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| iwasinnihon 2004-05-29, 3:31 pm |
| I don't usually like to do this, but I need help. I have gone over this code
and cannot figure out why it doesn't work. First of all it doesn't check to
see if you have filled in the required fields. Second, it doesn't submit the
information (it's supposed to send it to mySql and email it to me.) and
lastly, it doesn't bring up the thankyou.php after submitting the form. I
don't know enough about PHP to find the problem. If someone could look over
the code and just let me know what I need to do to make it work I would
greatly appreciate it.
Thanks, Here's the code
CODE
<?
if($submit) {
if (!strlen($In1))
$missinginfo='true';
if (!strlen($In4))
$missinginfo='true';
if (!strlen($In5))
$missinginfo='true';
if (!strlen($In6))
$missinginfo='true';
if (!strlen($In7))
$missinginfo='true';
if (!strlen($state1))
$missinginfo='true';
if (!strlen($In8))
$missinginfo='true';
if (!strlen($In9))
$missinginfo='true';
if (!strlen($In10))
$missinginfo='true';
if (!strlen($state2))
$missinginfo='true';
if (!strlen($In11))
$missinginfo='true';
if (!strlen($In12))
$missinginfo='true';
//I need to parse the text right here!!!
//This enters the data into the DB
if(!strlen($missinginfo)){
$sql = "INSERT into customers
(FacilityName,OrderBefore,CID,Name,Dept,
ShippingAddress,ShippingCity,State1,
Zip,BillingAddress,BillingCity,State2,Bi
llingZip,Phone,PhoneExt,Fax,Video,Vi
deo2,PONumber)
VALUES
('$In1','$In2','$In3','$In4','$In5','$In
6','$In7','$state1','$In8','$In9','$
In10','$state2','$In11','$In12','$In13',
'$In14','$In15','$In16','$In17')";
if($db = mysql_query($sql));
//echo 'The following nformation was inserted into the
DB<br>';
//echo
" '$In1','$In2','$In3','$In4','$In5','$In6
','$state1','$In7','$In8','$In9','$
In10','$state2','$In11','$In12','$In13',
'$In14','$In15','$In16','$In17'";
require('thankyou.php');
}
?>
<table width="100%" height="100%" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td height="17"><img src="images/PreviewHead.jpg" width="313"
height="17"></td>
</tr>
<tr>
<td valign="top" align="left">
<?
if(strlen($missinginfo))
echo "<br><font color=\"red\"><b>You're missing some required
information.</b></font>";
?>
<br>
<form action="<? $PHP_SELF ?>?mode=preview" method="POST">
<table width="650" border="0" cellspacing="1" cellpadding="4"
bgcolor="#000000">
<tr bgcolor="<? echo $color3 ?>">
<td colspan="2"><font size="0"><b>Order
Information:</b></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0" <? if(!strlen($In1)) echo
'color="red"'; ?> >Facility name *</font></p></td>
<td width="460"><input type="text" name="In1" size="80" value="<?
echo $In1 ?>"></td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0">Have you ordered from us
before?</font></p></td>
<td width="460"><input type="checkbox" name="In2" value="1"><font
size="0"><i>
Yes </i></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">CID</font></p></td>
<td width="460"><input type="text" name="In3" size="20" value="<?
echo $In3 ?>"></td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0" <? if(!strlen($In4)) echo
'color="red"'; ?> > Your Name*</font></td>
<td width="460">
<input type="text" name="In4" size="40" value="<? echo $In4
?>"></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0" <? if(!strlen($In5)) echo
'color="red"'; ?> > Department*</font></td>
<td width="460">
<input type="text" name="In5" size="40" value="<? echo $In5
?>"></td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0" <? if(!strlen($In12)) echo
'color="red"'; ?> >Phone Number *</font></td>
<td width="460">
<input type="text" name="In12" size="20" maxlength="12" value="<?
echo $In12 ?>">
<font size="0"> (i.e. 000-000-0000) Extension</font>
<input type="text" name="In13" size="8" maxlength="6"></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">Fax Number</font></td>
<td width="460"> <font size="0">
<input type="text" name="In14" size="20" maxlength="12" value="<?
echo $In14 ?>">
(i.e. 000-000-0000)</font></td>
</tr>
</table><br><p>
<table width="650" border="0" cellpadding="4" cellspacing="1"
bgcolor="#000000">
<tr bgcolor="<? echo $color3 ?>">
<td colspan="2"><font size="0"><b>Shipping
Information:</b></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0" <? if(!strlen($In6)) echo
'color="red"'; ?> >Shipping Address*</font></p></td>
<td width="460">
<p>
<input type="text" name="In6" size="80" value="<? echo $In6
?>">
</p></td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0" <? if(!strlen($In7)) echo
'color="red"'; ?> >City *</font></td>
<td width="460">
<input type="text" name="In7" size="40" value="<? echo $In7
?>"></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0" <? if(!strlen($state1)) echo
'color="red"'; ?> >State*</font></td>
<td width="460">
<select name="state1">
<option selected value="<? echo $state1 ?>"><? echo $state1
?></option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AB">Alberta</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="BC">British Columbia</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MB">Manitoba</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NB">New Brunswick</option>
<option value="NF">Newfoundland</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NS">Nova Scotia</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="ON">Ontario</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PE">Prince Edward Island</option>
<option value="PQ">Quebec</option>
<option value="RI">Rhode Island</option>
<option value="SK">Saskatchewan</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select> </td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0" <? if(!strlen($In8)) echo
'color="red"'; ?> >Zip Code*</font></td>
<td width="460">
<input type="text" name="In8" size="12" maxlength="10" value="<?
