

function checkEmail(addy) {
if (/^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,3})+$/.test(addy)){
return (true)
}
return (false)
}

function sendIt() {
	
	var NAME = document.form1.NAME.value;
		var PHONE = document.form1.PHONE.value;
			var ZIP = document.form1.ZIP.value;
				var EMAIL = document.form1.EMAIL.value;
					var DOBA = document.form1.DOBA.value;
						var GENDERA = document.form1.GENDERA.value;
							var DOBS = document.form1.DOBS.value;
			
								var GENDERS = document.form1.GENDERS.value;
								var GENDERk1 = document.form1.GENDERk1.value;
								var GENDERk2 = document.form1.GENDERk2.value;
								var GENDERk3 = document.form1.GENDERk3.value;
								var GENDERk4 = document.form1.GENDERk4.value;
								var DOBk1 = document.form1.DOBk1.value;
								var DOBk2 = document.form1.DOBk2.value;
								var DOBk3 = document.form1.DOBk3.value;
								var DOBk4 = document.form1.DOBk4.value;
								
								
								
								var advantage = document.form1.advantage.value;
								if(document.form1.advantage.checked == false) {
									advantage = "";
								}
					
								var options = document.form1.options.value;
																if(document.form1.options.checked == false) {
									options = "";
								}
								
								var dental = document.form1.dental.value;
																if(document.form1.dental.checked == false) {
									dental = "";
								}
								
								var short = document.form1.short.value;
																if(document.form1.short.checked == false) {
									short = "";
								}
								
								var medsup = document.form1.medsup.value;
																if(document.form1.medsup.checked == false) {
									medsup = "";
								}
								
								var medpartd = document.form1.medpartd.value;
																if(document.form1.medpartd.checked == false) {
									medpartd = "";
								}
								
								var group = document.form1.group.value;
																if(document.form1.group.checked == false) {
									group = "";
								}
								
									var life = document.form1.life.value;
																	if(document.form1.life.checked == false) {
									life = "";
								}
	

				

if (DOBS=="MM/DD/YY") {
	DOBS = "";
}	

if(NAME=="" || PHONE=="" || ZIP=="" || EMAIL=="" || GENDERA=="" || DOBA=="MM/DD/YY" || DOBA=="") {
	alert("Please make sure you have entered at least your name, phone number, zipcode, email, gender, and date of birth ");
}

else if(!(checkEmail(EMAIL))) {
	alert('Please enter a valid e-mail address.');
}

else{

	
	
$("#formbox").fadeOut("slow",function(){
	
$("#sending").fadeIn("slow",function() {
	

$.post("show.php",
  { 
NAME: NAME,
PHONE: PHONE,
ZIP: ZIP,
EMAIL: EMAIL,
DOBA: DOBA,
GENDERA: GENDERA,
DOBS: DOBS,
GENDERS: GENDERS,
GENDERk1: GENDERk1,
GENDERk2: GENDERk2,
GENDERk3: GENDERk3,
GENDERk4: GENDERk4,
DOBk1: DOBk1,
DOBk2: DOBk2,
DOBk3: DOBk3,
DOBk4: DOBk4,
advantage: advantage,
options: options,
dental: dental,
short: short,
medsup: medsup,
group: group,
life: life
      
   
  	},
  function(data){
  	$("#sending").fadeOut("slow",function(){
    $("#results").html(data);
    $("#results").fadeIn("slow");
 
  });
  
}
  
);

	

});

});



}

}
