function letsgo() {
		
	  var name = $("#clmName").val();
	  var dobd = $("#clmDOB_DD").val();
	  var dobm = $("#clmDOB_MM").val();
	  var doby = $("#clmDOB_YY").val();
	  var tel = $("#clmPhone").val();
	  var mob = $("#clmMobile").val();
	  var mail = $("#clmEmail").val();
	  var address = $("#clmAddress").val();
	  var town = $("#clmTown").val();
	  var postcode = $("#clmPostcode").val();
	  var acctype = $("#clmAcc").val();
	  var persinj = $("#clmPers").val();
	  var medneg = $("#clmNeg").val();
	  var profneg = $("#clmProfNeg").val();
	  var typoth = $("#clmProfNeg_other").val();
	  var clmd = $("#clmDate_DD").val();
	  var clmm = $("#clmDate_MM").val();
	  var clmy = $("#clmDate_YY").val();
	  var desc = $("#clmDesc").val();
	  var cont = $("#clmPrefer").val();
	  var calltel = $("#clmPrefer_tel").val();
	  var callhm = $("#clmPrefer_home").val();
	  var calloff = $("#clmPrefer_off").val();
	  var callhosp = $("#clmPrefer_hosp").val();
	  var calloth = $("#clmPrefer_other").val();
	  var hear = $("#clmHear").val();
	  var hearoth = $("#clmHear_other").val();
	  var hearnews = $("#clmHear_news").val();
	  var hearrec = $("#clmHear_rec").val();
	  var hearrad = $("#clmHear_radio").val();
	  
	  $(".letsgo").attr("disabled", "true"); 
      $(".letsgo").attr("src", "/images/please-wait.gif");
		
		var dataString = 'clmName='+ name + '&clmDOB_DD='+ dobd + '&clmDOB_MM='+ dobm + '&clmDOB_YY='+ doby + '&clmPhone=' + tel + '&clmMobile=' + mob + '&clmEmail=' + mail + '&clmAddress=' + address + '&clmTown=' + town + '&clmPostcode=' + postcode + '&clmAcc=' + acctype + '&clmPers=' + persinj + '&clmNeg=' + medneg + '&clmProfNeg=' + profneg + '&clmProfNeg_other=' + typoth + '&clmDate_DD=' + clmd + '&clmDate_MM=' + clmm + '&clmDate_YY=' + clmy + '&clmDesc=' + desc + '&clmPrefer=' + cont + '&clmPrefer_tel=' + calltel + '&clmPrefer_home=' + callhm + '&clmPrefer_off=' + calloff + '&clmPrefer_hosp=' + callhosp + '&clmPrefer_other=' + calloth + '&clmHear=' + hear + '&clmHear_other=' + hearoth + '&clmHear_news=' + hearnews + '&clmHear_rec=' + hearrec + '&clmHear_radio=' + hearrad;
		//alert (dataString);return false;
		
		$.ajax({
      type: "POST",
      url: "/process.php?main=true",
      data: dataString,
      success: function() {
        $('#claim_inner').html("<div id='message2'></div>");
        $('#message2').html("<p>Thank you for sending your claim request, we will contact you shortly to discuss your needs.</p>")
        .hide()
        .fadeIn(1500, function() {
          //$('#message').append("<img id='checkmark' src='/images/check.png' />");
        });
		$("#claim_outer").delay(5000).animate({ 'top': '-401px' }, 'slow'),
		$("#body").delay(5000).animate({ 'top': '0px' }, 'slow');
		$(".claim_btn").attr("src", "/images/start-claim.gif");
      }
     });
    return false;
};
//runOnLoad(function(){
  //$("input#Name").select().focus();
//});