function setFormFieldNamesInSequence(formObj){ 
        var hiddenElem = document.getElementById('MAINTAINED_ORDERED_FORM_FIELDS'); 
        if(hiddenElem == null){                         
                //get the field one by one 
                //and append separated by comma 
                var length = formObj.length; 
                var name = ""; 
        var previousElemName = ""; 
                var once = true; 
                for(var i=0 ; i< length;i++){ 
                        var elemName = formObj.elements[i].name; 
                        if(elemName != previousElemName){ 
                        if(once){ 
                        name = name + elemName ; 
                        once = false; 
                } 
                else{ 
                        name = name +","+elemName ; //separated by comma 
                } 
                        } 
                previousElemName = elemName; 
                }//for 

                //define a new input hidden element 
                var inputElement   = document.createElement("input"); 
                inputElement.type  = "hidden" ; 
                inputElement.name  = "MAINTAINED_ORDERED_FORM_FIELDS"; 
                inputElement.id    = "MAINTAINED_ORDERED_FORM_FIELDS"; 
                inputElement.value = name; //put the value 
                formObj.appendChild(inputElement) ;  //add to the form dynamically 
                //alert(inputElement.value); 
        } 
} 


function checkRequired(){
 var fieldNames = new Array("first_name_haht", "last_name_haht", "company_haht", "address_haht", "city_haht", "zip_postal_code_haht", "country_haht", "e_mail_address_haht"  );
 var fieldLabels = new Array("First Name:", "Last Name:", "Company:", "Street Address:", "City:", "Zip/Postal Code:", "Country:", "E-Mail Address:"  );
 var checkRadioNames = new Array("email_permission_haht", "register"  );
 var checkRadioLabels = new Array("I wish to receive email updates and offers:", "Register"  );

 if(!customStateCheck()){
    return false;
 }
 
 if(!customEmailCheck()){
    return false;
 }

 setFormFieldNamesInSequence(document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German"));

 for(var i=0; i<checkRadioNames.length; i++){
    var el = document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")[checkRadioNames[i]];
    var other = document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")[checkRadioNames[i]+'_other'];
    var foundChecked = false;
    
    if(el != undefined && el.checked == false && other == undefined) {
	alert(checkedRadioLabels[i] + " is required.");
        return false;
    }
    else if ((el != undefined && el.checked) || (other != undefined && other.value.length > 0)) {
        foundChecked = true;
    }
    else{
        
        for(var j=0; j<el!=undefined && j<el.length; j++){
            if(el[j].checked == true ){
                foundChecked = true;
            } else {
		var o = document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")[el[j].name+'_other'];
		if (o != null && o.value.length>0) {
			foundChecked = true;
		}
	    }
        }
        
    }
    if(foundChecked == false){
            alert(checkRadioLabels[i] + ' is required.');
            return false;
        }

 }

 for(var i=0; i<fieldNames.length; i++){
    if(document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")[fieldNames[i]].value == ""){
        alert(fieldLabels[i] + " is required.");
        return false;
    }
 
 }
 
 
 document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German").submit();
}

function customStateCheck(){

    if(document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['country_haht'] != null && document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['country_haht'].value == 'US'){
    
        if(document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['state_haht'] != null && document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['state_haht'].value == ''){
            alert("You must select a state.");
            return false;        
        }
    
    
    } 
    
    if(document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['state_haht'] != null && document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['state_haht'].value != ''){
    
        if(document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['province_haht'] != null && document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['province_haht'].value != ''){
            alert("You must only choose a state or a province, not both.");
            return false;
        }
    
    }
    return true;
}

function customEmailCheck() {
    if(document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['e_mail_address_haht'] != null && document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['e_mail_address_haht'].value != ''){
 	if (!document.getElementById("Supelco_2008-2009_Catalog_request_-_WM8_German")['e_mail_address_haht'].value.match(/\b(^(\S+@).+((\.com)|(\.net)|(\.edu)|(\.mil)|(\.gov)|(\.int)|(\.org)|(\.biz)|(\.info)|(\.name)|(\..{2,2}))$)\b/gi)) {
        	alert(" Please enter a valid e-mail address.");
		return false;
	}
    }
    return true;
}