echo $In8 ?>"> </td>
</tr>
</table><br><p>
<table width="650" border="0" cellpadding="4" cellspacing="1"
bgcolor="#000000">
<tr bgcolor="<? echo $color3 ?>">
<td colspan="2"><font size="0"><b>Billing
Information:</b></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0" <? if(!strlen($In9)) echo
'color="red"'; ?> >Billing Address*</font></td>
<td width="460">
<input type="text" name="In9" size="80" value="<? echo $In9 ?>">
</td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0" <? if(!strlen($In10)) echo
'color="red"'; ?> >City*</font></td>
<td width="460">
<input type="text" name="In10" size="40" value="<? echo $In10
?>"> </td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0" <? if(!strlen($state2)) echo
'color="red"'; ?> >State*</font></td>
<td width="460">
<select name="state2">
<option selected value="<? echo $state2 ?>"><? echo $state2
?></option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AB">Alberta</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="BC">British Columbia</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MB">Manitoba</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NB">New Brunswick</option>
<option value="NF">Newfoundland</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NS">Nova Scotia</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="ON">Ontario</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PE">Prince Edward Island</option>
<option value="PQ">Quebec</option>
<option value="RI">Rhode Island</option>
<option value="SK">Saskatchewan</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select> </td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0" <? if(!strlen($In11)) echo
'color="red"'; ?> >Zip Code*</font></td>
<td width="460">
<input type="text" name="In11" size="12" maxlength="10" value="<?
echo $In11 ?>"></td>
</tr>
</table><br><p>
<table width="650" border="0" cellpadding="4" cellspacing="1"
bgcolor="#000000">
<tr bgcolor="<? echo $color3 ?>">
<td colspan="2"><font
size="0"><b>Purchase/Preview:</b></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">Video</font></td>
<td width="460">
<select size="1" name="In15">
<option selected><? echo $In15 ?></option>
<option>Age Specific Care</option>
<option>Growth & Development</option>
<option>Culture & Religion</option>
<option>Surviving Change</option>
<option>Your Baby</option>
<option>Circumcision</option>
</select> </td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0" >Second Video</font></td>
<td width="460"> <select size="1" name="In16">
<option selected><? echo $In16 ?></option>
<option>Age Specific Care</option>
<option>Growth & Development</option>
<option>Culture & Religion</option>
<option>Surviving Change</option>
<option>Your Baby</option>
<option>Circumcision</option>
</select> </td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0">Purchase Order Number</font></td>
<td width="460">
<input type="text" name="In17" size="40"> </td>
</tr>
<tr valign="middle" bgcolor="<? echo $color1 ?>">
<td align="center" colspan="2"><p style="line-height: 100%;
word-spacing: 0; margin-top: 0; margin-bottom: 0">
<input type="submit" value="Submit" name="submit">
<input type="reset" value="Reset" name="reset">
</td>
</tr>
</table>
</form>
</td>
</tr>
<tr>
<td height="17" align="right" valign="middle"><img
src="images/BaseLine.jpg" width="329" height="27"></td>
</tr>
<tr>
<td height="100%" valign="bottom" align="center">
<?
include("bottomlinks.php");
?>
</td>
</tr>
</table>
<?
} else {
?>
<table width="100%" height="100%" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td height="17"><img src="images/PreviewHead.jpg" width="313"
height="17"></td>
</tr>
<tr>
<td valign="top" align="left">
<form action="<? $PHP_SELF ?>?mode=preview" method="POST">
<p> </p>
<table width="650" border="0" cellspacing="1" cellpadding="4"
bgcolor="#000000">
<tr bgcolor="<? echo $color3 ?>">
<td colspan="2"><font size="0"><b>Order
Information:</b></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">Facility name *</font></p></td>
<td width="460"><input type="text" name="In1" size="80" value="<?
echo $In1 ?>"></td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0">Have you ordered from us
before?</font></p></td>
<td width="460"><input type="checkbox" name="In2" value="1"><font
size="0"><i>
Yes </i></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">CID</font></p></td>
<td width="460"><input type="text" name="In3" size="20" value="<?
echo $In3 ?>"></td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0"> Your Name*</font></td>
<td width="460">
<input type="text" name="In4" size="40" value="<? echo $In4
?>"></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0"> Deptartment*</font></td>
<td width="460">
<input type="text" name="In5" size="40" value="<? echo $In5
?>"></td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0">Phone Number *</font></td>
<td width="460">
<input type="text" name="In12" size="20" maxlength="12" value="<?
