var count = 0;
function order_form(form) {
	var qty, price, desc;
	if(document.getElementById("name").value == "neosizexl") {
		desc = "Bottles of NeoSize XL";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of NeoSize XL";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "caliplus") {
		desc = "Bottles of CaliPlus";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of CaliPlus";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "vigaplus") {
		desc = "Bottles of VigaPlus";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of VigaPlus";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "duramale") {
		desc = "Bottles of DuraMale";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of DuraMale";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "maxocum") {
		desc = "Bottles of MaxoCum";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of MaxoCum";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "femvigor") {
		desc = "Bottles of FemVigor";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of FemVigor";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "niconot") {
		desc = "Bottles of NicoNot";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of NicoNot";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "fitoderm") {
		desc = "Bottles of FitoDerm";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of FitoDerm";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "trichozed") {
		desc = "Bottles of TrichoZed";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of TrichoZed";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "vitoslim") {
		desc = "Bottles of VitoSlim";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of VitoSlim";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.getElementById("name").value == "hoodiagordonii") {
		desc = "Bottles of Hoodia Gordonii";
		if(document.form.count[0].checked == true) {
			desc = "Bottle of Hoodia Gordonii";
			qty = 1;
			price = document.getElementById("1").innerHTML;
		}
		else if(document.form.count[1].checked == true) {
			qty = 3;
			price = document.getElementById("3").innerHTML;
		}
		else if(document.form.count[2].checked == true) {
			qty = 6;
			price = document.getElementById("6").innerHTML;
		}
		else {
			qty = 9;
			price = document.getElementById("9").innerHTML;
		}
	}
	if(document.form.cup.value == "821908")
		document.getElementById("coupon").value = 0.9;
	document.getElementById("desc").value = desc;
	document.getElementById("qty").value = qty;
	document.getElementById("total").value = price;
	document.getElementById("price").value = price;
	return true;
}
function click_count() {
	count ++;
	if(count == 1)
		document.getElementById('counter').src = 'http://crocmint.com/affiliate/scripts/t.php?AffiliateID=e8fd75&referrer=' + escape(document.URL);
}