Display Problem

I can not figure out why this page wont display can anyone diagnosis the problem?

<?

	session_start();
	
	//Includes Common functions and Database Connections
	include("include/config.php");
	include("include/functions.php");
	include("include/refresheverytime.php");		
?>
<?php
mysql_select_db($dbname, $conn);
$query_Recordset2 = "SELECT * FROM content_master  WHERE content_id=10";
$Recordset2 = mysql_query($query_Recordset2, $conn) or die(mysql_error());
$row_Recordset2 = mysql_fetch_assoc($Recordset2);
$totalRows_Recordset2 = mysql_num_rows($Recordset2);

?>
<?php

// if the from is loaded from WordPress form loader plugin,
// the phpfmg_display_form() will be called by the loader
if( !defined('FormmailMakerFormLoader') ){
    # This block must be placed at the very top of page.
    # --------------------------------------------------
	require_once( dirname(__FILE__).'/form.lib.php' );
    phpfmg_display_form();
    # --------------------------------------------------
};


function phpfmg_form( $sErr = false ){
		$style=" class='form_text' ";

?>
<html>

<head>
<title>Female Escort Agency New York </title>
<meta name="description" content="NYC Female Escorts Belledejour escort agency offers full service in hostessing, modelling and companionship female New York Escorts CALL 305-890-3133">
<meta name="keywords" content="New York Escorts,Female Escorts New York,NYC Escorts,NYC Female Escorts,Escort Agency,New York Escorts Agency">
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<script type="text/JavaScript">
<!--
function MM_swapImgRestore() { //v3.0
  var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++) x.src=x.oSrc;
}

function MM_preloadImages() { //v3.0
  var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array();
    var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++)
    if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}}
}

function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

function MM_swapImage() { //v3.0
  var i,j=0,x,a=MM_swapImage.arguments; document.MM_sr=new Array; for(i=0;i<(a.length-2);i+=3)
   if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc) x.oSrc=x.src; x.src=a[i+2];}
}
//-->
</script>
<style type="text/css">
<!--
body {
	background-image: url(images/back.jpg);
}

</style>
<link href="images/style.css" rel="stylesheet" type="text/css">
<SCRIPT type=text/javascript src="images/flexcroll.js"></SCRIPT>
</head>
<body  leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" onLoad="MM_preloadImages('images/index1_03.jpg','images/index1_05.jpg')">
<table width="100%" height="100%" border="0" cellpadding="0" cellspacing="0">
	<tr>
		<td align="center" valign="center">
		<table width="1300" height="648" border="1" cellpadding="0" cellspacing="0" background="images/back1.jpg">
		  <tr>
		    <td >
<table id="Tabla_01" width="1300" height="648" border="0" cellpadding="0" cellspacing="0">
	<tr>
		<td colspan="2">
													<a href="belledejour.php"><img src="images/belledejour_01.jpg" alt="" width="1053" height="124" border="0"></a>
			</td>
		<td rowspan="4">
			<img src="images/belledejour_02.jpg" width="247" height="648" alt=""></td>
	</tr>
	<tr>
		<td>
			<img src="images/belledejour6_03.jpg" width="277" height="471" alt=""></td>
		<td background="images/belledejour_04.jpg" width="776" height="471"><div id="content" class="flexcroll"> 
                  <?php echo $row_Recordset2['content_desc']; ?> 
                  <form name="frmFormMail" id="frmFormMail" target="submitToFrame" action='<?php echo PHPFMG_ADMIN_URL . '' ; ?>' method='post' enctype='multipart/form-data' onsubmit='return fmgHandler.onSubmit(this);'>

