function validate_short()
{
      
if (document.form1.InsuranceType.selectedIndex=="")
	{
		alert("Please select the type of Insurance");
		////SetErrorImage("InsuranceType", true);
		document.form1.InsuranceType.focus();
		return false;
	}
	else
    {
    	////SetErrorImage("InsuranceType", false);
	}
	
if(document.form1.email.value=="")
	{
   		alert("Please enter your Email ID");
		//SetErrorImage("email", true);
		document.form1.email.value="";
		document.form1.email.focus();
		return false;
	}

	else
	{
	  var evalue=document.form1.email.value;
      var emailPat = /^(\".*\"|\w*)@(\[\d{1,3}(\.\d{1,3}){3}]|[A-Za-z]\w*(\.[A-Za-z]\w*)+)$/;
	  
	  var matchArray = evalue.match(emailPat);

		if(!emailPat.test(evalue))
		{
			alert("Your Email address is invalid.  Please try again !!");
			//SetErrorImage("email", true);
			document.form1.email.value="";
		    document.form1.email.focus();
		    return false;
		}
		else
       {
    	//SetErrorImage("email", false);
	   }
	}

if(document.form1.State.selectedIndex=="")
	  {
	  	alert("Please select your state");
		//SetErrorImage("State", true);
	    document.form1.State.focus();
		return false;
	  }
	  else
    {
    	//SetErrorImage("State", false);
	}



/*
	if (document.form1.zipcode.value=="")
	{
		alert("Please enter Zipcode");
		//SetErrorImage("Zip", true);
		document.form1.zipcode.select();
		//document.form1.zipcode.focus();
		return false;
	}
	else if(isNaN(document.form1.zipcode.value))
		{
			alert("Zip code should be Numeric value");
			//SetErrorImage("Zip", true);
			//document.form1.zipcode.select();
			document.form1.zipcode.value=""
			document.form1.zipcode.focus();
			return false;
		}
		else if (document.form1.zipcode.value.length!=5)
{
	alert("Please Enter Valid 5 Numbered Zip");
	document.form1.zipcode.select();
	document.form1.zipcode.focus();
	return false ;
} */
	document.form1.submit();
}