alert("\\rYou have entered an incomplete or invalid phone number");\r\n							formObj.LoginPhone1c.select();\r\n							return false;\r\n						}\r\n						if(formObj.LoginPhone1c.value.toString().indexOf(".")!=-1){\r\n							alert("\\rYou have entered an incomplete or invalid phone number");\r\n							formObj.LoginPhone1c.select();\r\n							return false;\r\n						}\r\n						if(isNaN(formObj.LoginPhone1c.value) || formObj.LoginPhone1a.value == "    "){\r\n							alert("The Phone Number must be numeric");\r\n							formObj.LoginPhone1c.select();\r\n							return false;\r\n						}\r\n					}\r\n				\r\n			\/\/ cfswitch handles js checking for each field type\r\n			\r\n			\/\/ cfswitch handles js checking for each field type\r\n			\r\n			\/\/ cfswitch handles js checking for each field type\r\n			\r\n					var DaysInMonth = new Array("0","31","28","31","30","31","30","31","31","30","31","30","31");\r\n					if(!formObj.DateOfBirthTimeOnly){\r\n						if(!formObj.DateOfBirthMonthOnly){\r\n							var CurrFieldDay = formObj.DateOfBirthDay.value;\r\n							var CurrFieldYear = parseInt(formObj.DateOfBirthYear.value);\r\n							if(CurrFieldDay != ""){\r\n								CurrFieldDay = parseInt(CurrFieldDay);\r\n							}\r\n						}\r\n						var CurrFieldMonth = parseInt(formObj.DateOfBirthMonth.selectedIndex);\r\n					}\r\n					if(formObj.DateOfBirthMinute){\r\n						var CurrFieldMinute = formObj.DateOfBirthMinute.value;\r\n						var CurrFieldHour = formObj.DateOfBirthHour.value;\r\n					}\r\n					\r\n						currIsRequired = false;\r\n					\r\n					\/\/ The following loop will determine that a date is valid...\r\n					\/\/ If we only have a month we only need to make sure it is selcteds IF required...\r\n					\/\/ so there is no checking needed here for dates with the attribute MonthOnly\r\n					if( (!formObj.DateOfBirthMonthOnly) \r\n						){\r\n						if(CurrFieldDay != "" || CurrFieldYear != 0 || CurrFieldMonth != 0 || CurrFieldMinute != 0){\r\n							if(!formObj.DateOfBirthTimeOnly && isNaN(CurrFieldDay)){\r\n								alert("You have entered a non-numeric value for a day");\r\n								formObj.DateOfBirthDay.focus();\r\n								return false;\r\n							}\r\n							if(formObj.DateOfBirthMinute){\r\n								if(isNaN(CurrFieldMinute)){\r\n									alert("You have entered a non-numeric value for minutes");\r\n									formObj.DateOfBirthMinute.focus();\r\n									return false;\r\n								}\r\n							}\r\n							if(formObj.DateOfBirthMinute){\r\n								if(CurrFieldMinute == ""){\r\n									alert("You have not entered any minutes");\r\n									formObj.DateOfBirthMinute.focus();\r\n									return false;\r\n								}\r\n								if(formObj.DateOfBirthAMPM.selectedIndex == 0){\r\n									alert("You have not selected the AM\/PM Status");\r\n									formObj.DateOfBirthAMPM.focus();\r\n									return false;\r\n								}\r\n								if(formObj.DateOfBirthHour.selectedIndex == 0){\r\n									alert("You have not selected the Hour");\r\n									formObj.DateOfBirthHour.focus();\r\n									return false;\r\n								}\r\n							}\r\n							if(!formObj.DateOfBirthTimeOnly){\r\n								if(formObj.DateOfBirthYear && CurrFieldYear != 0 && formObj.DateOfBirthYear.value != ""){\r\n									if(isNaN(CurrFieldYear) || formObj.DateOfBirthYear.value.length != 4\r\n										|| CurrFieldYear < 1753){\r\n										alert("Please enter a valid four digit year.");\r\n										formObj.DateOfBirthYear.focus();\r\n										return false;\r\n									}\r\n								}\r\n								\r\n									if(currIsRequired || (formObj.DateOfBirthYear.type != \'hidden\' && CurrFieldYear != 0 && formObj.DateOfBirthYear.value != "") || CurrFieldMonth != 0 || CurrFieldDay != ""){\r\n								\r\n\r\n									if(CurrFieldMonth == 0){\r\n										alert("You have not selected a month.");\r\n										formObj.DateOfBirthMonth.focus();\r\n										return false;\r\n									}\r\n									if(CurrFieldDay < 0){\r\n										alert("You have entered an invalid date.  Negative numbers are not allowed.");\r\n										formObj.DateOfBirthDay.focus();\r\n										return false;\r\n									}\r\n									if(CurrFieldDay == ""){\r\n										alert("You have not entered a date.");\r\n										formObj.DateOfBirthDay.focus();\r\n										return false;\r\n									}\r\n									if(CurrFieldYear == 0){\r\n										alert("You have not selected a year.");\r\n										formObj.DateOfBirthYear.focus();\r\n										return false;\r\n									}\r\n								}\r\n								if(CurrFieldDay > DaysInMonth[CurrFieldMonth]){\r\n									if(CurrFieldMonth == 2 && CurrFieldDay == 29){\r\n										if(Math.round(CurrFieldYear - (Math.floor(CurrFieldYear\/4)*4)) != 0){\r\n											alert("You have entered an invalid date.  