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11.22.2004 at 11:27AM PST, ID: 21216325
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8.0

Passing values to another page

Asked by dprasad in PHP Scripting Language

Tags: , , , ,

I have a form that gets submitted to a seprate page, which then proceeds to send out an email. The form gets mailed just fine. however, there should be a credit card verfier form (on the second page) that sends the cc info to verisign. The credit card info fields do not show up at all.
Note that  the values are computed from a javascript like so:

<B><font size="+1"><font color="#FF0000">*</font>Membership Type</font></B></p>
  <table width="75%" border="0">
    <tr>
      <td><INPUT NAME="MembershipType" TYPE="radio" onClick="APP.memCost.value=&quot;225.00&quot;;APP.DESCRIPTION.value=&quot;New Membership Fee&quot;;Total();">
        New Member</td>
    </tr>
    <tr>
      <td><INPUT NAME="MembershipType" TYPE="radio" onClick="APP.memCost.value=&quot;150.00&quot;;APP.DESCRIPTION.value=&quot;ACTIVE MEMBER DUES&quot;;Total();">
                Active</td>
    </tr>
    <tr>
      <td><INPUT NAME="MembershipType" TYPE="radio" onClick="APP.memCost.value=&quot;75.00&quot;;APP.DESCRIPTION.value=&quot;FIRST YEAR (NEW MEMBER OR DUES)&quot;;Total();">
        1st Year in Practice</td>
    </tr>
    <tr>
 ---------------------------------------------------------
Here is the entire initial page:
domApplication.php

<!-- :Listing Info:: -->
<?php
// Get the libs and start making the page
require("$DOCUMENT_ROOT/includes/var.php");
@qdbconn();
@printHead();
?>

<SCRIPT TYPE="text/javascript" LANGUAGE="JavaScript">

<!--

function Total() {

   var tot = 0;
   
   tot += (1 * document.APP.memCost.value);
   tot += (1 * document.APP.don1.value);
   tot += (1 * document.APP.don2.value);
   
 document.APP.AMOUNT.value = tot + ".00";
   
}

function BuildDescription() {
   var desc = '';
      desc +=document.APP.desc1.value + " \n";
      desc +=document.APP.desc2.value + " \n";
   document.APP.contribution.value = desc;
}

var dataOK=false

function checkData()

{

if (document.APP.First.value.length <= 1) {

alert("First Name is a required field, please enter a value")

return false}

if (document.APP.Last.value.length <= 1) {

alert("Last Name is a required field, please enter a value")

return false}


if (document.APP.ADDRESS.value.length <= 1) {

alert("Address is a required field, please enter a value")

return false}

if (document.APP.CITY.value.length <= 1) {

alert("City is a required field, please enter a value")

return false}

if (document.APP.STATE.value.length <= 1) {

alert("State is a required field, please enter a value")

return false}

if (document.APP.PHONE.value.length <= 1) {

alert("Phone is a required field, please enter a value")

return false}

if (document.APP.EMAIL.value.length <= 1) {

alert("E-mail is a required field, please enter a value")

return false}


if (document.APP.value.length <= 1) {

alert("You must select a membership type to Continue")

return false}

if (document.APP.Degree.value.length <= 1) {

alert("You must enter your current Medical Degree")

return false}

if (document.APP.DOB.value.length <= 1) {

alert("You must enter a Date Of Birth")

return false}

if (document.APP.OfficeAddress.value.length <= 1) {

alert("Please enter your current Office Address")

return false}

if (document.APP.City2.value.length <= 1) {

alert("Home Address City is required, Please enter your home city")

return false}

if (document.APP.St2.value.length <= 1) {

alert("Home state is required, please enter your home state")

return false}

if (document.APP.MedSchool.value.length <= 1) {

alert("Medical School is required pleaser enter your Medical School")

return false}

if (document.APP.MedDegree.value.length <= 1) {

alert("Please enter the degree earned from Medical School")

return false}

if (document.APP.MedDegYr.value.length <= 1) {

alert("Please enter the year you graduated from Medical School")

return false}

if (document.APP.desc2.value != '') {

alert("By Clicking OK you are Verying payment with a Personal Credit Card")

return true}

if(!document.APP.MembershipType[7].checked){

if (document.APP.MedLicYr.value.length <= 1) {

alert("Please enter the year you received your current medical Licence")

return false}

if (document.APP.MedLicSt.value.length <= 1) {

alert("Please enter the state in which your medical licence is valid")

