document.write('<FORM NAME=coregform method=post><INPUT TYPE=hidden NAME=firstname><INPUT TYPE=hidden NAME=lastname><INPUT TYPE=hidden NAME=email><INPUT TYPE=hidden NAME=phone><INPUT TYPE=hidden NAME=gender><INPUT TYPE=hidden NAME=zip><INPUT TYPE=hidden NAME=address><INPUT TYPE=hidden NAME=city><INPUT TYPE=hidden NAME=state><INPUT TYPE=hidden NAME=birthdate></FORM>');

function register(f)
{
	document.coregform.email.value = f.elements[email].value;

	if ( typeof(firstname) != "undefined" && firstname )
	{
		document.coregform.firstname.value = f.elements[firstname].value;
	}

	if ( typeof(lastname) != "undefined" && lastname )
	{
		document.coregform.lastname.value = f.elements[lastname].value;
	}

	if ( typeof(phone) != "undefined" && phone )
	   document.coregform.phone.value = f.elements[phone].value;

	if ( typeof(zip) != "undefined" && zip )
	document.coregform.zip.value = f.elements[zip].value;

	if ( typeof(gender) != "undefined" && gender )
	document.coregform.gender.value = f.elements[gender].value;

	if ( typeof(address) != "undefined" && address )
	document.coregform.address.value = f.elements[address].value;

	if ( typeof(city) != "undefined" && city )
	document.coregform.city.value = f.elements[city].value;

	if ( typeof(state) != "undefined" && state )
	document.coregform.state.value = f.elements[state].value;

	if ( typeof(birthdate) != "undefined" && birthdate )
	document.coregform.birthdate.value = f.elements[birthdate].value;

	len = f.elements.length;
	var i=0;
	var pool = '';
	var display_checkboxes = 1;
	for( i=0 ; i<len ; i++)
	{
		if(f.elements[i].name.indexOf('DTC') != -1)
		{
			if((f.elements[i].type=='checkbox' || f.elements[i].type=='radio') && f.elements[i].checked)
			{
				pool += '.' + f.elements[i].name;
			}
		}
		else
		{
			display_checkboxes = 0;
		}
	}

	document.coregform.target = '_top';
	document.coregform.action = client_domain + 'cgpath/register.html?apid='+affiliate_pool_id+'&display=0&opath='+opath+'&pool='+pool;
	document.coregform.submit();
	return false;
}