<script language="JavaScript">

function checkform(form) {


  if (form.name.value=="") {
    alert( "Please enter Your Name" );
      form.name.focus();
      return false ;
  }

  
  if (form.email.value=="") {
    alert( "Please enter Your Email" );
      form.email.focus();
      return false ;
  }


  if (form.cname.value=="") {
    alert( "Please enter Company Name" );
      form.cname.focus();
      return false ;
  }
  
  if (form.location2.value=="") {
    alert( "Please enter Location" );
      form.location2.focus();
      return false ;
  }
  
  if (form.industry.value=="") {
    alert( "Please enter Industry" );
      form.industry.focus();
      return false ;
  }
  
}
  
  </script>
  

<?php if ($_POST[submit2]) {

        

            $mailtoto = "[email protected]";     

            $mailtosubject = " Pixami Demo Request ";

            $headers .= "From: Site Visitor <$email>";
            
            
            

            MAIL("$mailtoto","$mailtosubject"," 

            NAME: ".$_POST[name]."

            EMAIL: ".$_POST[email]."

            COMPANY NAME: ".$_POST[cname]."

            LOCATION: ".$_POST[location2]."
            
            INDUSTRY: ".$_POST[industry]."

            COMMENTS: ".$_POST[comments]."", "$headers");

            echo "<br><br>Thank you for your interest in Pixami. You will receive an email with login information.<br><br>";        

        

        

        } else { ?>

        <p class="title">Request a Demo</p>
        <form action="index.php?click=demo" method="post" onSubmit="return checkform(this);">

        <table CELLSPACING=5>
        <br>
        <tr><td colspan=2>Please fill out the form to register and view Pixami's online demonstration.</td></tr>
        

        <tr>

        <td align="right"><font color=9E0B0E>*</font>Name</td>

        <td  align="left"><input type="text" name="name" size="45" maxlength="40" class=in1></td>

        </tr> 

        

        <tr>

        <td align="right"><font color=9E0B0E>*</font>Email</td>

        <td  align="left"><input type="text" name="email" size="45" maxlength="40" class=in1 ></td>

        </tr> 
  
        <tr>

        <td align="right"><font color=9E0B0E>*</font>Company Name</td>

        <td  align="left"><input type="text" name="cname" size="45" maxlength="40" class=in1></td>

        </tr> 
        
        <tr>

      

        <td  align="RIGHT"><font color=9E0B0E>*</font>Location</td><td><select name=location2 class=in1> 
        <option value="">-- please select --</option>
        <option value="USA">USA</option>
        <option value="EUROPE">CANADA</option>
        <option value="EUROPE">EUROPE</option>
        <option value="ASIA-PACIFIC">ASIA-PACIFIC</option>
        <option value="LATIN AMERICA">LATIN AMERICA</option>
        <option value="AFRICA">AFRICA</option>
        <option value="MIDDLE EAST">MIDDLE EAST</option>
        
        </select></td>

        </tr> 


        
        <td  align="RIGHT"><font color=9E0B0E>*</font>Industry</td><td><select name=industry class=in1> 
        <option value="">-- please select --
        <option value="ONLINE AND RETAIL PHOTO">ONLINE AND RETAIL PHOTO
        <option value="PRO PHOTO">PRO PHOTO
        <option value="PRINTING AND PUBLISHING">PRINTING AND PUBLISHING
        <option value="COMPUTER HARDWARE AND SOFTWARE">COMPUTER HARDWARE AND SOFTWARE
        <option value="EDUCATION">EDUCATION
        <option value="ARTS AND CRAFTS">ARTS AND CRAFTS
        <option value="SMALL BUSINESS">SMALL BUSINESS
        <option value="REAL ESTATE">REAL ESTATE
        <option value="TRAVEL AND TOURISM">TRAVEL AND TOURISM
        <option value="WEB COMMUNITIES AND PORTALS">WEB COMMUNITIES AND PORTALS
        <option value="OTHER">OTHER
        </select></td>

        </tr> 


        <tr>

        <td valign="top"  align="right">  Comments:  </td>

        <td  align="left"><textarea cols="45" rows="3" name="comments" class=in1 scroll=yes> </textarea></td>

        </tr> 

      

      <tr>

        <td  align="right" ><font color=9E0B0E> *required fields </font></td><td align=center><input type="hidden" name="submit2" value="submit"><input type="submit" name="submit" value=" -- Send -- " class=in1>

      </tr>

      </form>
      <?php } ?>