document.write('<form name="Supelco_2008-2009_Catalog_request_-_WM8_German" id="Supelco_2008-2009_Catalog_request_-_WM8_German" method="post" action="/webapp/wcs/stores/servlet/FormProcess?storeId=11001&langId=-1 ">'
+'<table cellpadding=0 cellspacing=0><tr><td width="590px;" colspan="2"><label><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top"></td></tr></table></label><table width="100%" cellpadding="0" cellspacing="0"><tr><td width="100%" valign="top"><table cellpadding="0" cellspacing="0"><tr><td valign="top"><input class="SigmaFormsAnswer" type="checkbox" name="Supelco_Catalog" value="^013" /></td><td valign="top"><label class="SigmaFormsAnswer">Please send a copy of the 2009-2010 Supelco Catalog</label></td></tr></table></td></tr></table></td></tr><tr><td width="590px;" colspan="2"><label><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top"></td></tr></table></label><table width="100%" cellpadding="0" cellspacing="0"><tr><td width="100%" valign="top"><table cellpadding="0" cellspacing="0"><tr><td valign="top"><input class="SigmaFormsAnswer" type="checkbox" name="Reporter_Europe_Subscription" value="^EKE" /></td><td valign="top"><label class="SigmaFormsAnswer">Sign me up for a FREE subscription to the Reporter for Europe</label></td></tr></table></td></tr></table></td></tr><tr><td width="590px;" colspan="2"><label><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top"></td></tr></table></label><table width="100%" cellpadding="0" cellspacing="0"><tr><td width="100%" valign="top"><table cellpadding="0" cellspacing="0"><tr><td valign="top"><input class="SigmaFormsAnswer" type="checkbox" name="Analytix_subscription" value="^DCC" /></td><td valign="top"><label class="SigmaFormsAnswer">Sign me up for a FREE subscription to the Analytix Newsletter</label></td></tr></table></td></tr></table></td></tr>'
+'<tr><td colspan="2"><div class="formSpacer">&nbsp;</div></td></tr>'
+'<tr><td colspan="2"><label class=""></label><br/></td></tr><tr><td valign="top" class="leftFormCol"><label for="first_name_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/star.gif" width="9" height="9"/>&nbsp;</td><td valign="top">First Name:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="first_name_haht" maxlength="20" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="last_name_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/star.gif" width="9" height="9"/>&nbsp;</td><td valign="top">Last Name:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="last_name_haht" maxlength="30" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="company_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/star.gif" width="9" height="9"/>&nbsp;</td><td valign="top">Company:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="company_haht" maxlength="35" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="mailstop_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top">Internal Mail Code:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="mailstop_haht" maxlength="15" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="address_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/star.gif" width="9" height="9"/>&nbsp;</td><td valign="top">Street Address:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="address_haht" maxlength="30" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="division_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top">Division:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="division_haht" maxlength="30" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="department_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top">Department:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="department_haht" maxlength="30" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="building_room_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top">Building/Room:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="building_room_haht" maxlength="15" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="city_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/star.gif" width="9" height="9"/>&nbsp;</td><td valign="top">City:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="city_haht" maxlength="20" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="state_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top">State:</td></tr></table></label></td><td class="rightFormCol"><select name="state_haht" class="SigmaFormsAnswer">"<option value="" selected="selected">Choose a State</option><option value="AE" >APO EUROPE/MID EAST</option><option value="AA" >APO AMERICAS</option><option value="AK" >ALASKA</option><option value="AL" >ALABAMA</option><option value="AP" >APO ASIA/PACIFIC</option><option value="AR" >ARKANSAS</option><option