The form is missing an action url, since the javascript takes care of that.
I recently fixed an issue with not labeling the submit button as type=submit
that caused ie 6 and 7 to not do anything
when clicking on the submit..
But I recently still get complains on the form not doing anything when someone presses the submit button.
My only last guess would be that they disabled javascript...
If anyone have some other point of view on this Please Take a look. Could be old Browsers issue, could be code issue..
JSfiddle
http://jsfiddle.net/wn21av2y/1/
HTML
<form id="form1" name="form1" method="post" style="transition: 3s height; overflow: hidden;">
<table width="100%" border="0" cellspacing="2" cellpadding="5">
<tbody>
<tr>
<td width="25%" align="right">Practitioner's Full Name<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input name="name" type="text" required="" pattern=".{3,}">
</td>
</tr>
<tr>
<td width="25%" align="right">Type<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<select name="type" required="">
<option value="MD">MD</option>
<option value="OD">OD</option>
<option value="OTHER">OTHER</option>
</select>
</td>
</tr>
<tr>
<td align="right">Street Address<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input name="address" type="text" required="" pattern=".{3,}">
</td>
</tr>
<tr>
<td align="right">City<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input name="city" type="text" required="" pattern=".{3,}">
</td>
</tr>
<tr>
<td align="right">State<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<select name="state" id="state" required="">
<option value="AL" selected="">Alabama</option>
<option value="AK">STATES</option>
</select>
</td>
</tr>
<tr>
<td align="right">Zip<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input name="zip" type="text" placeholder="12345-1234" required="" pattern="(\d{5}([\-]\d{4})?)">
</td>
</tr>
<tr>
<td align="right">Phone<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input name="phone" type="text" required="" placeholder="123-456-7890" pattern="\d{3}[\-]\d{3}[\-]\d{4}">
</td>
</tr>
<tr>
<td align="right">Email<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input name="email" type="email" required="" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,4}$">
</td>
</tr>
<tr>
<td align="right">Signature ( Type Name )<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input name="sig" type="text" required="" pattern=".{3,}">
</td>
</tr>
<tr>
<td align="right">Today's Date<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input type="text" class="datepicker date1" required="">
</td>
</tr>
<tr>
<td align="right">State License Number<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input name="lic_numb" type="text" required="" pattern=".{3,}">
</td>
</tr>
<tr>
<td align="right">License Exp. Date<span style="color:red;">*</span>
</td>
<td style="text-align: left">
<input type="text" class="datepicker date2" required="">
</td>
</tr>
<tr>
<td align="right" valign="top">
<input name="check1" type="checkbox" value="" required=""><span style="color:red;">*</span>
</td>
<td style="text-align: left">My signature certifies that
<br>1) The information provided</td>
</tr>
<tr>
<td align="right" valign="top">
<input name="check2" type="checkbox" value="" required=""><span style="color:red;">*</span>
</td>
<td style="text-align: left">I verify that the recipient is eligible to receive samples.<br>
</td>
</tr>
<tr>
<td width="25%" align="right"> </td>
<td style="text-align: left">
<button type="submit" class="submits">Submit</button>
</td>
</tr>
</tbody>
</table>
</form>
script
jQuery(function($) {
$(".datepicker").datepicker({
numberOfMonths: 3,
showButtonPanel: true
});
$("#form1").submit(function() {
var url = "example.com/process.php"; // the script where you handle the form input.
$.post(url, {
name: $("input[name='name']").val(),
type: $("select[name='type'] option:selected").text(),
address: $("input[name='address']").val(),
city: $("input[name='city']").val(),
state: $("select[name='state'] option:selected").text(),
zip: $("input[name='zip']").val(),
phone: $("input[name='phone']").val(),
email: $("input[name='email']").val(),
sig: $("input[name='sig']").val(),
date: $(".date1").datepicker("getDate"),
lic_numb: $("input[name='lic_numb']").val(),
lic_date: $(".date2").datepicker("getDate"),
code: 'tEH4s'
}).done(function(data) {
$(".result").html(data);
$('input').val('');
$('#form1').css("height", "0");
});
return false; // avoid to execute the actual submit of the form.
});
});