echo $In12 ?>">
<font size="0"> (i.e. 000-000-0000) Extension</font>
<input type="text" name="In13" size="8" maxlength="6"></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">Fax Number</font></td>
<td width="460"> <font size="0">
<input type="text" name="In14" size="20" maxlength="12" value="<?
echo $In14 ?>">
(i.e. 000-000-0000)</font></td>
</tr>
</table><br><p>
<table width="650" border="0" cellspacing="1" cellpadding="4"
bgcolor="#000000">
<tr bgcolor="<? echo $color3 ?>">
<td colspan="2"><font size="0"><b>Shipping
Information:</b></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">Shipping Address*</font></p></td>
<td width="460">
<p>
<input type="text" name="In6" size="80" value="<? echo $In6
?>">
</p></td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0">City *</font></td>
<td width="460">
<input type="text" name="In7" size="40" value="<? echo $In7
?>"></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">State*</font></td>
<td width="460">
<select name="state1">
<option selected value="<? echo $state1 ?>"><? echo $state1
?></option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AB">Alberta</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="BC">British Columbia</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MB">Manitoba</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NB">New Brunswick</option>
<option value="NF">Newfoundland</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NS">Nova Scotia</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="ON">Ontario</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PE">Prince Edward Island</option>
<option value="PQ">Quebec</option>
<option value="RI">Rhode Island</option>
<option value="SK">Saskatchewan</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select> </td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0">Zip Code*</font></td>
<td width="460">
<input type="text" name="In8" size="12" maxlength="10" value="<?
echo $In8 ?>"></td>
</tr>
</table><br><p>
<table width="650" border="0" cellpadding="4" cellspacing="1"
bgcolor="#000000">
<tr bgcolor="<? echo $color3 ?>">
<td colspan="2"><font size="0"><b>Billing
Information:</b></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">Billing Address*</font></td>
<td width="460">
<input type="text" name="In9" size="80" value="<? echo $In9 ?>">
</td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0">City*</font></td>
<td width="460">
<input type="text" name="In10" size="40" value="<? echo $In10
?>"> </td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">State*</font></td>
<td width="460">
<select name="state2">
<option selected value="<? echo $state2 ?>"><? echo $state2
?></option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AB">Alberta</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="BC">British Columbia</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MB">Manitoba</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NB">New Brunswick</option>
<option value="NF">Newfoundland</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NS">Nova Scotia</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="ON">Ontario</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PE">Prince Edward Island</option>
<option value="PQ">Quebec</option>
<option value="RI">Rhode Island</option>
<option value="SK">Saskatchewan</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select> </td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0">Zip Code*</font></td>
<td width="460">
<input type="text" name="In11" size="12" maxlength="10" value="<?
echo $In11 ?>"></td>
</tr>
</table><br><p>
<table width="650" border="0" cellpadding="4" cellspacing="1"
bgcolor="#000000">
<tr bgcolor="<? echo $color3 ?>">
<td colspan="2"><font
size="0"><b>Preview/Purchase:</b></font></td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">Video</font></td>
<td width="460">
<select size="1" name="In15">
<option selected>(None)</option>
<option>Age Specific Care</option>
<option>Growth & Development</option>
<option>Culture & Religion</option>
<option>Surviving Change</option>
<option>Your Baby</option>
<option>Circumcision</option>
</select> </td>
</tr>
<tr bgcolor="<? echo $color1 ?>">
<td width="190"><font size="0">Second Video</font></td>
<td width="460"> <select size="1" name="In16">
<option selected>(None)</option>
<option>Age Specific Care</option>
<option>Growth & Development</option>
<option>Culture & Religion</option>
<option>Surviving Change</option>
<option>Your Baby</option>
<option>Circumcision</option>
</select> </td>
</tr>
<tr bgcolor="<? echo $color2 ?>">
<td width="190"><font size="0">Purchase Order Number</font></td>
<td width="460">
<input type="text" name="In17" size="40"> </td>
</tr>
<tr valign="middle" bgcolor="<? echo $color1 ?>">
<td align="center" colspan="2"><p style="line-height: 100%;
word-spacing: 0; margin-top: 0; margin-bottom: 0">
<input type="submit" value="Submit" name="submit">
<input type="reset" value="Reset" name="reset">
</td>
</tr>
</table>
</form>
</td>
</tr>
<tr>
<td height="17" align="right" valign="middle"><img
src="images/BaseLine.jpg" width="329" height="27"></td>
</tr>
<tr>
<td height="100%" valign="bottom" align="center">
<?
include("bottomlinks.php");
?>
</td>
</tr>
</table>
<?
}
?>
| |
|
| run this:
<?
echo 'register_globals = ' . ini_get('register_globals') . "\n";
?>
if it says that register_globals is off (like it should be...) you need to
reference the $_POST array for all the form elements in the first part of
your code...
ex:
<?
if($_POST['submit']) {
if (!strlen($_POST['In1']))
$missinginfo='true';
if (!strlen($_POST['In4']))
$missinginfo='true';
and so on...
