function submit_form(type)

{

	var loader = $(type + '_loading');

	var form_holder = $(type + '_form_container');

	var radio = $(type + '_radio');

	

	var url = "submit_form.php";

	if(type=='debt')

	{

		var first_name = document.getElementById('debt_first_name').value;

		var last_name = document.getElementById('debt_last_name').value;

		var zip = document.getElementById('debt_zip').value;

		var email = document.getElementById('debt_email').value;

		var state = document.getElementById('debt_state').value;

		var phone1 = document.getElementById('debt_phone1').value + "-" + document.getElementById('debt_phone2').value + "-" + document.getElementById('debt_phone3').value;

		var ccdebt = document.getElementById('ccdebt').value;

		var paymentstatus = document.getElementById('paymentstatus').value;

		

		var params = "type=" + type + "&first_name=" + first_name + "&last_name=" + last_name + "&zip=" + zip + "&email=" + email + "&state=" + state + "&phone1=" + phone1 + "&ccdebt=" + ccdebt + "&paymentstatus=" + paymentstatus;

	}

	if(type=='loan')

	{

		var first_name = document.getElementById('loan_first_name').value;
		var last_name = document.getElementById('loan_last_name').value;
		var email = document.getElementById('loan_email').value;
		var phone1 = document.getElementById('loan_phone1').value + "-" + document.getElementById('loan_phone2').value + "-" + document.getElementById('loan_phone3').value;
		var phone2 = document.getElementById('loan_phone21').value + "-" + document.getElementById('loan_phone22').value + "-" + document.getElementById('loan_phone23').value;
		var loan_phone1 = document.getElementById('loan_phone1').value
		var loan_phone2 = document.getElementById('loan_phone2').value
		var loan_phone3 = document.getElementById('loan_phone3').value;
		var address = document.getElementById('loan_address').value;
		var city = document.getElementById('loan_city').value;
		var state = document.getElementById('loan_state').value;
		var zip = document.getElementById('loan_zip').value;
		//var start_date = document.getElementById('start_date').value;
		//var mm = document.getElementById('mm').value;
		//var dd = document.getElementById('dd').value;
		//var yyyy = document.getElementById('yyyy').value;
		var field_of_interest = document.getElementById('field_of_interest').value;
		var has_hs_or_ged = document.getElementById('has_hs_or_ged').value;
		//var gradyr = document.getElementById('gradyr').value;
		//var education_level = document.getElementById('education_level').value;
		//if($('over_18_yes').checked) { var over_18 = 'y'; } else if ($('over_18_no').checked) { var over_18 = 'n'; } else { var over_18 = ''; }
		if($('citizen_yes').checked) { var citizen = 'y'; } else if ($('citizen_no').checked) { var citizen = 'n'; } else { var citizen = ''; }
		
		//var params = "type=" + type + "&first_name=" + first_name + "&last_name=" + last_name + "&email=" + email + "&phone1=" + phone1 + "&phone2=" + phone2 + "&address=" + address + "&city=" + city + "&state=" + state +  "&zip=" + zip +  "&field_of_interest=" + field_of_interest + "&education_level=" + education_level + "&over_18=" + over_18 + "&citizen=" + citizen + "&loan_phone1=" + loan_phone1 + "&loan_phone2=" + loan_phone2 + "&loan_phone3=" + loan_phone3 + "&start_date=" + start_date + "&mm=" + mm + "&dd=" + dd + "&yyyy=" + yyyy + "&gradyr=" + gradyr;
		
		var params = "type=" + type + "&first_name=" + first_name + "&last_name=" + last_name + "&email=" + email + "&phone1=" + phone1 + "&phone2=" + phone2 + "&address=" + address + "&city=" + city + "&state=" + state +  "&zip=" + zip +  "&field_of_interest=" + field_of_interest + "&citizen=" + citizen + '&has_hs_or_ged=' + has_hs_or_ged + "&loan_phone1=" + loan_phone1 + "&loan_phone2=" + loan_phone2 + "&loan_phone3=" + loan_phone3;


	}

	if(type=='credit')

