Ok, it's me again. I thought I would add some details. What's working and
what's not working as far as required fields.
view page at:
http://www.referredlocal.com/category/concrete.html Project area: Doesn't work
discription: Works
When do you want the work done: Doesn't work
first name: Works
last name:Works
address: Works
city: Works
State: Works
zipcode: Works
telephone: Works
email:Works
How did you hear of us: Not required, so it's fine
Terms of Service: Doesn't work Here is the code for the form if that helps
<form action="
http://www.referredlocal.com/ABVFP/dbts_abvfp.php" method="post" enctype="multipart/form-data" name="concrete form" id="concrete form">
<table width="793" border="0" align="center" cellpadding="4" cellspacing="0">
<tr>
<td width="408" bgcolor="#FFFFFF"><label for="select">Project area</label></td>
<td width="369" bgcolor="#FFFFFF"><select
name="Project_Type-RB[]" id="Project_Type">
<option value="-">-</option>
<option value="Stamped Concrete">Stamped Concrete</option>
<option value="Acid Stain/Dye">Acid Stain/Dye</option>
<option value="Epoxy Flooring">Epoxy Flooring</option>
<option value="New concrete:Tearout/Replace">New concrete:Tearout/Replace</option>
<option value="Concrete overlay/resurface">Concrete overlayrResurface</option>
<option value="Polished concrete">Polished concrete</option>
<option value="Concrete Sealing">Concrete Sealing</option>
<option value="Concrete countertops">Concrete countertops</option>
<option value="Concrete curbing/edging">Concrete curbing/edging</option>
<option value="Concrete powerwashing">Concrete powerwashing</option>
<option value="other">other</option>
</select>
<span class="style51">*</span> </td>
</tr>
<tr>
<td height="93"><label for="textarea">The more information we have about you concrete needs, the better we can </label>
help serve you. Such as, if this is a: Driveway, sidewalk, steps, basement, ect... </td>
<td><textarea name="Discription-RJ" cols="40" rows="5" id="Discription"></textarea>
<span class="style51">* </span></td>
</tr>
<tr>
<td bgcolor="#FFFFFF"><label for="select">When are you looking to have your project completed?</label></td>
<td bgcolor="#FFFFFF"><select name="When-RB[]" id="When">
<option value="Right Away">Right Away</option>
<option value="1 - 3 months">1 - 3 months</option>
<option value="3 - 6 months">3 - 6 months</option>
<option value="6 months or more">6 months or more</option>
</select>
<span class="style51">*</span></td>
</tr>
<tr>
<td><label for="textfield">First Name:</label></td>
<td><input type="text" name="First Name-RA" id="First Name" />
<span class="style51">*</span></td>
</tr>
<tr>
<td bgcolor="#FFFFFF"><label for="textfield">Last Name:</label></td>
<td bgcolor="#FFFFFF"><input type="text" name="Last Name-RA" id="Last Name" />
<span class="style51">*</span></td>
</tr>
<tr>
<td><label for="textfield">Address:</label></td>
<td><input type="text" name="Address-R" id="Address" />
<span class="style51">*</span></td>
</tr>
<tr>
<td bgcolor="#FFFFFF"><label for="textfield">City:</label></td>
<td bgcolor="#FFFFFF"><input type="text" name="City-R" id="City" />
<span class="style51">*</span></td>
</tr>
<tr>
<td><label for="textfield">State:</label></td>
<td><input type="text" name="State-R" id="State" />
<span class="style51">*</span></td>
</tr>
<tr>
<td bgcolor="#FFFFFF"><label for="textfield">Zipcode:</label></td>
<td bgcolor="#FFFFFF"><input type="text" name="zipcode-NR" id="zipcode" />
<span class="style51">*</span></td>
</tr>
<tr>
<td><label for="textfield">Phone Number:</label></td>
<td><input type="text" name="Telephone-RN" id="Telephone" />
<span class="style51">*</span></td>
</tr>
<tr>
<td bgcolor="#FFFFFF"><label for="textfield">Email:</label></td>
<td bgcolor="#FFFFFF"><input type="text" name="Email-R" id="Email" />
<span class="style51">*</span></td>
</tr>
<tr>
<td><label for="select">How did you hear of us:</label></td>
<td><select name="How_did_you_hear_about_us" id="How_did_you_hear_about_us">
<option value="-">-</option>
<option value="Online">Online</option>
<option value="Newspaper">Newspaper</option>
<option value="From a Freind">From a freind</option>
<option value="Yellow Pages">Yellow Pages</option>
<option value="Radio">Radio</option>
<option value="TV">TV</option>
<option value="other">other</option>
</select> </td>
</tr>
<tr>
<td bgcolor="#FFFFFF"> </td>
<td bgcolor="#FFFFFF"><input
name="Terms_of_service-R" type="checkbox" id="Terms_of_Service" value="checkbox" />
<label for="checkbox"><a href="javascript
:PopUp('http://www.referredlocal.com/terms.html')">Terms of Service</a> (check to accept) <span class="style51">*</span> </label></td>
</tr>
<tr>
<td><input name="Formid" type="hidden" id="Formid" value="4" /></td>
<td><label for="Submit"></label>
<input type="submit" name="submit" value="submit" id="submit" /></td>
</tr>
</table>
</form>
Thanks for your help ~Dustin