function textboxFocus(item) { item.style.backgroundColor = "#FFF5EE";}function textboxBlur(item) { item.style.backgroundColor = "#FFEEBB";}function formButtonClicked() {var validInput = true;var fname = document.getElementById('fname').value;if (fname.length < 1) {validInput = false;document.getElementById('fnameStar').style.color = '#FF0000';document.getElementById('fname').style.backgroundColor = '#FFDDDD';}else {document.getElementById('fnameStar').style.color = '#000000';document.getElementById('fname').style.backgroundColor = '#FFEEBB';}var customField1 = document.getElementById('customField1').value;if (customField1.length < 1) {validInput = false;document.getElementById('customField1Star').style.color = '#FF0000';document.getElementById('customField1').style.backgroundColor = '#FFDDDD';}else {document.getElementById('customField1Star').style.color = '#000000';document.getElementById('customField1').style.backgroundColor = '#FFEEBB';}var customField2 = document.getElementById('customField2').value;if (customField2.length < 1) {validInput = false;document.getElementById('customField2Star').style.color = '#FF0000';document.getElementById('customField2').style.backgroundColor = '#FFDDDD';}else {document.getElementById('customField2Star').style.color = '#000000';document.getElementById('customField2').style.backgroundColor = '#FFEEBB';}var customField3 = document.getElementById('customField3').value;if (customField3.length < 1) {validInput = false;document.getElementById('customField3Star').style.color = '#FF0000';document.getElementById('customField3').style.backgroundColor = '#FFDDDD';}else {document.getElementById('customField3Star').style.color = '#000000';document.getElementById('customField3').style.backgroundColor = '#FFEEBB';}var customField4 = document.getElementById('customField4').value;if (customField4.length < 1) {validInput = false;document.getElementById('customField4Star').style.color = '#FF0000';document.getElementById('customField4').style.backgroundColor = '#FFDDDD';}else {document.getElementById('customField4Star').style.color = '#000000';document.getElementById('customField4').style.backgroundColor = '#FFEEBB';}var customField5 = document.getElementById('customField5').value;if (customField5.length < 1) {validInput = false;document.getElementById('customField5Star').style.color = '#FF0000';document.getElementById('customField5').style.backgroundColor = '#FFDDDD';}else {document.getElementById('customField5Star').style.color = '#000000';document.getElementById('customField5').style.backgroundColor = '#FFEEBB';}var company = document.getElementById('company').value;if (company.length < 1) {validInput = false;document.getElementById('companyStar').style.color = '#FF0000';document.getElementById('company').style.backgroundColor = '#FFDDDD';}else {document.getElementById('companyStar').style.color = '#000000';document.getElementById('company').style.backgroundColor = '#FFEEBB';}var subject = document.getElementById('subject').value;if (subject == '0') {validInput = false;document.getElementById('subjectStar').style.color = '#FF0000';document.getElementById('subject').style.backgroundColor = '#FFDDDD';}else {document.getElementById('subjectStar').style.color = '#000000';document.getElementById('subject').style.backgroundColor = '#FFEEBB';}var lname = document.getElementById('lname').value;if (lname.length < 1) {validInput = false;document.getElementById('lnameStar').style.color = '#FF0000';document.getElementById('lname').style.backgroundColor = '#FFDDDD';}else {document.getElementById('lnameStar').style.color = '#000000';document.getElementById('lname').style.backgroundColor = '#FFEEBB';}var validEmail = true;var email = document.getElementById('email').value;validEmail = (email.indexOf('.') > 0) && (email.indexOf('@') > 0);if (email.length < 1) {validInput = false;}if (email.length < 1 || !validEmail) {document.getElementById('emailStar').style.color = '#FF0000';document.getElementById('email').style.backgroundColor = '#FFDDDD';}else {document.getElementById('emailStar').style.color = '#000000';document.getElementById('email').style.backgroundColor = '#FFEEBB';}if (!validInput || !validEmail) {  if (!validEmail && validInput) {alert('The email address you typed in is not valid.');}else {alert('Form is not complete. Please complete items marked in red.');}}else {if (document.getElementById('webPastiesForm') == null) {alert('Please remove the existing <form> tag from this web page. It is creating a conflict.');return;}document.getElementById('pastiesSubmitButton').value = 'Please Wait...';document.getElementById('webPastiesForm').submit();}}document.writeln("<style type='text/css'>");document.writeln(".textboxStyle{margin-bottom:4px;font-family:Helvetica,Arial,sans-serif;font-weight:bold;font-size:10pt;color: #2266AA;background: #FFEEBB;border:#2266AA solid 1px;padding-top:3px;padding-bottom:1px;padding-left:2px;padding-right:3px;}");document.writeln(".textboxStyle:focus{margin-bottom:4px;font-family:Helvetica,Arial,sans-serif;font-weight:bold;font-size:10pt;color: #2266AA;background: #FFF5EE;border:#2266AA solid 1px;padding-top:3px;padding-bottom:1px;padding-left:2px;padding-right:3px;}");document.writeln(".labelStyle {margin-bottom:4px;color:#000000;font-size:10pt;font-family:Helvetica,Arial,sans-serif;font-weight:plain;}");document.writeln("</style> ");document.writeln("<Form enctype='multipart/form-data' id='webPastiesForm' name='webPastiesForm' action='http://www.webpasties.com/prod_form_mail/submit_form_mail.php?mid=732&fid=6921' method='post'>");document.writeln("<input