value="AS" >AMERICAN SAMOA</option><option value="AZ" >ARIZONA</option><option value="CA" >CALIFORNIA</option><option value="CO" >COLORADO</option><option value="CT" >CONNECTICUT</option><option value="DC" >WASHINGTON DC</option><option value="DE" >DELAWARE</option><option value="FL" >FLORIDA</option><option value="FM" >FED STATES OF MICRONESIA</option><option value="GA" >GEORGIA</option><option value="GU" >GUAM</option><option value="HI" >HAWAII</option><option value="IA" >IOWA</option><option value="ID" >IDAHO</option><option value="IL" >ILLINOIS</option><option value="IN" >INDIANA</option><option value="KS" >KANSAS</option><option value="KY" >KENTUCKY</option><option value="LA" >LOUISIANA</option><option value="MA" >MASSACHUSETTS</option><option value="MD" >MARYLAND</option><option value="ME" >MAINE</option><option value="MH" >MARSHALL ISLANDS</option><option value="MI" >MICHIGAN</option><option value="MN" >MINNESOTA</option><option value="MO" >MISSOURI</option><option value="MP" >N. MARIANA ISLANDS</option><option value="MS" >MISSISSIPPI</option><option value="MT" >MONTANA</option><option value="NC" >NORTH CAROLINA</option><option value="ND" >NORTH DAKOTA</option><option value="NE" >NEBRASKA</option><option value="NH" >NEW HAMPSHIRE</option><option value="NJ" >NEW JERSEY</option><option value="NM" >NEW MEXICO</option><option value="NV" >NEVADA</option><option value="NY" >NEW YORK</option><option value="OH" >OHIO</option><option value="OK" >OKLAHOMA</option><option value="OR" >OREGON</option><option value="PA" >PENNSYLVANIA</option><option value="PR" >PUERTO RICO</option><option value="PW" >PALAU</option><option value="RI" >RHODE ISLAND</option><option value="SC" >SOUTH CAROLINA</option><option value="SD" >SOUTH DAKOTA</option><option value="TN" >TENNESSEE</option><option value="TX" >TEXAS</option><option value="UT" >UTAH</option><option value="VA" >VIRGINIA</option><option value="VI" >VIRGIN ISLANDS</option><option value="VT" >VERMONT</option><option value="WA" >WASHINGTON</option><option value="WI" >WISCONSIN</option><option value="WV" >WEST VIRGINIA</option><option value="WY" >WYOMING</option></select></td></tr><tr><td valign="top" class="leftFormCol"><label for="province_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top">Province:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="province_haht" maxlength="20" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="zip_postal_code_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/star.gif" width="9" height="9"/>&nbsp;</td><td valign="top">Zip/Postal Code:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="zip_postal_code_haht" maxlength="11" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="country_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/star.gif" width="9" height="9"/>&nbsp;</td><td valign="top">Country:</td></tr></table></label></td><td class="rightFormCol"><select name="country_haht" class="SigmaFormsAnswer">"<option value="" selected="selected">Choose a Country</option><option value="AF" >Afghanistan</option><option value="AL" >Albania</option><option value="DZ" >Algeria</option><option value="AS" >American Samoa</option><option value="AD" >Andorra</option><option value="AO" >Angola</option><option value="AI" >Anguilla</option><option value="AG" >Antigua & Barbuda</option><option value="AR" >Argentina</option><option value="AM" >Armenia</option><option value="AW" >Aruba</option><option value="AU" >Australia</option><option value="AT" >Austria</option><option value="AZ" >Azerbaijan</option><option value="BS" >Bahamas</option><option value="BH" >Bahrain</option><option value="BD" >Bangladesh</option><option value="BB" >Barbados</option><option value="BY" >Belarus</option><option value="BE" >Belgium</option><option value="BZ" >Belize</option><option value="BJ" >Benin</option><option value="BM" >Bermuda</option><option value="BT" >Bhutan</option><option value="BO" >Bolivia</option><option value="BA" >Bosnia</option><option value="BW" >Botswana</option><option value="BV" >Bouvet Island</option><option value="BR" >Brazil</option><option value="BN" >Brunei</option><option value="BG" >Bulgaria</option><option value="BF" >Burkina Faso</option><option value="BI" >Burundi</option><option value="KH" >Cambodia</option><option value="CM" >Cameroon</option><option value="CA" >Canada</option><option value="CV" >Cape Verde</option><option value="KY" >Cayman Islands</option><option value="CF" >Central African Rep</option><option value="TD" >Chad</option><option value="CL" >Chile</option><option value="CN" >China (Mainland)</option><option value="CO" >Colombia</option><option value="KM" >Comoros</option><option value="CG" >Congo</option><option value="CK" >Cook Islands</option><option value="CR" >Costa Rica</option><option