if(document.thisForm.Prefix.value == "" || document.thisForm.Prefix.value == " ") { alert("Please enter your Prefix!"); return false; } else if(document.thisForm.State.value == "" || document.thisForm.State.value == " ") { alert("Please enter your State!"); return false; }
Prefix  
First Name  
Last Name  
Address  
Address    
City  
State  
Zip *  
Home Phone  
Work Phone    
Email *  
 
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