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File: financial_application_step2.php
<? session_start(); require('../includes/config.php'); $temptable=session_id(); $fin_temp="finan_".$temptable; if($_POST['Submit']=="NEXT >>") { $q_temp_fin="create table if not exists $fin_temp ( `application_id` int(10) NOT NULL auto_increment, `order_id` int(10) NOT NULL default '0', `first_name` varchar(50) collate latin1_general_ci NOT NULL default '', `mid_name` varchar(50) collate latin1_general_ci NOT NULL default '', `last_name` varchar(50) collate latin1_general_ci NOT NULL default '', `dob` varchar(15) collate latin1_general_ci NOT NULL default '', `ssn` varchar(9) collate latin1_general_ci NOT NULL default '', `email` varchar(100) collate latin1_general_ci NOT NULL default '', `street_addr` varchar(100) collate latin1_general_ci NOT NULL default '', `city` varchar(50) collate latin1_general_ci NOT NULL default '', `state` varchar(50) collate latin1_general_ci NOT NULL default '', `zip` varchar(25) collate latin1_general_ci NOT NULL default '', `phone` varchar(25) collate latin1_general_ci NOT NULL default '', `resided_for_y` int(3) NOT NULL default '0', `resided_for_m` int(2) NOT NULL default '0', `house_type` varchar(50) collate latin1_general_ci NOT NULL default '', `prev_street_addr` varchar(100) collate latin1_general_ci NOT NULL default '', `prev_city` varchar(50) collate latin1_general_ci NOT NULL default '', `prev_state` varchar(50) collate latin1_general_ci NOT NULL default '', `prev_zip` varchar(25) collate latin1_general_ci NOT NULL default '', `employer` varchar(100) collate latin1_general_ci NOT NULL default '', `emp_city` varchar(50) collate latin1_general_ci NOT NULL default '', `emp_state` varchar(50) collate latin1_general_ci NOT NULL default '', `emp_zip` varchar(25) collate latin1_general_ci NOT NULL default '', `emp_occu` varchar(100) collate latin1_general_ci NOT NULL default '', `emp_phone` varchar(25) collate latin1_general_ci NOT NULL default '', `emp_for_y` int(2) NOT NULL default '0', `emp_for_m` int(2) NOT NULL default '0', `emp_gross` int(10) NOT NULL default '0', `other_source` varchar(100) collate latin1_general_ci NOT NULL default '', `emp_other_for_y` int(2) NOT NULL default '0', `emp_other_for_m` int(2) NOT NULL default '0', `emp_other_gross` int(10) NOT NULL default '0', `co_first_name` varchar(50) collate latin1_general_ci NOT NULL default '', `co_mid_name` varchar(50) collate latin1_general_ci NOT NULL default '', `co_last_name` varchar(50) collate latin1_general_ci NOT NULL default '', `co_dob` varchar(15) collate latin1_general_ci NOT NULL default '', `co_ssn` varchar(9) collate latin1_general_ci NOT NULL default '', `co_email` varchar(100) collate latin1_general_ci NOT NULL default '', `co_street_addr` varchar(100) collate latin1_general_ci NOT NULL default '', `co_city` varchar(50) collate latin1_general_ci NOT NULL default '', `co_state` varchar(50) collate latin1_general_ci NOT NULL default '', `co_zip` varchar(25) collate latin1_general_ci NOT NULL default '', `co_phone` varchar(25) collate latin1_general_ci NOT NULL default '', `co_resided_for_y` int(3) NOT NULL default '0', `co_resided_for_m` int(2) NOT NULL default '0', `co_house_type` varchar(50) collate latin1_general_ci NOT NULL default '', `co_prev_street_addr` varchar(100) collate latin1_general_ci NOT NULL default '', `co_prev_city` varchar(50) collate latin1_general_ci NOT NULL default '', `co_prev_state` varchar(50) collate latin1_general_ci NOT NULL default '', `co_prev_zip` varchar(25) collate latin1_general_ci NOT NULL default '', `co_employer` varchar(100) collate latin1_general_ci NOT NULL default '', `co_emp_city` varchar(50) collate latin1_general_ci NOT NULL default '', `co_emp_state` varchar(50) collate latin1_general_ci NOT NULL default '', `co_emp_zip` varchar(25) collate latin1_general_ci NOT NULL default '', `co_emp_occu` varchar(100) collate latin1_general_ci NOT NULL default '', `co_emp_phone` varchar(25) collate latin1_general_ci NOT NULL default '', `co_emp_for_y` int(2) NOT NULL default '0', `co_emp_for_m` int(2) NOT NULL default '0', `co_emp_gross` int(10) NOT NULL default '0', `co_other_source` varchar(100) collate latin1_general_ci NOT NULL default '', `co_emp_other_for_y` int(2) NOT NULL default '0', `co_emp_other_for_m` int(2) NOT NULL default '0', `co_emp_other_gross` int(10) NOT NULL default '0', PRIMARY KEY (`application_id`) )"; $r_temp_fin=mysql_query($q_temp_fin); if(!$r_temp_fin) { echo mysql_error(); } else { $q_record="select * from `".$fin_temp."`"; $r_record=mysql_query($q_record); if(mysql_num_rows($r_record)<1) { $q_insert="insert into $fin_temp (application_id) values(NULL)"; $r_insert=mysql_query($q_insert); } } $q_find="select * from tbl_temp where tmp_name='".$fin_temp."'"; $r_find=mysql_query($q_find); if(mysql_num_rows($r_find)==0) { $q_t_in="insert into tbl_temp (tmp_id, tmp_name, date) values(NULL, '".$fin_temp."', '".date('Y-m-d')."')"; $r_t_in=mysql_query($q_t_in); } $q_insert="update $fin_temp set `order_id`='".$_POST['o_id']."', `first_name`='".$_POST['fname']."', `mid_name`='".$_POST['mname']."', `last_name`='".$_POST['lname']."', `dob`='".$_POST['bday']."', `ssn`='".$_POST['ssn']."', `email`='".$_POST['email']."'"; $r_insert=mysql_query($q_insert); ?> <script language="JavaScript" type="text/javascript"> window.location='financial_application_step2.php'; </script> <? } ?> <!