<input type='hidden' name='formmail_submit' value='Y'>
<input type='hidden' name='mod' value='ajax'>
<input type='hidden' name='func' value='submit'>
                    <table border="0" cellspacing="0" cellpadding="0" align="center">
                      <tr> 
                        <td> <table  border="0" cellspacing="0" cellpadding="0">
                            <tr> 
                              <td width="42%"><h2>About You</h2>
                                <label></label></td>
                              <td width="58%">&nbsp;</td>
                            </tr>
                            <tr> 
                              <td><label>Full Name:* </label> <br></td>
                              <td><input type="text" name="field_0"  id="field_0" value="<?php  phpfmg_hsc("field_0", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Working Name:* <br></td>
                              <td><input type="text" name="field_1"  id="field_1" value="<?php  phpfmg_hsc("field_1", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Email:* </td>
                              <td><input type="text" name="field_2"  id="field_2" value="<?php  phpfmg_hsc("field_2", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Phone:* </td>
                              <td><input type="text" name="field_3"  id="field_3" value="<?php  phpfmg_hsc("field_3", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Real Age:* <br></td>
                              <td><input type="text" name="field_4"  id="field_4" value="<?php  phpfmg_hsc("field_4", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Gender:* <br></td>
                              <td> 
                                <?php phpfmg_dropdown( 'field_5', "Female|Male|Transseexual Post-op" );?>
                              </td>
                            </tr>
                            <tr> 
                              <td>City: </td>
                              <td><input type="text" name="field_7"  id="field_7" value="<?php  phpfmg_hsc("field_7", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr  class="text"> 
                              <td >Sex</td>
                              <td colspan="3" class="text"><input type="text" name="field_8"  id="field_8" value="<?php  phpfmg_hsc("field_8", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr  class="text"> 
                              <td >Sex Preference</td>
                              <td colspan="3" class="text"><input type="text" name="field_9"  id="field_9" value="<?php  phpfmg_hsc("field_9", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Body Type</td>
                              <td colspan="3" class="text"><input type="text" name="field_10"  id="field_10" value="<?php  phpfmg_hsc("field_10", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Body Size</td>
                              <td colspan="3" class="text"><input type="text" name="field_11"  id="field_11" value="<?php  phpfmg_hsc("field_11", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Race</td>
                              <td colspan="3" class="text"><input type="text" name="field_12"  id="field_12" value="<?php  phpfmg_hsc("field_12", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Languages</td>
                              <td colspan="3" class="text"><input type="text" name="field_13"  id="field_13" value="<?php  phpfmg_hsc("field_13", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Age</td>
                              <td colspan="3" class="text"><input type="text" name="field_14"  id="field_14" value="<?php  phpfmg_hsc("field_14", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Born In</td>
                              <td colspan="3" class="text"><input type="text" name="field_15"  id="field_15" value="<?php  phpfmg_hsc("field_15", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Service</td>
                              <td colspan="3" class="text"><input type="text" name="field_16"  id="field_16" value="<?php  phpfmg_hsc("field_16", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text"> Eye Colour </td>
                              <td colspan="3" class="text"><input type="text" name="field_17"  id="field_17" value="<?php  phpfmg_hsc("field_17", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Hair Colour</td>
                              <td colspan="3" class="text"><input type="text" name="field_18"  id="field_18" value="<?php  phpfmg_hsc("field_18", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Hair Type</td>
                              <td colspan="3" class="text"><input type="text" name="field_19"  id="field_19" value="<?php  phpfmg_hsc("field_19", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Hair Length</td>
                              <td colspan="3" class="text"><input type="text" name="field_20"  id="field_20" value="<?php  phpfmg_hsc("field_20", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Body Piercings</td>
                              <td class="text"><input type="text" name="field_21"  id="field_21" value="<?php  phpfmg_hsc("field_21", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Breast Implants</td>
                              <td class="text"><input type="text" name="field_22"  id="field_22" value="<?php  phpfmg_hsc("field_22", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Pubic Hair</td>
                              <td class="text"><input type="text" name="field_23"  id="field_23" value="<?php  phpfmg_hsc("field_23", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Tattoos</td>
                              <td class="text"><input type="text" name="field_24"  id="field_24" value="<?php  phpfmg_hsc("field_24", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Smokes</td>
                              <td class="text"><input type="text" name="field_25"  id="field_25" value="<?php  phpfmg_hsc("field_25", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Pornstar</td>
                              <td class="text"><input type="text" name="field_26"  id="field_26" value="<?php  phpfmg_hsc("field_26", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Likes</td>
                              <td class="text"><input type="text" name="field_27"  id="field_27" value="<?php  phpfmg_hsc("field_27", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Dislikes</td>
                              <td class="text"><input type="text" name="field_28"  id="field_28" value="<?php  phpfmg_hsc("field_28", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Part Time or Full Time?:* </td>
                              <td> 
                                <?php phpfmg_dropdown( 'field_6', "Not Sure|Part Time|Full Time", true );?>
                              </td>
                            </tr>
                            <tr> 
                              <td colspan="2"><h2>Employment Info</h2></td>
                            </tr>
                            <tr> 
                              <td>Describe any Work Experience in this industry:* 
                              </td>
                              <td><textarea name="field_29" id="field_29" rows=4 cols=25 class='text_area'><?php  phpfmg_hsc("field_29"); ?></textarea></td>
                            </tr>
                            <tr> 
                              <td>Hobbies and Interests: </td>
                              <td><textarea name="field_30" id="field_30" rows=4 cols=25 class='text_area'><?php  phpfmg_hsc("field_30"); ?></textarea></td>
                            </tr>
                            <tr> 
                              <td>How do you want to be represented by us? Please 
                                describe yourself.: </td>
                              <td><textarea name="field_31" id="field_31" rows=4 cols=25 class='text_area'><?php  phpfmg_hsc("field_31"); ?></textarea></td>
                            </tr>
                            <tr> 
                              <td>Tell us about your earnings expectations. Is 
                                there a certain amount you expect to earn per 
                                hour or per month?:*</td>
                              <td><textarea name="field_32" id="field_32" rows=4 cols=25 class='text_area'><?php  phpfmg_hsc("field_32"); ?></textarea></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image<strong> 
                                  1 </strong></div></td>
                              <td><input type="file" name="field_33"  id="field_33" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add IMage 2</div></td>
                              <td><input type="file" name="field_34"  id="field_34" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 3</div></td>
                              <td><input type="file" name="field_35"  id="field_35" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 4</div></td>
                              <td><input type="file" name="field_36"  id="field_36" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 5</div></td>
                              <td><input type="file" name="field_37"  id="field_37" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 6</div></td>
                              <td><input type="file" name="field_38"  id="field_38" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 7</div></td>
                              <td><input type="file" name="field_39"  id="field_39" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right">&nbsp;</td>
                              <td><?php phpfmg_show_captcha(); ?></td>
                            </tr>
                            <tr> 
                              <td align="right">&nbsp;</td>
                              <td>&nbsp;</td>
                            </tr>
                          </table>
                          <p align='center'><br>
                             <input type='submit' value='Submit' class='form_button'>
                            <br>
                            ONLY SUCCESSFUL applicants will be contacted. Please 
                            check your emails for our response soon. </p></td>
                      </tr>
                    </table>
                    <br/></p>
                    <span id='phpfmg_processing' style='display:none;'>
                    <img id='phpfmg_processing_gif' src='<?php echo PHPFMG_ADMIN_URL . '?mod=image&amp;func=processing' ;?>' border=0 alt='Processing...'> <label id='phpfmg_processing_dots'></label>
                </span>
                  </form>
				  <iframe name="submitToFrame" id="submitToFrame" src="javascript:false" style="position:absolute;top:-10000px;left:-10000px;" /></iframe>
                </div>
<!-- [Your confirmation message goes here] -->
<div id='thank_you_msg' style='display:none;'>
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Your form has been sent. Thank you!
</div>


