String.prototype.trim1 = 
 function trimblanks() { return this.split(/\s/).join(''); };
function valid()
{
	 if(document.getElementsByName("first_name")[0].value.trim1()==""){
		 alert("Please Enter First Name");
		 document.getElementsByName("first_name")[0].focus();
	     document.getElementsByName("first_name")[0].select();
		 return false;
	 }
	 if(!isNaN(document.getElementsByName("first_name")[0].value.trim1())){
          alert("Please Enter Valid First Name");
		  document.getElementsByName("first_name")[0].focus();
		  document.getElementsByName("first_name")[0].select();
		  return false;
	 }
     if(document.getElementsByName("last_name")[0].value.trim1()==""){
		 alert("Please Enter Legal Last Name");
		 document.getElementsByName("last_name")[0].focus();
		 document.getElementsByName("last_name")[0].select();
		 return false;
	 }
	  if(!isNaN(document.getElementsByName("last_name")[0].value.trim1())){
          alert("Please Enter Valid Legal Last Name");
		  document.getElementsByName("last_name")[0].focus();
		  document.getElementsByName("last_name")[0].select();
		  return false;
	 }
	  if(document.getElementsByName("email")[0].value.trim1()==""){
		 alert("Please Enter Email");
		 document.getElementsByName("email")[0].focus();
		 return false;
	 }
	 
	 var emailPat = /^([a-zA-Z0-9])+([\.a-zA-Z0-9_-])*@([a-zA-Z0-9])+(\.[a-zA-Z0-9_-]+)+$/; 
	 if(!emailPat.test(document.getElementsByName("email")[0].value.trim1()))
		{
			alert("Your email address is invalid. Please try again !!");			
 			document.getElementsByName("email")[0].focus();
            document.getElementsByName("email")[0].select();
  			return false ;
	    }
	 if(document.getElementsByName("phone1")[0].value.trim1()==""){
		 alert("Please Enter Phone Number");
		 document.getElementsByName("phone1")[0].focus();
		 document.getElementsByName("phone1")[0].select();
		 return false;
	 }
     phoneval=document.getElementsByName("phone1")[0].value
     var phonePat=/^\d{3}$/;
     var matchArray = phoneval.match(phonePat);
     if(!phonePat.test(phoneval))
      {
	    alert("Please Enter a Valid  Phone Number ");
	    document.getElementsByName("phone1")[0].select();
        return false;
	  }
    	 if(document.getElementsByName("phone2")[0].value.trim1()==""){
		 alert("Please Enter Phone Number");
		 document.getElementsByName("phone2")[0].focus();
		  document.getElementsByName("phone2")[0].select();
		 return false;
	 }
     phoneval=document.getElementsByName("phone2")[0].value
     var phonePat=/^\d{3}$/;
     var matchArray = phoneval.match(phonePat);
     if(!phonePat.test(phoneval))
      {
	    alert("Please Enter a Valid  Phone Number ");
	    document.getElementsByName("phone2")[0].select();
        return false;
	  }
	  	 if(document.getElementsByName("phone3")[0].value.trim1()==""){
		 alert("Please Enter Phone Number");
		 document.getElementsByName("phone3")[0].focus();
		  document.getElementsByName("phone3")[0].select();
		 return false;
	 }
     phoneval=document.getElementsByName("phone3")[0].value
     var phonePat=/^\d{4}$/;
     var matchArray = phoneval.match(phonePat);
     if(!phonePat.test(phoneval))
      {
	    alert("Please Enter a Valid  Phone Number ");
	    document.getElementsByName("phone3")[0].select();
        return false;
	  }

   /*if(document.getElementsByName("additional_phone")[0].value.trim1()!=""){
        phoneval=document.getElementsByName("additional_phone")[0].value
        var phonePat=/^\d{10}$/;
        var matchArray = phoneval.match(phonePat);
        if(!phonePat.test(phoneval))
        {
	      alert("Please Enter a Valid Alternate Phone Number ");
	      document.getElementsByName("additional_phone")[0].select();
          return false;

       }
     }*/

   if(!(document.getElementsByName("treatment1")[0].checked || document.getElementsByName("treatment2")[0].checked || document.getElementsByName("treatment3")[0].checked || document.getElementsByName("treatment4")[0].checked  || document.getElementsByName("treatment5")[0].checked)  ){
	    alert("Please Select Payment for Treatment");
	      document.getElementsByName("treatment1")[0].focus();
          return false;
   }

   document.getElementById("rep").innerHTML='Processing......';
}

function call5(event) {
	if ((event.keyCode >= 48 && event.keyCode <= 57) || (event.keyCode >= 96 && event.keyCode <= 105))    
    {
	               if(document.getElementsByName("phone1")[0].value.length==3)
	                   {
					   document.getElementsByName("phone2")[0].focus();
					   return false;
	                    }
                }
}

function call6(event) {
	if ((event.keyCode >= 48 && event.keyCode <= 57) || (event.keyCode >= 96 && event.keyCode <= 105))    
    {
	               if(document.getElementsByName("phone2")[0].value.length==3)
	                 {
					   document.getElementsByName("phone3")[0].focus();
					   return false;
	                }
                }
}