function CheckField38958(fldName, frm){ if ( frm[fldName].length ) { for ( var i = 0, l = frm[fldName].length; i < l; i++ ) {  if ( frm[fldName].type =='select-one' ) { if ( frm[fldName][i].selected ) { return true; } }  else { if ( frm[fldName][i].checked ) { return true; } }; } return false; } else { frm[fldName].focus(); return (frm[fldName].value.length > 0);}}
function rmspaces(x) {var leftx = 0;var rightx = x.length -1;while ( x.charAt(leftx) == ' ') { leftx++; }while ( x.charAt(rightx) == ' ') { --rightx; }var q = x.substr(leftx,rightx-leftx + 1);if ( (leftx == x.length) && (rightx == -1) ) { q =''; } return(q); }
function checkfield(data) {if (rmspaces(data) == ""){return false;}else {return true;}}
function isemail(data) {var flag = false;if (  data.indexOf("@",0)  == -1 || data.indexOf("\\",0)  != -1 ||data.indexOf("/",0)  != -1 ||!checkfield(data) ||  data.indexOf(".",0)  == -1  ||  data.indexOf("@")  == 0 ||data.lastIndexOf(".") < data.lastIndexOf("@") ||data.lastIndexOf(".") == (data.length - 1)   ||data.lastIndexOf("@") !=   data.indexOf("@") ||data.indexOf(",",0)  != -1 ||data.indexOf(":",0)  != -1 ||data.indexOf(";",0)  != -1  ) {return flag;} else {var temp = rmspaces(data);if (temp.indexOf(' ',0) != -1) { flag = true; }var d3 = temp.lastIndexOf('.') + 4;var d4 = temp.substring(0,d3);var e2 = temp.length  -  temp.lastIndexOf('.')  - 1;var i1 = temp.indexOf('@');if (  (temp.charAt(i1+1) == '.') || ( e2 > 4 )  ||  ( e2 < 2 ) ) { flag = true; }return !flag;}}
function CheckFieldD38958(fldH, chkDD, chkMM, chkYY, reqd, frm){ var retVal = true; var dt = validDate38958(chkDD, chkMM, chkYY, frm); var nDate = frm[chkDD].value  + " " + frm[chkMM].value + " " + frm[chkYY].value; if ( dt == null && reqd == 1 ) {	nDate = ""; retVal = false;	} else if ( (frm[chkDD].value != "" || frm[chkMM].value != "" || frm[chkYY].value != "") && dt == null) { retVal = false; nDate = "";} if ( retVal ) {frm[fldH].value = nDate;} return retVal; }
function validDate38958(chkDD, chkMM, chkYY, frm) {var objDate = null;	if ( frm[chkDD].value != "" && frm[chkMM].value != "" && frm[chkYY].value != "" ) {var mSeconds = (new Date(frm[chkYY].value - 0, frm[chkMM].selectedIndex - 1, frm[chkDD].value - 0)).getTime();var objDate = new Date();objDate.setTime(mSeconds);if (objDate.getFullYear() != frm[chkYY].value - 0 || objDate.getMonth()  != frm[chkMM].selectedIndex - 1  || objDate.getDate() != frm[chkDD].value - 0){objDate = null;}}return objDate;}
function _checkSubmit38958(frm){
if ( !isemail(frm["fldEmail"].value) ) { 
   alert("Please enter the Correo Electronico");
   return false;
}
if ( !CheckField38958("fldfirstname", frm) ) { 
   alert("Please enter the Nombre Completo");
   return false;
}
if ( !CheckField38958("fldlastname", frm) ) { 
   alert("Please enter the LastName");
   return false;
}
if ( !CheckField38958("fldfield2", frm) ) { 
   alert("Please enter the Ciudad y/o Telefono");
   return false;
}
 return true; }
