Hi there thanks for your help however I am still getting the words truncated for adding film. When I click on Add New Film for the third time it will truncate the second record to the first character or characters before the first space. I have attached the whole code as I am really struggling on this one.
This includes your cleaned up code for the Add Film section
I have also attached a screenshot of what is happening.
Thanks
Andrew
<?php
ob_start();
include("db.php");
include('function.php');
if(isset($_POST['act'])){
$fname= $_POST['fname'];
$lname= $_POST['lname'];
$address1= $_POST['address1'];
$address2= $_POST['address2'];
$city= $_POST['city'];
$state= $_POST['state'];
$zipcode= $_POST['zipcode'];
$country= $_POST['country'];
$email= $_POST['email'];
$phone_no= $_POST['phone_no'];
$dob= $_POST['month']."-".$_POST['day']."-".$_POST['year'];//$_POST['dob']; //// year day month
$gender= $_POST['gender'];
$hight= addslashes($_POST['hight1']).$_POST['hight2'];
$weight= $_POST['weight'];
$eyecolor= $_POST['eyecolor'];
$haircolor= $_POST['haircolor'];
$Training= $_POST['note'];
$headshot= $_FILES['headshot']['name'];
$Temphead = $_FILES["headshot"]["tmp_name"];
$Ability= $_POST['ability'];
$Media= $_POST['media'];
$Time= time();
$Affi= $_POST['Affiliations'];
$ethnicity=$_POST['ethnicity'];
$NumAff= count($Affi);
for($R=0; $R < $NumAff; $R++ ){
$L= $R +1;
if($L != $NumAff) {
$Affiliations .= $Affi[$R].",";
} else {
$Affiliations .= $Affi[$R];
}
}
$Film= $_POST['apnd'];
for($s=1;$s <= $Film ;$s++){
$Proj= "project".$s;
$Role="role".$s;
$Director="director".$s;
if($s != $Film ){
$FilmProj .= $_POST[$Proj].",";
$FilmRole .= $_POST[$Role].",";
$FilmDir .= $_POST[$Director].",";
}else {
$FilmProj .= $_POST[$Proj];
$FilmRole .= $_POST[$Role];
$FilmDir .= $_POST[$Director];
}
}
$TV= $_POST['apndtv'];
for($s=1;$s <= $TV ;$s++){
$Proj= "projtv".$s;
$Role="roletv".$s;
$Director="directv".$s;
if($s != $TV ){
$TVProj .= $_POST[$Proj].",";
$TVRole .= $_POST[$Role].",";
$TVDir .= $_POST[$Director].",";
}else {
$TVProj .= $_POST[$Proj];
$TVRole .= $_POST[$Role];
$TVDir .= $_POST[$Director];
}
}
$Com= $_POST['apndCom'];
for($s=1;$s <= $Com ;$s++){
$Proj= "projcom".$s;
$Role="rolecom".$s;
$Director="direcom".$s;
if($s != $Com ){
$ComProj .= $_POST[$Proj].",";
$Comole .= $_POST[$Role].",";
$ComDir .= $_POST[$Director].",";
}else {
$ComProj .= $_POST[$Proj];
$ComRole .= $_POST[$Role];
$ComDir .= $_POST[$Director];
}
}
$Thr= $_POST['apndThr'];
for($s=1;$s <= $Thr ;$s++){
$Proj= "projthr".$s;
$Role="rolethr".$s;
$Director="direthr".$s;
if($s != $Thr ){
$ThrProj .= $_POST[$Proj].",";
$Throle .= $_POST[$Role].",";
$ThrDir .= $_POST[$Director].",";
}else {
$ThrProj .= $_POST[$Proj];
$ThrRole .= $_POST[$Role];
$ThrDir .= $_POST[$Director];
}
}
if (file_exists("images/HeadShot/".$headshot))
{
$Msg1=$_FILES["headshot"]["name"] . " already exists.";
$Error1="Yes";
}
$waistup= $_FILES['waistup']['name'];
$Tempwaist = $_FILES["waistup"]["tmp_name"];
if (file_exists("images/Waistup/".$waistup))
{
$Msg2=" ".$_FILES["waistup"]["name"] . " already exists.";
$Error2="Yes";
}
$fullbody= $_FILES['fullbody']['name'];
$Tempfull = $_FILES["fullbody"]["tmp_name"];
if (file_exists("images/Fullbody/".$fullbody))
{
$Msg3=" ".$_FILES["fullbody"]["name"] . " already exists.";
$Error3="Yes";
}
if(($Error3 !="Yes")&&($Error2 !="Yes")&& ($Error1 !="Yes")){
$headshot_image = $_FILES['headshot']["name"];
if($headshot_image!='')
{
$extension = substr($headshot_image, strrpos($headshot_image, '.') + 1);
$headshot_image = "head_".$Time.".".$extension;
$front = move_uploaded_file($_FILES['headshot']["tmp_name"],"images/HeadShot/".$headshot_image);
createthumb($headshot_image,"images/HeadShot/","images/HeadShot/Large/",365,476);
createthumb($headshot_image,"images/HeadShot/","images/HeadShot/",75,75);
}
/*$extension=strstr($_FILES['headshot']['name'],".");
if($extension==".jpg" || $extension==".jpeg" || $extension==".JPG" || $extension==".JPEG"){
$src = imagecreatefromjpeg($Temphead);
}
if($extension==".gif" || $extension==".GIF"){
$src = imagecreatefromgif($Temphead);
}
if($extension==".png" || $extension==".PNG"){
$src = imagecreatefrompng($Temphead);
}
list($width,$height)=getimagesize($Temphead);
$newwidth=75;
$newheight=75;
$tmp=imagecreatetruecolor($newwidth,$newheight);
imagecopyresampled($tmp,$src,0,0,0,0,$newwidth,$newheight,$width,$height);
$largpath1 = "head_".$Time.$extension;
$filename = "images/HeadShot/".$largpath1;
//imagejpeg($tmp,$filename,100);
$extension=strstr($_FILES['headshot']['name'],".");
if($extension==".jpg" || $extension==".jpeg" || $extension==".JPG" || $extension==".JPEG"){
$src = imagecreatefromjpeg($Temphead);
}
if($extension==".gif" || $extension==".GIF"){
$src = imagecreatefromgif($Temphead);
}
if($extension==".png" || $extension==".PNG"){
$src = imagecreatefrompng($Temphead);
}
list($width,$height)=getimagesize($Temphead);
$newwidth=476;
$newheight=365;
$tmp=imagecreatetruecolor($newwidth,$newheight);
imagecopyresampled($tmp,$src,0,0,0,0,$newwidth,$newheight,$width,$height);
$largpath1 = "head_".$Time.$extension;
$filename = "images/HeadShot/Large/".$largpath1;
//imagejpeg($tmp,$filename,100);
*/
//move_uploaded_file($_FILES["headshot"]["tmp_name"], "images/HeadShot/" . $_FILES["headshot"]["name"]);
$waistup_image = $_FILES['waistup']["name"];
if($waistup_image!='')
{
$extension = substr($waistup_image, strrpos($waistup_image, '.') + 1);
$waistup_image = "Waist_".$Time.".".$extension;
$front = move_uploaded_file($_FILES['waistup']["tmp_name"],"images/Waistup/".$waistup_image);
createthumb($waistup_image,"images/Waistup/","images/Waistup/Large/",365,476);
createthumb($waistup_image,"images/Waistup/","images/Waistup/",75,75);
}
/*$extension=strstr($_FILES['waistup']['name'],".");
if($extension==".jpg" || $extension==".jpeg" || $extension==".JPG" || $extension==".JPEG"){
$src = imagecreatefromjpeg($Tempwaist);
}
if($extension==".gif" || $extension==".GIF"){
$src = imagecreatefromgif($Tempwaist);
}
if($extension==".png" || $extension==".PNG"){
$src = imagecreatefrompng($Tempwaist);
}
list($width,$height)=getimagesize($Tempwaist);
$newwidth=75;
$newheight=75;
$tmp=imagecreatetruecolor($newwidth,$newheight);
imagecopyresampled($tmp,$src,0,0,0,0,$newwidth,$newheight,$width,$height);
$largpath2 = "waist".$Time.$extension;
$filename = "images/Waistup/".$largpath2;
//imagejpeg($tmp,$filename,100);
$extension=strstr($_FILES['waistup']['name'],".");
if($extension==".jpg" || $extension==".jpeg" || $extension==".JPG" || $extension==".JPEG"){
$src = imagecreatefromjpeg($Tempwaist);
}
if($extension==".gif" || $extension==".GIF"){
$src = imagecreatefromgif($Tempwaist);
}
if($extension==".png" || $extension==".PNG"){
$src = imagecreatefrompng($Tempwaist);
}
list($width,$height)=getimagesize($Tempwaist);
$newwidth=476;
$newheight=365;
$tmp=imagecreatetruecolor($newwidth,$newheight);
imagecopyresampled($tmp,$src,0,0,0,0,$newwidth,$newheight,$width,$height);
$largpath2 = "waist".$Time.$extension;
$filename = "images/Waistup/Large/".$largpath2;
//imagejpeg($tmp,$filename,100);
*/
//move_uploaded_file($_FILES["waistup"]["tmp_name"], "images/Waistup/" . $_FILES["waistup"]["name"]);
//$fullbody= $_FILES['fullbody']['name'];
//$Tempfull = $_FILES["fullbody"]["tmp_name"];
$fullbody_image = $_FILES['fullbody']["name"];
if($fullbody_image!='')
{
$extension = substr($fullbody_image, strrpos($fullbody_image, '.') + 1);
$fullbody_image = "Full_".$Time.".".$extension;
$front = move_uploaded_file($_FILES['fullbody']["tmp_name"],"images/Fullbody/".$fullbody_image);
createthumb($fullbody_image,"images/Fullbody/","images/Fullbody/Large/",365,476);
