function form_submit(e) {
	var zip = document.getElementById('zip').value;
	var prod1 = document.getElementById('product_type1').checked;
	var prod2 = document.getElementById('product_type2').checked;
	var prod3 = document.getElementById('product_type3').checked;
	var prod4 = document.getElementById('product_type4').checked;
	
	if (zip >= 90000 && zip < 99999) {
		if (prod1) location.href = 'http://nphsrealestate.org/expert-short-sale-evaluation/'; pageTracker. _trackPageview('/ca/shortsale');
		if (prod2) location.href = 'http://nphsrealestate.org/short-sale/deed-in-lieu-offoreclosure/'; pageTracker. _trackPageview('/ca/deed');
		if (prod3) location.href = 'http://nphsrealestate.org/pre-qualify-for-a-loan-modification/'; pageTracker. _trackPageview('/ca/mod');
		if (prod4) location.href = 'http://nphsrealestate.org/other-options/'; pageTracker. _trackPageview('/ca/other');
	} else {
		if (prod1) location.href = 'http://nphsrealestate.org/do-i-qualify-for-a-short-sale/'; pageTracker. _trackPageview('/else/shortsale');
		if (prod2) location.href = 'http://nphsrealestate.org/deed-in-lieu/'; pageTracker. _trackPageview('/else/deed');
		if (prod3) location.href = 'http://nphsrealestate.org/free-loan-modification-made-easy/'; pageTracker. _trackPageview('/else/mod');
		if (prod4) location.href = 'http://nphsrealestate.org/other-options/'; pageTracker. _trackPageview('/else/other');
	}
	
	e.returnValue = false; 
	return false;
}

document.write('<form onSubmit="return form_submit(event);">' +
		'<table>' +
			'<tr><td>Enter your zip code:</td><td><input type="text" name="zip" id="zip" size="6"></td></tr>' +
			'<tr><td valign="top"></td><td>' +
				'<label><input type="radio" name="product" id="product_type1" value="Short sales"> Short sales</label><br>' +
				'<label><input type="radio" name="product" id="product_type2" value="Deed in Lieu"> Deed in Lieu</label><br>' +
				'<label><input type="radio" name="product" id="product_type3" value="Loan Modifications"> Loan Modifications</label><br>' +
				'<label><input type="radio" name="product" id="product_type4" value="Talk to counselor / other options"> Talk to counselor / other options</label>' +
			'</td></tr>' +
			'<tr><td></td><td align="center"><input type="submit"></td></tr>' +
		'</table>' +
	'</form>');