   <script type="text/javascript">
    var nextRequestId = 0;
    $(function() {
            $('#request_brochure').submit(function() {
                    if($('#firstname').val() == '' || $('#firstname').val() == "First Name") {
                            alert('First Name is required.');
                            $('#firstname').val('');
                            $('#firstname').focus();
                            return false;
                    }

                    if($('#lastname').val() == '