Form test 2 Choose your location: Allen, TX First Name: Last Name: Email: Phone: - - Best time to call: MorningAfternoonEvening What services are you interested in?: B-12ConsultFacialsFairy HairInjectablesIV LaserMicroneedlingPRPTeeth WhiteningWaxing Comments: Submit Information Please fill in the required fields. function checkform(){ chkf = checkfielda('531aerww342z','1'); if(chkf == 0){ contactform.submit(); } }