	{

		var first_name = document.getElementById('credit_first_name').value;
		var last_name = document.getElementById('credit_last_name').value;
		var address = $('credit_address').value;
		var city = $('credit_city').value;
		var state = $('credit_state').value;
		var zip = document.getElementById('credit_zip').value;
		var email = document.getElementById('credit_email').value;
		var phone1 = document.getElementById('credit_phone1').value + "-" + document.getElementById('credit_phone2').value + "-" + document.getElementById('credit_phone3').value;
		var phone2 = document.getElementById('credit_phone_b_1').value + "-" + document.getElementById('credit_phone_b_2').value + "-" + document.getElementById('credit_phone_b_3').value;
		if($('credit_gender_male').checked) { var gender = 'Male'; } else { var gender = '0'; } 
		if($('credit_gender_female').checked) { var gender = 'Female'; }
		var mm_birth = $('credit_mm_birth').value;
		var dd_birth = $('credit_dd_birth').value;
		var yyyy_birth = $('credit_yyyy_birth').value;
		var feet = $('credit_feet').value;
		var inches = $('credit_inches').value;
		var weight = $('credit_lbs').value;
		if($('credit_preg_yes').checked) { var preg = 'Yes'; } else { var preg = 'No'; }
		if($('credit_smoker_yes').checked) { var smoker = 'Yes'; } else { var smoker = 'No'; }
		if($('credit_conditions_yes').checked) { var conditions = 'Yes'; } else { var conditions = 'No'; }
		if($('hiv_aids').checked === true) { var hiv_aids = 'Yes'; } else { var hiv_aids = 'No'; }
		if($('diabetes').checked === true) { var diabetes = 'Yes'; } else { var diabetes = 'No'; }
		if($('cancer').checked === true) { var cancer = 'Yes'; } else { var cancer = 'No'; }
		if($('heart').checked === true) { var heart = 'Yes'; } else { var heart = 'No'; }
		if($('vascular').checked === true) { var vascular = 'Yes'; } else { var vascular = 'No'; }
		if($('depression').checked === true) { var depression = 'Yes'; } else { var depression = 'No'; }
		if($('alcohol_drug').checked === true) { var alcohol_drug = 'Yes'; } else { var alcohol_drug = 'No'; }
		if($('alzheimers').checked === true) { var alzheimers = 'Yes'; } else { var alzheimers = 'No'; }
		if($('kidney').checked === true) { var kidney = 'Yes'; } else { var kidney = 'No'; }
		if($('liver').checked === true) { var liver = 'Yes'; } else { var liver = 'No'; }
		if($('mental_illness').checked === true) { var mental_illness = 'Yes'; } else { var mental_illness = 'No'; }
		if($('pulmonary').checked === true) { var pulmonary = 'Yes'; } else { var pulmonary = 'No'; }
		if($('stroke').checked === true) { var stroke = 'Yes'; } else { var stroke = 'No'; }
		if($('asthma').checked === true) { var asthma = 'Yes'; } else { var asthma = 'No'; }
		if($('blood').checked === true) { var blood = 'Yes'; } else { var blood = 'No'; }
		if($('ulcer').checked === true) { var ulcer = 'Yes'; } else { var ulcer = 'No'; }
		if($('cholesterol').checked === true) { var cholesterol = 'Yes'; } else { var cholesterol = 'No'; }
		if($('credit_other').checked === true) { var other = 'Yes'; } else { var other = 'No'; }
		var marital = $('credit_marital').value;
		var occupation = $('credit_occupation').value;
		if($('medications_yes').checked === true) { var medications = 'Yes'; } else { var medications = 'No'; }
		
		var params = "type=" + type + "&first_name=" + first_name + "&last_name=" + last_name + "&email=" + email + "&phone1=" + phone1 + "&phone2=" + phone2 + "&zip=" + zip + "&address=" + address + "&city=" + city + "&state=" + state + "&gender=" + gender + "&mm_birth=" + mm_birth + "&dd_birth=" + dd_birth + "&yyyy_birth=" + yyyy_birth + "&feet=" + feet + "&inches=" + inches + "&weight=" + weight + "&preg=" + preg + "&smoker=" + smoker + "&conditions=" + conditions + "&hiv_aids=" + hiv_aids + "&diabetes=" + diabetes + "&cancer=" + cancer + "&heart=" + heart + "&vascular=" + vascular + "&depression=" + depression + "&alcohol_drug=" + alcohol_drug + "&alzheimers=" + alzheimers + "&kidney=" + kidney + "&liver=" + liver + "&mental_illness=" + mental_illness + "&pulmonary=" + pulmonary + "&stroke=" + stroke + "&asthma=" + asthma + "&blood=" + blood + "&ulcer=" + ulcer + "&cholesterol=" + cholesterol + "&other=" + other + "&marital=" + marital + "&occupation=" + occupation + "&medications=" + medications;

	}

	if(type=='bank')

