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<script language="Jscript">
function getRadioValue(radioName) {
   var collection;

   collection = document.all[radioName];

   for (i=0;i<collection.length;i++) {
     if (collection[i].checked)
       return(collection[i].value);
   }
}
// onclick="alert(getRadioValue('milestone'));"
</script>

<SCRIPT LANGUAGE="JavaScript">
<!--//

function validateForm(form) {

if (form.txtFirstName.value == "") {
   alert("Please enter your first name!")
   form.txtFirstName.focus()
   form.txtFirstName.select()
   return false
   }

if (form.txtFirstName.value == "") {
   alert("Please enter your first name!")
   form.txtFirstName.focus()
   form.txtFirstName.select()
   return false
   }

var theNumZip = form.txtzip.value;
   var theLength = theNumZip.length;
   var goodZip = true;
   if (theLength != 5 && theLength != 0) {
     goodZip = false;
   }
   if (theLength == 5) {
     for (var i = 0; i < 5; i++) {
       var theChar = theNumZip.substrin
g(i, i+1);        if (theChar < "0" || theChar > "9") {
         goodZip = false;
       }
     }
   }
   if (goodZip == false) {
     alert("The zip code must be a 5 digit number !")
     form.txtzip.focus()
     form.txtzip.select()
     return false
   }

if (form.txtfax.value == "") {
   document.reseller.txtfax.value = ' ';
   }

var ooter
ooter = getRadioValue('yesno');

if (ooter == "yes") {

   if (form.txtUserName.value == "") {
     alert("Please select a User Name!")
     form.txtUserName.focus()
     form.txtUserName.select()
     return false
     }
   if (form.txtPassword.value == "") {
     alert("Please select a Password!")
     form.txtPassword.focus()
     form.txtPassword.select()
     return false
     }

   }
if (form.txtUserName.value == "") {
     document.reseller.txtUserName.value = ' ';
   }
if (form.txtPassword.value == "") {
     document.reseller.txtPassword.value = ' ';
   }
}

//-->
</SCRIPT>
<form onsubmit="return validateForm(this)" action="http://stage.sisna.com/freecookies/sending.asp" method="post" name="reseller">
<input type="radio" name="yesno" value="yes" checked>YES<br>
<input type="radio" name="yesno" value="no">NO<br>
<input type="Submit" value="Submit" align="MIDDLE">
</form>