function validate_crm(){
errors = '';
if(document.forms["crm_form_22"]["lead_name_first"].value == "") errors = errors + "\nThe First Name field is required.";
if(document.forms["crm_form_22"]["lead_name_last"].value == "") errors = errors + "\nThe Last Name field is required.";
if(document.forms["crm_form_22"]["lead_email"].value == "") errors = errors + "\nThe Email Address field is required.";
if(document.forms["crm_form_22"]["lead_telephone"].value == "") errors = errors + "\nThe Telephone Number field is required.";
if(document.forms["crm_form_22"]["cro_comments"].value == "") errors = errors + "\nThe Comments field is required.";
if(errors != ""){
alert(errors);
return false;
}
document.forms["crm_form_22"]["submit"].disabled = true;
document.forms["crm_form_22"]["submit"].value = "Please Wait...";
return true;
}
document.write("<form id=\"crm_form_22\" name=\"crm_form_22\" method=\"post\" action=\"https://crm.sur.co.uk/forms/submit_form/sur/22\" onsubmit=\"return validate_crm();\">")
document.write("<div style=\"position: absolute; left: -5000px;\" aria-hidden=\"true\"><input type=\"text\" name=\"website_link\" value=\"\" tabindex=\"-1\" autocomplete=\"off\" /></div>")
document.write("<p class=\"crm_form_warning\">Fields marked with an asterisk (*) are mandatory</p>")
document.write("<p id=\"input_set_lead_name_first\">")
document.write("<label for=\"lead_name_first\">First Name *</label><br />")
document.write("<input type=\"text\" class=\"mandatory\" name=\"lead_name_first\" id=\"lead_name_first\" value=\"\" />")
document.write("</p>")
document.write("<p id=\"input_set_lead_name_last\">")
document.write("<label for=\"lead_name_last\">Last Name *</label><br />")
document.write("<input type=\"text\" class=\"mandatory\" name=\"lead_name_last\" id=\"lead_name_last\" value=\"\" />")
document.write("</p>")
document.write("<p id=\"input_set_lead_email\">")
document.write("<label for=\"lead_email\">Email Address *</label><br />")
document.write("<input type=\"text\" class=\"mandatory\" name=\"lead_email\" id=\"lead_email\" value=\"\" />")
document.write("</p>")
document.write("<p id=\"input_set_lead_telephone\">")
document.write("<label for=\"lead_telephone\">Telephone Number *</label><br />")
document.write("<input type=\"text\" class=\"mandatory\" name=\"lead_telephone\" id=\"lead_telephone\" value=\"\" />")
document.write("</p>")
document.write("<p id=\"input_set_cro_comments\">")
document.write("<label for=\"cro_comments\">Comments *</label><br />")
document.write("<textarea class=\"mandatory\" name=\"cro_comments\" id=\"cro_comments\" rows=\"7\" cols=\"60\"></textarea>")
document.write("</p>")
document.write("<img src=\"https://crm.sur.co.uk/captcha/captcha.php?code=xrrscvy8m6nhr64f49zptkczm7wjj2jjzyk79xdc\" style=\"width:180px !important;height:auto !important;\"><br>")
document.write("<label for=\"captcha_response\">Copy the code above:</label><br />")
document.write("<input type=\"text\" id=\"captcha_response\" name=\"captcha_response\" />")
document.write("<input type=\"hidden\" name=\"validate\" value=\"xrrscvy8m6nhr64f49zptkczm7wjj2jjzyk79xdc\">")
document.write("<input type=\"submit\" name=\"submit\" value=\"Submit Form\" />")
document.write("</form>")