createthumb($fullbody_image,"images/Fullbody/","images/Fullbody/",75,75);
}
/*$extension=strstr($_FILES['fullbody']['name'],".");
if($extension==".jpg" || $extension==".jpeg" || $extension==".JPG" || $extension==".JPEG"){
$src = imagecreatefromjpeg($Tempfull);
}
if($extension==".gif" || $extension==".GIF"){
$src = imagecreatefromgif($Tempfull);
}
if($extension==".png" || $extension==".PNG"){
$src = imagecreatefrompng($Tempfull);
}
list($width,$height)=getimagesize($Tempfull);
$newwidth=75;
$newheight=75;
$tmp=imagecreatetruecolor($newwidth,$newheight);
imagecopyresampled($tmp,$src,0,0,0,0,$newwidth,$newheight,$width,$height);
$largpath3 = "full".$Time.$extension;
$filename = "images/Fullbody/".$largpath3;
//imagejpeg($tmp,$filename,100);
$extension=strstr($_FILES['fullbody']['name'],".");
if($extension==".jpg" || $extension==".jpeg" || $extension==".JPG" || $extension==".JPEG"){
$src = imagecreatefromjpeg($Tempfull);
}
if($extension==".gif" || $extension==".GIF"){
$src = imagecreatefromgif($Tempfull);
}
if($extension==".png" || $extension==".PNG"){
$src = imagecreatefrompng($Tempfull);
}
list($width,$height)=getimagesize($Tempfull);
$newwidth=476;
$newheight=365;
$tmp=imagecreatetruecolor($newwidth,$newheight);
imagecopyresampled($tmp,$src,0,0,0,0,$newwidth,$newheight,$width,$height);
$largpath3 = "full".$Time.$extension;
$filename = "images/Fullbody/Large/".$largpath3;
//imagejpeg($tmp,$filename,100);
//move_uploaded_file($_FILES["fullbody"]["tmp_name"], "images/Fullbody/" . $_FILES["fullbody"]["name"]);
*/
$Insrt="INSERT INTO `register` (`fname`, `lname`, `address1`, `address2`, `city`, `state`, `zipcode`, `country`, `email`, `phone_no`, `dob`, `gender`, `hight`, `weight`, `eyecolor`, `haircolor`, `headshot`, `waistup`, `fullbody`, `notes`,`registration_date`,`ability`,`media`,`ethnicity`) VALUES ( '$fname', '$lname', '$address1', '$address2', '$city', '$state', '$zipcode', '$country', '$email', '$phone_no', '$dob', '$gender', '$hight', '$weight', '$eyecolor', '$haircolor', '$headshot_image', '$waistup_image', '$fullbody_image', '$Training',now(), '$Ability', '$Media','$ethnicity')";
$ResInsrt= mysql_query($Insrt) or die(mysql_error());
$Rid= mysql_insert_id();
////////////////////////////////////// Code for experiance section //////////////////////////////
$InsrtExp="INSERT INTO `experience` (`reg_id` ,`film_proj` ,`film_role` ,`film_director` ,`tv_proj` ,`tv_role` ,`tv_director` ,`comr_proj` ,`comr_role` ,`comr_director` ,`tht_proj` ,`tht_role` ,`tht_director` ,`affiliations`)
VALUES ('$Rid', '$FilmProj', '$FilmRole', '$FilmDir', '$TVProj', '$TVRole', '$TVDir', '$ComProj', '$ComRole', '$ComDir', '$ThrProj', '$ThrRole', '$ThrDir', '$Affiliations')";
$ResExp= mysql_query($InsrtExp) or die(mysql_error());
}
////////////////////////////////////// Code for multiple images upload //////////////////////////////
/// OtherPhoto apndPhoto
$PhotoNum= $_POST['apndPhoto'];
for($p=1;$p <=$PhotoNum; $p++){
$OtherPhoto = "OtherPhoto".$p;
$ImgNam=rand(0,1000);
$front_image = $_FILES[$OtherPhoto]["name"];
if($front_image!='')
{
$extension = substr($front_image, strrpos($front_image, '.') + 1);
$front_image = $ImgNam."Gal.".$extension;
$front = move_uploaded_file($_FILES[$OtherPhoto]["tmp_name"],"images/Gallary/".$front_image);
createthumb($front_image,"images/Gallary/","images/Gallary/Large/",365,476);
createthumb($front_image,"images/Gallary/","images/Gallary/",75,75);
$InsrtImg="INSERT INTO `gallary_image`(`reg_id`,`img_name`)VALUES ('$Rid', '$front_image')";
$ResInsrtImg= mysql_query($InsrtImg) or die(mysql_error());
}
}
}
?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="X-UA-Compatible" content="IE=7">
<title>The Talent House L.A.</title>
<link href="master.css" rel="stylesheet" type="text/css" />
<script language="javascript">
function AddFilm(){
var k = document.form.apnd.value,
i=1,
j = parseInt(k, 10) + parseInt(i, 10),
x = 2,
Project = '',
Role = '',
Director = ''
ra = [];
document.form.apnd.value=j;
for (x=2; x<=k;x++){
Project=document.getElementById('project'+x).value;
Role=document.getElementById('role'+x).value;
Director=document.getElementById('director'+x).value;
ra.push("<span><label>Project</label><input type='text' class='input' name=project"+x+" value="+Project+" id=project"+x+" /></span><span><label>Role</label><input type='text' name=role"+x+" class='input' id=role"+x+" value="+Role+" /></span><span><label>Producer/Director</label><input type='text' class='input' name=director"+x+" id=director"+x+" value="+Director+" /></span>");
}
document.getElementById('my_div').innerHTML = ra.join('') + "<br><br><span><label>Project</label><input type='text' class='input' name=project"+j+" id=project"+j+" /></span><span><label>Role</label><input type='text' name=role"+j+" id=role"+j+" class='input' /></span><span><label>Producer/Director</label><input type='text' class='input' name=director"+j+" id=director"+j+" /></span>";
}
function AddTv(){
var k = document.form.apndtv.value;
var i=1;
var j=parseInt(k)+parseInt(i);
var temp="";
document.form.apndtv.value=j;
for (var x=2; x<=k;x++){
var Projtv=document.getElementById('projtv'+x).value;
var Roletv=document.getElementById('roletv'+x).value;
var Directv=document.getElementById('directv'+x).value;
temp=temp+"<span><label>Project</label><input type='text' class='input' name=projtv"+x+" value="+Projtv+" id=projtv"+x+" /></span><span><label>Role</label><input type='text' name=roletv"+x+" class='input' id=roletv"+x+" value="+Roletv+" /></span><span><label>Producer/Director</label><input type='text' class='input' name=directv"+x+" id=directv"+x+" value="+Directv+" /></span>";
}
document.getElementById('tv_div').innerHTML = temp+"<br><br><span><label>Project</label><input type='text' class='input' name=projtv"+j+" id=projtv"+j+" /></span><span><label>Role</label><input type='text' name=roletv"+j+" id=roletv"+j+" class='input' /></span><span><label>Producer/Director</label><input type='text' class='input' name=directv"+j+" id=directv"+j+" /></span>";
}
function AddComm()
{
var k = document.form.apndCom.value;
var i=1;
var j=parseInt(k)+parseInt(i);
var temp="";
document.form.apndCom.value=j;
for (var x=2; x<=k;x++){
var Projcom=document.getElementById('projcom'+x).value;
var Rolecom=document.getElementById('rolecom'+x).value;
var Direcom=document.getElementById('direcom'+x).value;
temp=temp+"<span><label>Project</label><input type='text' class='input' name=projcom"+x+" value="+Projcom+" id=projcom"+x+" /></span><span><label>Role</label><input type='text' name=rolecom"+x+" class='input' id=rolecom"+x+" value="+Rolecom+" /></span><span><label>Producer/Director</label><input type='text' class='input' name=direcom"+x+" id=direcom"+x+" value="+Direcom+" /></span>";
}
document.getElementById('com_div').innerHTML = temp +"<br><br><span><label>Project</label><input type='text' class='input' name=projcom"+j+" id=projcom"+j+" /></span><span><label>Role</label><input type='text' name=rolecom"+j+" id=rolecom"+j+" class='input' /></span><span><label>Producer/Director</label><input type='text' class='input' name=direcom"+j+" id=direcom"+j+" /></span>";
}
function AddTeatre()
{
var k = document.form.apndThr.value;
var i=1;
var j=parseInt(k)+parseInt(i);
var temp="";
document.form.apndThr.value=j;
for (var x=2; x<=k;x++){
var Projthr=document.getElementById('projthr'+x).value;
var Rolethr=document.getElementById('rolethr'+x).value;
var Direthr=document.getElementById('direthr'+x).value;
