// JavaScript Document

function verify() {
var themessage = "You are required to complete the following fields: ";

if (document.form.RCUSTOM23.value=="") { // first name field
themessage = themessage + " - First Name";
}

if (document.form.RCUSTOM24.value=="") { // last name field
themessage = themessage + " - Last Name";
}

if (document.form.RCUSTOM25.value=="") { // age field
themessage = themessage + " - Age";
}

if (document.form.RCUSTOM26.value=="") { // gender field
themessage = themessage + " -  Gender";
}

if (document.form.email.value=="") { // email field
themessage = themessage + " -  E-mail";
}

if (document.form.email2.value=="") { // email2 field
themessage = themessage + " -  E-mail(again)";
}

if (document.form.RCUSTOM30.value=="") { // address field
themessage = themessage + " -  Address";
}

if (document.form.RCUSTOM31.value=="") { // city field
themessage = themessage + " -  City";
}

if (document.form.RCUSTOM32.value=="") { // state field
themessage = themessage + " -  State";
}

if (document.form.RCUSTOM33.value=="") { // zipcode or postal field
themessage = themessage + " -  Zip Code";
}

if (document.form.RCUSTOM35.value=="") { // home field
themessage = themessage + " -  Home";
}

//alert if fields are empty and cancel form submit
if (themessage == "You are required to complete the following fields: ") {
document.form.submit();
}
else {
alert(themessage);
return false;
   }
}