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<script language="JavaScript" type="text/JavaScript" src="https://www.visualartsource.com/includes/java/Email.js"></script>
<script language="JavaScript" type="text/JavaScript" src="https://www.visualartsource.com/includes/java/Checkboxes.js"></script>
<script language="JavaScript" type="text/JavaScript">
	//<!--    
    function chkFrm(){
	dirty = 0;
	warn = "Your request could not be completed for the following reason(s):";
	
		if(document.contactusForm.fullName.value == ''){
			dirty = 1;
			warn = warn + '\n*Name is Required';
		}//end if
	
		
		if(document.contactusForm.Email.value == ''){
			dirty = 1;
			warn = warn + '\n*Your Email Address is Required';
		} else {
			if(chkEmail(document.contactusForm.email) == 0){
				dirty = 1;
				warn = warn + '\n*Invalid Email Address Format';
			}//end if
		}//end if
		
		if(document.contactusForm.comments.value == ''){
			dirty = 1;
			warn = warn + '\n*Enter your message';
		}//end if
		
		if(dirty > 0){
			alert(warn + '\n\nPlease complete the form and try again.');
			return false;
		} else {
			return true;
		}//end if
		
	}//end chkFrm()
	//-->
	</script>
<div >
  <form name="contactusForm" id="contactusForm" action="/components/EmailVenue.php?height=600&width=400&action=send&venueID=2415" method="post" onsubmit="return chkFrm();" class="thickbox" >
      <div class="required">* Marked fields are required.</div>
      <div class="frmReq">
        <label for="firstName">Your Name:<span class="required">*</span></label>
        <input type="text" name="fullName" maxlength="25" size="30" value="" id="fullName" />
      </div>
      <div class="frmOpt">
        <label for="companyName">Company Name:</label>
        <input type="text" name="companyName" maxlength="50" size="30" value="" id="companyName"/>
      </div>
      <div class="frmReq">
        <label for="email">Your Email:<span class="required">*</span></label>
        <input type="text" name="Email" maxlength="128" size="30" value="" id="email" />
      </div>
      <div class="frmOpt">
        <label for="Phone">Your Phone Number:</label>
        <input type="text" name="Phone" maxlength="20" size="20" value="" id="area" />
      </div>
      <div class="frmOpt">
        <label for="PhoneExt">Extension:</label>
        <input type="text" name="PhoneExt" maxlength="6" size="6" value="" id="area" />
      </div>
      <div class="frmReq">
        <label for="comments">Your Message:<span class="required">*</span></label>
        <textarea name="comments" cols="30" rows="8" id="comments"></textarea>
      </div>
      <div class="frmOpt">
        <label for="contacted"></label>
        <strong>How do you want to be contacted?</strong>
        <input name="contacted" type="radio" value="Email" checked />
        e-mail
        <input name="contacted" type="radio" value="Phone" checked />
        phone
     </div>
      
      <div class="frmOpt">
        <label for="math">What is 2 plus 2?:</label>
        <input type="text" name="math" />
        <br />
        (To prove you are not a spam-bot)
      </div>
      <br />
      <div class="frmOpt">
      <input type="submit" id="submit"value="Send" class="button" />
     </div>
  </form>
</div>