There are only 28 days in February for the selected year");\r\n											formObj.DateOfBirthDay.focus();\r\n											return false;\r\n										}\r\n									}else{\r\n										var MonthNames = new Array("","January","February","March","April","May","June","July","Auguest","September","October","November","December");\r\n										alert("You have entered an invalid date.  There are only "+DaysInMonth[CurrFieldMonth]+" days in "+ MonthNames[CurrFieldMonth]);\r\n										formObj.DateOfBirthDay.focus();\r\n										return false;\r\n									}\r\n								}\r\n							}\r\n						}\r\n						if(formObj.DateOfBirthDateAfter){\r\n							\r\n						}\r\n					}\r\n				\r\n			\/\/ cfswitch handles js checking for each field type\r\n			\r\n					var tmpRegExp = new RegExp(",");\r\n					while(tmpRegExp.test(formObj.zipcode.value)){\r\n						formObj.zipcode.value = formObj.zipcode.value.replace(tmpRegExp,"");\r\n					}\r\n\r\n					\/\/ Make sure the value is only a number (Decimals are okay)\r\n					if(formObj.zipcode.value != ""){\r\n						if(isNaN(formObj.zipcode.value)){\r\n							\r\n								alert("The field titled \\"Zip Code<span style=\\\'color:red\\\'>*<\/span>&nbsp;\\" is required.  This field must be numeric.");\r\n							\r\n							formObj.zipcode.focus();\r\n							return false;\r\n						}\r\n					}\r\n					\/\/ If required make sure the value has Integers Only (No Decimals)\r\n					if(formObj.zipcodeIntegersOnly.value.toLowerCase() == "true"){\r\n						if(formObj.zipcode.value.toString().indexOf(".")!=-1){\r\n							\r\n								alert("The field titled \\"Zip Code<span style=\\\'color:red\\\'>*<\/span>&nbsp;\\" is required.  This field may not contain decimals.");\r\n							\r\n							formObj.zipcode.focus();\r\n							return false;\r\n						}\r\n					}\r\n\r\n					if(formObj.zipcodeGreaterThan.value != ""){\r\n						var ComparisonField = eval(\'formObj.\'+formObj.zipcodeGreaterThan.value+\'.value\');\r\n						if(parseFloat(formObj.zipcode.value) <= parseFloat(ComparisonField)){\r\n							\r\n								alert("The field titled \\"Zip Code<span style=\\\'color:red\\\'>*<\/span>&nbsp;\\" is required");\r\n							\r\n							formObj.zipcode.focus();\r\n							return false;\r\n						}\r\n					}\r\n\r\n					if(formObj.zipcodeGreaterThanEqual.value != ""){\r\n						var ComparisonField = eval(\'formObj.\'+formObj.zipcodeGreaterThanEqual.value+\'.value\');\r\n						if(parseFloat(formObj.zipcode.value) < parseFloat(ComparisonField)){\r\n							\r\n								alert("The field titled \\"Zip Code<span style=\\\'color:red\\\'>*<\/span>&nbsp;\\" is required");\r\n							\r\n							formObj.zipcode.focus();\r\n							return false;\r\n						}\r\n					}\r\n\r\n					if(formObj.zipcodeMinimum.value != ""){\r\n						if(parseFloat(formObj.zipcode.value) < parseFloat(formObj.zipcodeMinimum.value)){\r\n							\r\n								alert("The field titled \\"Zip Code<span style=\\\'color:red\\\'>*<\/span>&nbsp;\\" is required");\r\n							\r\n							formObj.zipcode.focus();\r\n							return false;\r\n						}\r\n					}\r\n\r\n					if(formObj.zipcodeMaximum.value != ""){\r\n						if(parseFloat(formObj.zipcode.value) > parseFloat(formObj.zipcodeMaximum.value)){\r\n							\r\n								alert("The field titled \\"Zip Code<span style=\\\'color:red\\\'>*<\/span>&nbsp;\\" is required");\r\n							\r\n							formObj.zipcode.focus();\r\n							return false;\r\n						}\r\n					}\r\n				\r\n			if(FileUploaded == 1){\r\n				window.open(\'\/cns\/alias\/fileuploadprogress.cfm\',\'\',\'toolbar=0,scrollbars=0,statusbar=0,menubar=0,resizable=0,width=300,height=150\');\r\n			}\r\n		\r\n		return true;\r\n	}\r\n\r\n	function enableCheckedDatesAEFormName(){\r\n		\r\n	}\r\n	if(window.onload != null){\r\n		var temp = window.onload;\r\n		temp();\r\n	}\r\n	window.onload=enableCheckedDatesAEFormName;\r\n	\/\/-->\r\n	<\/script>\r\n\r\n<!-- m_aeform.cfm end finish -->\r\n\r\n		 <p class="fieldtitle">Powered by <a href="http:\/\/www.mywirelessreminder.com">mywirelessreminder.com<\/a>&reg;<\/p>\r\n'); 