temp=temp+"<span><label>Project</label><input type='text' class='input' name=projthr"+x+" value="+Projthr+" id=projthr"+x+" /></span><span><label>Role</label><input type='text' name=rolethr"+x+" class='input' id=rolethr"+x+" value="+Rolethr+" /></span><span><label>Producer/Director</label><input type='text' class='input' name=direthr"+x+" id=direthr"+x+" value="+Direthr+" /></span>";
}
document.getElementById('thr_div').innerHTML = temp+"<br><br><span><label>Project</label><input type='text' class='input' name=projthr"+j+" id=projthr"+j+" /></span><span><label>Role</label><input type='text' name=rolethr"+j+" id=rolethr"+j+" class='input' /></span><span><label>Producer/Director</label><input type='text' class='input' name=direthr"+j+" id=direthr"+j+" /></span>";
}
function createNew(n,t,c){
//counter NEXT
alert(n);
alert(t);
alert(c);
c2 = c+1;
//Start: Make input
newer = "<input name='"+n+"_"+c2+"' type='file' onclick='javascript:createNew(\""+n+"\",this,"+c2+");' />";
//End: New div for next
newer += "<div id='Extras"+n+c2+"'> </div>";
//Outputs whats created
document.getElementById('Extras'+n+c).innerHTML += newer+"<br />";
//Updates hidden counter
document.getElementById(n+"count").value = c;
//remove onclick
t.onclick = "";
}
function AddPhoto()
{
var k = document.form.apndPhoto.value;
var i=1;
var j=parseInt(k)+parseInt(i);
document.form.apndPhoto.value=j;
var temp="";
/*for (var x=2; x<=k;x++){
var OtherPhoto=document.getElementById('OtherPhoto'+x).value;
alert(OtherPhoto);
temp=temp+"<span><label>Gallery Photo:</label><input type='file' class='upload' name=OtherPhoto"+x+" id=OtherPhoto"+x+" value="+OtherPhoto+" /></span>";
}
*/
document.getElementById('photo_div').innerHTML = document.getElementById('photo_div').innerHTML+"<br><br><span><label>Gallery Photo:</label><input type='file' class='upload' name=OtherPhoto"+j+" id=OtherPhoto"+j+" /></span>";
}
</script>
<script language="javascript" type="text/javascript">
function trim(str)
{ // alert("Hello");
return str.replace(/^\s+|\s+$/g,'');
}
function ChkForm(){
var ChkReg=document.form;
if(trim(ChkReg.fname.value)==""){
alert("Please enter first name.");
ChkReg.fname.focus();
return false;
}
if(trim(ChkReg.lname.value)==""){
alert("Please enter last name.");
ChkReg.lname.focus();
return false;
}
if(trim(ChkReg.address1.value)==""){
alert("Please enter address.");
ChkReg.address1.focus();
return false;
}
if(trim(ChkReg.city.value)==""){
alert("Please enter city name.");
ChkReg.city.focus();
return false;
}
if(trim(ChkReg.state.value)==""){
alert("Please enter state name.");
ChkReg.state.focus();
return false;
}
if(trim(ChkReg.zipcode.value)==""){
alert("Please enter zipcode.");
ChkReg.zipcode.focus();
return false;
}
if(trim(ChkReg.country.value)==0){
alert("Please select country.");
return false;
}
var reg = /^([A-Za-z0-9_\-\.])+\@([A-Za-z0-9_\-\.])+\.([A-Za-z]{2,4})$/;
//var address = document.forms[form_id].elements[email].value;
if(reg.test(ChkReg.email.value) == false)
{
alert("Please enter email address.");
ChkReg.email.focus();
return false;
}
if(trim(ChkReg.phone_no.value)==""){
alert("Please enter phone number.");
ChkReg.phone_no.focus();
return false;
}
/*if(trim(ChkReg.dob.value)==""){
alert("Please enter birth date.");
ChkReg.dob.focus();
return false;
}*/
if(ChkReg.month.value=="0")
/* if(ChkReg.dob.value=="")*/{
alert("Please select birth month.");
return false;
}
if(ChkReg.day.value=="0")
/* if(ChkReg.dob.value=="")*/{
alert("Please select birth day.");
return false;
}
if(ChkReg.year.value=="0")
/* if(ChkReg.dob.value=="")*/{
alert("Please select birth year.");
return false;
}
function checkRadio (frmName, rbGroupName) {
var radios = document[frmName].elements[rbGroupName];
for (var i=0; i <radios.length; i++) {
if (radios[i].checked) {
return true;
}
}
return false;
}
if (!checkRadio("form","gender")){
alert("Please select gender.");
return false;
}
if(ChkReg.hight1.value==0){
alert("Please select hight.");
return false;
}
if(ChkReg.weight.value==0){
alert("Please select weight.");
return false;
}
if(trim(ChkReg.eyecolor.value)==""){
alert("Please enter eye color.");
ChkReg.eyecolor.focus();
return false;
}
if(trim(ChkReg.haircolor.value)==""){
alert("Please enter hair color.");
ChkReg.haircolor.focus();
return false;
}
if(trim(ChkReg.headshot.value)==""){
alert("Please upload headshot photo.");
ChkReg.headshot.focus();
return false;
}
if(trim(ChkReg.waistup.value)==""){
alert("Please upload waistup photo.");
ChkReg.waistup.focus();
return false;
}
if(trim(ChkReg.fullbody.value)==""){
alert("Please upload fullbody photo.");
ChkReg.fullbody.focus();
return false;
}
return true;
}
////////////////////////////////date validaton/////////////////
var dtCh= "/";
var minYear=1900;
var maxYear=2100;
function isInteger(s){
var i;
for (i = 0; i < s.length; i++){
// Check that current character is number.
var c = s.charAt(i);
if (((c < "0") || (c > "9"))) return false;
}
// All characters are numbers.
return true;
}
function stripCharsInBag(s, bag){
var i;
var returnString = "";
// Search through string's characters one by one.
// If character is not in bag, append to returnString.
for (i = 0; i < s.length; i++){
var c = s.charAt(i);
if (bag.indexOf(c) == -1) returnString += c;
}
return returnString;
}
function daysInFebruary (year){
// February has 29 days in any year evenly divisible by four,
// EXCEPT for centurial years which are not also divisible by 400.
return (((year % 4 == 0) && ( (!(year % 100 == 0)) || (year % 400 == 0))) ? 29 : 28 );
}
function DaysArray(n) {
for (var i = 1; i <= n; i++) {
this[i] = 31
if (i==4 || i==6 || i==9 || i==11) {this[i] = 30}
if (i==2) {this[i] = 29}
}
return this
}
function isDate(dtStr){
var daysInMonth = DaysArray(12)
var pos1=dtStr.indexOf(dtCh)
var pos2=dtStr.indexOf(dtCh,pos1+1)
var strMonth=dtStr.substring(0,pos1)
var strDay=dtStr.substring(pos1+1,pos2)
var strYear=dtStr.substring(pos2+1)
strYr=strYear
if (strDay.charAt(0)=="0" && strDay.length>1) strDay=strDay.substring(1)
if (strMonth.charAt(0)=="0" && strMonth.length>1) strMonth=strMonth.substring(1)
for (var i = 1; i <= 3; i++) {
if (strYr.charAt(0)=="0" && strYr.length>1) strYr=strYr.substring(1)
}
month=parseInt(strMonth)
day=parseInt(strDay)
year=parseInt(strYr)
if (pos1==-1 || pos2==-1){
alert("The date format should be : mm/dd/yyyy")
return false;
}
if (strMonth.length<1 || month<1 || month>12){
alert("Please enter a valid month")
return false;
}
if (strDay.length<1 || day<1 || day>31 || (month==2 && day>daysInFebruary(year)) || day > daysInMonth[month]){
alert("Please enter a valid day")
return false;
}
if (strYear.length != 4 || year==0 || year<minYear || year>maxYear){
alert("Please enter a valid 4 digit year between "+minYear+" and "+maxYear)
return false;
}
if (dtStr.indexOf(dtCh,pos2+1)!=-1 || isInteger(stripCharsInBag(dtStr, dtCh))==false){
alert("Please enter a valid date");
return false;
}
return true;
}
////////////////////////////////////////////////////////
</script>
</head>
<body onload="document.getElementById('subm').className='selected';">
<div id="wrap">
<div id="container02">
<?
include("top.php");
include("right_logo.php");
?>
<form name="form" action="" method="post" enctype="multipart/form-data">
<div id="submissions"><p><strong><u>submission process</u></strong><br /><br />
Please note we accept submissions through our website ONLY.<br /><br />
Unfortunately, materials sent through postal service will be thrown away unopened and will not be returned.<br /><br />
Please allow at least two weeks for your email submission to be reviewed.<br /><br />
Please <strong>do not call</strong> about the status of your submission, we will contact you if were interested in setting up a meeting to discuss representation.<br /><br />
Thank you for adhering to these guidelines.
