<!-- Begin
function verify() {
var themessage = "You are required to complete the following fields: ";
if (document.currencyform.x_first_name.value=="") {
themessage = themessage + "\n-  Please enter your first name";
}
if (document.currencyform.x_last_name.value=="") {
themessage = themessage + "\n-  Please enter your last name";
}
if (document.currencyform.x_cust_id.value=="") {
themessage = themessage + "\n-  Please enter your policy number";
}
if (document.currencyform.x_amount.value=="") {
themessage = themessage + "\n-  Please enter the amount you want to pay";
}


//alert if fields are empty and cancel form submit
if (themessage == "You are required to complete the following fields: ") {
document.currencyform.submit();
}
else {
alert(themessage);
return false;
   }
}
//  End -->