<script
language="javascript"
type="text/javascript">
function
verify()
{
var
themessage =
"You are required to complete the
following fields: ";
if
(document.form.first.value=="")
{
themessage
=
themessage +
" - First Name";
}
if
(document.form.last.value=="")
{
themessage
=
themessage +
" - Last Name";
}
if
(document.form.email.value=="")
{
themessage
=
themessage +
" - E-mail";
}
if
(themessage
==
"You are required to complete the
following fields: ")
{
document.form.submit();
}
else
{
alert(themessage);
return
false;
}
}
</script>
<form
name=form
method="post"
action="">
<input
type=text
name="first"
size="20">
First Name<BR>
<input
type=text
name="last"
size="20">
Last Name<BR>
<input
type=text
name="email"
size="20">
E-Mail<BR><BR>
<input
type=button
value="Submit
Request"
onclick="verify();">
<input
type=reset
value="Clear
Form"><br>
</form>