</p>
<div class="data01">
<span><label><b>*</b>First Name:</label><input type="text" value="" class="input" name="fname" /></span>
<span><label><b>*</b>Last Name:</label><input type="text" value="" class="input" name="lname" /></span>
<span><label><b>*</b>Street Address:</label><input type="text" value="" class="input" name="address1" /></span>
<span><input type="text" value="" class="input" name="address2" /></span><span>
<label><b>*</b>City:</label><input type="text" value="" class="input" name="city" /></span>
<span><label><b>*</b>State:</label><input type="text" value="" class="input" name="state" />
<!--<select class="input">
<option value="">Select -</option>
</select>--></span>
<span><label><b>*</b>ZIP Code:</label><input type="text" value="" class="input" name="zipcode" /></span>
<span><label><b>*</b>Country:</label><select class="input" name="country">
<option value="0">Select -</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania" >Albania</option>
<option value="Algeria" >Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia And Herzegovina" >Bosnia And Herzegovina</option>
<option value="Botswana" >Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory" >
British Indian Ocean Territory</option>
<option value="Brunei Darussalam" >Brunei Darussalam</option>
<option value="Bulgaria" <?php if($country=='Bulgaria'){echo 'selected="selected"';}?>>Bulgaria</option>
<option value="Burkina Faso" <?php if($country=='Burkina Faso'){echo 'selected="selected"';}?>>Burkina Faso</option>
<option value="Burundi" <?php if($country=='Burundi'){echo 'selected="selected"';}?>>Burundi</option>
<option value="Cambodia" <?php if($country=='Cambodia'){echo 'selected="selected"';}?>>Cambodia</option>
<option value="Cameroon" <?php if($country=='Cameroon'){echo 'selected="selected"';}?>>Cameroon</option>
<option value="Canada" <?php if($country=='Canada'){echo 'selected="selected"';}?>>Canada</option>
<option value="Cape Verde" <?php if($country=='Cape Verde'){echo 'selected="selected"';}?>>Cape Verde</option>
<option value="Cayman Islands" <?php if($country=='Cayman Islands'){echo 'selected="selected"';}?>>Cayman Islands</option>
<option value="Central African Republic" <?php if($country=='Central African Republic'){echo 'selected="selected"';}?>>Central African Republic </option>
<option value="Chad" <?php if($country=='Chad'){echo 'selected="selected"';}?>>Chad</option>
<option value="Chile" <?php if($country=='Chile'){echo 'selected="selected"';}?>>Chile</option>
<option value="China" <?php if($country=='China'){echo 'selected="selected"';}?>>China</option>
<option value="Christmas Island" <?php if($country=='Christmas Island'){echo 'selected="selected"';}?>>Christmas Island</option>
<option value="Cocos (Keeling) Islands" <?php if($country=='Cocos (Keeling) Islands'){echo 'selected="selected"';}?>>Cocos (Keeling) Islands </option>
<option value="Colombia" <?php if($country=='Colombia'){echo 'selected="selected"';}?>>Colombia</option>
<option value="Comoros" <?php if($country=='Comoros'){echo 'selected="selected"';}?>>Comoros</option>
<option value="Congo" <?php if($country=='Congo'){echo 'selected="selected"';}?>>Congo</option>
<option value="Cook Islands" <?php if($country=='Cook Islands'){echo 'selected="selected"';}?>>Cook Islands</option>
<option value="Costa Rica" <?php if($country=='Costa Rica'){echo 'selected="selected"';}?>>Costa Rica</option>
<option value="Cote d'Ivoire" <?php if($country=="Cote d'Ivoire"){echo 'selected="selected"';}?>>Cote d'Ivoire</option>
<option value="Croatia" <?php if($country=='Croatia'){echo 'selected="selected"';}?>>Croatia</option>
<option value="Cuba" <?php if($country=='Cuba'){echo 'selected="selected"';}?>>Cuba</option>
<option value="Cyprus" <?php if($country=='Cyprus'){echo 'selected="selected"';}?>>Cyprus</option>
<option value="Czech Republic" <?php if($country=='Czech Republic'){echo 'selected="selected"';}?>>Czech Republic</option>
<option value="Denmark" <?php if($country=='Denmark'){echo 'selected="selected"';}?>>Denmark</option>
<option value="Djibouti" <?php if($country=='Djibouti'){echo 'selected="selected"';}?>>Djibouti</option>
<option value="Dominica" <?php if($country=='Dominica'){echo 'selected="selected"';}?>>Dominica</option>
<option value="Dominican Republic" <?php if($country=='Dominican Republic'){echo 'selected="selected"';}?>>Dominican Republic</option>
<option value="East Timor" <?php if($country=='East Timor'){echo 'selected="selected"';}?>>East Timor</option>
<option value="Ecuador" <?php if($country=='Ecuador'){echo 'selected="selected"';}?>>Ecuador</option>
<option value="Egypt" <?php if($country=='Egypt'){echo 'selected="selected"';}?>>Egypt</option>
<option value="El Salvador" <?php if($country=='El Salvador'){echo 'selected="selected"';}?>>El Salvador</option>
<option value="Equatorial Guinea" <?php if($country=='Equatorial Guinea'){echo 'selected="selected"';}?>>Equatorial Guinea</option>
<option value="Eritrea" <?php if($country=='Eritrea'){echo 'selected="selected"';}?>>Eritrea</option>
<option value="Estonia" <?php if($country=='Estonia'){echo 'selected="selected"';}?>>Estonia</option>
<option value="Ethiopia" <?php if($country=='Ethiopia'){echo 'selected="selected"';}?>>Ethiopia</option>
<option value="Falkland Islands (Malvinas)" <?php if($country=='Falkland Islands (Malvinas)'){echo 'selected="selected"';}?>>
Falkland Islands (Malvinas)</option>
<option value="Faroe Islands" <?php if($country=='Faroe Islands'){echo 'selected="selected"';}?>>Faroe Islands</option>
<option value="Fiji" <?php if($country=='Fiji'){echo 'selected="selected"';}?>>Fiji</option>
<option value="Finland" <?php if($country=='Finland'){echo 'selected="selected"';}?>>Finland</option>
<option value="France" <?php if($country=='France'){echo 'selected="selected"';}?>>France</option>
<option value="French Guiana" <?php if($country=='French Guiana'){echo 'selected="selected"';}?>>French Guiana</option>
<option value="French Polynesia" <?php if($country=='French Polynesia'){echo 'selected="selected"';}?>>French Polynesia</option>
<option value="French Southern Territories" <?php if($country=='French Southern Territories'){echo 'selected="selected"';}?>>
French Southern Territories</option>
<option value="Gabon" <?php if($country=='Gabon'){echo 'selected="selected"';}?>>Gabon</option>
<option value="Gambia" <?php if($country=='Gambia'){echo 'selected="selected"';}?>>Gambia</option>
<option value="Georgia" <?php if($country=='Georgia'){echo 'selected="selected"';}?>>Georgia</option>
<option value="Germany" <?php if($country=='Germany'){echo 'selected="selected"';}?>>Germany</option>
<option value="Ghana" <?php if($country=='Ghana'){echo 'selected="selected"';}?>>Ghana</option>
<option value="Gibraltar" <?php if($country=='Gibraltar'){echo 'selected="selected"';}?>>Gibraltar</option>
<option value="Greece" <?php if($country=='Greece'){echo 'selected="selected"';}?>>Greece</option>
<option value="GL" <?php if($country=='GL'){echo 'selected="selected"';}?>>Greenland</option>
<option value="Greenland" <?php if($country=='Greenland'){echo 'selected="selected"';}?>>Grenada</option>
<option value="Guadeloupe" <?php if($country=='Guadeloupe'){echo 'selected="selected"';}?>>Guadeloupe</option>
<option value="Guam" <?php if($country=='Guam'){echo 'selected="selected"';}?>>Guam</option>
<option value="Guatemala" <?php if($country=='Guatemala'){echo 'selected="selected"';}?>>Guatemala</option>
<option value="Guernsey" <?php if($country=='Guernsey'){echo 'selected="selected"';}?>>Guernsey</option>
<option value="Guinea" <?php if($country=='Guinea'){echo 'selected="selected"';}?>>Guinea</option>
<option value="Guinea-Bissau" <?php if($country=='Guinea-Bissau'){echo 'selected="selected"';}?>>Guinea-Bissau</option>
<option value="Guyana" <?php if($country=='Guyana'){echo 'selected="selected"';}?>>Guyana</option>
<option value="Haiti" <?php if($country=='Haiti'){echo 'selected="selected"';}?>>Haiti</option>
<option value="Heard And McDonald Islands" <?php if($country=='Heard And McDonald Islands'){echo 'selected="selected"';}?>>
Heard And McDonald Islands</option>
<option value="Holy See (Vatican City State)" <?php if($country=='Holy See (Vatican City State)'){echo 'selected="selected"';}?>>
Holy See (Vatican City State)</option>
<option value="Honduras" <?php if($country=='Honduras'){echo 'selected="selected"';}?>>Honduras</option>
<option value="Hong Kong" <?php if($country=='Hong Kong'){echo 'selected="selected"';}?>>Hong Kong</option>
