Here you go buddy. Hope this helps.
;)
<HTML>
<HEAD><SCRIPT SRC="valid.
js" ID="sqValidator"></SCRIPT><SCRIPT LANGUAGE="JavaScript" ID="sqValidate"><!--
function validate(theForm)
{
var formTest = true;
if (checkName(theForm.fname) != true) {formTest = false};
if (checkName(theForm.initial) != true) {formTest = false};
if (checkName(theForm.lname) != true) {formTest = false};
if (checkAddress(theForm.addr) != true) {formTest = false};
if (theForm.country == "")
if (checkEmail(theForm.email) != true) {formTest = false};
if (checkDate(theForm.day, theForm.month, theForm.year, "birthday") != true) {formTest = false};
if (checkCreditCard(theForm.cctype,theForm.cc) != true) {formTest = false};
return (formTest);
}
// -->
</SCRIPT>
<TITLE></TITLE>
</HEAD>
<BODY>
<FORM METHOD="POST" ACTION="" ONSUBMIT="validate(this)" ID="myform">
<TABLE WIDTH="75%">
<TR>
<TD>First Name:</TD>
<TD><INPUT TYPE="TEXT" SIZE="30" NAME="fname"></TD>
</TR>
<TR>
<TD>MI:</TD>
<TD><INPUT TYPE="TEXT" SIZE="30" NAME="initial"></TD>
</TR>
<TR>
<TD>Last Name:</TD>
<TD><INPUT TYPE="TEXT" SIZE="30" NAME="lname"></TD>
</TR>
<TR>
<TD>Address:</TD>
<TD><INPUT TYPE="TEXT" SIZE="30" NAME="addr"></TD>
</TR>
<TR>
<TD>Phone:</TD>
<TD><INPUT TYPE="TEXT" SIZE="15" NAME="phone"></TD>
</TR>
<TR>
<TD>Postal Code:</TD>
<TD><INPUT TYPE="TEXT" SIZE="30" NAME="pcode"></TD>
</TR>
<TR>
<TD>Email Address:</TD>
<TD><INPUT TYPE="TEXT" SIZE="30" NAME="email"></TD>
</TR>
<TR>
<TD>Birthday:</TD>
<TD>DD: <INPUT TYPE="TEXT" SIZE="2" NAME="year"> MM:
<INPUT TYPE="TEXT" SIZE="2" NAME="month"> YYYY:
<INPUT TYPE="TEXT" SIZE="4" NAME="day"></TD>
</TR>
<TR>
<TD VALIGN="TOP">Credit Card:</TD>
<TD><INPUT TYPE="TEXT" SIZE="30" NAME="cc" VALUE=""><BR>
<INPUT TYPE="RADIO" VALUE="VISA" NAME="cctype" CHECKED="CHECKED">Visa Sample
number: 4111 1111 1111 1111<BR>
<INPUT TYPE="RADIO" VALUE="MASTERCARD" NAME="cctype">MC Sample number: 5500
0000 0000 0004<BR> <INPUT TYPE="RADIO" VALUE="AMERICANEXPRESS"
NAME="cctype">AMEX Sample number: 340000000000009 </TD>
</TR>
<TR>
<TD> </TD>
<TD><INPUT TYPE="SUBMIT" VALUE="Submit Form"><INPUT TYPE="BUTTON"
NAME="Validate" VALUE="Validate Data" ONCLICK="validate(myform)"></TD>
</TR>
</TABLE> </FORM> </BODY>
</HTML>
JavaScriopt booking form
