Buy Now Form

<div class="dealerOnform" id="BuyNow">
<h2 class="title">Buy Now</h2><h3 class="section">Personal Information</h3><div class="form-group">
 <label for = "field1" class="control-label">*First Name</label>
 <input type="text" class="form form-control req" placeholder="First Name" id="field1" name="field1" rel="txtFirstName"/>
</div>
<div class="form-group">
 <label for = "field2" class="control-label">*Last Name</label>
 <input type="text" class="form form-control req" placeholder="Last Name" id="field2" name="field2" rel="txtLastName"/>
</div>
<div class="form-group">
 <label for = "field3" class="control-label">*Email</label>
 <input type="text" class="form form-control email req" placeholder="Email" id="field3" name="field3" rel="txtEmail"/>
</div>
<div class="form-group">
 <label for = "field4" class="control-label">*Phone</label>
 <input type="phone" class="form form-control phone req" placeholder="Phone" id="field4" name="field4" rel="txtPhone"data-dlron-type="phone" type="tel" />
</div>
<h3 class="section">Select Vehicle</h3><div class="form-group">
 <label for = "field5" class="control-label">*Year</label>
 <input type="text" class="form form-control req" placeholder="Year" id="field5" name="field5" rel="txtYear"/>
</div>
<div class="form-group">
 <label for = "field6" class="control-label">*Make</label>
 <input type="text" class="form form-control req" placeholder="Make" id="field6" name="field6" rel="txtMake"/>
</div>
<div class="form-group">
 <label for = "field7" class="control-label">*Model</label>
 <input type="text" class="form form-control req" placeholder="Model" id="field7" name="field7" rel="txtModel"/>
</div>
<h3 class="section">Payment and Shipping</h3><div class="form-group">
 <label for = "field8" class="control-label">Form of Payment</label>
 <input type="text" class="form form-control " placeholder="Form of Payment" id="field8" name="field8" rel=""/>
</div>
<div class="checkbox">
 <label for="field9">
<input type="checkbox" class=" checkbox" id="field9" name="field9" rel="" /><span>Pickup</span></label>
</div>
<div class="checkbox">
 <label for="field10">
<input type="checkbox" class=" checkbox" id="field10" name="field10" rel="" /><span>Delivery</span></label>
</div>
<div class="form-group"><input type="button" class="go btn btn-main" id="submit" name="submit" value="Submit" /></div>
  <p style="display:none;">
     <input type="hidden" id="emailList" value="[email protected],[email protected],[email protected]" />
     <input type="hidden" id="emailSubject" value="Buy Now" />
     <input type="hidden" id="emailType" value="0" />
     <input type="hidden" id="leadsource" value="327" />
     <input type="hidden" id="leadtype" value="9" />
   </p>
 </div>
<script>document.addEventListener("DOMContentLoaded", function(event) { $(".dealerOnform :input").focus(function () { ResetTracker(); trackerHook(327); $(".dealerOnform :input").off("focus"); });});</script>