<option value="Hungary" <?php if($country=='Hungary'){echo 'selected="selected"';}?>>Hungary</option>
<option value="Iceland" <?php if($country=='Iceland'){echo 'selected="selected"';}?>>Iceland</option>
<option value="India" <?php if($country=='India'){echo 'selected="selected"';}?>>India</option>
<option value="Indonesia" <?php if($country=='Indonesia'){echo 'selected="selected"';}?>>Indonesia</option>
<option value="Iran (Islamic Republic Of)" <?php if($country=='Iran (Islamic Republic Of)'){echo 'selected="selected"';}?>>
Iran (Islamic Republic Of)</option>
<option value="Iraq" <?php if($country=='Iraq'){echo 'selected="selected"';}?>>Iraq</option>
<option value="Ireland" <?php if($country=='Ireland'){echo 'selected="selected"';}?>>Ireland</option>
<option value="Isle of Man" <?php if($country=='Isle of Man'){echo 'selected="selected"';}?>>Isle of Man</option>
<option value="Israel" <?php if($country=='Israel'){echo 'selected="selected"';}?>>Israel</option>
<option value="Italy" <?php if($country=='Italy'){echo 'selected="selected"';}?>>Italy</option>
<option value="Jamaica" <?php if($country=='Jamaica'){echo 'selected="selected"';}?>>Jamaica</option>
<option value="Japan" <?php if($country=='Japan'){echo 'selected="selected"';}?>>Japan</option>
<option value="Jersey" <?php if($country=='Jersey'){echo 'selected="selected"';}?>>Jersey</option>
<option value="Jordan" <?php if($country=='Jordan'){echo 'selected="selected"';}?>>Jordan</option>
<option value="Kazakhstan" <?php if($country=='Kazakhstan'){echo 'selected="selected"';}?>>Kazakhstan</option>
<option value="Kenya" <?php if($country=='Kenya'){echo 'selected="selected"';}?>>Kenya</option>
<option value="Kiribati" <?php if($country=='Kiribati'){echo 'selected="selected"';}?>>Kiribati</option>
<option value="Korea, Democratic People's Republic" <?php if($country=="Korea, Democratic People's Republic"){echo 'selected="selected"';}?>>
Korea, Democratic People's Republic</option>
<option value="Korea, Republic Of" <?php if($country=='Korea, Republic Of'){echo 'selected="selected"';}?>>Korea, Republic Of</option>
<option value="Kuwait" <?php if($country=='Kuwait'){echo 'selected="selected"';}?>>Kuwait</option>
<option value="Kyrgyzstan" <?php if($country=='Kyrgyzstan'){echo 'selected="selected"';}?>>Kyrgyzstan</option>
<option value="Lao People's Democratic Republic" <?php if($country=="Lao People's Democratic Republic"){echo 'selected="selected"';}?>>
Lao People's Democratic Republic</option>
<option value="Latvia" <?php if($country=='Latvia'){echo 'selected="selected"';}?>>Latvia</option>
<option value="Lebanon" <?php if($country=='Lebanon'){echo 'selected="selected"';}?>>Lebanon</option>
<option value="Lesotho" <?php if($country=='Lesotho'){echo 'selected="selected"';}?>>Lesotho</option>
<option value="Liberia" <?php if($country=='Liberia'){echo 'selected="selected"';}?>>Liberia</option>
<option value="Libyan Arab Jamahiriya" <?php if($country=='Libyan Arab Jamahiriya'){echo 'selected="selected"';}?>>
Libyan Arab Jamahiriya</option>
<option value="Liechtenstein" <?php if($country=='Liechtenstein'){echo 'selected="selected"';}?>>Liechtenstein</option>
<option value="Lithuania" <?php if($country=='Lithuania'){echo 'selected="selected"';}?>>Lithuania</option>
<option value="Luxembourg" <?php if($country=='Luxembourg'){echo 'selected="selected"';}?>>Luxembourg</option>
<option value="Macau" <?php if($country=='Macau'){echo 'selected="selected"';}?>>Macau</option>
<option value="Macedonia" <?php if($country=='Macedonia'){echo 'selected="selected"';}?>>Macedonia</option>
<option value="Madagascar" <?php if($country=='Madagascar'){echo 'selected="selected"';}?>>Madagascar</option>
<option value="Malawi" <?php if($country=='Malawi'){echo 'selected="selected"';}?>>Malawi</option>
<option value="Malaysia" <?php if($country=='Malaysia'){echo 'selected="selected"';}?>>Malaysia</option>
<option value="Maldives" <?php if($country=='Maldives'){echo 'selected="selected"';}?>>Maldives</option>
<option value="Mali" <?php if($country=='Mali'){echo 'selected="selected"';}?>>Mali</option>
<option value="Malta" <?php if($country=='Malta'){echo 'selected="selected"';}?>>Malta</option>
<option value="Marshall Islands" <?php if($country=='Marshall Islands'){echo 'selected="selected"';}?>>Marshall Islands</option>
<option value="Martinique" <?php if($country=='Martinique'){echo 'selected="selected"';}?>>Martinique</option>
<option value="Mauritania" <?php if($country=='Mauritania'){echo 'selected="selected"';}?>>Mauritania</option>
<option value="Mauritius" <?php if($country=='Mauritius'){echo 'selected="selected"';}?>>Mauritius</option>
<option value="Mayotte" <?php if($country=='Mayotte'){echo 'selected="selected"';}?>>Mayotte</option>
<option value="Mexico" <?php if($country=='Mexico'){echo 'selected="selected"';}?>>Mexico</option>
<option value="Micronesia, Federated States" <?php if($country=='Micronesia, Federated States'){echo 'selected="selected"';}?>>
Micronesia, Federated States</option>
<option value="Moldova, Republic Of" <?php if($country=='Moldova, Republic Of'){echo 'selected="selected"';}?>>Moldova, Republic Of</option>
<option value="Monaco" <?php if($country=='Monaco'){echo 'selected="selected"';}?>>Monaco</option>
<option value="Mongolia" <?php if($country=='Mongolia'){echo 'selected="selected"';}?>>Mongolia</option>
<option value="Montenegro" <?php if($country=='Montenegro'){echo 'selected="selected"';}?>>Montenegro</option>
<option value="Montserrat" <?php if($country=='Montserrat'){echo 'selected="selected"';}?>>Montserrat</option>
<option value="Morocco" <?php if($country=='Morocco'){echo 'selected="selected"';}?>>Morocco</option>
<option value="Mozambique" <?php if($country=='Mozambique'){echo 'selected="selected"';}?>>Mozambique</option>
<option value="Myanmar" <?php if($country=='Myanmar'){echo 'selected="selected"';}?>>Myanmar</option>
<option value="Namibia" <?php if($country=='Namibia'){echo 'selected="selected"';}?>>Namibia</option>
<option value="Nauru" <?php if($country=='Nauru'){echo 'selected="selected"';}?>>Nauru</option>
<option value="Nepal" <?php if($country=='Nepal'){echo 'selected="selected"';}?>>Nepal</option>
<option value="Netherlands" <?php if($country=='Netherlands'){echo 'selected="selected"';}?>>Netherlands</option>
<option value="Netherlands Antilles" <?php if($country=='Netherlands Antilles'){echo 'selected="selected"';}?>>Netherlands Antilles</option>
<option value="New Caledonia" <?php if($country=='New Caledonia'){echo 'selected="selected"';}?>>New Caledonia</option>
<option value="New Zealand" <?php if($country=='New Zealand'){echo 'selected="selected"';}?>>New Zealand</option>
<option value="Nicaragua" <?php if($country=='Nicaragua'){echo 'selected="selected"';}?>>Nicaragua</option>
<option value="Niger" <?php if($country=='Niger'){echo 'selected="selected"';}?>>Niger</option>
<option value="Nigeria" <?php if($country=='Nigeria'){echo 'selected="selected"';}?>>Nigeria</option>
<option value="Niue" <?php if($country=='Niue'){echo 'selected="selected"';}?>>Niue</option>
<option value="Norfolk Island" <?php if($country=='Norfolk Island'){echo 'selected="selected"';}?>>Norfolk Island</option>
<option value="Northern Mariana Islands" <?php if($country=='Northern Mariana Islands'){echo 'selected="selected"';}?>>Northern Mariana Islands </option>
<option value="Norway" <?php if($country=='Norway'){echo 'selected="selected"';}?>>Norway</option>
<option value="Oman" <?php if($country=='Oman'){echo 'selected="selected"';}?>>Oman</option>
<option value="Pakistan" <?php if($country=='Pakistan'){echo 'selected="selected"';}?>>Pakistan</option>
<option value="Palau" <?php if($country=='Palau'){echo 'selected="selected"';}?>>Palau</option>
<option value="Palestine" <?php if($country=='Palestine'){echo 'selected="selected"';}?>>Palestine</option>
<option value="Panama" <?php if($country=='Panama'){echo 'selected="selected"';}?>>Panama</option>
<option value="Papua New Guinea" <?php if($country=='Papua New Guinea'){echo 'selected="selected"';}?>>Papua New Guinea</option>
<option value="Paraguay" <?php if($country=='Paraguay'){echo 'selected="selected"';}?>>Paraguay</option>
<option value="Peru" <?php if($country=='Peru'){echo 'selected="selected"';}?>>Peru</option>
<option value="Philippines" <?php if($country=='Philippines'){echo 'selected="selected"';}?>>Philippines</option>
<option value="Pitcairn" <?php if($country=='Pitcairn'){echo 'selected="selected"';}?>>Pitcairn</option>
