document.write('<style type="text/css">');
document.write('');
document.write('</style>');

document.write('<table>');
document.write('<form action="http://service.clearservice.com:80/spotcheck/webforms/processform.jsp" onsubmit="return validate()" name="MainForm">');
document.write('<input type="hidden" name="WebformID" value="9">');
document.write('<input type="hidden" name="ServiceQueueID" value="154">');
document.write('<tr><td class="intro" style="font-family:Default; color:Black; font-size:12" colspan="2"><p style="text-align: center"><span style="color: #800000"><a target="_blank" href="http://www.spotcheckservices.com/pp.htm">Click Here to View Privacy Policy</a></span></p><p style="text-align: center">Our solutions provide instant access to critical information regarding front-line employee performance specific<br />to brand representation, product knowledge, promotion and customer service. This empowers frontline managers <br />to quickly correct deficits and enhance employee performance that directly impacts the bottom line.<br /><br />Interactive user interface that grants customized reports and targeted data through an enterprise-wide, <br />real live-time view of customer experiences at each delivery point.<br /><br />Secure and reliable technology platform for storage and dissemination of proprietary information<br /><br />To date, there are a vast number of companies in North America providing these services separately, <br />but Spot Check Services Ltd. is the first to put the information under one umbrella and provide you the client<br />with real live time access and the ability cross compare and view the information as you wish.<br />Have questions, feel free to contact us at your convenience</p></td></tr>');

    document.write('<tr><td style="font-family:Default; color:black; font-size:12">First Name *</td><td><input style="font-family:Default; color:Black; font-size:12" type="text" size="30" name="FirstName"></td></tr>');
    
    document.write('<tr><td style="font-family:Default; color:black; font-size:12">Last Name *</td><td><input style="font-family:Default; color:Black; font-size:12" type="text" size="30" name="LastName"></td></tr>');
    
    document.write('<tr><td style="font-family:Default; color:black; font-size:12">Company Name *</td><td><input style="font-family:Default; color:Black; font-size:12" type="text" size="30" name="CompanyName"></td></tr>');
    
    document.write('<tr><td style="font-family:Default; color:black; font-size:12">Company Position </td><td><input style="font-family:Default; color:Black; font-size:12" type="text" size="30" name="CompanyPosition"></td></tr>');
    
    document.write('<tr><td style="font-family:Default; color:black; font-size:12">Business Phone *</td><td><input style="font-family:Default; color:Black; font-size:12" type="text" size="30" name="BusinessPhone"></td></tr>');
    
    document.write('<tr><td style="font-family:Default; color:black; font-size:12">E Mail Address *</td><td><input style="font-family:Default; color:Black; font-size:12" type="text" size="30" name="EMailAddress"></td></tr>');
    
   document.write('\n');
    document.write('');
   
   document.write('\n');
   document.write('');
   
    document.write('<input type="hidden" name="QuestionMax" value="0">');
    
    document.write('<tr><td><input class="checkbox" type="checkbox" name="MarketingGroup1"  checked ></td><td style="font-family:Default; color:Black; font-size:12">SCS: The LEADERS in Customer Service Solutions</td></tr>');
    
document.write('<tr><td align="center" colspan="2"><input style="font-family:Default; color:Black; font-size:12" type="submit" name="Submit" value="Submit"></td></tr>');
document.write('</form>');
document.write('</table>');

<!-- now write the javascript to validate the required fields -->
function validate(){

if(document.MainForm.FirstName.type!="select-one" && document.MainForm.FirstName.value==""){
   // alert(document.MainForm.FirstName.type);
    alert('Please Fill In All Values With A *');
    return false;
}else{
   // alert('A2');
    try{
    //alert('A3');
        if(document.MainForm.FirstName.type!="'select-one" && document.MainForm.FirstName.selectedIndex==0){
                alert('Please Fill In All Values With A *');
                return false;
         }   
    }
    catch(err)
    {
     //   alert('error');
    }
}

if(document.MainForm.LastName.type!="select-one" && document.MainForm.LastName.value==""){
   // alert(document.MainForm.LastName.type);
    alert('Please Fill In All Values With A *');
    return false;
}else{
   // alert('A2');
    try{
    //alert('A3');
        if(document.MainForm.LastName.type!="'select-one" && document.MainForm.LastName.selectedIndex==0){
                alert('Please Fill In All Values With A *');
                return false;
         }   
    }
    catch(err)
    {
     //   alert('error');
    }
}

if(document.MainForm.CompanyName.type!="select-one" && document.MainForm.CompanyName.value==""){
   // alert(document.MainForm.CompanyName.type);
    alert('Please Fill In All Values With A *');
    return false;
}else{
   // alert('A2');
    try{
    //alert('A3');
        if(document.MainForm.CompanyName.type!="'select-one" && document.MainForm.CompanyName.selectedIndex==0){
                alert('Please Fill In All Values With A *');
                return false;
         }   
    }
    catch(err)
    {
     //   alert('error');
    }
}

if(document.MainForm.BusinessPhone.type!="select-one" && document.MainForm.BusinessPhone.value==""){
   // alert(document.MainForm.BusinessPhone.type);
    alert('Please Fill In All Values With A *');
    return false;
}else{
   // alert('A2');
    try{
    //alert('A3');
        if(document.MainForm.BusinessPhone.type!="'select-one" && document.MainForm.BusinessPhone.selectedIndex==0){
                alert('Please Fill In All Values With A *');
                return false;
         }   
    }
    catch(err)
    {
     //   alert('error');
    }
}

if(document.MainForm.EMailAddress.type!="select-one" && document.MainForm.EMailAddress.value==""){
   // alert(document.MainForm.EMailAddress.type);
    alert('Please Fill In All Values With A *');
    return false;
}else{
   // alert('A2');
    try{
    //alert('A3');
        if(document.MainForm.EMailAddress.type!="'select-one" && document.MainForm.EMailAddress.selectedIndex==0){
                alert('Please Fill In All Values With A *');
                return false;
         }   
    }
    catch(err)
    {
     //   alert('error');
    }
}

    return true;
}