            






<?php

    phpfmg_javascript($sErr);

}
# end of form




function phpfmg_form_css(){
    $formOnly = isset($GLOBALS['formOnly']) && true === $GLOBALS['formOnly'];
?>
			</td>
	</tr>
	<tr>
		<td colspan="2" background="images/belledejour_05.jpg" width="1053" height="38"><nav id="navigation">
<ul id="topnav">
			  <li  class="current"><a href="belledejour.php"> HOME</a>&nbsp;</li>
			  <li><a href="belledejour-models.php" title="New York female Escorts">ESCORTS</a>&nbsp;</li>
		        <li ><a href="belledejour-schedule.php">SCHEDULE</a>&nbsp;</li>
	<li><a href="belledejour-faq.php">FAQ</a>&nbsp;</li>
	<li><a href="belledejour-screening.php">SCREENING</a>&nbsp;</li>
	  <li><a href="belledejour-casting.php">CASTING</a>&nbsp;</li>
	  <li><a href=" belledejour-tour.php">UPCOMING TOURS</a>&nbsp;</li>
	  <li><a href="belledejour-contact.php">CONTACT</a>&nbsp;</li>
	 <li><a href="belledejour-links.php">LINKS</a></li>
		 
	 
	  </ul>  </nav>
			</td>
	</tr>
	<tr>
		<td colspan="2">
			<img src="images/belledejour_06.jpg" alt="" width="1053" height="15" border="0" usemap="#Map"></td>
	</tr>
</table>
</td></tr>
</table>


</body>
</html>

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LVL 1
smphilAsked:
Who is Participating?

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"The solutions and answers provided on Experts Exchange have been extremely helpful to me over the last few years. I wear a lot of hats - Developer, Database Administrator, Help Desk, etc., so I know a lot of things but not a lot about one thing. Experts Exchange gives me answers from people who do know a lot about one thing, in a easy to use platform." -Todd S.

Ray PaseurCommented:
Several things could be in play here.  Change the top line from this:

<?

to this:

<?php error_reporting(E_ALL);

By doing that you'll be able to see if there are errors (hopefully).  You may need to add this:

ini_set('display_errors', TRUE);

If you make those changes and still do not get any output, please post back and we'll try the next steps.  Going forward, you will want to refactor the MySQL parts.  PHP is doing away with MySQL support.
http://www.experts-exchange.com/Web_Development/Web_Languages-Standards/PHP/PHP_Databases/A_11177-PHP-MySQL-Deprecated-as-of-PHP-5-5-0.html
0
rgranlundCommented:
Missing a closing bracket and then one added later that was un-needed?  Try this

<?php

	session_start();
	
	//Includes Common functions and Database Connections
	include("include/config.php");
	include("include/functions.php");
	include("include/refresheverytime.php");		
?>
<?php
mysql_select_db($dbname, $conn);
$query_Recordset2 = "SELECT * FROM content_master  WHERE content_id=10";
$Recordset2 = mysql_query($query_Recordset2, $conn) or die(mysql_error());
$row_Recordset2 = mysql_fetch_assoc($Recordset2);
$totalRows_Recordset2 = mysql_num_rows($Recordset2);

?>
<?php

// if the from is loaded from WordPress form loader plugin,
// the phpfmg_display_form() will be called by the loader
if( !defined('FormmailMakerFormLoader') ){
    # This block must be placed at the very top of page.
    # --------------------------------------------------
	require_once( dirname(__FILE__).'/form.lib.php' );
    phpfmg_display_form();
    # --------------------------------------------------
};


function phpfmg_form( $sErr = false ){
		$style=" class='form_text' ";
}
?>
<html>

<head>
<title>Female Escort Agency New York </title>
<meta name="description" content="NYC Female Escorts Belledejour escort agency offers full service in hostessing, modelling and companionship female New York Escorts CALL 305-890-3133">
<meta name="keywords" content="New York Escorts,Female Escorts New York,NYC Escorts,NYC Female Escorts,Escort Agency,New York Escorts Agency">
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<script type="text/JavaScript">
<!--
function MM_swapImgRestore() { //v3.0
  var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++) x.src=x.oSrc;
}

function MM_preloadImages() { //v3.0
  var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array();
    var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++)
    if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}}
}

function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

function MM_swapImage() { //v3.0
  var i,j=0,x,a=MM_swapImage.arguments; document.MM_sr=new Array; for(i=0;i<(a.length-2);i+=3)
   if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc) x.oSrc=x.src; x.src=a[i+2];}
}
//-->
</script>
<style type="text/css">
<!--
body {
	background-image: url(images/back.jpg);
}