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"><form name="form1" method="post" action="financial_application_step3.php" onSubmit="return check_form()"> <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">Home Address </font></td> </tr> <tr> <td align="left" valign="top" bgcolor="#FFDBB7"> <table width="600" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="left" valign="top"> </td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"><table width="500" border="0" cellspacing="0" cellpadding="0"> <tr align="left" valign="middle"> <td width="50" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Street</font></strong></td> <td height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="cstreet" type="text" id="fname2" size="70"> </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="525" border="0" cellspacing="0" cellpadding="0"> <tr align="left" valign="middle"> <td width="50" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">City</font></strong></td> <td width="225" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="ccity" type="text" id="ccity" size="30"> <em><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> </font></em></font></strong></td> <td width="40" height="30" align="left"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">State</font></strong></td> <td width="100" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="cstate" type="text" id="cstate" size="10"> </font></strong></td> <td width="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Zip</font></strong></td> <td><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="czip" type="text" id="czip" onKeyPress="check_num();" size="10"> </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">Phone</font></strong></td> <td height="30"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="ph1" type="text" id="ph1" size="4" maxlength="3" onKeyPress="check_num()"> - <input name="ph2" type="text" id="ph2" size="4" maxlength="3" onKeyPress="check_num()"> - <input name="ph3" type="text" id="ph3" size="5" maxlength="4" onKeyPress="check_num()"> (xxx-xxx-xxxx) <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="left" valign="top" style="padding-left:10px; padding-right:10px"><table width="525" border="0" cellspacing="0" cellpadding="0"> <tr align="left" valign="middle"> <td width="90" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Resided for: </font></strong></td> <td width="200" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="yr" type="text" id="yr" size="3" onKeyPress="check_num()"> </font></strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">years <input name="mm" type="text" id="mm" size="3" onKeyPress="check_num()"> months</font></td> <td height="30" align="left"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input type="radio" name="radio" value="rent"> </font></strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Rent <input name="radio" type="radio" value="own" checked> Own <input type="radio" name="radio" value="others"> Others </font></td> </tr> </table></td> </tr> <tr> <td align="right" valign="top" style="padding-left:10px; padding-right:10px"> </td> </tr> </table></td> </tr> <tr> <td height="35" align="center" valign="middle" bgcolor="#666666"><font color="#EAEAEA" size="4" face="Geneva, Arial, Helvetica, sans-serif">Previous Address <font size="2">( if any )</font></font></td> </tr> <tr> <td align="left" valign="top" bgcolor="#FFDBB7"><table width="600" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="left" valign="top"> </td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"><table width="500" border="0" cellspacing="0" cellpadding="0"> <tr align="left" valign="middle"> <td width="50" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Street</font></strong></td> <td height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="pstreet" type="text" id="fname3" size="70"> </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="525" border="0" cellspacing="0" cellpadding="0"> <tr align="left" valign="middle"> <td width="50" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">City</font></strong></td> <td width="225" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="pcity" type="text" id="pcity" size="30"> <em><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> </font></em></font></strong></td> <td width="40" height="30" align="left"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">State</font></strong></td> <td width="100" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="pstate" type="text" id="pstate" size="10"> </font></strong></td> <td width="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Zip</font></strong></td> <td><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="pzip" type="text" id="ssn23" onKeyPress="check_num();" size="10" maxlength="9"> </font></strong></td> </tr> </table></td> </tr> <tr> <td height="35" 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="580" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="left" valign="middle"><input type="button" name="Button" value="<< Previous" onClick="back()"></td> <td align="right" valign="middle"><input type="submit" name="Submit2" value="Next >>"></td> </tr> </table></td> </tr> <tr> <td align="left" valign="top" style="padding-left:10px; padding-right:10px"> </td> </tr> </table></td> </tr> </table> </form></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.cstreet.value=="") { alert('Please Enter Street Address'); document.form1.cstreet.focus(); return false; } if(document.form1.ccity.value=="") { alert('Please Enter City'); document.form1.ccity.focus(); return false; } if(document.form1.cstate.value=="") { alert('Please Enter State'); document.form1.cstate.focus(); return false; } if(document.form1.czip.value=="") { alert('Please Enter ZIP Code'); document.form1.czip.focus(); return false; } if((document.form1.ph1.value).length<3) { alert('Incorrect Phone number'); document.form1.ph1.focus(); return false; } if((document.form1.ph2.value).length<3) { alert('Incorrect Phone number'); document.form1.ph2.focus(); return false; } if((document.form1.ph3.value).length<4) { alert('Incorrect Phone number'); document.form1.ph3.focus(); return false; } if(document.form1.yr.value=="") { alert('Please enter Year correctly'); document.form1.yr.focus(); return false; } if(document.form1.mm.value=="") { alert('Please enter month correctly'); document.form1.mm.focus(); return false; } if(parseInt(document.form1.mm.value)>12) { alert('Please enter month correctly'); document.form1.mm.focus(); return false; } } function check_num() { if(event.keyCode<48 || event.keyCode>57) { event.keyCode=0; } } function back() { window.location='financial_application.php'; } </script>