function CheckCallbackForm()
{
		if(document.getElementById("txtName").value == "") {
			alert("Form Help\n=====================\nPlease enter your name\nin the call back form");
			document.getElementById("txtName").focus();
			return false;
		}
		else if(document.getElementById("txtCompany").value == "") {
			alert("Form Help\n=====================\nPlease enter your company Name\nin the call back form");
			document.getElementById("txtCompany").focus();
			return false;
		}
		else if((document.getElementById("txtContactNo").value == "") || (ValidPhone(document.getElementById("txtContactNo").value,false) == false)) {
			alert("Form Help\n=====================\nPlease enter your contact No\nin the call back form");
			document.getElementById("txtContactNo").focus();
			return false;
		}
		else if(document.getElementById("txtpostcode").value == "") {
			alert("Form Help\n=====================\nPlease enter your postcode\nso that we can identify your\nclosest branch");
			document.getElementById("txtpostcode").focus();
			return false;
		}
		else if(document.getElementById("cbocallReason").value == "#") {
			alert("Form Help\n=====================\nPlease select the product that you\nare interested in");
			document.getElementById("cbocallReason").focus();
			return false;
		}
	 	return true;
}
	
function ValidPhone(sPhone,mobileCheck)
{
    var bValid;
    bValid = true;

    if((sPhone.length != 11) && (sPhone.length != 12) && (sPhone.length != 13))  {
        bValid = false;
    }
    else {
        for(i = 0; i < sPhone.length; i++) {
            if((sPhone.charAt(i) < "0" || sPhone.charAt(i) > "9") && (sPhone.charAt(i) != " " && sPhone.charAt(i) != "-")) {
                bValid = false;
                break;
            }
        }
    }
	
	if (mobileCheck == true)
	{
		if (sPhone.substring(0,2) != "07") {
	        bValid = false;
		}
	}

    return bValid;
}




document.write('<style>');
document.write('.callBackHead {background-image: url(\'http://www.brammerpartners.co.uk/images/interface/remote_callback_header.gif\'); font-family: Tahoma, Verdana, Arial, san-serif; font-size: .85+em; font-weight: bold; text-transform: uppercase; color: #fff; padding: 17px 2px 17px 50px; margin-top:10px; width:104px; }');
document.write('#frmcallenquiry {background-color: white; margin-top:0px;}');
document.write('#frmcallenquiry .callback_text {font-family: Verdana; font-size: 10px; color: #666666;}');
document.write('#frmcallenquiry .callback_field {font-family: Verdana; font-size: 10px; color: #666666; width: 145px}');
document.write('#frmcallenquiry .callback_dropdown {font-family: Verdana; font-size: 10px; color: #666666; width: 145px; size:10;}');
document.write('#frmcallenquiry .buttonsmall {margin-right: 15px; font-weight: bold; list-style-position: inside; font-size: 10px; color: #666; font-family: verdana, arial, sans-serif;}');
document.write('</style>');

