Azfmc

Registration

  • Please fill out this form to register.
  • An email will be sent for account activation.
  • All fields are required.

email:
Password: Confirm Password:
First Name: Last Name:
Group: Choose a GroupProducerMemberPayorProvider  
Cancel     

function filledout(formObj){
//checks to see that all required fields have data, but does not validate data
var check=true;

//check the email
if (formObj.email.value==””){
formObj.email.style.backgroundColor=”#ffff99″;
check=false;
}else{
formObj.email.style.backgroundColor=”#ffffff”;
}
//check the pass
if (formObj.pass.value==””){
formObj.pass.style.backgroundColor=”#ffff99″;
check=false;
}else{
formObj.pass.style.backgroundColor=”#ffffff”;
}
//check the pconfirm
if (formObj.pconfirm.value==””){
formObj.pconfirm.style.backgroundColor=”#ffff99″;
check=false;
}else{
formObj.pconfirm.style.backgroundColor=”#ffffff”;
}
//check the firstname
if (formObj.firstname.value==””){
formObj.firstname.style.backgroundColor=”#ffff99″;
check=false;
}else{
formObj.firstname.style.backgroundColor=”#ffffff”;
}
//check lastname
if (formObj.lastname.value==””){
formObj.lastname.style.backgroundColor=”#ffff99″;
check=false;
}else{
formObj.lastname.style.backgroundColor=”#ffffff”;
}
//check group
if (formObj.group.selectedIndex==0){
formObj.group.style.backgroundColor=”#ffff99″;
for (loop=0; loop < formObj.group.options.length; loop++){
formObj.group.options[loop].style.backgroundColor="#ffff99";
}
check=false;
}

if (check==false){
alert ("You missed one or more required fields.");
return false;
}else{
formObj.groupdesc.value=formObj.group.options[formObj.group.selectedIndex].text;
return true;
}
}