document.write('<LINK href="http://www.talkaboutdrugs.com/sub/css.css" type=text/css rel=stylesheet>');document.write('<form name=frm action="http://www.talkaboutdrugs.com/sub/test.php" method=post>');function IsEmpty(fld,msg){ 	if((fld.value == "" || fld.value.length == 0) && (msg == "")){return false;	}if(fld.value == ""|| fld.value.length == 0){alert(msg);fld.focus();return false;}return true;}function ValidString(fld,msg){	var regex = /^[a-zA-Z0-9]/;if(!regex.test(fld.value)){alert(msg);fld.value= "";fld.focus();return false;	}return true;}function IsValidCountry(fld,msg){ var country = document.forms[0].country.value;	for(i=0;i<country.length;i++){	if(country.charAt(i)== ""){alert (msg);fld.value= "";fld.focus();return false;}} var regex = /^[a-zA-Z]/;if(!regex.test(country)) {alert(msg);	fld.value= "";fld.focus();return false;} return true;}function isValidemail(){ var email = document.forms[0].email.value;	  	   for(i=0;i<email.length;i++){if(email.charAt(i)==" " || email.charAt(i)=="!" || email.charAt(i)=="#" || email.charAt(i)=="$" || email.charAt(i)=="%" || email.charAt(i)=="^" || email.charAt(i)=="&" || email.charAt(i)=="*" || email.charAt(i)=="(" || email.charAt(i)==")" || email.charAt(i)=="-" || email.charAt(i)=="=" || email.charAt(i)=="+" || email.charAt(i)=="," || email.charAt(i)==";" || email.charAt(i)=="<" || email.charAt(i)==">" || email.charAt(i)=="?" || email.charAt(i)=="'" || email.charAt(i)==":" || email.charAt(i)=="{" || email.charAt(i)=="}" || email.charAt(i)=="[" || email.charAt(i)=="]" || email.charAt(i)=="/" || email.charAt(i)=="|" || email.charAt(i)=="~" || email.charAt(i)=="`"){alert ("Please enter a valid Email address.");document.forms[0].email.value="";document.forms[0].email.focus();return false;} } if ( (email !=  "") &&((document.forms[0].email.value.indexOf("@")==-1)||(document.forms[0].email.value.indexOf(".")==-1))){alert ("Please enter a valid Emailaddress.");document.forms[0].email.value= "";document.forms[0].email.focus();return false;}return true;}function Submit_Form(frm){var url=location.href;with(frm){if(!IsEmpty(name,'Please enter Subscriber Name.')){return false;}if(!ValidString(name ,'Please Enter Valid Name.')){return false;}if(!IsEmpty(email, 'Please enter Email Address.')){returnfalse;}if(!isValidemail(email, 'Please enter a Valid Email Address.')){return false;}if(!IsEmpty(country,'Please enter Country.')){return false;}if(!IsValidCountry(country, 'Please enter Valid Country.')){return false;}document.forms[0].action='http://www.talkaboutdrugs.com/sub/sub.php';var n=name.value;var email2=email.value;var c=country.value;		var drug=drug_code.value; var ip=ipcode.value; var str='http://www.talkaboutdrugs.com/sub/sub.php?name='+ n + '&email='+ email2+ '&country='+ c+ '&drug_code='+ drug+'&urlref='+url+'&ipref='+ip;window.open( str, 'ignored', 'height=400, width=400, scrollbars=yes');return true;}}document.write('<table width=100% border=0 align=center cellpadding=2 cellspacing=0><tr><td width=9% class=label>Name:</td><td><input name=name type=text class=input id=name size=15 /></td><td width=12%><span class=label>Email</span></td><td width=21%><input name=email type=text class=input id=email size=15 /></td><td width=14%><span class=label>Country</span></td><td width=23%><input name=country type=text class=input id=country size=15 /></td></tr><tr><td colspan=6 height=5></td></tr><tr><td colspan=6 align=center><input name=button2 type=button class=command_buttons id=button2 value=" Subscribe to PCM " onclick="javascript: return Submit_Form(document.frm);"/><INPUT type=hidden value=3314 name=drug_code><INPUT type=hidden value=38.107.191.111 name=ipcode></td></tr></table>');document.write('</form>');