- Rook.
"iwasinnihon" <iwasinnihon@hotmail.com> wrote in message
news:40b8dbe2$0$87611$3a2ecee9@news.csolutions.net...
> I don't usually like to do this, but I need help. I have gone over this
code
> and cannot figure out why it doesn't work. First of all it doesn't check
to
> see if you have filled in the required fields. Second, it doesn't submit
the
> information (it's supposed to send it to mySql and email it to me.) and
> lastly, it doesn't bring up the thankyou.php after submitting the form. I
> don't know enough about PHP to find the problem. If someone could look
over
> the code and just let me know what I need to do to make it work I would
> greatly appreciate it.
>
> Thanks, Here's the code
>
>
> CODE
> <?
> if($submit) {
>
> if (!strlen($In1))
> $missinginfo='true';
>
> if (!strlen($In4))
> $missinginfo='true';
>
> if (!strlen($In5))
> $missinginfo='true';
>
> if (!strlen($In6))
> $missinginfo='true';
>
> if (!strlen($In7))
> $missinginfo='true';
>
> if (!strlen($state1))
> $missinginfo='true';
>
> if (!strlen($In8))
> $missinginfo='true';
>
> if (!strlen($In9))
> $missinginfo='true';
>
> if (!strlen($In10))
> $missinginfo='true';
>
> if (!strlen($state2))
> $missinginfo='true';
>
> if (!strlen($In11))
> $missinginfo='true';
>
> if (!strlen($In12))
> $missinginfo='true';
>
> //I need to parse the text right here!!!
>
> //This enters the data into the DB
> if(!strlen($missinginfo)){
> $sql = "INSERT into customers
>
>
(FacilityName,OrderBefore,CID,Name,Dept,
ShippingAddress,ShippingCity,State1,[col
or=darkred]
>[/color]
Zip,BillingAddress,BillingCity,State2,Bi
llingZip,Phone,PhoneExt,Fax,Video,Vi[col
or=darkred]
> deo2,PONumber)
> VALUES
>
>[/color]
('$In1','$In2','$In3','$In4','$In5','$In
6','$In7','$state1','$In8','$In9','$[col
or=darkred]
> In10','$state2','$In11','$In12','$In13',
'$In14','$In15','$In16','$In17')";
> if($db = mysql_query($sql));
>
> //echo 'The following nformation was inserted into the
> DB<br>';
> //echo
>[/color]
" '$In1','$In2','$In3','$In4','$In5','$In6
','$state1','$In7','$In8','$In9','$[colo
r=darkred]
> In10','$state2','$In11','$In12','$In13',
'$In14','$In15','$In16','$In17'";
>
> require('thankyou.php');
>
> }
> ?>
>
> <table width="100%" height="100%" border="0" cellspacing="0"
> cellpadding="0">
> <tr>
>
> <td height="17"><img src="images/PreviewHead.jpg" width="313"
> height="17"></td>
> </tr>
> <tr>
> <td valign="top" align="left">
> <?
> if(strlen($missinginfo))
> echo "<br><font color=\"red\"><b>You're missing some required
> information.</b></font>";
> ?>
> <br>
> <form action="<? $PHP_SELF ?>?mode=preview" method="POST">
> <table width="650" border="0" cellspacing="1" cellpadding="4"
> bgcolor="#000000">
>
> <tr bgcolor="<? echo $color3 ?>">
> <td colspan="2"><font size="0"><b>Order
> Information:</b></font></td>
> </tr>
>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0" <? if(!strlen($In1)) echo
> 'color="red"'; ?> >Facility name *</font></p></td>
> <td width="460"><input type="text" name="In1" size="80" value="<?
> echo $In1 ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0">Have you ordered from us
> before?</font></p></td>
> <td width="460"><input type="checkbox" name="In2" value="1"><font
> size="0"><i>
> Yes </i></font></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">CID</font></p></td>
> <td width="460"><input type="text" name="In3" size="20" value="<?
> echo $In3 ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0" <? if(!strlen($In4)) echo
> 'color="red"'; ?> > Your Name*</font></td>
> <td width="460">
> <input type="text" name="In4" size="40" value="<? echo $In4
> ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0" <? if(!strlen($In5)) echo
> 'color="red"'; ?> > Department*</font></td>
> <td width="460">
> <input type="text" name="In5" size="40" value="<? echo $In5
> ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0" <? if(!strlen($In12)) echo
> 'color="red"'; ?> >Phone Number *</font></td>
> <td width="460">
> <input type="text" name="In12" size="20" maxlength="12"[/color]
value="<?
> echo $In12 ?>">
> <font size="0"> (i.e. 000-000-0000) Extension</font>
> <input type="text" name="In13" size="8" maxlength="6"></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">Fax Number</font></td>
> <td width="460"> <font size="0">
> <input type="text" name="In14" size="20" maxlength="12"
value="<?
