﻿function orderform() {


    document.getElementById('trialform').innerHTML = '<form action="http://recurbill.revupcommerce.com/signup/signup_trial.aspx" onsubmit="return validateTrial();" method="post" target="_self"><table><tr><td width="27%">First Name</td><td colspan="2"><input type="text" value="" name="first_name" size="25" maxlength="35" /></td></tr><tr><td>Last Name</td><td colspan="2"><input type="text" value="" name="last_name" size="25" maxlength="35"/></td></tr><tr><td>Address 1</td><td colspan="2"><input type="text" value="" name="address1" size="25" maxlength="65" /></td></tr><tr><td>Address2</td><td colspan="2"><input type="text" value="" name="address2" size="25" maxlength="50" /></td></tr><tr><td>City</td><td colspan="2"><input type="text" value="" name="city" size="25" maxlength="35" /></td></tr><tr><td>State</td><td colspan="2"><select name="state"><option value="select">--Choose One--</option><option value="NU">Non US</option><option value="AL">Alabama </option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="AA">Armed Forces - Americas</option><option value="AE">Armed Forces - Europe</option><option value="AP">Armed Forces - Pacific</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands of the U.S.A.</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select></td></tr><tr><td>Zip</td><td colspan="2"><input type="text" value="" name="zip" size="6" maxlength="7" /></td></tr><tr><td>Country</td><td colspan="2"><select name="country"><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua">Antigua</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Azores">Azores</option><option value="Bahamas">Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Barbuda">Barbuda</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bonaire">Bonaire</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="British Virgin Islands">British Virgin Islands</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Canary Islands">Canary Islands</option><option value="Cape Verde Islands">Cape Verde Islands</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Channel Islands">Channel Islands</option><option value="Chile">Chile</option><option value="China, Peoples Republic of">China, Peoples Republic of</option><option value="Christmas Island">Christmas Island</option><option value="Cocos Islands">Cocos Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote dIvoire">Cote dIvoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Curacao">Curacao</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="England">England</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Guiana">French Guiana</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option><option value="Holland">Holland</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Ivory Coast (Cote dlvoire)">Ivory Coast (Cote dlvoire)</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea, South">Korea, South</option><option value="Kosrae">Kosrae</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macao">Macao</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Madeira">Madeira</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova, Republic of">Moldova, Republic of</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="Netherlands Antilles">Netherlands Antilles</option><option value="Nevis">Nevis</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Ireland">Northern Ireland</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Poland">Poland</option><option value="Ponape">Ponape</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Reunion">Reunion</option><option value="Romania">Romania</option><option value="Rota">Rota</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saba">Saba</option><option value="Saipan">Saipan</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Scotland">Scotland</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovak Republic">Slovak Republic</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="St. Barthelemy">St. Barthelemy</option><option value="St. Christopher">St. Christopher</option><option value="St. Croix">St. Croix</option><option value="St. Eustatius">St. Eustatius</option><option value="St. John">St. John</option><option value="St. Kitts">St. Kitts</option><option value="St. Lucia">St. Lucia</option><option value="St. Maarten">St. Maarten</option><option value="St. Martin">St. Martin</option><option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option><option value="St. Thomas">St. Thomas</option><option value="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Tahiti">Tahiti</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Tinian">Tinian</option><option value="Togo">Togo</option><option value="Tonga">Tonga</option><option value="Tortola">Tortola</option><option value="Trinidad & Tobago">Trinidad & Tobago</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="U.S. Virgin Islands">U.S. Virgin Islands</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="Union Island">Union Island</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="United States">United States</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="Virgin Gorda">Virgin Gorda</option><option value="Wake Island">Wake Island</option><option value="Wales">Wales</option><option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option><option value="Western Samoa">Western Samoa</option><option value="Yap">Yap</option><option value="Yemen">Yemen</option><option value="Zaire">Zaire</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></select></td></tr><tr><td>Province<span class="style15">*</td><td width="38%"><input type="text" value="" name="province" size="35" maxlength="50" /></td></tr><tr><td>Email<span class="style15">*</span></td><td colspan="2"><input type="text" value="" name="email" size="25" maxlength="65" /></td></tr><tr><td>Phone Number</td><td width="38%"><input type="text" value="" name="phone1" size="15" maxlength="10" /></td><td width="35%"><div align="center"><span class="style14">example:1234567890</span></div></td></tr><tr><td>Credit Card Number</td><td colspan="2"><input type="text" value="" name="card_number" size="16" maxlength="20" /></td></tr><tr><td>Exp Date</td><td colspan="2"><select name="exp_month"><option value="01">01 : Jan </option><option value="02">02 : Feb </option><option value="03">03 : Mar </option><option value="04">04 : Apr </option><option value="05">05 : May </option><option value="06">06 : Jun </option><option value="07">07 : Jul </option><option value="08">08 : Aug </option><option value="09">09 : Sep </option><option value="10">10 : Oct </option><option value="11">11 : Nov </option><option value="12">12 : Dec </option></select><select name="exp_year"><option value="2010">2010</option><option value="2011">2011</option><option value="2012">2012</option><option value="2013">2013</option><option value="2014">2014</option><option value="2015">2015</option><option value="2016">2016</option><option value="2017">2017</option><option value="2018">2018</option></select></td></tr><tr><td>Cvv2</td><td colspan="2" valign="top"><input type="text" value="" name="cvv2" size="4" maxlength="4" /></td></tr><tr><td>&nbsp;</td><td colspan="2">&nbsp;</td></tr><tr><td colspan="3"><div align="center"><input type="submit" name="submitform" value="Submit Info" /></td></tr></table>' +
    '<input type="hidden" name="productid" value="' + productid + '"/>' +
    '<input type="hidden" name="accountid" value="' + accountid + '"/>' +
    '<input type="hidden" name="initialcharge" value="' + initialcharge + '"/>' +
    '<input type="hidden" name="returnurl" value="' + returnurl + '"/>' +
    '</form>' +
    '<span style="color:red;"id="error_message"></span>';
}

