<form id="ATForm" method="POST" action=https://ww3.autotask.net/autotask/AutoFormHandlers/ServiceController.aspx onSubmit="return Validate(this)"><!-- [et_pb_line_break_holder] --><input Type="Hidden" name="FormID" id="FormID" value="5CEaefbZAPB+18daPi4dsQ=="><!-- [et_pb_line_break_holder] --><input Type="Hidden" name="CI" id="CI" value="PqrJxgCXbvgPajPPhe8tSw=="><!-- [et_pb_line_break_holder] --><table cellpadding="0" cellspacing="0" width="500"><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Company Name<span style="color:Red;"><font size=2> *</font></span></td><td><input name="ATAccName" type="text" maxlength="200" id="ATAccName" style="width:250px;" /><!-- [et_pb_line_break_holder] --></td><!-- [et_pb_line_break_holder] --></tr><tr><!-- [et_pb_line_break_holder] --><td>Company Phone<span style="color:Red;"><font size=2> *</font></span></td><td><input name="ATAccPhone" type="text" value="(555) 555-555" maxlength="50" id="ATAccPhone" style="width:250px;" /><!-- [et_pb_line_break_holder] --></td><!-- [et_pb_line_break_holder] --></tr><tr><!-- [et_pb_line_break_holder] --><td>Contact First Name<span style="color:Red;"><font size=2> *</font></span></td><td><input name="ATConFName" type="text" value="First" maxlength="40" id="ATConFName" style="width:250px;" /><!-- [et_pb_line_break_holder] --></td><!-- [et_pb_line_break_holder] --></tr><tr><!-- [et_pb_line_break_holder] --><td>Contact Last Name<span style="color:Red;"><font size=2> *</font></span></td><td><input name="ATConLName" type="text" value="Last" maxlength="40" id="ATConLName" style="width:250px;" /><!-- [et_pb_line_break_holder] --></td><!-- [et_pb_line_break_holder] --></tr><tr><!-- [et_pb_line_break_holder] --><td>Contact E-Mail Address<span></span></td><td><input name="ATConEmail" type="text" maxlength="100" id="ATConEmail" style="width:250px;" /><!-- [et_pb_line_break_holder] --></td><!-- [et_pb_line_break_holder] --></tr><tr><td><br></td></tr><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td><input Type="Submit" id="btnSubmit" value="Submit"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></td><!-- [et_pb_line_break_holder] --></tr></table><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --><script language="javascript"><!-- [et_pb_line_break_holder] -->function Validate(form) {<!-- [et_pb_line_break_holder] -->if (typeof(document.getElementById("ATAccName")) != 'undefined'){<!-- [et_pb_line_break_holder] -->if (document.getElementById("ATAccName").value == "") {<!-- [et_pb_line_break_holder] --> alert("Please provide a Company Name value.");<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> }} <!-- [et_pb_line_break_holder] -->if (typeof(document.getElementById("ATAccPhone")) != 'undefined'){<!-- [et_pb_line_break_holder] -->if (document.getElementById("ATAccPhone").value == "") {<!-- [et_pb_line_break_holder] --> alert("Please provide a Company Phone value.");<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> }} <!-- [et_pb_line_break_holder] -->if (typeof(document.getElementById("ATConFName")) != 'undefined'){<!-- [et_pb_line_break_holder] -->if (document.getElementById("ATConFName").value == "") {<!-- [et_pb_line_break_holder] --> alert("Please provide a Contact First Name value.");<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> }} <!-- [et_pb_line_break_holder] -->if (typeof(document.getElementById("ATConLName")) != 'undefined'){<!-- [et_pb_line_break_holder] -->if (document.getElementById("ATConLName").value == "") {<!-- [et_pb_line_break_holder] --> alert("Please provide a Contact Last Name value.");<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> }} <!-- [et_pb_line_break_holder] -->function IsValidTime(timeStr) {<!-- [et_pb_line_break_holder] -->var timePat = /^(\d{1,2}):(\d{2})(:(\d{2}))?(\s?(AM|am|PM|pm))?$/;<!-- [et_pb_line_break_holder] -->var matchArray = timeStr.match(timePat);<!-- [et_pb_line_break_holder] -->if (matchArray == null) {<!-- [et_pb_line_break_holder] -->return false;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->hour = matchArray[1];<!-- [et_pb_line_break_holder] -->minute = matchArray[2];<!-- [et_pb_line_break_holder] -->second = matchArray[4];<!-- [et_pb_line_break_holder] -->ampm = matchArray[6];<!-- [et_pb_line_break_holder] -->if (second=="") { second = null; }<!-- [et_pb_line_break_holder] -->if (ampm=="") { ampm = null }<!-- [et_pb_line_break_holder] -->if (hour < 0 || hour > 12) {<!-- [et_pb_line_break_holder] -->return false;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->if (hour <= 12 && ampm == null) {<!-- [et_pb_line_break_holder] -->return false;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->if (minute<0 || minute > 59) {<!-- [et_pb_line_break_holder] -->return false;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->if (second != null && (second < 0 || second > 59)) {<!-- [et_pb_line_break_holder] -->return false;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->return true;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->function get_difference(startTime, endTime) {<!-- [et_pb_line_break_holder] -->// function returns the hours mins of endtime minus start time<!-- [et_pb_line_break_holder] -->var hours = get_hour(endTime) - get_hour(startTime);<!-- [et_pb_line_break_holder] -->var minutes = get_minute(endTime) - get_minute(startTime);<!-- [et_pb_line_break_holder] -->return (hours + (minutes / 60));}<!-- [et_pb_line_break_holder] -->function get_hour(inTime) {<!-- [et_pb_line_break_holder] -->var tempDate = new Date('12/31/9999' + ' ' + inTime);<!-- [et_pb_line_break_holder] -->return(tempDate.getHours());}<!-- [et_pb_line_break_holder] -->function get_minute(inTime) {<!-- [et_pb_line_break_holder] -->var tempDate = new Date('12/31/9999' + ' ' + inTime);<!-- [et_pb_line_break_holder] -->return(tempDate.getMinutes());}<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->function vbIsDate(dDate){<!-- [et_pb_line_break_holder] -->var date = new Date(dDate);<!-- [et_pb_line_break_holder] -->return !isNaN(date);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --></script>