document.write('<div class="callBackHead">');
document.write('Call Me Back');
document.write('</div>');
document.write('<form id="frmcallenquiry" name="frmcallenquiry" method="post" action="http://www.brammerpartners.co.uk/assets/xt_remote_callback.asp" onsubmit="return CheckCallbackForm();">');
document.write('<input type="hidden" name="fromPage" id="fromPage" value="call_back.asp?" />');
document.write('<table style="margin-bottom: 1px;" width="150" border="0" cellspacing="0" cellpadding="0">');
		document.write('<tr height="5">');	
			document.write('<td width="142" class="callback_text" height="5"></td>');	
		document.write('</tr>');	
		document.write('<tr>');	
			document.write('<td width="142" class="callback_text"><strong>Full Name</strong></td>');	
		document.write('</tr>');	
		document.write('<tr height="26">');	
			document.write('<td width="142" height="26"><input class="callback_field" type="text" name="txtName" id="txtName" size="10" value=""  maxlength="100" tabindex="201"></td>');	
		document.write('</tr>');	
		document.write('<tr height="2">');	
			document.write('<td width="142" height="2"></td>');	
		document.write('</tr>');	
		document.write('<tr>');	
			document.write('<td width="142" class="callback_text"><strong>Company Name</strong></td>');	
		document.write('</tr>');	
		document.write('<tr>');	
			document.write('<td width="142" class="callback_text"><input class="callback_field" type="text" name="txtCompany" id="txtCompany" value="" maxlength="50" size="10" tabindex="202"></td>');	
		document.write('</tr>');	
		document.write('<tr height="2">');	
			document.write('<td width="142" height="2"></td>');	
		document.write('</tr>');	
		document.write('<tr>');	
			document.write('<td width="142" class="callback_text"><strong>Account Number</strong></td>');	
		document.write('</tr>');	
		document.write('<tr>');	
			document.write('<td width="142" class="callback_text"><input class="callback_field" type="text" name="txtAccountNo" id="txtAccountNo" value="" size="10" maxlength="6" tabindex="203"></td>');	
		document.write('</tr>');	
		document.write('<tr height="2">');	
			document.write('<td width="142" height="2"></td>');	
		document.write('</tr>');	
		document.write('<tr>');	
			document.write('<td width="142" class="callback_text"><strong>Contact No</strong></td>');	
		document.write('</tr>');	
		document.write('<tr>');	
			document.write('<td width="142" class="callback_text"><input class="callback_field" type="text" name="txtContactNo" id="txtContactNo" value="" maxlength="20" size="10" tabindex="204"></td>');	
		document.write('</tr>');
		document.write('<tr height="2">');	
			document.write('<td width="142" height="2"></td>');	
		document.write('</tr>');
		document.write('<tr>');	
			document.write('<td width="142" class="callback_text"><strong>Postcode</strong></td>');	
		document.write('</tr>');	
		document.write('<tr>');	
			document.write('<td width="142" class="callback_text"><input class="callback_field" type="text" name="txtpostcode" id="txtpostcode" value="" maxlength="9" size="10" tabindex="205"></td>');	
		document.write('</tr>');	
		document.write('<tr height="2">');	
			document.write('<td width="142" height="2"></td>');	
		document.write('</tr>');
		document.write('<tr height="2">')
			document.write('<td width="142" class="callback_text"><strong>To discuss</strong></td>');
		document.write('</tr>');
		document.write('<tr>');
			document.write('<td width="142" class="callback_text">');
			document.write('<select class="callback_dropdown" name="cbocallReason" id="cbocallReason" style="width:150px" tabindex="206">');
					document.write('<option value="#" >Select...</option>');
					document.write('<option value="Bearings" >Bearings</option>');
					document.write('<option value="Hydraulics & Pneumatics" >Hydraulics & Pneumatics</option>');
					document.write('<option value="Gearboxes" >Gearboxes</option>');
					document.write('<option value="Tools & General Maint." >Tools & General Maint.</option>');
					document.write('<option value="Industrial Automation" >Industrial Automation</option>');
					document.write('<option value="Mechanical Power Trans." >Mechanical Power Trans.</option>');
					document.write('<option value="Motors" >Motors</option>');
					document.write('<option value="Seals" >Seals</option>');
					document.write('<option value="Other" >Other</option>');
			document.write('</select>');
			document.write('</td>');
		document.write('</tr>');
		document.write('<tr height="5">');
			document.write('<td width="142" height="5"></td>');
		document.write('</tr>');
		document.write('<tr height="10">');
			document.write('<td valign="top" width="142" height="10"><button name="buttonName" type="submit" class="buttonsmall" tabindex="207" >Call Me Back</button></td>');
		document.write('</tr>');
		document.write('<tr height="5">');
			document.write('<td width="142" height="5"></td>');
		document.write('</tr>');	
document.write('</table>');
document.write('</form>');