Web-form errors/Its urgent
Prachu!!! May 16, 2012 5:49 AMERROR: An error occurred. Your web form must capture customer name and email address. Please fix this issue and re-insert your web form on your web page.
Why above error occues in folllowing form:
<div class="mid-container col2-left-layout" id="rowan" rel="pay">
<div class="col-1">
<div class="div-0ne">
<div class="para-col1">
<p><span>Rowan</span></p>
<p><span>Document Solutions</span></p>
<p> is a family-owned, recognized </p>
<p> leader in ROI, document scanning</p>
<p> and records</p>
<p>management for the</p>
<p>medical industry. </p>
</div>
<div class="free-quote"><img alt="" src="img/get-free.png" /> </div>
</div>
<div class="border-document">
<div class="img-document">
<img alt="" src="img/document-scan.png" />
</div>
<div class="para-document">
<p>Document Scanning & Records Management </p>
</div>
<div class="clr"></div>
</div>
<div class="border-document">
<div class="img-document-circle">
<img alt="" src="img/circle-img.png" />
</div>
<div class="para-document-roi">
<p>ROI </p>
<p>Release of Information) </p>
</div>
<div class="clr"></div>
</div>
<div class="border-document-new">
<div class="para-document-roi-nr">
<img alt="" src="img/trangle.png" />
</div>
<div class="para-document-recordes">
<p>Request Your Records </p>
<p>& Pay Online </p>
</div>
<div class="clr"></div>
</div>
</div>
<div class="col-2">
<div class="about-documnett">
<h1>PAY ONLINE </h1>
</div>
<div class="clr"></div>
<div class="experience-h">
<div class="payonline">
<p class="para"> Have you received invoice from Rowan Document Solutions? You can securely pay on line and also retrieve the requested records online.</p>
<p class="para">Just enter the requested information below exactly as shown on your Rowan Document Solutions invoice:
</p>
</div>
<form name="catwebformform10549" method="post" onsubmit="return checkWholeForm10549(this)" enctype="multipart/form-data" action="http://rowan.creativeimagewebsites.com/FormProcessv2.aspx?WebFormID=29207&OID={module_oid}&OTYPE={module_otype}&EID={module_eid}&CID={module_cid}">
<table cellspacing="0" cellpadding="2" border="0" id="paytable" class="webform">
<tbody>
<!--- <tr>
<td><label for="Title">Title</label><br />
<select class="cat_dropdown_smaller" id="Title" name="Title">
<option value="1559314">DR</option>
<option value="1559313">MISS</option>
<option selected="selected" value="1559310">MR</option>
<option value="1559311">MRS</option>
<option value="1559312">MS</option>
</select></td>
</tr>
<tr>
<td><label for="FirstName">First Name <span class="req">*</span></label><br />
<input type="text" maxlength="255" class="cat_textbox" id="FirstName" name="FirstName" /> </td>
</tr>
<tr>
<td><label for="LastName">Last Name <span class="req">*</span></label><br />
<input type="text" maxlength="255" class="cat_textbox" id="LastName" name="LastName" /> </td>
</tr>
<tr>
<td><label for="EmailAddress">Email Address <span class="req">*</span></label><br />
<input type="text" maxlength="255" class="cat_textbox" id="EmailAddress" name="EmailAddress" /> </td>
</tr>--->
<tr>
<td><label for="CAT_Custom_131280">INVOICE NUMBER:</label></td>
<td>
<input type="text" size="30" maxlength="100" name="CAT_Custom_131280" id="CAT_Custom_131280" class="new-put" /></td>
<td> </td>
</tr>
<tr>
<td><label for="CAT_Custom_131281">ORGCODE/PO NUMBER:</label></td>
<td>
<input type="text" size="30" maxlength="100" name="CAT_Custom_131281" id="CAT_Custom_131281" class="new-put" /></td>
<td> </td>
</tr>
<tr>
<td><label for="CAT_Custom_131282">PATIENT'S LAST NAME:</label></td>
<td>
<input type="text" size="30" maxlength="100" name="CAT_Custom_131282" id="CAT_Custom_131282" class="new-put" /></td>
<td> </td>
</tr>
<!--<tr>
<td style=""> </td>
<td><input type="image" id="catwebformbutton" value="Submit" class="cat_button" src="/img/get-free.png" /></td>
</tr>-->
</tbody>
</table>
<script type="text/javascript" src="http://rowan.creativeimagewebsites.com/CatalystScripts/ValidationFunctions.js"></script>
<script type="text/javascript">
//<![CDATA[
var submitcount10549 = 0;function checkWholeForm10549(theForm){var why = ""; if (theForm.CAT_Custom_131280) why += isEmpty(theForm.CAT_Custom_131280.value, "INVOICE NUMBER");if (theForm.CAT_Custom_131281) why += isEmpty(theForm.CAT_Custom_131281.value, "ORGCODE/PO NUMBER");if (theForm.CAT_Custom_131282) why += isEmpty(theForm.CAT_Custom_131282.value, "PATIENT'S LAST NAME");if(why != ""){alert(why);return false;}if(submitcount10549 == 0){submitcount10549++;theForm.submit();return false;}else{alert("Form submission is in progress.");return false;}}
//]]>
</script>
<div class="payonline">
<p class="para"><input type="image" src="/img/get-free.png" class="cat_button" value="Submit" id="catwebformbutton" /></p>
</div>
</form>
</div>
</div>
</div>
<div class="clr"></div>




