function PrePopulate_test() 
    {
/*        document.FreeQuoteForm.ZipCode.value = '20850';*/
        document.FreeQuoteForm.ZipCode.value = '20850';
        document.FreeQuoteForm.Address1.value = '12 zecon';
        document.FreeQuoteForm.FirstName.value = 'zecon';
        document.FreeQuoteForm.LastName.value = 'zecon';
        document.FreeQuoteForm.WTelephone1.value = '202';
        document.FreeQuoteForm.WTelephone2.value = '000';
        document.FreeQuoteForm.WTelephone3.value = '0002';
        document.FreeQuoteForm.Email.value = 'zecon@gmail.com';
        document.FreeQuoteForm.FormsRadioButtonSex1.checked = true;
        document.FreeQuoteForm.tobacco.value = 'N';
        document.FreeQuoteForm.FormsComboBoxCoverageAmount.value = '200000.00';
        document.FreeQuoteForm.FormsComboBoxPlan.value = '15';
        document.FreeQuoteForm.feet.value = '5';
        document.FreeQuoteForm.inches.value = '8';
        document.FreeQuoteForm.weight.value = '180';
        document.FreeQuoteForm.MM.value = '01';
        document.FreeQuoteForm.DD.value = '01';
        document.FreeQuoteForm.YY.value = '1980';
        document.FreeQuoteForm.FormsRadioButtonfamily2.checked = true;
        document.FreeQuoteForm.FormsRadioButtonailment2.checked = true;
        document.FreeQuoteForm.Radio2.checked = true;
    }
	function validate_field() 
	{
		// validate zip
		if (document.FreeQuoteForm.ZipCode.value=="") {
			alert('\nPlease enter your Zipcode.');
			document.FreeQuoteForm.ZipCode.select();
			document.FreeQuoteForm.ZipCode.focus();
			return false;
		}

		// validate Address1
		if (document.FreeQuoteForm.Address1.value=="") {
			alert('\nPlease enter your Address1.');
			document.FreeQuoteForm.Address1.select();
			document.FreeQuoteForm.Address1.focus();
			return false;
		}
		
    	if (isNaN(parseInt(document.FreeQuoteForm.ZipCode.value))) {
			alert('\nPlease enter your 5-digit zipcode number.');
			document.FreeQuoteForm.ZipCode.select();
			document.FreeQuoteForm.ZipCode.focus();
			return false;
    	}

		// validate firstname
		if (document.FreeQuoteForm.FirstName.value=="") {
			alert('\nPlease enter your first name.');
			document.FreeQuoteForm.FirstName.select();
			document.FreeQuoteForm.FirstName.focus();
			return false;
		}
			
		// validate lastname
		if (document.FreeQuoteForm.LastName.value=="") {
			alert('\nPlease enter your last name.');
			document.FreeQuoteForm.LastName.select();
			document.FreeQuoteForm.LastName.focus();
			return false;
		}
		
		// validate daytime phone
		if (document.FreeQuoteForm.WTelephone1.value=="") {
			alert('\nPlease enter your daytime telephone number.');
			document.FreeQuoteForm.WTelephone1.select();
			document.FreeQuoteForm.WTelephone1.focus();
			return false;
		}
		else {
				if (isNaN(document.FreeQuoteForm.WTelephone1.value)) {
					alert('\nPlease a valid daytime telephone number.');
					document.FreeQuoteForm.WTelephone1.select();
					document.FreeQuoteForm.WTelephone1.focus();
					return false
				}
					else {
						if ((document.FreeQuoteForm.WTelephone1.value.length)!=3) {
						alert('\nPlease a valid daytime telephone number.');
						document.FreeQuoteForm.WTelephone1.select();
						document.FreeQuoteForm.WTelephone1.focus();
						return false;
					}
						}
			}
		
		// validate daytime phone
		if (document.FreeQuoteForm.WTelephone2.value=="") {
			alert('\nPlease enter your daytime telephone number.');
			document.FreeQuoteForm.WTelephone2.select();
			document.FreeQuoteForm.WTelephone2.focus();
			return false;
		}
			else {
				if (isNaN(document.FreeQuoteForm.WTelephone2.value)) {
					alert('\nPlease a valid daytime telephone number.');
					document.FreeQuoteForm.WTelephone2.select();
					document.FreeQuoteForm.WTelephone2.focus();
					return false;
				}
					else {
						if ((document.FreeQuoteForm.WTelephone2.value.length)!=3) {
						alert('\nPlease a valid daytime telephone number.');
						document.FreeQuoteForm.WTelephone2.select();
						document.FreeQuoteForm.WTelephone2.focus();
						return false;
					}
					}
			}
		
		// validate daytime phone
		if (document.FreeQuoteForm.WTelephone3.value=="") {
			alert('\nPlease enter your daytime telephone number.');
			document.FreeQuoteForm.WTelephone3.select();
			document.FreeQuoteForm.WTelephone3.focus();
			return false;
		}
		else {
				if (isNaN(document.FreeQuoteForm.WTelephone3.value)) {
					alert('\nPlease a valid daytime telephone number.');
					document.FreeQuoteForm.WTelephone3.select();
					document.FreeQuoteForm.WTelephone3.focus();
					return false;
				}
					else {
						if ((document.FreeQuoteForm.WTelephone3.value.length)!=4) {
						alert('\nPlease a valid daytime telephone number.');
						document.FreeQuoteForm.WTelephone3.select();
						document.FreeQuoteForm.WTelephone3.focus();
						return false;
					}
						}
			}
		
		// validate email
		if (document.FreeQuoteForm.Email.value=="") {
			alert('\nPlease enter your email address.');
			document.FreeQuoteForm.Email.select();
			document.FreeQuoteForm.Email.focus();
			return false;
		}
		else {
				if (!(/^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,3})+$/.test(document.FreeQuoteForm.Email.value))){
				alert('\nPlease enter a valid email address.');
				return false;
			}
				
			
			}
		
		return true
	}