return false}

}



//check whether or not user would like his or her email published in the Membership Directory
/*
  myOption = -1;
  for (i=0; i<APP.emailPub.length; i++) {
    if (APP.emailPub[i].checked) {
      myOption = i;
    }
  }
  if (myOption == -1) {
    alert("");
    return false;
  }
  else {
   
    return true;
  }
*/


return true

}





//-->

</SCRIPT>

<H3 CLASS="pgtitle" ALIGN="right">Application for Membership</H3>

<TABLE ALIGN="right">
<TR>
<TD ALIGN="center" CLASS="pgtitle"><B CLASS="sm">Introduction<BR>
to AACE</B></TD>
</TR>
<TR>
<TD BGCOLOR="#C0C0C0" CLASS="sm">
&#149; <A HREF="mission.php">Our Mission</A><BR>
&#149; <A HREF="history.php">Our History</A><BR>
&#149; <A HREF="join.php">Invitation to Join</A><BR>
&#149; Membership Application<br>
&#149; <A HREF="dues.php">Member Dues Renewal</A>
</TD>
</TR>
</TABLE>

<TABLE BORDER="2" CELLPADDING="5" CELLSPACING="0">
 <TR>
  <TD><EM CLASS="rclr"><font color="#FF0000">Please note that fields marked with an asterisk (*) are required in order for your Application to be processed.</font></EM></TD>
 </TR>
</TABLE>
<a href="https://digitalid.verisign.com/as2/bd9a5f97c2b571f0ac1804443fd0c7e2" target="new"><img src="https://www.verisign.com/images/seals/Secure-White98x102.gif" width="98" height="100" border="0"></a>
<form action="app_procDOM.php" method="post" name="APP" id="APP" onSubmit="return checkData()">


<input type="hidden" name="DESCRIPTION" value="">
<input type="hidden" name="don1" value="0">
<input type="hidden" name="don2" value="0">
<input type="hidden" name="desc1" value="">
<input type="hidden" name="desc2" value="">
<input type="hidden" name="contribution" value="">
<input type="hidden" name="memCost" value="0">

<p>&nbsp;</p>

<table>
<TH ALIGN="left" COLSPAN="2">General Information</TH>  
<tr><td>First Name:<font color="#FF0000">*</font></td><td><INPUT TYPE="Text" CLASS="frm" NAME="First"  SIZE="20"></td></tr>
<tr><td>Full Middle Name:</td><td><INPUT Type="Text" class="frm" name="Middle" size="20"></td></tr>
<tr><td>Last Name:<font color="#FF0000">*</font></td><td><input Type="text" class="frm" name="Last" size="20"></td></tr>
<tr><td>Degree:<font color="#FF0000">*</font></td><td><INPUT TYPE="Text" CLASS="frm" NAME="Degree" SIZE="4"></td></tr></table>
      