</style>
<link href="images/style.css" rel="stylesheet" type="text/css">
<SCRIPT type=text/javascript src="images/flexcroll.js"></SCRIPT>
</head>
<body  leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" onLoad="MM_preloadImages('images/index1_03.jpg','images/index1_05.jpg')">
<table width="100%" height="100%" border="0" cellpadding="0" cellspacing="0">
	<tr>
		<td align="center" valign="center">
		<table width="1300" height="648" border="1" cellpadding="0" cellspacing="0" background="images/back1.jpg">
		  <tr>
		    <td >
<table id="Tabla_01" width="1300" height="648" border="0" cellpadding="0" cellspacing="0">
	<tr>
		<td colspan="2">
													<a href="belledejour.php"><img src="images/belledejour_01.jpg" alt="" width="1053" height="124" border="0"></a>
			</td>
		<td rowspan="4">
			<img src="images/belledejour_02.jpg" width="247" height="648" alt=""></td>
	</tr>
	<tr>
		<td>
			<img src="images/belledejour6_03.jpg" width="277" height="471" alt=""></td>
		<td background="images/belledejour_04.jpg" width="776" height="471"><div id="content" class="flexcroll"> 
                  <?php echo $row_Recordset2['content_desc']; ?> 
                  <form name="frmFormMail" id="frmFormMail" target="submitToFrame" action='<?php echo PHPFMG_ADMIN_URL . '' ; ?>' method='post' enctype='multipart/form-data' onsubmit='return fmgHandler.onSubmit(this);'>