document.write("<style type=\"text/css\">.bmform_outer38958{width:220px;} .bmform_inner38958{width:100%; border:1px solid #FFFFFF;} .bmform_head38958{background-image:none; background-color:#494949; background-repeat:no-repeat;} .bm_headetext38958{color:#ffffff; font-family:Arial; font-weight: bold;  font-size:16px;padding:8px;} .bmform_body38958{background-image:none; background-position:bottom; background-repeat:no-repeat; background-color:#FFFFFF; color:#000000; font-family:Arial; font-size:10px; padding:12px; padding-bottom:12px;} .bmform_introtxt38958{font-family:Arial; font-size:10px; padding-bottom:12px;} .bmform_frmtext38958{padding: 5px 0px 3px 0px; font-weight: bold; display:block; float:none; text-align: left; text-decoration: none; width: auto; font-family:Arial} .bmform_frm38958{color:#000000; display:block; float:none; font-family:Verdana; font-size:12px; font-style:normal;font-weight:normal; text-align:left; text-decoration:none; width:auto; width: 190px;} .bmform_button38958{text-align:left; padding-top:15px; width: 200px;} .bmform_submit38958{width: 200px;} .bmform_footer38958{}.footer_bdy38958{}.footer_txt38958{}</style>"); document.write("<div align=\"center\"><form style=\"display:inline;\" action=\"http://lb.benchmarkemail.com//code/lbform\" method=post name=\"frmLB38958\" accept-charset=\"UTF-8\" onsubmit=\"return _checkSubmit38958(this);\" ><input type=hidden name=successurl value=\"http://www.benchmarkemail.com/Code/ThankYouOptin\" /><input type=hidden name=errorurl value=\"http://lb.benchmarkemail.com//Code/Error\" /><input type=hidden name=token value=\"mFcQnoBFKMQtezV8SqnPaOoNbCMyivkXjmrjwISCYYQ%3D\" /><input type=hidden name=doubleoptin value=\"\" /><div class=bmform_outer38958 id=tblFormData38958><div class=bmform_inner38958><div class=bmform_head38958 id=tdHeader38958><div class=bm_headetext38958>Formulario</div></div><div class=bmform_body38958><div class=bmform_introtxt38958 id=tdIntro38958 >Ingreso a nuestros Boletines<br /></div><div id=tblFieldData38958 style='text-align:left;'><div class=bmform_frmtext38958>Correo Electronico <span style='color:#CC0000;font-size:125%;'> *</span> </div><input type=text class=bmform_frm38958 name=fldEmail maxlength=100 /><div class=bmform_frmtext38958>Nombre Completo <span style='color:#CC0000;font-size:125%;'> *</span> </div><input type=text class=bmform_frm38958 name=fldfirstname maxlength=100 /><div class=bmform_frmtext38958>LastName <span style='color:#CC0000;font-size:125%;'> *</span> </div><input type=text class=bmform_frm38958 name=fldlastname maxlength=100 /><div class=bmform_frmtext38958>Ciudad y/o Telefono <span style='color:#CC0000;font-size:125%;'> *</span> </div><input type=text class=bmform_frm38958 name=fldfield2 maxlength=100 /></div><div class=bmform_button38958><input type=\"submit\" id=\"btnSubmit\" value=\"Enviarme Mail de Confirmacion\"  krydebug=\"1751\" class=bmform_submit38958 /></div></div><div class=bmform_footer38958><div class=footer_bdy38958><div class=footer_txt38958></div></div></div></div></div><table id=\"tblRequiredField38958\" width=\"220\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\" ><tr><td align=right style='font-size:10px;'>* Required Field</td></tr></table></form></div><!-- BEGIN: Email Marketing By Benchmark Email ------><div align=\"center\" style=\"padding-top:5px;font-family:Arial,Helvetica,sans-serif;font-size:10px;color:#999999;\"><a href=\"http://www.benchmarkemail.com\" target=_new style=\"text-decoration:none;font-family:Arial,Helvetica,sans-serif;font-size:10px;color:#999999;\">Email Marketing Services</a> by Benchmark</div>");