	{

		var first_name = document.getElementById('bank_first_name').value;

		var last_name = document.getElementById('bank_last_name').value;

		var email = document.getElementById('bank_email').value;

		var phone1 = document.getElementById('bank_phone1').value + "-" + document.getElementById('bank_phone2').value + "-" + document.getElementById('bank_phone3').value;

		var phone2 = document.getElementById('bank_phone_b_1').value + "-" + document.getElementById('bank_phone_b_2').value + "-" + document.getElementById('bank_phone_b_3').value;

		var zip = document.getElementById('bank_zip').value;

		

		var params = "type=" + type + "&first_name=" + first_name + "&last_name=" + last_name + "&email=" + email + "&phone1=" + phone1 + "&phone2=" + phone2 + "&zip=" + zip;

	}

	if(type=='mort')

	{

		var first_name = document.getElementById('mort_first_name').value;

		var last_name = document.getElementById('mort_last_name').value;

		var email = document.getElementById('mort_email').value;

		var phone1 = document.getElementById('mort_phone1').value + "-" + document.getElementById('mort_phone2').value + "-" + document.getElementById('mort_phone3').value;

		var phone2 = document.getElementById('mort_phone_b_1').value + "-" + document.getElementById('mort_phone_b_2').value + "-" + document.getElementById('mort_phone_b_3').value;

		var zip = document.getElementById('mort_zip').value;

		

		var params = "type=" + type + "&first_name=" + first_name + "&last_name=" + last_name + "&email=" + email + "&phone1=" + phone1 + "&phone2=" + phone2 + "&zip=" + zip;

	}

	if(type=='bizopp')

	{

		var first_name = document.getElementById('bizopp_first_name').value;

		var last_name = document.getElementById('bizopp_last_name').value;

		var email = document.getElementById('bizopp_email').value;

		var phone1 = document.getElementById('bizopp_phone1').value + "-" + document.getElementById('bizopp_phone2').value + "-" + document.getElementById('bizopp_phone3').value;

		

		var params = "type=" + type + "&first_name=" + first_name + "&last_name=" + last_name + "&email=" + email + "&phone1=" + phone1;

	}

		if(type=='tax')

	{

		var first_name = document.getElementById('tax_first_name').value;

		var last_name = document.getElementById('tax_last_name').value;

		var email = document.getElementById('tax_email').value;

		var phone1 = document.getElementById('tax_phone1').value + "-" + document.getElementById('tax_phone2').value + "-" + document.getElementById('tax_phone3').value;

		var phone2 = document.getElementById('tax_phone1_2').value + "-" + document.getElementById('tax_phone2_2').value + "-" + document.getElementById('tax_phone3_2').value;

		var zip = document.getElementById('tax_zip').value;

		var taxdebtamount = document.getElementById('tax_debt_amount').value;


		var params = "type=" + type + "&first_name=" + first_name + "&last_name=" + last_name + "&email=" + email + "&phone1=" + phone1 + "&phone2=" + phone2 + "&zip=" + zip + "&taxdebtamount=" + taxdebtamount;

	}

	

	

	var ajax = new Ajax.Request(url,{

		 method: 'post',

		 parameters: params,

		 onSuccess : function(transport) 

		 {			 

			 if(transport.responseText == 'SUCCESS')

			 {

			 	if(type=='debt')

				{

					var message = "Your request for debt relief was successful!";

					var product = "debt";

				}

				if(type=='loan')

				{

					var message = "Your request for career advice was successful!";	

					var product = "edu";

				}

				if(type=='credit')

				{

					var message = "Your request for a free health insurance quote was successful!";	

					var product = "insurance";

				}

				if(type=='bank')

				{

					var message = "Your request for bankruptcy consultation was successful!";	

					var product = "bank";

				}

				if(type=='mort')

				{

					var message = "Your request was successful!";	

				}

				if(type=='tax')

				{

					var message = "Your request was successful!";	

				}

				radio.innerHTML = '<span style="color:#09f;">' + message + '</span>';

				

				new Effect.SlideUp(type + '_form');

			 }

			 else

			 {

				 loader.hide();

				 form_holder.show();

				 alert(transport.responseText);

			 }			 

		 }, 

		 onLoading: function(){

			 loader.show();

			 form_holder.hide();

			 }

		 //onLoaded: function(){$('workingMsg').hide()}

	});

}

function slide_forms(which, type, direction)

{

		if(direction=='down')

		{

			if($(type + '_form').style.display == 'none')

			{

				Effect.SlideDown(type + '_form');

			}

		}

		else

		{

			if($(type + '_form').style.display != 'none')

			{

				Effect.SlideUp(type + '_form')

			}

		}

}

function condition_table(type)

{

	if(type=='open')

	{

		$('health_conditions').show();	

	}

	else

	{

		$('health_conditions').hide();

	}

}