<input type='hidden' name='formmail_submit' value='Y'>
<input type='hidden' name='mod' value='ajax'>
<input type='hidden' name='func' value='submit'>
                    <table border="0" cellspacing="0" cellpadding="0" align="center">
                      <tr> 
                        <td> <table  border="0" cellspacing="0" cellpadding="0">
                            <tr> 
                              <td width="42%"><h2>About You</h2>
                                <label></label></td>
                              <td width="58%">&nbsp;</td>
                            </tr>
                            <tr> 
                              <td><label>Full Name:* </label> <br></td>
                              <td><input type="text" name="field_0"  id="field_0" value="<?php  phpfmg_hsc("field_0", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Working Name:* <br></td>
                              <td><input type="text" name="field_1"  id="field_1" value="<?php  phpfmg_hsc("field_1", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Email:* </td>
                              <td><input type="text" name="field_2"  id="field_2" value="<?php  phpfmg_hsc("field_2", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Phone:* </td>
                              <td><input type="text" name="field_3"  id="field_3" value="<?php  phpfmg_hsc("field_3", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Real Age:* <br></td>
                              <td><input type="text" name="field_4"  id="field_4" value="<?php  phpfmg_hsc("field_4", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Gender:* <br></td>
                              <td> 
                                <?php phpfmg_dropdown( 'field_5', "Female|Male|Transseexual Post-op" );?>
                              </td>
                            </tr>
                            <tr> 
                              <td>City: </td>
                              <td><input type="text" name="field_7"  id="field_7" value="<?php  phpfmg_hsc("field_7", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr  class="text"> 
                              <td >Sex</td>
                              <td colspan="3" class="text"><input type="text" name="field_8"  id="field_8" value="<?php  phpfmg_hsc("field_8", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr  class="text"> 
                              <td >Sex Preference</td>
                              <td colspan="3" class="text"><input type="text" name="field_9"  id="field_9" value="<?php  phpfmg_hsc("field_9", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Body Type</td>
                              <td colspan="3" class="text"><input type="text" name="field_10"  id="field_10" value="<?php  phpfmg_hsc("field_10", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Body Size</td>
                              <td colspan="3" class="text"><input type="text" name="field_11"  id="field_11" value="<?php  phpfmg_hsc("field_11", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Race</td>
                              <td colspan="3" class="text"><input type="text" name="field_12"  id="field_12" value="<?php  phpfmg_hsc("field_12", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Languages</td>
                              <td colspan="3" class="text"><input type="text" name="field_13"  id="field_13" value="<?php  phpfmg_hsc("field_13", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Age</td>
                              <td colspan="3" class="text"><input type="text" name="field_14"  id="field_14" value="<?php  phpfmg_hsc("field_14", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Born In</td>
                              <td colspan="3" class="text"><input type="text" name="field_15"  id="field_15" value="<?php  phpfmg_hsc("field_15", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Service</td>
                              <td colspan="3" class="text"><input type="text" name="field_16"  id="field_16" value="<?php  phpfmg_hsc("field_16", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text"> Eye Colour </td>
                              <td colspan="3" class="text"><input type="text" name="field_17"  id="field_17" value="<?php  phpfmg_hsc("field_17", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Hair Colour</td>
                              <td colspan="3" class="text"><input type="text" name="field_18"  id="field_18" value="<?php  phpfmg_hsc("field_18", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Hair Type</td>
                              <td colspan="3" class="text"><input type="text" name="field_19"  id="field_19" value="<?php  phpfmg_hsc("field_19", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Hair Length</td>
                              <td colspan="3" class="text"><input type="text" name="field_20"  id="field_20" value="<?php  phpfmg_hsc("field_20", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Body Piercings</td>
                              <td class="text"><input type="text" name="field_21"  id="field_21" value="<?php  phpfmg_hsc("field_21", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Breast Implants</td>
                              <td class="text"><input type="text" name="field_22"  id="field_22" value="<?php  phpfmg_hsc("field_22", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Pubic Hair</td>
                              <td class="text"><input type="text" name="field_23"  id="field_23" value="<?php  phpfmg_hsc("field_23", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Tattoos</td>
