function verify()
{
	if ( verifyRequired14795() )
	{
		$('form#icpsignup14795').submit();
	}
 
}


function verifyRequired14795() {


	var icpForm14795 = document.getElementById('icpsignup14795');


  if (icpForm14795["fields_email"].value == "") {
    icpForm14795["fields_email"].focus();
    alert("The Email field is required.");
    return false;
  }
  if (icpForm14795["fields_fname"].value == "") {
    icpForm14795["fields_fname"].focus();
    alert("The First Name field is required.");
    return false;
  }
  if (icpForm14795["fields_lname"].value == "") {
    icpForm14795["fields_lname"].focus();
    alert("The Last Name field is required.");
    return false;
  }
     
  if (icpForm14795["fields_address1"].value == "") {
    icpForm14795["fields_address1"].focus();
    alert("The Address 1 field is required.");
    return false;
  }
  if (icpForm14795["fields_city"].value == "") {
    icpForm14795["fields_city"].focus();
    alert("The City field is required.");
    return false;
  }
  if (icpForm14795["fields_state"].value == "") {
    icpForm14795["fields_state"].focus();
    alert("The State field is required.");
    return false;
  }
  if (icpForm14795["fields_zip"].value == "") {
    icpForm14795["fields_zip"].focus();
    alert("The Zip field is required.");
    return false;
  }
  for (filled=i=0; i< icpForm14795["fields_agency"].length; i++)
    if (icpForm14795["fields_agency"][i].checked) {
      filled=1;
      break;
    }
  if (!filled) {
    alert("The Agency field is required.");
    return false;
  }
  if (icpForm14795["fields_confirmation"].value == "") {
    icpForm14795["fields_confirmation"].focus();
    alert("The Confirmation field is required.");
    return false;
  }
  for (filled=i=0; i< icpForm14795["fields_specialty"].length; i++)
    if (icpForm14795["fields_specialty"][i].checked) {
      filled=1;
      break;
    }
  if (!filled) {
    alert("The Specialty field is required.");
    return false;
  }



return true;
}