value="HR" >Croatia</option><option value="CU" >Cuba</option><option value="CY" >Cyprus</option><option value="CZ" >Czech Republic</option><option value="DK" >Denmark</option><option value="DJ" >Djibouti</option><option value="DM" >Dominica</option><option value="DO" >Dominican Republic</option><option value="TP" >East Timor</option><option value="EC" >Ecuador</option><option value="EG" >Egypt</option><option value="SV" >El Salvador</option><option value="GQ" >Equatorial Guinea</option><option value="ER" >Eritrea</option><option value="EE" >Estonia</option><option value="ET" >Ethiopia</option><option value="FJ" >Fiji</option><option value="FK" >Falkland Islands</option><option value="FI" >Finland</option><option value="FR" >France</option><option value="GF" >French Guiana</option><option value="PF" >French Polynesia</option><option value="GA" >Gabon</option><option value="GM" >Gambia</option><option value="GE" >Georgia</option><option value="DE" >Germany</option><option value="GH" >Ghana</option><option value="GI" >Gibraltar</option><option value="GR" >Greece</option><option value="GL" >Greenland</option><option value="GD" >Grenada</option><option value="GP" >Guadeloupe</option><option value="GU" >Guam</option><option value="GT" >Guatemala</option><option value="GN" >Guinea</option><option value="GW" >Guinea-Bissau</option><option value="GY" >Guyana</option><option value="HT" >Haiti</option><option value="HM" >Heard/McDonald Islands</option><option value="HN" >Honduras</option><option value="HK" >Hong Kong</option><option value="HU" >Hungary</option><option value="IS" >Iceland</option><option value="IN" >India</option><option value="ID" >Indonesia</option><option value="IR" >Iran</option><option value="IQ" >Iraq</option><option value="IE" >Ireland</option><option value="IL" >Israel</option><option value="IT" >Italy</option><option value="JM" >Jamaica</option><option value="JP" >Japan</option><option value="JO" >Jordan</option><option value="KZ" >Kazakhstan</option><option value="KE" >Kenya</option><option value="KI" >Kiribati</option><option value="CX" >Kirtimati (Christmas Island)</option><option value="KR" >Korea (South)</option><option value="KW" >Kuwait</option><option value="KG" >Kyrgyzstan</option><option value="LA" >Laos</option><option value="LV" >Latvia</option><option value="LB" >Lebanon</option><option value="LS" >Lesotho</option><option value="LR" >Liberia</option><option value="LY" >Libya</option><option value="LI" >Liechtenstein</option><option value="LT" >Lithuania</option><option value="LU" >Luxembourg</option><option value="MO" >Macau</option><option value="MK" >Macedonia</option><option value="MG" >Madagascar</option><option value="MW" >Malawi</option><option value="MY" >Malaysia</option><option value="MV" >Maldives</option><option value="ML" >Mali</option><option value="MT" >Malta</option><option value="MH" >Marshall Islands</option><option value="MQ" >Martinique</option><option value="MR" >Mauritania</option><option value="MU" >Mauritius</option><option value="YT" >Mayotte Islands</option><option value="MX" >Mexico</option><option value="FM" >Micronesia</option><option value="MD" >Moldavia</option><option value="MC" >Monaco</option><option value="MN" >Mongolia</option><option value="ME" >Montenegro</option><option value="MS" >Montserrat</option><option value="MA" >Morocco</option><option value="MZ" >Mozambique</option><option value="MM" >Myanmar</option><option value="NA" >Namibia</option><option value="NR" >Nauru</option><option value="NP" >Nepal</option><option value="AN" >Netherlands Antilles</option><option value="NL" >Netherlands</option><option value="NC" >New Caledonia</option><option value="NZ" >New Zealand</option><option value="NI" >Nicaragua</option><option value="NE" >Niger</option><option value="NG" >Nigeria</option><option value="NU" >Niue Island</option><option value="NF" >Norfolk Island</option><option value="KP" >North Korea</option><option value="MP" >Northern Mariana Islands</option><option value="NO" >Norway</option><option value="OM" >Oman</option><option value="PK" >Pakistan</option><option value="PW" >Palau</option><option value="PA" >Panama</option><option value="PG" >Papua New Guinea</option><option value="PY" >Paraguay</option><option value="PE" >Peru</option><option value="PH" >Philippines</option><option value="PN" >Pitcairn Island</option><option value="PL" >Poland</option><option value="PT" >Portugal</option><option value="QA" >Qatar</option><option value="RE" >Reunion Island</option><option value="RO" >Romania</option><option value="RU" >Russian Federation</option><option value="RW" >Rwanda</option><option value="SM" >San Marino</option><option value="ST" >Sao Tome & Principe</option><option value="SA" >Saudi Arabia</option><option