function checkform ( form )
    {
        var obj=document.getElementById('lstMedia');
        var obj2=document.getElementById('txtCap');
        var obj3=document.getElementById('txtHappen');

        
        var a = obj.options[obj.selectedIndex].text;
        var a2 = obj2.value;
        var a3 = obj3.value;
        
        if((a == '') || ( a == 'Choose one -'))        
        {
            alert( "Media To Be Recovered - Please select the type of storage media to be recovered (Required Field)." );
            obj.focus();
            return false;
        }
        if((a2 == ''))        
        {
            alert( "Media Capacity - Please enter media size or capacity in MB or GB (Required Field)." );
            obj2.focus();
            return false;
        }
        if((a3 == ''))        
        {
            alert( "Please describe what happened (Required Field)." );
            obj3.focus();
            return false;
        }
        
        
      if (form.txtEmail.value == "") {
        alert( "Please enter your email address (Required Field)." );
        form.txtEmail.focus();
        return false ;
      }

      if (form.txtFirstName.value == "") {
        alert( "Please enter your first name (Required Field)." );
        form.txtFirstName.focus();
        return false ;
      }
      if (form.txtLastName.value == "") {
        alert( "Please enter your last name (Required Field)." );
        form.txtLastName.focus();
        return false ;
      }
      if (form.txtPhone.value == "") {
        alert( "Please enter your telephone number (Required Field)." );
        form.txtPhone.focus();
        return false ;
      }
      if (form.txtZip.value == "") {
        alert( "Please enter your Zip or Postal Code (Required Field)." );
        form.txtZip.focus();
        return false ;
      }
     
      setCookie('firstname',form.txtFirstName.value,365);
      setCookie('lastname',form.txtLastName.value,365);
      setCookie('email',form.txtEmail.value,365);
      setCookie('company',form.txtCompany.value,365);
      setCookie('country',form.txtCountry.value,365);
      setCookie('state',form.txtState.value,365);
      setCookie('zip',form.txtZip.value,365);
      setCookie('phone',form.txtPhone.value,365);
      setCookie('media',a,365);
      setCookie('mediacap',a2,365);
      setCookie('detail',a3,365);
      setCookie('requestdate',new Date(),365);
      
      return true ;
    }
    
    function setCookie(c_name,value,expiredays)
    {
    var exdate=new Date();
    exdate.setDate(exdate.getDate()+expiredays);
    document.cookie=c_name+ "=" +escape(value)+((expiredays==null) ? "" : "; expires="+exdate.toGMTString());
    }