<option value="Poland" <?php if($country=='Poland'){echo 'selected="selected"';}?>>Poland</option>
<option value="Portugal" <?php if($country=='Portugal'){echo 'selected="selected"';}?>>Portugal</option>
<option value="Puerto Rico" <?php if($country=='Puerto Rico'){echo 'selected="selected"';}?>>Puerto Rico</option>
<option value="Qatar" <?php if($country=='Qatar'){echo 'selected="selected"';}?>>Qatar</option>
<option value="Reunion" <?php if($country=='Reunion'){echo 'selected="selected"';}?>>Reunion</option>
<option value="Romania" <?php if($country=='Romania'){echo 'selected="selected"';}?>>Romania</option>
<option value="Russian Federation" <?php if($country=='Russian Federation'){echo 'selected="selected"';}?>>Russian Federation</option>
<option value="Rwanda" <?php if($country=='Rwanda'){echo 'selected="selected"';}?>>Rwanda</option>
<option value="Saint Kitts And Nevis" <?php if($country=='Saint Kitts And Nevis'){echo 'selected="selected"';}?>>Saint Kitts And Nevis</option>
<option value="Saint Lucia" <?php if($country=='Saint Lucia'){echo 'selected="selected"';}?>>Saint Lucia</option>
<option value="Saint Vincent and the Grenadines" <?php if($country=='Saint Vincent and the Grenadines'){echo 'selected="selected"';}?>>
Saint Vincent and the Grenadines</option>
<option value="Samoa" <?php if($country=='Samoa'){echo 'selected="selected"';}?>>Samoa</option>
<option value="San Marino" <?php if($country=='San Marino'){echo 'selected="selected"';}?>>San Marino</option>
<option value="Sao Tome And Principe" <?php if($country=='Sao Tome And Principe'){echo 'selected="selected"';}?>>Sao Tome And Principe</option>
<option value="Saudi Arabia" <?php if($country=='Saudi Arabia'){echo 'selected="selected"';}?>>Saudi Arabia</option>
<option value="Serbia" <?php if($country=='Serbia'){echo 'selected="selected"';}?>>Serbia</option>
<option value="Senegal" <?php if($country=='Senegal'){echo 'selected="selected"';}?>>Senegal</option>
<option value="Seychelles" <?php if($country=='Seychelles'){echo 'selected="selected"';}?>>Seychelles</option>
<option value="Sierra Leone" <?php if($country=='Sierra Leone'){echo 'selected="selected"';}?>>Sierra Leone</option>
<option value="Singapore" <?php if($country=='Singapore'){echo 'selected="selected"';}?>>Singapore</option>
<option value="Slovakia (Slovak Republic)" <?php if($country=='Slovakia (Slovak Republic)'){echo 'selected="selected"';}?>>
Slovakia (Slovak Republic)</option>
<option value="Slovenia" <?php if($country=='Slovenia'){echo 'selected="selected"';}?>>Slovenia</option>
<option value="Solomon Islands" <?php if($country=='Solomon Islands'){echo 'selected="selected"';}?>>Solomon Islands</option>
<option value="Somalia" <?php if($country=='Somalia'){echo 'selected="selected"';}?>>Somalia</option>
<option value="South Africa" <?php if($country=='South Africa'){echo 'selected="selected"';}?>>South Africa</option>
<option value="South Georgia and South Sandwich Islands" <?php if($country=='South Georgia and South Sandwich Islands.'){echo 'selected="selected"';}?>>
South Georgia and South Sandwich Islands.</option>
<option value="Spain" <?php if($country=='Spain'){echo 'selected="selected"';}?>>Spain</option>
<option value="Sri Lanka" <?php if($country=='Sri Lanka'){echo 'selected="selected"';}?>>Sri Lanka</option>
<option value="Saint Helena" <?php if($country=='Saint Helena'){echo 'selected="selected"';}?>>Saint Helena</option>
<option value="Saint Pierre And Miquelon" <?php if($country=='Saint Pierre And Miquelon'){echo 'selected="selected"';}?>>
Saint Pierre And Miquelon</option>
<option value="Sudan" <?php if($country=='Sudan'){echo 'selected="selected"';}?>>Sudan</option>
<option value="Suriname" <?php if($country=='Suriname'){echo 'selected="selected"';}?>>Suriname</option>
<option value="Svalbard, Jan Mayen Islands" <?php if($country=='Svalbard, Jan Mayen Islands'){echo 'selected="selected"';}?>>
Svalbard, Jan Mayen Islands</option>
<option value="Swaziland" <?php if($country=='Swaziland'){echo 'selected="selected"';}?>>Swaziland</option>
<option value="Sweden" <?php if($country=='Sweden'){echo 'selected="selected"';}?>>Sweden</option>
<option value="Switzerland" <?php if($country=='Switzerland'){echo 'selected="selected"';}?>>Switzerland</option>
<option value="Syrian Arab Republic" <?php if($country=='Syrian Arab Republic'){echo 'selected="selected"';}?>>Syrian Arab Republic</option>
<option value="Taiwan" <?php if($country=='Taiwan'){echo 'selected="selected"';}?>>Taiwan</option>
<option value="Tajikistan" <?php if($country=='Tajikistan'){echo 'selected="selected"';}?>>Tajikistan</option>
<option value="Tanzania, United Republic Of" <?php if($country=='Tanzania, United Republic Of'){echo 'selected="selected"';}?>>
Tanzania, United Republic Of</option>
<option value="Thailand" <?php if($country=='Thailand'){echo 'selected="selected"';}?>>Thailand</option>
<option value="Togo" <?php if($country=='Togo'){echo 'selected="selected"';}?>>Togo</option>
<option value="Tokelau" <?php if($country=='Tokelau'){echo 'selected="selected"';}?>>Tokelau</option>
<option value="Tonga" <?php if($country=='Tonga'){echo 'selected="selected"';}?>>Tonga</option>
<option value="Trinidad And Tobago" <?php if($country=='Trinidad And Tobago'){echo 'selected="selected"';}?>>Trinidad And Tobago</option>
<option value="Tunisia" <?php if($country=='Tunisia'){echo 'selected="selected"';}?>>Tunisia</option>
<option value="Turkey" <?php if($country=='Turkey'){echo 'selected="selected"';}?>>Turkey</option>
<option value="Turkmenistan" <?php if($country=='Turkmenistan'){echo 'selected="selected"';}?>>Turkmenistan</option>
<option value="Turks And Caicos Islands" <?php if($country=='Turks And Caicos Islands'){echo 'selected="selected"';}?>>Turks And Caicos Islands </option>
<option value="Tuvalu" <?php if($country=='Tuvalu'){echo 'selected="selected"';}?>>Tuvalu</option>
<option value="Uganda" <?php if($country=='Uganda'){echo 'selected="selected"';}?>>Uganda</option>
<option value="Ukraine" <?php if($country=='Ukraine'){echo 'selected="selected"';}?>>Ukraine</option>
<option value="United Arab Emirates" <?php if($country=='United Arab Emirates'){echo 'selected="selected"';}?>>United Arab Emirates</option>
<option value="United Kingdom" <?php if($country=='United Kingdom'){echo 'selected="selected"';}?>>United Kingdom</option>
<option value="United States of America" <?php if($country=='United States of America'){echo 'selected="selected"';}?> selected="selected">United States of America </option>
<option value="Uruguay" <?php if($country=='Uruguay'){echo 'selected="selected"';}?>>Uruguay</option>
<option value="Uzbekistan" <?php if($country=='Uzbekistan'){echo 'selected="selected"';}?>>Uzbekistan</option>
<option value="Vanuatu" <?php if($country=='Vanuatu'){echo 'selected="selected"';}?>>Vanuatu</option>
<option value="Venezuela" <?php if($country=='Venezuela'){echo 'selected="selected"';}?>>Venezuela</option>
<option value="Vietnam" <?php if($country=='Vietnam'){echo 'selected="selected"';}?>>Vietnam</option>
<option value="Virgin Islands (British)" <?php if($country=='Virgin Islands (British)'){echo 'selected="selected"';}?>>Virgin Islands (British) </option>
<option value="Virgin Islands (U.S.)" <?php if($country=='Virgin Islands (U.S.)'){echo 'selected="selected"';}?>>Virgin Islands (U.S.)</option>
<option value="Wallis And Futuna Islands" <?php if($country=='Wallis And Futuna Islands'){echo 'selected="selected"';}?>>Wallis And Futuna Islands </option>
<option value="Western Sahara" <?php if($country=='Western Sahara'){echo 'selected="selected"';}?>>Western Sahara</option>
<option value="Yemen" <?php if($country=='Yemen'){echo 'selected="selected"';}?>>Yemen</option>
<option value="Zaire" <?php if($country=='Zaire'){echo 'selected="selected"';}?>>Zaire</option>
<option value="Zambia" <?php if($country=='Zambia'){echo 'selected="selected"';}?>>Zambia</option>
<option value="Zimbabwe" <?php if($country=='Zimbabwe'){echo 'selected="selected"';}?>>Zimbabwe</option>
<option value="Other" <?php if($country=='Other'){echo 'selected="selected"';}?>>Other</option>
</select></span>
<span><label><b>*</b>Email Address:</label><input type="text" value="" class="input" name="email" /></span>
<span><label><b>*</b>Phone Number:</label><input type="text" value="" class="input" name="phone_no" /></span>
<span><label><b>*</b>Date of Birth:</label>
<select class="input02" name="year" style="width:65px;">
<option value="0">YYYY</option>
<?
