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File: financial_application_step3.php
<? session_start(); require('../includes/config.php'); $temptable=session_id(); $fin_temp="finan_".$temptable; if($_POST['Submit2']=="Next >>") { $cph=$_POST['ph1']."-".$_POST['ph2']."-".$_POST['ph3']; $q_insert="update $fin_temp set `street_addr`='".$_POST['cstreet']."', `city`='".$_POST['ccity']."', `state`='".$_POST['cstate']."', `zip`='".$_POST['czip']."', `phone`='".$cph."', `resided_for_y`='".$_POST['yr']."', `resided_for_m`='".$_POST['mm']."', `house_type`='".$_POST['radio']."', `prev_street_addr`='".$_POST['pstreet']."', `prev_city`='".$_POST['pcity']."', `prev_state`='".$_POST['pstate']."', `prev_zip`='".$_POST['pzip']."'"; $r_insert=mysql_query($q_insert); if(!$r_insert) { echo mysql_error(); } else { ?> <script language="JavaScript" type="text/javascript"> window.location='financial_application_step3.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_step4.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">Primary Income Info</font></td> </tr> <tr> <td align="left" valign="top" bgcolor="#FFDBB7"> <table width="600" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="10" align="left" valign="top"><img src="../images/0.gif" width="1" height="1"></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="90" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Employeer</font></strong></td> <td height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="emp" type="text" id="emp" size="50"> </font></strong></td> </tr> </table></td> </tr> <tr> <td height="10" align="left" valign="top" style="padding-left:10px; padding-right:10px"><img src="../images/0.gif" width="1" height="1"></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">City</font></strong></td> <td width="180" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="ccity" type="text" id="ccity" size="20"> <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 height="10" align="left" valign="top" style="padding-left:10px; padding-right:10px"><img src="../images/0.gif" width="1" height="1"></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="90" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Occupation</font></strong></td> <td height="30"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"><em><font size="1" face="Verdana, Arial, Helvetica, sans-serif"> <input name="occu" type="text" id="occu" size="40"> </font></em></font></td> </tr> </table></td> </tr> <tr> <td height="10" align="left" valign="top" style="padding-left:10px; padding-right:10px"><img src="../images/0.gif" width="1" height="1"></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="90" 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 height="10" align="left" valign="top" style="padding-left:10px; padding-right:10px"><img src="../images/0.gif" width="1" height="1"></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">Employed</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 width="150" align="left"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Gross Monthly Income</font></strong></td> <td height="30" align="left"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">$ <input name="pmo" type="text" id="pmo" size="8" onKeyPress="check_num()"> </font></strong></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">Other Income Info <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 height="10" align="left" valign="top"><img src="../images/0.gif" width="1" height="1"></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="80" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Source</font></strong></td> <td height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="osource" type="text" id="fname3" size="50"> </font></strong></td> </tr> </table></td> </tr> <tr> <td height="10" align="left" valign="top" style="padding-left:10px; padding-right:10px"><img src="../images/0.gif" width="1" height="1"></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">How Long </font></strong></td> <td width="200" height="30"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="oyr" type="text" id="oyr" size="3" onKeyPress="check_num()"> </font></strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">years <input name="omm" type="text" id="omm" size="3" onKeyPress="check_num()"> months</font></td> <td width="150" align="left"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Gross Monthly Income</font></strong></td> <td height="30" align="left"><strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">$ <input name="omo" type="text" id="omo" size="8" onKeyPress="check_num()"> </font></strong></td> </tr> </table></td> </tr> <tr> <td height="35" align="center" valign="middle" style="padding-left:10px; padding-right:10px"> <input name="co_applicant" type="checkbox" id="co_applicant" value="co_applicant"> <strong><font color="#990000" size="2" face="Verdana, Arial, Helvetica, sans-serif">I have co-applicant (Click here if you have co-applicant)</font></strong></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="javascript:history.back()"></td> <td align="right" valign="middle"><input type="submit" name="Submit2" value="Next >>"></td> </tr> </table></td> </tr> <tr> <td height="10" align="left" valign="top" style="padding-left:10px; padding-right:10px"><img src="../images/0.gif" width="1" height="1"></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.emp.value=="") { alert('Please Enter Employer'); document.form1.emp.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.occu.value=="") { alert('Please Enter Occupation'); document.form1.occu.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; } if(document.form1.pmo.value=="") { alert('Please enter Primary Monthly Income correctly'); document.form1.pmo.focus(); return false; } } function check_num() { if(event.keyCode<48 || event.keyCode>57) { event.keyCode=0; } } </script>