function membershipform() {

    document.getElementById('membershipform').innerHTML = '<form action="http://recurbill.revupcommerce.com/signup/signup_membership.aspx" onsubmit="return validateMembership();" method="post" target="_self"><table><tr><td width="27%">First Name</td><td colspan="2"><input type="text" value="" name="first_name" size="25" maxlength="35" /></td></tr><tr><td>Last Name</td><td colspan="2"><input type="text" value="" name="last_name" size="25" maxlength="35"/></td></tr><tr><td>Address 1</td><td colspan="2"><input type="text" value="" name="address1" size="25" maxlength="65" /></td></tr><tr><td>Address2</td><td colspan="2"><input type="text" value="" name="address2" size="25" maxlength="50" /></td></tr><tr><td>City</td><td colspan="2"><input type="text" value="" name="city" size="25" maxlength="35" /></td></tr><tr><td>State</td><td colspan="2"><select name="state"><option value="select">--Choose One--</option><option value="NU">Non US</option><option value="AL">Alabama </option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="AA">Armed Forces - Americas</option><option value="AE">Armed Forces - Europe</option><option value="AP">Armed Forces - Pacific</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands of the U.S.A.</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select></td></tr><tr><td>Zip</td><td colspan="2"><input type="text" value="" name="zip" size="6" maxlength="7" /></td></tr><tr><td>Country</td><td colspan="2"><select name="country"><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua">Antigua</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Azores">Azores</option><option value="Bahamas">Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Barbuda">Barbuda</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bonaire">Bonaire</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="British Virgin Islands">British Virgin Islands</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Canary Islands">Canary Islands</option><option value="Cape Verde Islands">Cape Verde Islands</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Channel Islands">Channel Islands</option><option value="Chile">Chile</option><option value="China, Peoples Republic of">China, Peoples Republic of</option><option value="Christmas Island">Christmas Island</option><option value="Cocos Islands">Cocos Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote dIvoire">Cote dIvoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Curacao">Curacao</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="England">England</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Guiana">French Guiana</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option><option value="Holland">Holland</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Ivory Coast (Cote dlvoire)">Ivory Coast (Cote dlvoire)</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea, South">Korea, South</option><option value="Kosrae">Kosrae</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macao">Macao</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Madeira">Madeira</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova, Republic of">Moldova, Republic of</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="Netherlands Antilles">Netherlands Antilles</option><option value="Nevis">Nevis</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Ireland">Northern Ireland</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Poland">Poland</option><option value="Ponape">Ponape</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Reunion">Reunion</option><option value="Romania">Romania</option><option value="Rota">Rota</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saba">Saba</option><option value="Saipan">Saipan</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Scotland">Scotland</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovak Republic">Slovak Republic</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="St. Barthelemy">St. Barthelemy</option><option value="St. Christopher">St. Christopher</option><option value="St. Croix">St. Croix</option><option value="St. Eustatius">St. Eustatius</option><option value="St. John">St. John</option><option value="St. Kitts">St. Kitts</option><option value="St. Lucia">St. Lucia</option><option value="St. Maarten">St. Maarten</option><option value="St. Martin">St. Martin</option><option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option><option value="St. Thomas">St. Thomas</option><option value="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Tahiti">Tahiti</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Tinian">Tinian</option><option value="Togo">Togo</option><option value="Tonga">Tonga</option><option value="Tortola">Tortola</option><option value="Trinidad & Tobago">Trinidad & Tobago</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="U.S. Virgin Islands">U.S. Virgin Islands</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="Union Island">Union Island</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="United States">United States</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="Virgin Gorda">Virgin Gorda</option><option value="Wake Island">Wake Island</option><option value="Wales">Wales</option><option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option><option value="Western Samoa">Western Samoa</option><option value="Yap">Yap</option><option value="Yemen">Yemen</option><option value="Zaire">Zaire</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></select></td></tr><tr><td>Province<span class="style15">*</td><td width="38%"><input type="text" value="" name="province" size="35" maxlength="50" /></td></tr><tr><td>Email<span class="style15">*</span></td><td colspan="2"><input type="text" value="" name="email" size="25" maxlength="65" /></td></tr><tr><td>Phone Number</td><td width="38%"><input type="text" value="" name="phone1" size="15" maxlength="10" /></td><td width="35%"><div align="center"><span class="style14">example:1234567890</span></div></td></tr><tr><td>&nbsp;</td><td colspan="2">&nbsp;</td></tr><tr><td colspan="3"><div align="center"><input type="submit" name="submitform" value="Submit Info" /></td></tr></table>' +
    '<input type="hidden" name="accountid" value="' + accountid + '"/>' +
    '<input type="hidden" name="returnurl" value="' + returnurl + '"/>' +
    '</form>' +
    '<span style="color:red;"id="error_message"></span>';