       <TABLE>
            <TR>
          <TD ALIGN="right">Date of Birth:<font color="#FF0000">*</font></TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="DOB" SIZE="8"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">Sex:<font color="#FF0000">*</font></TD>
          <TD><INPUT NAME="Sex" TYPE="radio" VALUE="M" CHECKED> Male <INPUT NAME="Sex" TYPE="radio" VALUE="F"> Female</TD>
        </TR>
        <TR>
          <TD ALIGN="right">SS#:</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="SocialSecurityNo" SIZE="12"> Spouse: <INPUT TYPE="Text" CLASS="frm" NAME="Spouse" SIZE="12"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">E-mail:<font color="#FF0000">*</font></TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="EMAIL" SIZE="30"></TD>
        </TR>
            <tr>
                  <TD ALIGN="right">Would you like your E-mail address published in the AACE Membership Directory?<font color="#FF0000">*</font></TD>
                  <TD><input type="radio" name="emailPub" value="Yes" checked>Yes<input type="radio" name="emailPub" value="No">No</TD>
            </tr>
        <TR>
          <TH ALIGN="left" COLSPAN="2">Contact Information</TH>
        </TR>
        <TR>
          <TD ALIGN="right">Office Address:<font color="#FF0000">*</font></TD>
          <TD><TEXTAREA CLASS="frm" cOLS="35" ROWS="3" NAME="OfficeAddress" SIZE="30"></TEXTAREA></TD>
        </TR>
        <TR>
          <TD ALIGN="right">CITY:<font color="#FF0000">*</font></TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="CITY" SIZE="20"> STATE: <INPUT TYPE="Text" CLASS="frm" NAME="STATE" SIZE="3"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">ZIP:</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="ZIP" SIZE="10"> COUNTRY:<font color="#FF0000">*</font> <INPUT TYPE="Text" CLASS="frm" NAME="COUNTRY" SIZE="12"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">Office Phone:<font color="#FF0000">*</font></TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="PHONE" SIZE="16"> Please DO NOT include a + or -.</TD>
        </TR>
        <TR>
          <TD ALIGN="right">Office FAX:</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="FAX" SIZE="16"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">Home Address:<font color="#FF0000">*</font></TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="ADDRESS" SIZE="30"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">CITY:<font color="#FF0000">*</font></TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="City2" SIZE="20"> STATE: <INPUT TYPE="Text" CLASS="frm" NAME="St2" SIZE="3"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">ZIP:</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="ZIP2" SIZE="10"> COUNTRY:<font color="#FF0000">*</font> <INPUT TYPE="Text" CLASS="frm" NAME="COUNTRY2" SIZE="12"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">Home Phone:</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="HomePh" SIZE="16"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">Home FAX:</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="HomeFax" SIZE="16"></TD>
        </TR>
        <TR>
          <TD COLSPAN="2"><BR>
          Preferred Mailing Address:<br>
          <INPUT TYPE="radio" name="PrefAddr" VALUE="Office" checked>Office<BR>
          <INPUT NAME="PrefAddr" TYPE="radio" VALUE="Home">Home<BR>
          </TD>
        </TR>
        <TR>
          <TD COLSPAN="2"><BR>
          Preferred Address for Directory Listing:<br>
          <INPUT TYPE="radio" name="PrefDirectory" VALUE="Office" checked>Office<BR>
          <INPUT NAME="PrefDirectory" TYPE="radio" VALUE="Home">Home<BR>
          </TD>
        </TR>            
        <TR>
          <TD COLSPAN="2"><BR>
          <B>Practice Information</B><BR>
          Does Your Practice Consist of More than 50% ?:<BR>
          <INPUT NAME="GenEndo" TYPE="checkbox" VALUE="Yes">General Endocrinology and Metabolism<BR>
          <INPUT NAME="Diabetes" TYPE="checkbox" VALUE="Yes">Diabetes<BR>
          <INPUT NAME="Surgical" TYPE="checkbox" VALUE="Yes">Surgical Endocrinology<BR>
          <INPUT NAME="Pediatric" TYPE="checkbox" VALUE="Yes">Pediatric Endocrinology<BR>
          <INPUT NAME="Reproductive" TYPE="checkbox" VALUE="Yes">Reproductive Endocrinology<BR>
          Other: <INPUT TYPE="Text" CLASS="frm" NAME="Other" SIZE="20"></TD>
        </TR>
        <TR>
          <TD COLSPAN="2"><BR>
          <INPUT TYPE="Text" CLASS="frm" NAME="ClinicalTime" SIZE="5"> <STRONG>%</STRONG> of Time Spent in Clinical Practice</TD>
        </TR>
        <TR>
          <TD COLSPAN="2"><BR>
          Type of Practice:<BR>
          <INPUT NAME="PracticeType" TYPE="radio" VALUE="MultiSpecialtyGroup">Multi-Specialty Group<BR>
          <INPUT NAME="PracticeType" TYPE="radio" VALUE="SingleSpecialtyGroup">Single Specialty
          Group<BR>
          <INPUT NAME="PracticeType" TYPE="radio" VALUE="Solo">Solo<BR>
          <INPUT NAME="PracticeType" TYPE="radio" VALUE="Teaching">Teaching<BR>
          <INPUT NAME="PracticeType" TYPE="radio" VALUE="Research">Research<BR>
          <INPUT NAME="PracticeType" TYPE="radio" VALUE="Administration">Administration<BR>
          Other: <INPUT TYPE="Text" CLASS="frm" NAME="OtherDescription" SIZE="20"></TD>
        </TR>
        <TR>
<TD COLSPAN="2"><p><A NAME="mem"></A><BR>
      <B><font size="+1"><font color="#FF0000">*</font>Membership Type</font></B></p>
  <table width="75%" border="0">
    <tr>
      <td><INPUT NAME="MembershipType" TYPE="radio" onClick="APP.memCost.value=&quot;225.00&quot;;APP.DESCRIPTION.value=&quot;New Membership Fee&quot;;Total();">
        New Member</td>
    </tr>
    <tr>
      <td><INPUT NAME="MembershipType" TYPE="radio" onClick="APP.memCost.value=&quot;150.00&quot;;APP.DESCRIPTION.value=&quot;ACTIVE MEMBER DUES&quot;;Total();">
                Active</td>
    </tr>
    <tr>