value="SN" >Senegal</option><option value="SX" >Serbia</option><option value="SC" >Seychelles</option><option value="SL" >Sierra Leone</option><option value="SG" >Singapore</option><option value="SK" >Slovakia</option><option value="SI" >Slovenia</option><option value="SB" >Solomon Islands</option><option value="SO" >Somalia</option><option value="ZA" >South Africa</option><option value="ES" >Spain</option><option value="LK" >Sri Lanka</option><option value="SH" >St Helena</option><option value="KN" >St Kitts and Nevis</option><option value="LC" >St Lucia</option><option value="PM" >St Pierre & Miquelon</option><option value="VC" >St Vincent Grenadine</option><option value="SD" >Sudan</option><option value="SR" >Suriname</option><option value="SZ" >Swaziland</option><option value="SE" >Sweden</option><option value="CH" >Switzerland</option><option value="SY" >Syria</option><option value="TW" >Taiwan</option><option value="TJ" >Tajikstan</option><option value="TZ" >Tanzania</option><option value="TH" >Thailand</option><option value="TG" >Togo</option><option value="TK" >Tokelau Islands</option><option value="TO" >Tonga</option><option value="TT" >Trinidad & Tobago</option><option value="TN" >Tunisia</option><option value="TR" >Turkey</option><option value="TM" >Turkmenistan</option><option value="TC" >Turks & Caicos Isl.</option><option value="TV" >Tuvalu</option><option value="US" >USA</option><option value="UG" >Uganda</option><option value="UA" >Ukraine</option><option value="AE" >United Arab Emirates</option><option value="GB" >United Kingdom</option><option value="UY" >Uruguay</option><option value="UZ" >Uzbekistan</option><option value="VU" >Vanuatu</option><option value="VA" >Vatican City</option><option value="VE" >Venezuela</option><option value="VN" >Vietnam</option><option value="VG" >Virgin Islands (British)</option><option value="VI" >Virgin Islands (US)</option><option value="WF" >Wallis and Futuna Is</option><option value="WS" >Western Samoa</option><option value="YE" >Yemen</option><option value="ZR" >Zaire</option><option value="ZM" >Zambia</option><option value="ZW" >Zimbabw</option></select></td></tr><tr><td valign="top" class="leftFormCol"><label for="phone_number_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top">Phone Number:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="phone_number_haht" maxlength="30" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="fax_number_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/required_space.gif" width="12" height="9"/></td><td valign="top">Fax Number:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="fax_number_haht" maxlength="30" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label for="e_mail_address_haht"><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/star.gif" width="9" height="9"/>&nbsp;</td><td valign="top">E-Mail Address:</td></tr></table></label></td><td class="rightFormCol"><input type="text" name="e_mail_address_haht" maxlength="64" size="20" class="SigmaFormsAnswer" value=""/></td></tr><tr><td valign="top" class="leftFormCol"><label><table cellpadding="0" cellspacing="0" class="SigmaFormsQuestion"><tr><td valign="top"><img src="/images/star.gif" width="9" height="9"/>&nbsp;</td><td valign="top">I wish to receive email updates and offers:</td></tr></table></label></td><td class="rightFormCol"><table width="100%" cellpadding="0" cellspacing="0"><tr><td width="50%" class="radioOption"><table width="100%" cellpadding="0" cellspacing="0"><tr><td valign="top"><input class="SigmaFormsAnswer" type="radio" 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valign="top"><input class="SigmaFormsAnswer" type="radio" name="register" value="yes" checked="checked"/></td><td width="100%" valign="top"><label style="display: block;" class="SigmaFormsAnswer">&nbsp;Yes</label></td></tr></table></td><td width="50%" class="radioOption"><table width="100%" cellpadding="0" cellspacing="0"><tr><td><input class="SigmaFormsAnswer" type="radio" name="register" value="no" /></td><td width="100%" valign="top"><label class="SigmaFormsAnswer">&nbsp;No, not at this time.</label></td></tr></table></td></tr></table></td></tr><tr><td colspan="2"><table cellpadding="0" cellspacing="0"><tr><td valign="top"><img src="/images/required_space.gif" width="9" height="9"/>&nbsp;</td><td valign="top"><span class="SigmaFormsAnswer"><br>We will not share information.  Please read our <a id="/sigma-aldrich/help/help-welcome/registration/privacy-policy" href="javascript:OpenWin(&#39;/sigma-aldrich/help/help-welcome/registration/privacy-policy.html&#39;,&#39;height=550,width=620,scrollbars=yes,resizable=1&#39;) ">Privacy Policy.</a></span></td></tr></table></td></tr>'
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