function send()
{
	var input = new Array(
		['title', 'Please enter your name', 'STRING(3)'],
		['email', 'Please enter your email', 'EMAIL'],
		['phone', 'Please enter your phone number', 'STRING(3)']
	);

	validate(document.form, input);
}


function reset()
{
	document.form.name.value = '';
	document.form.email.value = '';
	document.form.phone.value = '';

	document.form.height1.value = '';
	document.form.height2.value = '';
	document.form.width1.value = '';
	document.form.width2.value = '';
	document.form.width3.value = '';
	document.form.contact[0].checked = true;

	document.form.physician_name.value = '';
	document.form.physician_practice.value = '';
	document.form.physician_address.value = '';
	document.form.physician_phone.value = '';
	document.form.physician_email.value = '';

	document.form.problem[0].checked = true;
	document.form.problems.value = '';

	document.form.improvement_breasts[0].checked = true;
	document.form.improvement_abdomen[0].checked = true;
	document.form.improvement_trunk[0].checked = true;
	document.form.improvement_face[0].checked = true;
	document.form.improvement_neck[0].checked = true;
	document.form.improvement_eyes[0].checked = true;
	document.form.improvement_ears[0].checked = true;
	document.form.improvement_nose[0].checked = true;

	document.form.surgery[0].checked = true;
	document.form.surgeries.value = '';
	
	document.form.result[0].checked = true;
	document.form.results.value = '';

	document.form.interested[0].checked = true;
	document.form.interests.value = '';
	
	document.form.date[0].checked = true;
	document.form.dates.value = '';

	document.form.question[0].checked = true;
	document.form.questions.value = '';
}