
function CheckField23885(fldName){ if ( document.frmLB23885[fldName].length ) { for ( var i = 0, l = document.frmLB23885[fldName].length; i < l; i++ ) {  if (  document.frmLB23885[fldName].type =='select-one' ) {   if ( document.frmLB23885[fldName][i].selected ) { return true; }    }  else    {     if ( document.frmLB23885[fldName][i].checked ) { return true; }    }; } return false; } else { document.frmLB23885[fldName].focus(); return (document.frmLB23885[fldName].value.length > 0);}}
function rmspaces(x) {var leftx = 0;var rightx = x.length -1;while ( x.charAt(leftx) == ' ') { leftx++; }while ( x.charAt(rightx) == ' ') { --rightx; }var q = x.substr(leftx,rightx-leftx + 1);if ( (leftx == x.length) && (rightx == -1) ) { q =''; } return(q); }
function checkfield(data) {if (rmspaces(data) == ""){return false;}else {return true;}}
function isemail(data) {var flag = false;if (  data.indexOf("@",0)  == -1 || data.indexOf("\\",0)  != -1 ||data.indexOf("/",0)  != -1 ||!checkfield(data) ||  data.indexOf(".",0)  == -1  ||  data.indexOf("@")  == 0 ||data.lastIndexOf(".") < data.lastIndexOf("@") ||data.lastIndexOf(".") == (data.length - 1)   ||data.lastIndexOf("@") !=   data.indexOf("@") ||data.indexOf(",",0)  != -1 ||data.indexOf(":",0)  != -1 ||data.indexOf(";",0)  != -1  ) {return flag;} else {var temp = rmspaces(data);if (temp.indexOf(' ',0) != -1) { flag = true; }var d3 = temp.lastIndexOf('.') + 4;var d4 = temp.substring(0,d3);var e2 = temp.length  -  temp.lastIndexOf('.')  - 1;var i1 = temp.indexOf('@');if (  (temp.charAt(i1+1) == '.') || ( e2 > 4 )  ||  ( e2 < 2 ) ) { flag = true; }return !flag;}}
function _checkSubmit23885(){
if ( !CheckField23885("fldfield9") ) { 
   alert("Please enter the Company Name");
   return false;
}
if ( !CheckField23885("fldfirstname") ) { 
   alert("Please enter the First Name");
   return false;
}
if ( !CheckField23885("fldlastname") ) { 
   alert("Please enter the Last Name");
   return false;
}
if ( !isemail(document.frmLB23885["fldEmail"].value) ) { 
   alert("Please enter the Email");
   return false;
}
if ( !CheckField23885("fldfield19") ) { 
   alert("Please enter the Confirm Email");
   return false;
}
 return true; }
 document.write("<div align=\"center\"><form style=\"display:inline;\" action=\"http://lb.benchmarkemail.com//code/lbform\" method=post name=\"frmLB23885\" accept-charset=\"UTF-8\" onsubmit=\"return _checkSubmit23885();\" ><input type=hidden name=successurl value=\"http://www.benchmarkemail.com/Code/ThankYouOptin\" /><input type=hidden name=errorurl value=\"http://lb.benchmarkemail.com//Code/Error\" /><input type=hidden name=token value=\"mFcQnoBFKMSDE0tikkXySeoNbCMyivkXT4FeWHQsycc%3D\" /><input type=hidden name=doubleoptin value=\"\" /><table id=tblFormData23885 width=\"220\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\"  style=\"border: 1px solid #8b8b8b;background: #fffee6;color: #000000; font-family:Arial; font-size:12px\"><tr><td valign=top id=tblForm23885 bgcolor=\"#fffee6\" ><table width='100%' border=0 cellspacing=0 cellpadding=0><tr><td id=tdHeader23885 align=left valign=top bgcolor=\"#494949\"  style=\"color:#ffffff;font-family:Arial;font-size:16px;padding:5px 5px 5px 10px;\"><b>Sign-up</b></td></tr></table><div style=\"padding:20px;\"><table border=0 cellspacing=0 cellpadding=0><tr><td valign=top id=tdIntro23885 align=left style=\"font-family:Arial;font-size:12px;color:#000000;\">Sign-up for our newsletters<br /></td></tr></table><table id=tblFieldData23885 border=0 cellpadding=0 cellspacing=0 style=\"background: #fffee6;color: #000000; font-family:Arial; font-size:12px\"><tr><td valign=top align=left style='padding:0px 0px 10px 0px'><div style='width:120px;float:left;padding-top:5px;'><b>Company Name <span style='color:#CC0000;font-size:125%;'> *</span> </b></div><br clear=all /><div style='float:left;padding-top:3px;'><input type=text style='width:180px' name=fldfield9 maxlength=100 /></div></td></tr><tr><td valign=top align=left style='padding:0px 0px 10px 0px'><div style='width:120px;float:left;padding-top:5px;'><b>First Name <span style='color:#CC0000;font-size:125%;'> *</span> </b></div><br clear=all /><div style='float:left;padding-top:3px;'><input type=text style='width:180px' name=fldfirstname maxlength=100 /></div></td></tr><tr><td valign=top align=left style='padding:0px 0px 10px 0px'><div style='width:120px;float:left;padding-top:5px;'><b>Last Name <span style='color:#CC0000;font-size:125%;'> *</span> </b></div><br clear=all /><div style='float:left;padding-top:3px;'><input type=text style='width:180px' name=fldlastname maxlength=100 /></div></td></tr><tr><td valign=top align=left style='padding:0px 0px 10px 0px'><div style='width:120px;float:left;padding-top:5px;'><b>Email <span style='color:#CC0000;font-size:125%;'> *</span> </b></div><br clear=all /><div style='float:left;padding-top:3px;'><input type=text style='width:180px' name=fldEmail maxlength=100 /></div></td></tr><tr><td valign=top align=left style='padding:0px 0px 10px 0px'><div style='width:120px;float:left;padding-top:5px;'><b>Confirm Email <span style='color:#CC0000;font-size:125%;'> *</span> </b></div><br clear=all /><div style='float:left;padding-top:3px;'><input type=text style='width:180px' name=fldfield19 maxlength=100 /></div></td></tr></table></div></td></tr><tr><td valign=top id='tdSep23885' style='background-color:#8b8b8b;padding:0px;' ><img src='http://lb.benchmarkemail.com//images/blank.gif' height=1 width=1 /></td></tr><tr><td valign=top style='padding-top:10px;padding-bottom:10px;' align=center><input type=\"submit\" id=\"btnSubmit\" value=\"Save\" style='font-size:12px;font-family:Arial;padding-left:10px;padding-right:10px;color:#000000;' /></td></tr></table><table id=\"tblRequiredField23885\" width=\"220\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\" ><tr><td align=right style='font-size:10px;'>* Required Field </td></tr></table></form></div><!-- BEGIN: Email Marketing By Benchmark Email ------><div align=\"center\" style=\"padding-top:5px;font-family:Arial,Helvetica,sans-serif;font-size:10px;color:#999999;\"><a href=\"http://www.benchmarkemail.com\" target=_new style=\"text-decoration:none;font-family:Arial,Helvetica,sans-serif;font-size:10px;color:#999999;\">Email Marketing</a> by Benchmark Email</div>");