> echo $In14 ?>">
> (i.e. 000-000-0000)</font></td>
> </tr>
> </table><br><p>
> <table width="650" border="0" cellpadding="4" cellspacing="1"
> bgcolor="#000000">
> <tr bgcolor="<? echo $color3 ?>">
> <td colspan="2"><font size="0"><b>Shipping
> Information:</b></font></td>
> </tr>
>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0" <? if(!strlen($In6)) echo
> 'color="red"'; ?> >Shipping Address*</font></p></td>
> <td width="460">
> <p>
> <input type="text" name="In6" size="80" value="<? echo $In6
> ?>">
> </p></td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0" <? if(!strlen($In7)) echo
> 'color="red"'; ?> >City *</font></td>
> <td width="460">
> <input type="text" name="In7" size="40" value="<? echo $In7
> ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0" <? if(!strlen($state1)) echo
> 'color="red"'; ?> >State*</font></td>
> <td width="460">
> <select name="state1">
> <option selected value="<? echo $state1 ?>"><? echo $state1
> ?></option>
> <option value="AL">Alabama</option>
> <option value="AK">Alaska</option>
> <option value="AB">Alberta</option>
> <option value="AZ">Arizona</option>
> <option value="AR">Arkansas</option>
> <option value="BC">British Columbia</option>
> <option value="CA">California</option>
> <option value="CO">Colorado</option>
> <option value="CT">Connecticut</option>
> <option value="DE">Delaware</option>
> <option value="DC">District of Columbia</option>
> <option value="FL">Florida</option>
> <option value="GA">Georgia</option>
> <option value="HI">Hawaii</option>
> <option value="ID">Idaho</option>
> <option value="IL">Illinois</option>
> <option value="IN">Indiana</option>
> <option value="IA">Iowa</option>
> <option value="KS">Kansas</option>
> <option value="KY">Kentucky</option>
> <option value="LA">Louisiana</option>
> <option value="ME">Maine</option>
> <option value="MB">Manitoba</option>
> <option value="MD">Maryland</option>
> <option value="MA">Massachusetts</option>
> <option value="MI">Michigan</option>
> <option value="MN">Minnesota</option>
> <option value="MS">Mississippi</option>
> <option value="MO">Missouri</option>
> <option value="MT">Montana</option>
> <option value="NE">Nebraska</option>
> <option value="NV">Nevada</option>
> <option value="NB">New Brunswick</option>
> <option value="NF">Newfoundland</option>
> <option value="NH">New Hampshire</option>
> <option value="NJ">New Jersey</option>
> <option value="NM">New Mexico</option>
> <option value="NY">New York</option>
> <option value="NC">North Carolina</option>
> <option value="ND">North Dakota</option>
> <option value="NS">Nova Scotia</option>
> <option value="OH">Ohio</option>
> <option value="OK">Oklahoma</option>
> <option value="ON">Ontario</option>
> <option value="OR">Oregon</option>
> <option value="PA">Pennsylvania</option>
> <option value="PE">Prince Edward Island</option>
> <option value="PQ">Quebec</option>
> <option value="RI">Rhode Island</option>
> <option value="SK">Saskatchewan</option>
> <option value="SC">South Carolina</option>
> <option value="SD">South Dakota</option>
> <option value="TN">Tennessee</option>
> <option value="TX">Texas</option>
> <option value="UT">Utah</option>
> <option value="VT">Vermont</option>
> <option value="VA">Virginia</option>
> <option value="WA">Washington</option>
> <option value="WV">West Virginia</option>
> <option value="WI">Wisconsin</option>
> <option value="WY">Wyoming</option>
> </select> </td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0" <? if(!strlen($In8)) echo
> 'color="red"'; ?> >Zip Code*</font></td>
> <td width="460">
> <input type="text" name="In8" size="12" maxlength="10"
value="<?