$Year= date("Y");
for($Y=($Year-69); $Y<=$Year; $Y++){ ?>
<option value="<?=$Y ?>"><?=$Y ?></option>
<? } ?>
</select>
<select class="input02" name="day" style="width:50px;">
<option value="0">DD</option>
<? for($D=1;$D<=31;$D++) { ?>
<option value="<?=$D ?>"><?=$D ?></option>
<? } ?>
</select>
<select class="input02" name="month" style="width:50px;">
<option value="0">MM</option>
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>
</span>
<h5 class="sub_heading01" style="margin-top:20px;">Experience:</h5>
<h5 class="sub_heading02">Film</h5>
<span><label>Project</label><input type="text" value="" class="input" name="project1" id="project1"/></span>
<span><label>Role</label><input type="text" value="" class="input" name="role1" id="role1" /></span>
<span><label>Producer/Director</label><input type="text" value="" class="input" name="director1" id="director1" /></span>
<div id="my_div"></div>
<input type="hidden" name="apnd" value="1" />
<a href="javascript:void(0)" onclick="AddFilm();">add another film</a>
</div>
<div class="data01" style="margin-left:15px;">
<span><label><b>*</b>Gender:</label><input type="radio" class="radio" name="gender" value="Female"/><label>Female</label><input type="radio" class="radio" name="gender" value="Male" /><label>Male</label></span>
<span><label>Ethnicity</label><select class="input" name="ethnicity">
<option value="0">Select Ethnicity</option>
<option value="Caucasian">Caucasian</option>
<option value="Native American">Native American</option>
<option value="Multi-Ethnic">Multi-Ethnic</option>
<option value="Asian">Asian</option>
<option value="African American">African American</option>
<option value="Hispanic">Hispanic</option>
<option value="East Indian">East Indian</option>
<option value="Middle Eastern">Middle Eastern</option>
<option value="Pacific Islander">Pacific Islander</option>
<option value="Other">Other</option>
</select>
</span>
<span><label><b>*</b>Height:</label><select class="input02" name="hight2">
<option value="0">Select -</option>
<option value="1">1 inch</option>
<option value="2">2 inches</option>
<option value="3">3 inches</option>
<option value="4">4 inches</option>
<option value="5">5 inches</option>
<option value="6">6 inches</option>
<option value="7">7 inches</option>
<option value="8">8 inches</option>
<option value="9">9 inches</option>
<option value="10">10 inches</option>
<option value="11">11 inches</option>
</select>
<select class="input02" name="hight1">
<option value="0">Select -</option>
<option value="4'">4 feet</option>
<option value="5'">5 feet</option>
<option value="6'">6 feet</option>
<option value="7'">7 feet</option>
</select>
</span>
<span><label><b>*</b>Weight:</label><select class="input" name="weight">
<option value="0">Select -</option>
<option value="70-75" <? if($RowRec['weight']=="70-75"){echo 'selected="selected"';} ?>>70-75</option>
<option value="76-80" <? if($RowRec['weight']=="76-80"){echo 'selected="selected"';} ?>>76-80</option>
<option value="81-85" <? if($RowRec['weight']=="81-85"){echo 'selected="selected"';} ?>>81-85</option>
<option value="86-90" <? if($RowRec['weight']=="86-90"){echo 'selected="selected"';} ?>>86-90</option>
<option value="91-95" <? if($RowRec['weight']=="91-95"){echo 'selected="selected"';} ?>>91-95</option>
<option value="96-100" <? if($RowRec['weight']=="96-100"){echo 'selected="selected"';} ?>>96-100</option>
<option value="101-105" <? if($RowRec['weight']=="101-105"){echo 'selected="selected"';} ?>>101-105</option>
<option value="106-110" <? if($RowRec['weight']=="106-110"){echo 'selected="selected"';} ?>>106-110</option>
<option value="111-115" <? if($RowRec['weight']=="111-115"){echo 'selected="selected"';} ?>>111-115</option>
<option value="116-120" <? if($RowRec['weight']=="116-120"){echo 'selected="selected"';} ?>>116-120</option>
<option value="121-125" <? if($RowRec['weight']=="121-125"){echo 'selected="selected"';} ?>>121-125</option>
<option value="126-130" <? if($RowRec['weight']=="126-130"){echo 'selected="selected"';} ?>>126-130</option>
<option value="131-135" <? if($RowRec['weight']=="131-135"){echo 'selected="selected"';} ?>>131-135</option>
<option value="136-140" <? if($RowRec['weight']=="136-140"){echo 'selected="selected"';} ?>>136-140</option>
<option value="141-145" <? if($RowRec['weight']=="141-145"){echo 'selected="selected"';} ?>>141-145</option>
<option value="146-150" <? if($RowRec['weight']=="146-150"){echo 'selected="selected"';} ?>>146-150</option>
<option value="151-155" <? if($RowRec['weight']=="151-155"){echo 'selected="selected"';} ?>>151-155</option>
<option value="156-160" <? if($RowRec['weight']=="156-160"){echo 'selected="selected"';} ?>>156-160</option>
<option value="161-165" <? if($RowRec['weight']=="161-165"){echo 'selected="selected"';} ?>>161-165</option>
<option value="166-170" <? if($RowRec['weight']=="166-170"){echo 'selected="selected"';} ?>>166-170</option>
<option value="170-175" <? if($RowRec['weight']=="170-175"){echo 'selected="selected"';} ?>>170-175</option>
<option value="176-180" <? if($RowRec['weight']=="176-180"){echo 'selected="selected"';} ?>>176-180</option>
<option value="181-185" <? if($RowRec['weight']=="181-185"){echo 'selected="selected"';} ?>>181-185</option>
<option value="186-190" <? if($RowRec['weight']=="186-190"){echo 'selected="selected"';} ?>>186-190</option>
<option value="191-195" <? if($RowRec['weight']=="191-195"){echo 'selected="selected"';} ?>>191-195</option>
<option value="196-200" <? if($RowRec['weight']=="196-200"){echo 'selected="selected"';} ?>>196-200</option>
<option value="201-205" <? if($RowRec['weight']=="201-205"){echo 'selected="selected"';} ?>>201-205</option>
<option value="206-210" <? if($RowRec['weight']=="206-210"){echo 'selected="selected"';} ?>>206-210</option>
<option value="211-215" <? if($RowRec['weight']=="211-215"){echo 'selected="selected"';} ?>>211-215</option>
<option value="216-220" <? if($RowRec['weight']=="216-220"){echo 'selected="selected"';} ?>>216-220</option>
<option value="221-225" <? if($RowRec['weight']=="221-225"){echo 'selected="selected"';} ?>>221-225</option>
<option value="226-230" <? if($RowRec['weight']=="226-230"){echo 'selected="selected"';} ?>>226-230</option>
<option value="231-235" <? if($RowRec['weight']=="231-235"){echo 'selected="selected"';} ?>>231-235</option>
<option value="236-240" <? if($RowRec['weight']=="236-240"){echo 'selected="selected"';} ?>>236-240</option>
<option value="241-245" <? if($RowRec['weight']=="241-245"){echo 'selected="selected"';} ?>>241-245</option>
<option value="246-250" <? if($RowRec['weight']=="246-250"){echo 'selected="selected"';} ?>>246-250</option>
<option value="251-255" <? if($RowRec['weight']=="251-255"){echo 'selected="selected"';} ?>>251-255</option>
<option value="256-260" <? if($RowRec['weight']=="256-260"){echo 'selected="selected"';} ?>>256-260</option>
<option value="261-265" <? if($RowRec['weight']=="261-265"){echo 'selected="selected"';} ?>>261-265</option>
<option value="266-270" <? if($RowRec['weight']=="266-270"){echo 'selected="selected"';} ?>>266-270</option>
