// <![CDATA[

			function CheckMultiple13(frm, name) {
				for (var i=0; i < frm.length; i++)
				{
					fldObj = frm.elements[i];
					fldId = fldObj.id;
					if (fldId) {
						var fieldnamecheck=fldObj.id.indexOf(name);
						if (fieldnamecheck != -1) {
							if (fldObj.checked) {
								return true;
							}
						}
					}
				}
				return false;
			}
		function CheckForm13(f) {
			var email_re = /[a-z0-9!#$%&'*+\/=?^_`{|}~-]+(?:\.[a-z0-9!#$%&'*+\/=?^_`{|}~-]+)*@(?:[a-z0-9](?:[a-z0-9-]*[a-z0-9])?\.)+[a-z0-9](?:[a-z0-9-]*[a-z0-9])?/i;
			if (!email_re.test(f.email.value)) {
				alert("Please enter your email address.");
				f.email.focus();
				return false;
			}
		
			var fname = "CustomFields_13_13";
			var fld = document.getElementById(fname);
			if (fld.value == "") {
				alert("Please enter a value for field First Name");
				fld.focus();
				return false;
			}
		
			var fname = "CustomFields_14_13";
			var fld = document.getElementById(fname);
			if (fld.value == "") {
				alert("Please enter a value for field Last Name");
				fld.focus();
				return false;
			}
		
			var fname = "CustomFields_15_13";
			var fld = document.getElementById(fname);
			if (fld.value == "") {
				alert("Please enter a value for field Phone Number");
				fld.focus();
				return false;
			}
		
			var fname = "CustomFields_16_13";
			var fld = document.getElementById(fname);
		
			CheckNum = parseInt(fld.value);
			if(fld.value != "" && isNaN(CheckNum)) {
				alert("Please enter a numeric value for field Zip Code");
				fld.select();
				fld.focus();
				return false;
			}
		
			var fldcheck = CheckMultiple13(f, "CustomFields[21_13]");
			if (!fldcheck) {
				alert("Please choose an option for field How did you here about us?");
				return false;
			}
		
				return true;
			}
		
// ]]>