Robo2000
asked on
PHP Submission Form
I am trying to do a couple of things with this form and I just can not master them. As you can see I would like to add a number of records to a mysql database and on the whole this is working well.
There are some new features I need to add to this form to make it work properly.
1) Upon submission it does a verification check, I need it to also say "Your form is complete would you like to submit it?" Yes/No if the answer is no submission happens it goes into the database and a thank you for submitting message appears.
2)If they say no to submitting for it to retain the data on the screen when no is clicked above and allow them to edit.
3)There is a bug on this form where when you follow the on click routine to add new film, tv etc it removes all but the first word from the previous records.
Thanks
Andrew
There are some new features I need to add to this form to make it work properly.
1) Upon submission it does a verification check, I need it to also say "Your form is complete would you like to submit it?" Yes/No if the answer is no submission happens it goes into the database and a thank you for submitting message appears.
2)If they say no to submitting for it to retain the data on the screen when no is clicked above and allow them to edit.
3)There is a bug on this form where when you follow the on click routine to add new film, tv etc it removes all but the first word from the previous records.
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;
var i=1;
var j=parseInt(k)+parseInt(i);
var temp="";
document.form.apnd.value=j;
for (var x=2; x<=k;x++){
var Project=document.getElementById('project'+x).value;
var Role=document.getElementById('role'+x).value;
var Director=document.getElementById('director'+x).value;
temp=temp+"<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 = temp+"<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="ethnicity">
<option value="0">Select Eye Color</option>
<option value="Caucasian">Brown</option>
<option value="Native American">Blue</option>
<option value="Multi-Ethnic">Green</option>
<option value="Asian">Black</option>
</select>
<!--<select class="input">
<option value="">Select -</option>
</select>--></span>
<span><label><b>*</b>Hair color:</label><select class="input" name="ethnicity">
<option value="0">Select Hair Color</option>
<option value="Caucasian">Brown</option>
<option value="Native American">Black</option>
<option value="Multi-Ethnic">Blond</option>
</select>
<!--<select class="input">
<option value="">Select -</option>
</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>
ASKER
Thank you thinking man 2 - I dropped this in and can not see a lot of the info, something happened to the formatting for me to check. Any ideas?
ASKER CERTIFIED SOLUTION
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ASKER
This is great work thank you. There is still an issue when I add a second film etc it deletes the first one in the list. Also how can I do the confirmation message to say are you sure you wish to submit and then OK posts and No returns you back to where you were with the data still displayed and the thank you for you submission after clicking OK?
ASKER
The deletion happens when I add a third record it gets rid of the second record. First one always remains
$directors = implode(', ',$_POST['director']);
or whatever you want to do with them...
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