      <td><INPUT NAME="MembershipType" TYPE="radio" onClick="APP.memCost.value=&quot;75.00&quot;;APP.DESCRIPTION.value=&quot;FIRST YEAR (NEW MEMBER OR DUES)&quot;;Total();">
        1st Year in Practice</td>
    </tr>
    <tr>
      <td><INPUT NAME="MembershipType" TYPE="radio" onClick="Administration">
        Associate (fellow-in-Training)</td>
    </tr>
    <tr>
      <td><INPUT NAME="MembershipType" TYPE="radio" VALUE="APP.memCost.value=&quot;75.00&quot;;APP.DESCRIPTION.value=&quot;RETIRED (NEW MEMBER OR DUES&quot;;Total();"">
        Retired</td>
    </tr>
  </table>  
<bR>
</TD>
        </TR>
        <TR>
          <TH ALIGN="left" COLSPAN="2">Education</TH>
        </TR>
        <TR>
          <TD ALIGN="right">College:&nbsp;&nbsp;</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="College" SIZE="12"> Degree: &nbsp;&nbsp;<INPUT TYPE="Text" CLASS="frm" NAME="Degree1" SIZE="2"> Yr: &nbsp;&nbsp;<INPUT TYPE="Text" CLASS="frm" NAME="Yr1" SIZE="2"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">Med. School:<font color="#FF0000">*</font></TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="MedSchool" SIZE="12"> Degree:<font color="#FF0000">*</font> <INPUT TYPE="Text" CLASS="frm" NAME="MedDegree" SIZE="2"> Yr:<font color="#FF0000">*</font> <INPUT TYPE="Text" CLASS="frm" NAME="MedDegYr" SIZE="2"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">Internship:</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="Internship" SIZE="30"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">Fellowship:</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="Fellowship" SIZE="12"> Yr: <INPUT TYPE="Text" CLASS="frm" NAME="FellowYr" SIZE="2"> Duration: <INPUT TYPE="Text" CLASS="frm" NAME="FellowDuration" SIZE="2"></TD>
        </TR>
        <TR>
          <TD ALIGN="right">PostGraduate:</TD>
          <TD><INPUT TYPE="Text" CLASS="frm" NAME="PostGrad" SIZE="30"></TD>
        </TR>
        <TR>
          <TD COLSPAN="2">Present Medical School | University
          Affiliations | Appointments<BR>
          <TEXTAREA COLS="35" ROWS="10" NAME="AfiliationsAppointments" CLASS="frm"></TEXTAREA></TD>
        </TR>
        <TR>
          <TD COLSPAN="2">Medical Licensure<br>
          Year: <INPUT TYPE="Text" CLASS="frm" NAME="MedLicYr" SIZE="5"> STATE: <INPUT TYPE="Text" CLASS="frm" NAME="MedLicSt" SIZE="3"> Years This
          Location: <INPUT TYPE="Text" CLASS="frm" NAME="YearsThere" SIZE="3"></TD>
        </TR>
        <TR>
          <TD COLSPAN="2">Primary Areas of Clinical Interest (List up to
          two)<BR>
          <INPUT TYPE="Text" CLASS="frm" NAME="PrimarySpec1" SIZE="10"> <INPUT TYPE="Text" CLASS="frm" NAME="PrimarySpec2" SIZE="10"><br>
          Secondary Areas of Clinical Interest (List up to three)<BR>
          <INPUT TYPE="Text" CLASS="frm" NAME="SecSpec1" SIZE="10"> <INPUT TYPE="Text" CLASS="frm" NAME="SecSpec2" SIZE="10"> <INPUT TYPE="Text" CLASS="frm" NAME="SecSpec3" SIZE="10"></TD>
        </TR>
        <TR>
          <TD COLSPAN="2"><B>Board Certifications:</B><BR>(Please send copies of any Board certifications to the address listed <A HREF="http://www.aace.com/contact.php" TARGET="_blank">here</A>)
          Board: <INPUT TYPE="Text" CLASS="frm" NAME="BdCert1" SIZE="15"> Year: <INPUT TYPE="Text" CLASS="frm" NAME="Cert1Date" SIZE="5"><br>
          Board: <INPUT TYPE="Text" CLASS="frm" NAME="BdCert2" SIZE="15"> Year: <INPUT TYPE="Text" CLASS="frm" NAME="Cert2Date" SIZE="5"><br>
          Board: <INPUT TYPE="Text" CLASS="frm" NAME="BdCert3" SIZE="15"> Year: <INPUT TYPE="Text" CLASS="frm" NAME="Cert3Date" SIZE="5"></TD>
        </TR>
        <TR>
          <TD COLSPAN="2"><p><STRONG>Memberships</STRONG><br>
            <INPUT NAME="ASIM" TYPE="checkbox" VALUE="Yes">
            American Society of Internal Medicine<BR>
            <INPUT NAME="AMA" TYPE="checkbox" VALUE="Yes">
            American Medical Association<BR>
            <INPUT NAME="ACP" TYPE="checkbox" VALUE="Yes">
            American College of Physicians<BR>
            <INPUT NAME="TES" TYPE="checkbox" VALUE="Yes">
            The Endocrine Society<BR>
            <INPUT NAME="ADA" TYPE="checkbox" VALUE="Yes">
            American Diabetes Association<BR>
            <INPUT NAME="ATA" TYPE="checkbox" VALUE="Yes">
            American Thyroid Association<BR>
                  <input NAME="ISCD" TYPE="checkbox" VALUE="Yes">
International Society of Clinical Densiometry<br>
            Other:
              <INPUT TYPE="Text" CLASS="frm" NAME="MemOther" SIZE="40">
          </p></TD>
        </TR>
        <TR>
          <TD COLSPAN="2"><p><strong>Membership Categories</strong></p>
          <p><STRONG>Active Membership:</STRONG> Any person licensed to practice
            medicine in the United States and who is engaged in the treatment
            of patients with endocrine diseases, involved in research or educational
            activities relating to endocrine diseases and/or Diabetes Mellitus
            is eligible for membership.</p>
          <P><STRONG>Associate Membership:</STRONG> Those physicians who are
            enrolled in postgraduate training in endocrinology or Diabetes Mellitus
            and able to submit a letter from their Department Chair verifying
          eligibility for Associate Status.</P>
          <P><strong>First Year in Practice: </strong>Same as active membership
          and in first year of practice after completion of endocrinology fellowship
            program.</P></TD>
        </TR>
        <TR>
          <TD COLSPAN="2"><p>&nbsp;</p>
            <p><B>Please list any Medical Journals to which
          you Subscribe</B><BR>
          (one per line please):<BR>
          <TEXTAREA CLASS="frm" COLS="20" ROWS="15" NAME="Journals"></TEXTAREA>
            </p></TD>
        </TR>
</TABLE>
 <input type="hidden" name="form_subject" id="form_subject" value="AACE Membership Application">