> echo $In8 ?>"> </td>
> </tr>
> </table><br><p>
>
> <table width="650" border="0" cellpadding="4" cellspacing="1"
> bgcolor="#000000">
> <tr bgcolor="<? echo $color3 ?>">
> <td colspan="2"><font size="0"><b>Billing
> Information:</b></font></td>
> </tr>
>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0" <? if(!strlen($In9)) echo
> 'color="red"'; ?> >Billing Address*</font></td>
> <td width="460">
> <input type="text" name="In9" size="80" value="<? echo $In9
?>">
> </td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0" <? if(!strlen($In10)) echo
> 'color="red"'; ?> >City*</font></td>
> <td width="460">
> <input type="text" name="In10" size="40" value="<? echo $In10
> ?>"> </td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0" <? if(!strlen($state2)) echo
> 'color="red"'; ?> >State*</font></td>
> <td width="460">
> <select name="state2">
> <option selected value="<? echo $state2 ?>"><? echo $state2
> ?></option>
> <option value="AL">Alabama</option>
> <option value="AK">Alaska</option>
> <option value="AB">Alberta</option>
> <option value="AZ">Arizona</option>
> <option value="AR">Arkansas</option>
> <option value="BC">British Columbia</option>
> <option value="CA">California</option>
> <option value="CO">Colorado</option>
> <option value="CT">Connecticut</option>
> <option value="DE">Delaware</option>
> <option value="DC">District of Columbia</option>
> <option value="FL">Florida</option>
> <option value="GA">Georgia</option>
> <option value="HI">Hawaii</option>
> <option value="ID">Idaho</option>
> <option value="IL">Illinois</option>
> <option value="IN">Indiana</option>
> <option value="IA">Iowa</option>
> <option value="KS">Kansas</option>
> <option value="KY">Kentucky</option>
> <option value="LA">Louisiana</option>
> <option value="ME">Maine</option>
> <option value="MB">Manitoba</option>
> <option value="MD">Maryland</option>
> <option value="MA">Massachusetts</option>
> <option value="MI">Michigan</option>
> <option value="MN">Minnesota</option>
> <option value="MS">Mississippi</option>
> <option value="MO">Missouri</option>
> <option value="MT">Montana</option>
> <option value="NE">Nebraska</option>
> <option value="NV">Nevada</option>
> <option value="NB">New Brunswick</option>
> <option value="NF">Newfoundland</option>
> <option value="NH">New Hampshire</option>
> <option value="NJ">New Jersey</option>
> <option value="NM">New Mexico</option>
> <option value="NY">New York</option>
> <option value="NC">North Carolina</option>
> <option value="ND">North Dakota</option>
> <option value="NS">Nova Scotia</option>
> <option value="OH">Ohio</option>
> <option value="OK">Oklahoma</option>
> <option value="ON">Ontario</option>
> <option value="OR">Oregon</option>
> <option value="PA">Pennsylvania</option>
> <option value="PE">Prince Edward Island</option>
> <option value="PQ">Quebec</option>
> <option value="RI">Rhode Island</option>
> <option value="SK">Saskatchewan</option>
> <option value="SC">South Carolina</option>
> <option value="SD">South Dakota</option>
> <option value="TN">Tennessee</option>
> <option value="TX">Texas</option>
> <option value="UT">Utah</option>
> <option value="VT">Vermont</option>
> <option value="VA">Virginia</option>
> <option value="WA">Washington</option>
> <option value="WV">West Virginia</option>
> <option value="WI">Wisconsin</option>
> <option value="WY">Wyoming</option>
> </select> </td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0" <? if(!strlen($In11)) echo
> 'color="red"'; ?> >Zip Code*</font></td>
> <td width="460">
> <input type="text" name="In11" size="12" maxlength="10"
value="<?
> echo $In11 ?>"></td>
> </tr>
> </table><br><p>
>
> <table width="650" border="0" cellpadding="4" cellspacing="1"
> bgcolor="#000000">
> <tr bgcolor="<? echo $color3 ?>">
> <td colspan="2"><font
> size="0"><b>Purchase/Preview:</b></font></td>
> </tr>
>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">Video</font></td>
> <td width="460">
> <select size="1" name="In15">
> <option selected><? echo $In15 ?></option>
> <option>Age Specific Care</option>
> <option>Growth & Development</option>
> <option>Culture & Religion</option>
> <option>Surviving Change</option>
> <option>Your Baby</option>
> <option>Circumcision</option>
> </select> </td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0" >Second Video</font></td>
> <td width="460"> <select size="1" name="In16">
> <option selected><? echo $In16 ?></option>
> <option>Age Specific Care</option>
> <option>Growth & Development</option>
> <option>Culture & Religion</option>
> <option>Surviving Change</option>
> <option>Your Baby</option>
> <option>Circumcision</option>
> </select> </td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0">Purchase Order Number</font></td>
> <td width="460">
> <input type="text" name="In17" size="40"> </td>
> </tr>
> <tr valign="middle" bgcolor="<? echo $color1 ?>">
> <td align="center" colspan="2"><p style="line-height: 100%;
> word-spacing: 0; margin-top: 0; margin-bottom: 0">
> <input type="submit" value="Submit" name="submit">
> <input type="reset" value="Reset" name="reset">
> </td>
> </tr>
> </table>
> </form>
> </td>
> </tr>
>
> <tr>
> <td height="17" align="right" valign="middle"><img
> src="images/BaseLine.jpg" width="329" height="27"></td>
> </tr>
>
> <tr>
> <td height="100%" valign="bottom" align="center">
>
> <?
> include("bottomlinks.php");
> ?>
>
> </td>
> </tr>
> </table>
> <?
>
>
> } else {
>
> ?>
>
>
> <table width="100%" height="100%" border="0" cellspacing="0"
> cellpadding="0">
> <tr>
> <td height="17"><img src="images/PreviewHead.jpg"
width="313"
> height="17"></td>
> </tr>
> <tr>
> <td valign="top" align="left">
>
> <form action="<? $PHP_SELF ?>?mode=preview" method="POST">
> <p> </p>
> <table width="650" border="0" cellspacing="1" cellpadding="4"
> bgcolor="#000000">
> <tr bgcolor="<? echo $color3 ?>">
> <td colspan="2"><font size="0"><b>Order
> Information:</b></font></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">Facility name *</font></p></td>
> <td width="460"><input type="text" name="In1" size="80" value="<?
