function confirm(page,name,w,h) { var email1=(document.response1.EM1.value) if (email1 == ""){ var email2 = "unknown@citizensinc.com" } else{ var email2=email1 } var lin2=(document.response1.CF1.value) var link=new Array("'ci7.shtml'","'id8.shtml'","'pd2.shtml'","'eo3.shtml'","'um1.shtml'","'im8.shtml'","'ad2.shtml'") var lin1=link[lin2] var dat2=new Array("January","February","March","April","May","June","July","August","September","October","November","December") var dat1=new Date() var mon1= dat2[dat1.getMonth()] var des0=(document.response1.PG1.value) var des1=new Array("Accounting@citizensinc.com","Actuarial@citizensinc.com","Claims@citizensinc.com","Corporate@citizensinc.com","PR@citizensinc.com","Legal@citizensinc.com","Marketing@citizensinc.com","MarketingUSA@citizensinc.com","NB@citizensinc.com","POS@citizensinc.com","Personnel@citizensinc.com","CTI@citizensinc.com") var des3=des1[des0] var des4=new Array("Accounting Office","Actuarial Office","Claims Office","Corporate Office","Public Relations Office","Legal Office","Marketing-International Office","Marketing-U.S. Office","New Business / Underwriting Office","Policy Service Office","Personnel Office","Webmaster") var des5=des4[des0] if (dat1.getHours() >= 12){ var hr1= (dat1.getHours() - 12) var me1= "P.M." } if (dat1.getHours() == 0){ var hr1= (dat1.getHours()) var me1= "A.M." } if (dat1.getHours() < 12) { var hr1= (dat1.getHours()) var me1= "A.M." } var min=dat1.getMinutes() if (min < 10){ var mn1= "0" +min } else { var mn1= min } var len3=(screen.availHeight - 135) var who1=(document.response1.TO1.value) var who2=(document.response1.PG1.value) if (who1 == ""){ var TO3 = "Gentlemen/Ladies" var TO4 = des5 var PG3 = "" } else{ var TO3 = who1 var TO4 = who1 var PG3 = des5 } var cenl=(screen.width - 8); var cent=(screen.height - 8); var day1=dat1.getDate() var pr1="'window.print()'" if (document.all){ var STRING="onClick=print1('window.print()') onMouseUp=forceReload()" } else { var STRING="onClick=print1('window.print()')" } win1=window.open("",page,'resizable=yes,width="800",height="400",status=yes,scrollbars=yes') win1.document.write('Confirmation for '); win1.document.write('' + document.response1.NA1.value + ''); win1.document.write('\n'); win1.document.write('\n'); //win1.document.write('\n\n'); win1.document.write('\n\n'); //win1.document.write('\n\n
\n'); win1.document.write('\n'); win1.document.write('\n'); //win1.document.write('\n'); win1.document.write('\n'); //win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); //win1.document.write('\n\n'); win1.document.write('\n\n'); //win1.document.write('\n'); win1.document.write('\n'); //win1.document.write('\n'); win1.document.write('\n'); //win1.document.write('\n\n
\n'); //win1.document.write('
\n'); win1.document.write('\n\n\n\n\n\n
\n
\n
\n
MESSAGE CONFIRMATION
\n
\n
\n'); win1.document.write('\n'); win1.document.write('Dear ' + document.response1.NA1.value +',

\n'); win1.document.write('\n\n\n\n\n\n
\n
\n
\n\n
Please review and confirm your information.   To change the information or your message, click "EDIT".   To print a copy for your records, click "PRINT". To send, click "CONFIRM". To cancel your information and message without sending, click "CANCEL".

\nThank you for taking the time to help us better serve you.   An answer will be provided shortly.\n

\nCitizens
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\n\nWEB MESSAGE\n\n
\n

\n\n\n\n\n\n
\nDate:\n



To:\n


Ref:\n\n		\n\n'); win1.document.write(''+ mon1 + ' '); win1.document.write('' + dat1.getDate() + ', '); win1.document.write('' + dat1.getYear() + ' '); win1.document.write(' ' + hr1 + ':'); win1.document.write('' + mn1 + ' '); win1.document.write('' + me1 + '



\n'); win1.document.write('' + TO4 + '
\n'); win1.document.write('' + PG3 + '

\n'); win1.document.write('' + document.response1.RF1.value + '

\n'); win1.document.write('\n
\n\n\n\n\n
\n'); win1.document.write('Dear ' + TO3 + ',
\n'); win1.document.write('
\n
\n\n\n\n\n\n\n
\n
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\n' + document.response1.CM1.value + '\n
\n
\n
\n'); win1.document.write('\n'); win1.document.write('
\n
\n'); win1.document.write('\n\n\n
\n\nFrom:\n




Phone:\n
Fax:

\nEmail:\n

\n\n'); win1.document.write('' + document.response1.NA1.value + '
\n'); win1.document.write('' + document.response1.AD1.value + ' \n'); win1.document.write('
' + document.response1.CI1.value + ' \n'); win1.document.write(' ' + document.response1.ST1.value + ' \n'); win1.document.write(' ' + document.response1.ZP1.value + ' \n'); win1.document.write('
' + document.response1.CO1.value + ' \n'); win1.document.write('

' + document.response1.PH1.value + ' \n'); win1.document.write('
' + document.response1.FX1.value + ' \n'); win1.document.write('

' + document.response1.EM1.value + '\n'); win1.document.write('\n
\n
\n'); win1.document.write('\n\n\n\n
\n\n'); win1.document.write('
\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write(''); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('\n'); win1.document.write('
\n'); win1.document.write(' \n'); win1.document.write(' \n'); win1.document.write(' \n'); win1.document.write('\n'); win1.document.write('
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\n'); win1.document.write('		\n
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\n\n\n\n
\n'); win1.document.write('		\n
\n'); win1.document.write(''); }