<option value="271-275" <? if($RowRec['weight']=="271-275"){echo 'selected="selected"';} ?>>271-275</option>
<option value="276-280" <? if($RowRec['weight']=="276-280"){echo 'selected="selected"';} ?>>276-280</option>
<option value="281-285" <? if($RowRec['weight']=="281-285"){echo 'selected="selected"';} ?>>281-285</option>
<option value="286-290" <? if($RowRec['weight']=="286-290"){echo 'selected="selected"';} ?>>286-290</option>
<option value="291-295" <? if($RowRec['weight']=="291-295"){echo 'selected="selected"';} ?>>291-295</option>
<option value="296-300" <? if($RowRec['weight']=="296-300"){echo 'selected="selected"';} ?>>296-300</option>
</select></span>
<span><label><b>*</b>Eye color:</label><select class="input" name="eyecolor">
<option value="0">Select Eye Color</option>
<option value="Blue">Blue</option>
<option value="Brown">Brown</option>
<option value="Green">Gray</option>
<option value="Grey">Green</option>
<option value="Hazel">Hazel</option>
</select>
</select></span>
<span><label><b>*</b>Hair color:</label><select class="input" name="haircolor">
<option value="0">Select Hair Color</option>
<option value="Black">Black</option>
<option value="Blond">Blond</option>
<option value="Dark Brown">Dark Brown</option>
<option value="Gray">Gray</option>
<option value="Light Brown">Light Brown</option>
<option value="Red">Red</option>
<option value="White">White</option>
<option value="Other">Other</option>
</select>
</select></span>
<span><label><b>*</b>Headshot Photo:</label><input type="file" class="upload" value="" name="headshot" /></span>
<span><label>Waist up Photo:</label><input type="file" class="upload" value="" name="waistup" /></span>
<span><label>Full body Photo:</label><input type="file" class="upload" value="" name="fullbody" /></span>
<span style="margin-top:20px;"><label><strong>Additional Images:</strong></label></span>
<span><label>Gallery Photo:</label><input type="file" class="upload" value="" name="OtherPhoto1" id="OtherPhoto1"/></span>
<div id="photo_div"></div>
<input type="hidden" name="apndPhoto" value="1" />
<!--<a href="javascript:void(0)" onclick='javascript:createNew("upload","file",1);'>
<input type='hidden' id='uploadcount' name='uploadcount' value='0' /> -->
<a href="javascript:void(0)" onclick="AddPhoto();">add another photo</a>
<span style="margin-top:20px;">
<label><strong>Media:</strong></label>
</span>
1-3 minute REEL or CLIP from recent work
Please paste the Embed line for your
you tube video source here:
<p>
<textarea class="youtube_area" name="media"></textarea>
</p>
<span style="margin-top:20px; width:100%"><label><strong>Affiliations:</strong></label></span>
<span style="width:50%;">
<input name="Affiliations[]" type="checkbox" value="SAG" class="check_affil" /><h2>SAG</h2></span>
<span style="width:50%;"><input name="Affiliations[]" type="checkbox" value="AFTRA" class="check_affil" /><h2>AFTRA</h2></span>
<span style="width:50%;"><input name="Affiliations[]" type="checkbox" value="SAG Eligible" class="check_affil" /><h2>SAG Eligible</h2></span>
<span style="width:50%;"><input name="Affiliations[]" type="checkbox" value="AFTRA Must Join"class="check_affil" /><h2>AFTRA Must Join</h2></span><br />
<span style="width:50%;"><input name="Affiliations[]" type="checkbox" value="SAG Core" class="check_affil" /><h2>SAG Core</h2></span><br />
<span style="width:50%;"><input name="Affiliations[]" type="checkbox" value="Non-Union" class="check_affil" /><h2>Non-Union</h2></span>
<!--<span style="margin-top:20px;"><label><strong>Affiliations:</strong></label></span>
<span><input name="Affiliations[]" type="checkbox" value="SAG" class="check_affil" /><h2>SAG</h2></span>
<span><input name="Affiliations[]" type="checkbox" value="SAG Eligible" class="check_affil" /><h2>SAG Eligible</h2></span>
<span><input name="Affiliations[]" type="checkbox" value="SAG Core" class="check_affil" /><h2>SAG Core</h2></span><br />
<span><input name="Affiliations[]" type="checkbox" value="AFTRA" class="check_affil" /><h2>AFTRA</h2></span>
<span><input name="Affiliations[]" type="checkbox" value="AFTRA Must Join" class="check_affil" /><h2>AFTRA Must Join</h2></span><br />
<span><input name="Affiliations[]" type="checkbox" value="AEA" class="check_affil" /><h2>AEA</h2></span>
<span><input name="Affiliations[]" type="checkbox" value="AGVA" class="check_affil" /><h2>AGVA</h2></span>
<span><input name="Affiliations[]" type="checkbox" value="ACTRA" class="check_affil" /><h2>ACTRA</h2></span>-->
</div>
<span class="sep_line" style="margin-top:20px;"></span>
<div class="data01">
<h5 class="sub_heading02">TV</h5>
<span><label>Project</label><input type="text" value="" class="input" name="projtv1" id="projtv1" /></span>
<span><label>Role</label><input type="text" value="" class="input" name="roletv1" id="roletv1" /></span>
<span><label>Producer/Director</label><input type="text" value="" class="input" name="directv1" id="directv1" /></span>
<div id="tv_div"></div>
<input type="hidden" name="apndtv" value="1" />
<a href="javascript:void(0)" onclick="AddTv();">add another TV project</a>
</div>
<span class="sep_line" style="margin-top:20px;"></span>
<div class="data01">
<h5 class="sub_heading02">Commercial</h5>
<span><label>Project</label><input type="text" value="" class="input" name="projcom1" id="projcom1" /></span>
<span><label>Role</label><input type="text" value="" class="input" name="rolecom1" id="rolecom1" /></span>
<span><label>Producer/Director</label><input type="text" value="" class="input" name="direcom1" id="direcom1"/></span>
<div id="com_div"></div>
<input type="hidden" name="apndCom" value="1" />
<a href="javascript:void(0)" onclick="AddComm();">add another Commercial</a>
</div>
<span class="sep_line" style="margin-top:20px;"></span>
<div class="data01">
<h5 class="sub_heading02">Theatre</h5>
<span><label>Project</label><input type="text" value="" class="input" name="projthr1" id="projthr1"/></span>
<span><label>Role</label><input type="text" value="" class="input" name="rolethr1" id="rolethr1"/></span>
<span><label>Producer/Director</label><input type="text" value="" class="input" name="direthr1" id="direthr1" /></span>
<div id="thr_div"></div>
<input type="hidden" name="apndThr" value="1" />
<a href="javascript:void(0)" onclick="AddTeatre();">add another Theatre role</a>
</div>
<span class="sep_line" style="margin-top:20px;"></span>
<div class="data02">
<label>Training:</label>
<textarea class="notes" name="note"></textarea>
</div>
<div class="data02">
<label>Skills & abilities:</label>
<textarea class="notes" name="ability"></textarea>
</div>
<input type="submit" class="submit" value="" name="Submit" onclick="javascript:return ChkForm()" />
<input type="hidden" name="act" />
</div> <!--onclick="javascript:return ChkForm()"-->
</form>
</div>
</div>
</body>
</html>
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- screenshot.doc
- 92 KB
Screenshot of truncation
by: BadotzPosted on 2009-07-03 at 16:26:13ID: 24774925
A bit of cleanup:
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