}


function loginform() {
 document.getElementById('loginform').innerHTML = '<p>Username: <input type="text" id="txtusername"/></p><p>Password: <input type="password" id="txtpassword"/></p>' +
 '<p><input type="button" onclick="authenticate();" value="login"/></p>';
 
}


function checkAccess() {

    if (getCookie("access") != "yes") {
        window.location = errorpage;
    }


}

function authenticate() {
    var loginid = document.getElementById('txtusername').value;
    var passcode = document.getElementById('txtpassword').value;
    //alert(loginid + '  ' + passcode);
    //alert(passcode);
    var url = "http://recurbill.revupcommerce.com/signup/authenticate.aspx?username=" + loginid + "&password=" + passcode;

    $.getJSON(url + "&jsoncallback=?",
    function (data) {
      var result = data.result;
      if (result == "yes") {
          setCookie("access", "yes", 1);
          window.location = returnurl;
      }
      else
          window.location = errorpage;
     });  

     

     /*
    var jqxhr = $.getJSON(url + "&jsoncallback=?", function () {
        alert("success");
    })

    .success(function () { alert("second success"); })
    .error(function (data) { alert(data +"error"); })
    .complete(function () { alert("complete"); });

    // perform other work here ...

    // Set another completion function for the request above
    jqxhr.complete(function () { alert("second complete"); });
    */

}

function getCookie(c_name) {
    if (document.cookie.length > 0) {
        c_start = document.cookie.indexOf(c_name + "=");
        if (c_start != -1) {
            c_start = c_start + c_name.length + 1;
            c_end = document.cookie.indexOf(";", c_start);
            if (c_end == -1) c_end = document.cookie.length;
            return unescape(document.cookie.substring(c_start, c_end));
        }
    }
    return "";
}


function setCookie(c_name,value,expiredays)
{
var exdate=new Date();
exdate.setDate(exdate.getDate()+expiredays);
document.cookie=c_name+ "=" +escape(value)+
((expiredays==null) ? "" : ";expires="+exdate.toUTCString());
}

function validateTrial() {

    var isValid = true;

    if (document.getElementsByName('first_name')[0].value == '')
        isValid = false;

    if (document.getElementsByName('last_name')[0].value == '')
        isValid = false;

    if (document.getElementsByName('address1')[0].value == '')
        isValid = false;

//    if (document.getElementsByName('address2')[0].value == '')
//        isValid = false;

    if (document.getElementsByName('city')[0].value == '')
        isValid = false;

    if (document.getElementsByName('zip')[0].value == '')
        isValid = false;

    if (document.getElementsByName('email')[0].value == '')
        isValid = false;

    if (document.getElementsByName('phone1')[0].value == '')
        isValid = false;

    if (document.getElementsByName('card_number')[0].value == '')
        isValid = false;

    if (document.getElementsByName('cvv2')[0].value == '')
        isValid = false;


    if (isValid == false)
        document.getElementById('error_message').innerHTML = 'Please complete all required input fields.';

    return isValid;
}

function validateMembership() {

    var isValid = true;

    if (document.getElementsByName('first_name')[0].value == '')
        isValid = false;

    if (document.getElementsByName('last_name')[0].value == '')
        isValid = false;

    if (document.getElementsByName('address1')[0].value == '')
        isValid = false;

//    if (document.getElementsByName('address2')[0].value == '')
//        isValid = false;

    if (document.getElementsByName('city')[0].value == '')
        isValid = false;

    if (document.getElementsByName('zip')[0].value == '')
        isValid = false;

    if (document.getElementsByName('email')[0].value == '')
        isValid = false;

    if (document.getElementsByName('phone1')[0].value == '')
        isValid = false;

    if (isValid == false)
        document.getElementById('error_message').innerHTML = 'Please complete all required input fields.';

    return isValid;

}
