<!--
function validate()
{
var inputStr = document.getElementById('name').value;
if (inputStr == "") {
alert ("Please enter your name.");
document.getElementById('name').focus();
return false;}

var inputStr = document.getElementById('number').value;
if (inputStr == "") {
alert ("Please enter your prescription number.");
document.getElementById('number').focus();
return false;}

var inputStr = document.getElementById('homePhone').value;
if (inputStr == "") {
alert ("Please enter your home phone number.");
document.getElementById('homePhone').focus();
return false;}

var inputStr = document.getElementById('email').value;
if (inputStr == "") {
alert ("Please enter your email address.");
document.getElementById('email').focus();
return false ; }

if(document.getElementById('email').value.indexOf("@") < 1 || document.getElementById('email').value.lastIndexOf(".") < document.getElementById('email').value.indexOf("@") || document.getElementById('email').value.length < 6){
alert("Please enter a valid email address.");
document.getElementById('email').focus();
return false;}

var inputStr = document.getElementById('confirmationCode').value;
if (inputStr == "") {
alert ("Please enter the alphanumberic code shown in the image.");
document.getElementById('confirmationCode').focus();
return false;}

}