function validate() {

    if(document.getElementById('email_address')) {
    var reg = /^([A-Za-z0-9_\-\.])+\@([A-Za-z0-9_\-\.])+\.([A-Za-z]{2,4})$/;
    var address = document.getElementById('email_address').value;
        if(reg.test(address) == false) {
        alert('Sorry, this email address appears to be invalid.');
        return false;
        }
    }

    if(document.getElementById('full_name')) {
        if(document.getElementById('full_name').value == '') {
        alert('Please fill out a full name!');
        return false;
        }
    }

    if(document.getElementById('phone_number')) {
		var reg = /^[\s0-9()-]*$/;

        if (document.getElementById('phone_number').value == '')
		{
    	    alert('Please fill out a phone number!');
	        return false;
        }
		else if (reg.test(document.getElementById('phone_number').value) == false)
		{
			alert('Invalid phone number');
			return false;
		}
    }

    if(document.getElementById('zip')) {
        if(document.getElementById('zip').value == '') {
        alert('Please fill out a zipcode!');
        return false;
        }
    }


    if(document.getElementById('address')) {
        if(document.getElementById('address').value == '') {
        alert('Please fill out an address!');
        return false;
        }
    }

    if(document.getElementById('fname')) {
        if(document.getElementById('fname').value == '') {
        alert('Please fill out a first name!');
        return false;
        }
    }


    if(document.getElementById('lname')) {
        if(document.getElementById('lname').value == '') {
        alert('Please fill out a last name!');
        return false;
        }
    }


return true;
}

document.write('<style>');
document.write('.meRule-fields { border: 1px solid rgb(0, 0, 0); font-family: Arial; font-size: 11px; }.meRule-canvas { border-style: solid; border-width: 0px; width: 216px; height: 310px; }');
document.write('.meRule-poweredLink {font-size: 10px; font-family: Verdana; margin: 0px; padding: 0px;}');
document.write('</style>');
document.write('<form method="post" action="http://lthamann.merchengines.com//app/incoming/customLead.php" target="parent" onSubmit="return validate();" style="margin: 0px;">')
document.write('<input name="token" type="hidden" value="S20e27280b4aee0f0b16dec1675265352c409ba446lc" />')
document.write('<input type="hidden" name="cust_id" value="940">')
document.write('<input type="hidden" name="form_id" value="202">')
document.write('<input type="hidden" name="tyurl" value="www.karenplageman.com">')
document.write('<div id="boundingBox" style="position: relative;" class="meRule-canvas"  ><div id="elmId-1" class="draggableItem" style="position: absolute; left: 10px; top: 0px;"><div style="height: 5px; background-color: rgb(45, 101, 216); visibility: hidden;" class="draggableItemHandle"><img src="http://lthamann.merchengines.com/images/designerDelete.gif" style="float: right; cursor: pointer; margin-left: 10px;" onclick="removeDraggable(\'elmId-1\');" title="Delete This Field"></div><div class="meRule-labels">Name</div><input name="fullname" id="fullname" style="width: 125px;" class="meRule-fields" type="text"></div><div id="elmId-2" class="draggableItem" style="position: absolute; z-index: 0; left: 10px; top: 50px;"><div style="height: 5px; background-color: rgb(45, 101, 216); visibility: hidden;" class="draggableItemHandle"><img src="http://lthamann.merchengines.com/images/designerDelete.gif" style="float: right; cursor: pointer; margin-left: 10px;" onclick="removeDraggable(\'elmId-2\');" title="Delete This Field"></div><div class="meRule-labels">Email Address</div><input name="email" id="email" value="" style="width: 125px;" class="meRule-fields" type="text"></div><div id="elmId-3" class="draggableItem" style="position: absolute; z-index: 0; left: 10px; top: 100px;"><div style="height: 5px; background-color: rgb(45, 101, 216); visibility: hidden;" class="draggableItemHandle"><img src="http://lthamann.merchengines.com/images/designerDelete.gif" style="float: right; cursor: pointer; margin-left: 10px;" onclick="removeDraggable(\'elmId-3\');" title="Delete This Field"></div><div class="meRule-labels">Phone Number</div><input name="phone" id="phone" value="" style="width: 125px;" class="meRule-fields" type="text"></div><div id="elmId-2" class="draggableItem" style="position: absolute; z-index: 5; left: 10px; top: 250px;"><div style="height: 5px; background-color: rgb(45, 101, 216); visibility: hidden;" class="draggableItemHandle"><img src="http://lthamann.merchengines.com/images/designerDelete.gif" style="float: right; cursor: pointer; margin-left: 10px;" onclick="removeDraggable(\'elmId-2\');" title="Delete This Field"></div><input id="elmId-1" src="http://lthamann.merchengines.com/app/clientassets/940/reg_btn_small.gif" value="Submit!" class="meRule-button" type="image"></div><div id="elmId-1" class="draggableItem" style="position: absolute; z-index: 4; left: 10px; top: 150px;"><div style="height: 5px; background-color: rgb(45, 101, 216); visibility: hidden;" class="draggableItemHandle"><img src="http://lthamann.merchengines.com/images/designerDelete.gif" style="float: right; cursor: pointer; margin-left: 10px;" onclick="removeDraggable(\'elmId-1\');" title="Delete This Field"></div><div class="meRule-labels">Comments</div><textarea name="comments" id="comments" cols="20" rows="3" class="meRule-fields"></textarea></div></div>');
document.write('</form>')