> echo $In1 ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0">Have you ordered from us
> before?</font></p></td>
> <td width="460"><input type="checkbox" name="In2" value="1"><font
> size="0"><i>
> Yes </i></font></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">CID</font></p></td>
> <td width="460"><input type="text" name="In3" size="20" value="<?
> echo $In3 ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0"> Your Name*</font></td>
> <td width="460">
> <input type="text" name="In4" size="40" value="<? echo $In4
> ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0"> Deptartment*</font></td>
> <td width="460">
> <input type="text" name="In5" size="40" value="<? echo $In5
> ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0">Phone Number *</font></td>
> <td width="460">
> <input type="text" name="In12" size="20" maxlength="12"
value="<?
> echo $In12 ?>">
> <font size="0"> (i.e. 000-000-0000) Extension</font>
> <input type="text" name="In13" size="8" maxlength="6"></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">Fax Number</font></td>
> <td width="460"> <font size="0">
> <input type="text" name="In14" size="20" maxlength="12"
value="<?
> echo $In14 ?>">
> (i.e. 000-000-0000)</font></td>
> </tr>
>
> </table><br><p>
>
> <table width="650" border="0" cellspacing="1" cellpadding="4"
> bgcolor="#000000">
> <tr bgcolor="<? echo $color3 ?>">
> <td colspan="2"><font size="0"><b>Shipping
> Information:</b></font></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">Shipping Address*</font></p></td>
> <td width="460">
> <p>
> <input type="text" name="In6" size="80" value="<? echo $In6
> ?>">
> </p></td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0">City *</font></td>
> <td width="460">
> <input type="text" name="In7" size="40" value="<? echo $In7
> ?>"></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">State*</font></td>
> <td width="460">
> <select name="state1">
> <option selected value="<? echo $state1 ?>"><? echo $state1
> ?></option>
> <option value="AL">Alabama</option>
> <option value="AK">Alaska</option>
> <option value="AB">Alberta</option>
> <option value="AZ">Arizona</option>
> <option value="AR">Arkansas</option>
> <option value="BC">British Columbia</option>
> <option value="CA">California</option>
> <option value="CO">Colorado</option>
> <option value="CT">Connecticut</option>
> <option value="DE">Delaware</option>
> <option value="DC">District of Columbia</option>
> <option value="FL">Florida</option>
> <option value="GA">Georgia</option>
> <option value="HI">Hawaii</option>
> <option value="ID">Idaho</option>
> <option value="IL">Illinois</option>
> <option value="IN">Indiana</option>
> <option value="IA">Iowa</option>
> <option value="KS">Kansas</option>
> <option value="KY">Kentucky</option>
> <option value="LA">Louisiana</option>
> <option value="ME">Maine</option>
> <option value="MB">Manitoba</option>
> <option value="MD">Maryland</option>
> <option value="MA">Massachusetts</option>
> <option value="MI">Michigan</option>
> <option value="MN">Minnesota</option>
> <option value="MS">Mississippi</option>
> <option value="MO">Missouri</option>
> <option value="MT">Montana</option>
> <option value="NE">Nebraska</option>
> <option value="NV">Nevada</option>
> <option value="NB">New Brunswick</option>
> <option value="NF">Newfoundland</option>
> <option value="NH">New Hampshire</option>
> <option value="NJ">New Jersey</option>
> <option value="NM">New Mexico</option>
> <option value="NY">New York</option>
> <option value="NC">North Carolina</option>
> <option value="ND">North Dakota</option>
> <option value="NS">Nova Scotia</option>
> <option value="OH">Ohio</option>
> <option value="OK">Oklahoma</option>
> <option value="ON">Ontario</option>
> <option value="OR">Oregon</option>
> <option value="PA">Pennsylvania</option>
> <option value="PE">Prince Edward Island</option>
> <option value="PQ">Quebec</option>
> <option value="RI">Rhode Island</option>
> <option value="SK">Saskatchewan</option>
> <option value="SC">South Carolina</option>
> <option value="SD">South Dakota</option>
> <option value="TN">Tennessee</option>
> <option value="TX">Texas</option>
> <option value="UT">Utah</option>
> <option value="VT">Vermont</option>
> <option value="VA">Virginia</option>
> <option value="WA">Washington</option>
> <option value="WV">West Virginia</option>
> <option value="WI">Wisconsin</option>
> <option value="WY">Wyoming</option>
> </select> </td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0">Zip Code*</font></td>
> <td width="460">
> <input type="text" name="In8" size="12" maxlength="10"
value="<?
