<!-- Original:  Wayne Nolting (w.nolting@home.com) -->

<!-- This script and many more are available free online at -->
<!-- The JavaScript Source!! http://javascript.internet.com -->

<!-- Begin
function verify2() {
var themessage = "You are required to complete the following fields: ";
if (document.form.i_agree.value=="") {
themessage = themessage + " - AGREE";
}
if (document.form.name.value=="") {
themessage = themessage + " -  Name";
}
if (document.form.day.value=="DAY") {
themessage = themessage + " -  Day";
}
if (document.form.month.value=="MONTH") {
themessage = themessage + " -  Month";
}
if (document.form.year.value=="YEAR") {
themessage = themessage + " -  Year";
}
if (document.form.address.value=="") {
themessage = themessage + " -  Address";
}
//alert if fields are empty and cancel form submit
if (themessage == "You are required to complete the following fields: ") {
document.form.submit();
}
else {
alert(themessage);
return false;
   }
}
//  End -->