<p><input type="submit" value="Submit Application" >&nbsp;<input type="reset" value="I want to start over"></P>
</FORM>
   
<?php
@printFoot();
?>
------------------------------------------------------------------------------------
This is the form on the 2nd page thats not showing up
app_procDOM.php

<form action="https://payflowlink.verisign.com/payflowlink.cfm" method="post" name="SYMPOSIA">
<input type="hidden" name="NAME" value="<?php echo($NAME);?>" >
<input type="hidden" name="ADDRESS" value="<?php echo($ADDRESS);?>" >
<input type="hidden" name="PHONE" value="<?php echo($PHONE);?>" >
<input type="hidden" name="CITY" value="<?php echo($CITY);?>" >
<input type="hidden" name="ZIP" value="<?php echo($ZIP);?>" >
<input type="hidden" name="STATE" value="<?php echo($STATE);?>" >
<input type="hidden" name="COUNTRY" value="<?php echo($COUNTRY);?>" >
<input type="hidden" name="EMAIL" value="<?php echo($EMAIL);?>" ><br><br>
<input type="hidden" name="LOGIN" value="aaceaace"><input type="hidden" name="TYPE" value="S">
<input type="hidden" name="AMOUNT" value="<?php echo($AMOUNT);?>"><input type="hidden" name="DESCRIPTION" value="<?php echo($DESCRIPTION);?>">
<?php

// decide whether or not to show payflow button

if($AMOUNT > 0)
{
print("<strong>Click the Complete Application Button to Finalize the Application and pay dues</strong>");
print("<input type=\"hidden\" name=\"PARTNER\" value=\"verisign\"><input type=\"submit\" value=\"Complete Application\"></form>");
}
else
{
print("</form>");
print("Application Complete Thank You");
}
?>
<?php

The "Application Complete Thank You" shows up.


TIA!

Dinesh
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[+][-]11.22.2004 at 11:52AM PST, ID: 12647972

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About this solution

Zone: PHP Scripting Language
Tags: passing, php, values, page, another
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Solution Provided By: thecode101
Participating Experts: 1
Solution Grade: A
 
 
[+][-]11.22.2004 at 11:56AM PST, ID: 12648012

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20080716-EE-VQP-32