> echo $In8 ?>"></td>
> </tr>
> </table><br><p>
>
> <table width="650" border="0" cellpadding="4" cellspacing="1"
> bgcolor="#000000">
> <tr bgcolor="<? echo $color3 ?>">
> <td colspan="2"><font size="0"><b>Billing
> Information:</b></font></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">Billing Address*</font></td>
> <td width="460">
> <input type="text" name="In9" size="80" value="<? echo $In9
?>">
> </td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0">City*</font></td>
> <td width="460">
> <input type="text" name="In10" size="40" value="<? echo $In10
> ?>"> </td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">State*</font></td>
> <td width="460">
> <select name="state2">
> <option selected value="<? echo $state2 ?>"><? echo $state2
> ?></option>
> <option value="AL">Alabama</option>
> <option value="AK">Alaska</option>
> <option value="AB">Alberta</option>
> <option value="AZ">Arizona</option>
> <option value="AR">Arkansas</option>
> <option value="BC">British Columbia</option>
> <option value="CA">California</option>
> <option value="CO">Colorado</option>
> <option value="CT">Connecticut</option>
> <option value="DE">Delaware</option>
> <option value="DC">District of Columbia</option>
> <option value="FL">Florida</option>
> <option value="GA">Georgia</option>
> <option value="HI">Hawaii</option>
> <option value="ID">Idaho</option>
> <option value="IL">Illinois</option>
> <option value="IN">Indiana</option>
> <option value="IA">Iowa</option>
> <option value="KS">Kansas</option>
> <option value="KY">Kentucky</option>
> <option value="LA">Louisiana</option>
> <option value="ME">Maine</option>
> <option value="MB">Manitoba</option>
> <option value="MD">Maryland</option>
> <option value="MA">Massachusetts</option>
> <option value="MI">Michigan</option>
> <option value="MN">Minnesota</option>
> <option value="MS">Mississippi</option>
> <option value="MO">Missouri</option>
> <option value="MT">Montana</option>
> <option value="NE">Nebraska</option>
> <option value="NV">Nevada</option>
> <option value="NB">New Brunswick</option>
> <option value="NF">Newfoundland</option>
> <option value="NH">New Hampshire</option>
> <option value="NJ">New Jersey</option>
> <option value="NM">New Mexico</option>
> <option value="NY">New York</option>
> <option value="NC">North Carolina</option>
> <option value="ND">North Dakota</option>
> <option value="NS">Nova Scotia</option>
> <option value="OH">Ohio</option>
> <option value="OK">Oklahoma</option>
> <option value="ON">Ontario</option>
> <option value="OR">Oregon</option>
> <option value="PA">Pennsylvania</option>
> <option value="PE">Prince Edward Island</option>
> <option value="PQ">Quebec</option>
> <option value="RI">Rhode Island</option>
> <option value="SK">Saskatchewan</option>
> <option value="SC">South Carolina</option>
> <option value="SD">South Dakota</option>
> <option value="TN">Tennessee</option>
> <option value="TX">Texas</option>
> <option value="UT">Utah</option>
> <option value="VT">Vermont</option>
> <option value="VA">Virginia</option>
> <option value="WA">Washington</option>
> <option value="WV">West Virginia</option>
> <option value="WI">Wisconsin</option>
> <option value="WY">Wyoming</option>
> </select> </td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0">Zip Code*</font></td>
> <td width="460">
> <input type="text" name="In11" size="12" maxlength="10"
value="<?
> echo $In11 ?>"></td>
> </tr>
> </table><br><p>
>
> <table width="650" border="0" cellpadding="4" cellspacing="1"
> bgcolor="#000000">
> <tr bgcolor="<? echo $color3 ?>">
> <td colspan="2"><font
> size="0"><b>Preview/Purchase:</b></font></td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">Video</font></td>
> <td width="460">
> <select size="1" name="In15">
> <option selected>(None)</option>
> <option>Age Specific Care</option>
> <option>Growth & Development</option>
> <option>Culture & Religion</option>
> <option>Surviving Change</option>
> <option>Your Baby</option>
> <option>Circumcision</option>
> </select> </td>
> </tr>
> <tr bgcolor="<? echo $color1 ?>">
> <td width="190"><font size="0">Second Video</font></td>
> <td width="460"> <select size="1" name="In16">
> <option selected>(None)</option>
> <option>Age Specific Care</option>
> <option>Growth & Development</option>
> <option>Culture & Religion</option>
> <option>Surviving Change</option>
> <option>Your Baby</option>
> <option>Circumcision</option>
> </select> </td>
> </tr>
> <tr bgcolor="<? echo $color2 ?>">
> <td width="190"><font size="0">Purchase Order Number</font></td>
> <td width="460">
> <input type="text" name="In17" size="40"> </td>
> </tr>
> <tr valign="middle" bgcolor="<? echo $color1 ?>">
> <td align="center" colspan="2"><p style="line-height: 100%;
> word-spacing: 0; margin-top: 0; margin-bottom: 0">
> <input type="submit" value="Submit" name="submit">
> <input type="reset" value="Reset" name="reset">
> </td>
> </tr>
> </table>
> </form>
> </td>
> </tr>
>
> <tr>
> <td height="17" align="right" valign="middle"><img
> src="images/BaseLine.jpg" width="329" height="27"></td>
> </tr>
>
> <tr>
> <td height="100%" valign="bottom" align="center">
>
> <?
> include("bottomlinks.php");
> ?>
>
> </td>
> </tr>
> </table>
>
> <?
> }
> ?>
>
>
>
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