type='hidden' name='MAX_FILE_SIZE' value='7680000' />");document.writeln("<INPUT type='hidden' name='id' value='6921'>");document.writeln("<INPUT type='hidden' name='member_id' value='732'>");document.writeln("<fieldset style='padding-left:8px;padding-right:8px;padding-top:8px;padding-bottom:8px;border:1px solid #2266AA;;background-color:#FFFFFF' id='pickle'>");document.writeln("<legend style='background-color:#FFBB00;padding-left:4px;padding-right:4px;padding-top:3px;padding-bottom:2px;border:1px solid #2266AA;color:#000000;font-style:normal;font-weight:bold;font-size:10pt;;'>Fifth World Health Organisation (5WHO)</legend>");document.writeln("<table border='0'cellpadding='2' style='background-color:#FFFFFF'>");document.writeln("<TR>");document.writeln("<TD width='20%' NOWRAP class='labelStyle'>");document.writeln("First Name:");document.writeln("<span id='fnameStar'> * </span>");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln("<input  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);' class='textboxStyle' id='fname' name='fname'  type='text' value=''>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD width='20%' NOWRAP  class='labelStyle'>");document.writeln("Last Name:");document.writeln("<span id='lnameStar'> * </span>");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln("<input  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);'  class='textboxStyle' id='lname' name='lname'  type='text' value=''>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD  width='20%' NOWRAP class='labelStyle'>");document.writeln("Nation/Micronation:");document.writeln(" <span id='companyStar'> * </span>");document.writeln(" ");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln("<input  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);'  class='textboxStyle'  id='company' name='company'  type='text'>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD  width='20%' NOWRAP class='labelStyle'>");document.writeln("Pro Email Address:");document.writeln(" <span id='emailStar'> * </span> ");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln("<input  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);'  class='textboxStyle'  id='email' name='email'  type='text' value=''>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD width='20%' NOWRAP  class='labelStyle'>");document.writeln("Country of Residence");document.writeln(" <span id='customField1Star'> * </span>");document.writeln(" ");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln("<input  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);'  class='textboxStyle' id='customField1' name='customField1'  type='text'>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD width='20%' NOWRAP  class='labelStyle'>");document.writeln("Profession or Modality");document.writeln(" <span id='customField2Star'> * </span>");document.writeln(" ");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln("<input  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);'  class='textboxStyle'  id='customField2' name='customField2'  type='text'>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD  width='20%' NOWRAP class='labelStyle'>");document.writeln("Certification/Qualification:");document.writeln(" <span id='customField3Star'> * </span>");document.writeln(" ");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln("<input  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);' class='textboxStyle'  id='customField3' name='customField3'  type='text'>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD  width='20%' onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);'  NOWRAP class='labelStyle'>");document.writeln("Related Education (if any):");document.writeln(" <span id='customField4Star'> * </span>");document.writeln(" ");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln("<input  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);'  class='textboxStyle'  id='customField4' name='customField4'  type='text'>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD  width='20%' NOWRAP class='labelStyle'>");document.writeln("Pro Organisation (member)");document.writeln(" <span id='customField5Star'> * </span>");document.writeln(" ");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln("<input  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);'  class='textboxStyle'  id='customField5' name='customField5'  type='text'>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD  width='20%' NOWRAP class='labelStyle'>");document.writeln("Subject:");document.writeln(" <span id='subjectStar'> * </span>");document.writeln(" ");document.writeln("</TD>");document.writeln("<TD width='80%'>");document.writeln(" <select  class='textboxStyle'  onfocus='JavaScript:textboxFocus(this);' onblur='JavaScript:textboxBlur(this);'  id='subject' name='subject'>");document.writeln("<option value='0'>-- Choose from List --</option>");document.writeln("<option value='1'>5WHO Application</option>");document.writeln("<option value='2'>Inquiry about Professional</option>");document.writeln("</select>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("<TR>");document.writeln("<TD colspan='2' align='center'>");document.writeln("<input style='border-color:#99CCFF;padding-top:2px;color:#000000;font-size:10pt;background-color:#FFBB00;font-family:Helvetica,Arial,sans-serif;font-weight:bold;' type='button' id='pastiesSubmitButton' onclick='JavaScript:formButtonClicked();' value='Submit Form'>");document.writeln("</TD>");document.writeln("</TR>");document.writeln("</table>");document.writeln("</fieldset>");document.writeln("</form>");