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File: financial_application.php
<? session_start(); //echo "order_no=".$_SESSION['o_no']; ?> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> <html> <head> <title>Untitled Document</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> </head> <body> <table width="750" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td height="50" align="center" valign="middle"><font color="#993300" size="4" face="Geneva, Arial, Helvetica, sans-serif"><strong>FINANCIAL APPLICATION</strong></font></td> </tr> <tr> <td height="4" align="left" valign="top" bgcolor="#000066"><img src="../images/0.gif" width="1" height="1"></td> </tr> <tr> <td align="left" valign="top"> </td> </tr> <tr> <td align="left" valign="top"> </td> </tr> <tr> <td align="left" valign="top"> </td> </tr> <tr> <td align="center" valign="top"><table width="600" border="2" cellspacing="0" cellpadding="0"> <tr> <td height="35" align="center" valign="middle" bgcolor="#666666"><font color="#EAEAEA" size="4" face="Geneva, Arial, Helvetica, sans-serif">Personal Information</font></td> </tr> <tr> <td align="left" valign="top" bgcolor="#FFDBB7"> <form name="form1" method="post" action="financial_application_step2.php" onSubmit="return check_form()"> <table width="600" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="left" valign="top"><input name="o_id" type="hidden" id="o_id" value="<?=$_GET['o_id']?>"></td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"><table width="580" border="0" cellspacing="0" cellpadding="0"> <tr align="left" valign="middle"> <td width="70" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">First Name</font></strong></td> <td width="150" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="fname" type="text" id="fname" size="15"> </font></strong></td> <td width="60" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Mid Init</font></strong></td> <td width="90" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="mname" type="text" id="mname" size="10"> </font></strong></td> <td width="70" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Last Name</font></strong></td> <td height="30"><strong> <input name="lname" type="text" id="lname" size="15"> </strong></td> </tr> </table></td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"> </td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"><table width="450" border="0" cellspacing="0" cellpadding="0"> <tr align="left" valign="middle"> <td width="70" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Birth Date</font></strong></td> <td height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="bday" type="text" id="bday" size="15"> <em><font size="1" face="Verdana, Arial, Helvetica, sans-serif">(mm/dd/yyyy) </font></em></font></strong></td> <td width="80" height="30" align="right"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">SSN : </font></strong></td> <td width="80" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="ssn" type="text" id="ssn" onKeyPress="check_num();" size="10" maxlength="9"> </font></strong></td> </tr> </table></td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"> </td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"><table width="450" border="0" cellspacing="0" cellpadding="0"> <tr align="left" valign="middle"> <td width="70" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Email ID </font></strong></td> <td height="30"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="email" type="text" id="email" size="40"> <em><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> </font></em></font></td> </tr> </table> </td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"> </td> </tr> <tr> <td align="right" valign="top" style="padding-left:10px; padding-right:10px"><input type="submit" name="Submit" value="NEXT >>"></td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"> </td> </tr> </table> </form></td> </tr> </table></td> </tr> <tr> <td align="left" valign="top"> </td> </tr> </table> </body> </html> <script language="JavaScript" type="text/javascript"> function check_form() { //Checking Billing Information if(document.form1.fname.value=="") { alert('Please Enter First Name'); document.form1.fname.focus(); return false; } if(document.form1.lname.value=="") { alert('Please Enter Last Name'); document.form1.lname.focus(); return false; } if(document.form1.ssn.value=="") { alert('Please Enter SSN'); document.form1.ssn.focus(); return false; } else { var ssn=document.form1.ssn.value; if(ssn.length<9) { alert('SSN must be of 9 characters'); return false; } } if(document.form1.email.value=="") { alert('Please Enter Email'); document.form1.email.focus(); return false; } else { var AtPos = document.form1.email.value.indexOf("@"); var StopPos = document.form1.email.value.lastIndexOf("."); if (AtPos == -1 || StopPos == -1) { alert('Not a valid email address'); document.form1.email.focus(); return false; } } } function check_num() { if(event.keyCode<48 || event.keyCode>57) { event.keyCode=0; } } </script>