                              <td class="text"><input type="text" name="field_24"  id="field_24" value="<?php  phpfmg_hsc("field_24", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Smokes</td>
                              <td class="text"><input type="text" name="field_25"  id="field_25" value="<?php  phpfmg_hsc("field_25", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Pornstar</td>
                              <td class="text"><input type="text" name="field_26"  id="field_26" value="<?php  phpfmg_hsc("field_26", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td  class="text">Likes</td>
                              <td class="text"><input type="text" name="field_27"  id="field_27" value="<?php  phpfmg_hsc("field_27", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr > 
                              <td class="text">Dislikes</td>
                              <td class="text"><input type="text" name="field_28"  id="field_28" value="<?php  phpfmg_hsc("field_28", ""); ?>" class='text_box'></td>
                            </tr>
                            <tr> 
                              <td>Part Time or Full Time?:* </td>
                              <td> 
                                <?php phpfmg_dropdown( 'field_6', "Not Sure|Part Time|Full Time", true );?>
                              </td>
                            </tr>
                            <tr> 
                              <td colspan="2"><h2>Employment Info</h2></td>
                            </tr>
                            <tr> 
                              <td>Describe any Work Experience in this industry:* 
                              </td>
                              <td><textarea name="field_29" id="field_29" rows=4 cols=25 class='text_area'><?php  phpfmg_hsc("field_29"); ?></textarea></td>
                            </tr>
                            <tr> 
                              <td>Hobbies and Interests: </td>
                              <td><textarea name="field_30" id="field_30" rows=4 cols=25 class='text_area'><?php  phpfmg_hsc("field_30"); ?></textarea></td>
                            </tr>
                            <tr> 
                              <td>How do you want to be represented by us? Please 
                                describe yourself.: </td>
                              <td><textarea name="field_31" id="field_31" rows=4 cols=25 class='text_area'><?php  phpfmg_hsc("field_31"); ?></textarea></td>
                            </tr>
                            <tr> 
                              <td>Tell us about your earnings expectations. Is 
                                there a certain amount you expect to earn per 
                                hour or per month?:*</td>
                              <td><textarea name="field_32" id="field_32" rows=4 cols=25 class='text_area'><?php  phpfmg_hsc("field_32"); ?></textarea></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image<strong> 
                                  1 </strong></div></td>
                              <td><input type="file" name="field_33"  id="field_33" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add IMage 2</div></td>
                              <td><input type="file" name="field_34"  id="field_34" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 3</div></td>
                              <td><input type="file" name="field_35"  id="field_35" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 4</div></td>
                              <td><input type="file" name="field_36"  id="field_36" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 5</div></td>
                              <td><input type="file" name="field_37"  id="field_37" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 6</div></td>
                              <td><input type="file" name="field_38"  id="field_38" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right"><div align="left">Add Image 7</div></td>
                              <td><input type="file" name="field_39"  id="field_39" value="" class='text_box' onChange="fmgHandler.check_upload(this);"></td>
                            </tr>
                            <tr> 
                              <td align="right">&nbsp;</td>
                              <td><?php phpfmg_show_captcha(); ?></td>
                            </tr>
                            <tr> 
                              <td align="right">&nbsp;</td>
                              <td>&nbsp;</td>
                            </tr>
                          </table>
                          <p align='center'><br>
                             <input type='submit' value='Submit' class='form_button'>
                            <br>
                            ONLY SUCCESSFUL applicants will be contacted. Please 
                            check your emails for our response soon. </p></td>
                      </tr>
                    </table>
                    <br/></p>
                    <span id='phpfmg_processing' style='display:none;'>
                    <img id='phpfmg_processing_gif' src='<?php echo PHPFMG_ADMIN_URL . '?mod=image&amp;func=processing' ;?>' border=0 alt='Processing...'> <label id='phpfmg_processing_dots'></label>
                </span>
                  </form>
				  <iframe name="submitToFrame" id="submitToFrame" src="javascript:false" style="position:absolute;top:-10000px;left:-10000px;" /></iframe>
                </div>
<!-- [Your confirmation message goes here] -->
<div id='thank_you_msg' style='display:none;'>
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Your form has been sent. Thank you!
</div>


            






<?php

    phpfmg_javascript($sErr);


# end of form




function phpfmg_form_css(){
    $formOnly = isset($GLOBALS['formOnly']) && true === $GLOBALS['formOnly'];
}
?>
			</td>
	</tr>
	<tr>
		<td colspan="2" background="images/belledejour_05.jpg" width="1053" height="38"><nav id="navigation">
<ul id="topnav">
			  <li  class="current"><a href="belledejour.php"> HOME</a>&nbsp;</li>
			  <li><a href="belledejour-models.php" title="New York female Escorts">ESCORTS</a>&nbsp;</li>
		        <li ><a href="belledejour-schedule.php">SCHEDULE</a>&nbsp;</li>
	<li><a href="belledejour-faq.php">FAQ</a>&nbsp;</li>
	<li><a href="belledejour-screening.php">SCREENING</a>&nbsp;</li>
	  <li><a href="belledejour-casting.php">CASTING</a>&nbsp;</li>
	  <li><a href=" belledejour-tour.php">UPCOMING TOURS</a>&nbsp;</li>
	  <li><a href="belledejour-contact.php">CONTACT</a>&nbsp;</li>
	 <li><a href="belledejour-links.php">LINKS</a></li>
		 
	 
	  </ul>  </nav>
			</td>
	</tr>
	<tr>
		<td colspan="2">
			<img src="images/belledejour_06.jpg" alt="" width="1053" height="15" border="0" usemap="#Map"></td>
	</tr>
</table>
</td></tr>
</table>


</body>
</html>
                                  

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