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File: financial_application_step6.php
<? session_start(); require('../includes/config.php'); $temptable=session_id(); $fin_temp="finan_".$temptable; if($_POST['Submit']=="NEXT >>") { $q_insert="update $fin_temp set `co_first_name`='".$_POST['cofname']."', `co_mid_name`='".$_POST['comname']."', `co_last_name`='".$_POST['colname']."', `co_dob`='".$_POST['cobday']."', `co_ssn`='".$_POST['cossn']."', `co_email`='".$_POST['coemail']."'"; $r_insert=mysql_query($q_insert); ?> <script language="JavaScript" type="text/javascript"> window.location='financial_application_step6.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_step7.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">Co-applicant 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="cocstreet" 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="coccity" type="text" id="coccity" 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="cocstate" type="text" id="cocstate" 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="coczip" type="text" id="coczip" 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="coph1" type="text" id="coph1" size="4" maxlength="3" onKeyPress="check_num()"> - <input name="coph2" type="text" id="coph2" size="4" maxlength="3" onKeyPress="check_num()"> - <input name="coph3" type="text" id="coph3" 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="coyr" type="text" id="coyr" size="3" onKeyPress="check_num()"> </font></strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">years <input name="comm" type="text" id="comm" 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="coradio" value="rent"> </font></strong><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Rent <input name="coradio" type="radio" value="own" checked> Own <input type="radio" name="coradio" 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="copstreet" 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="copcity" type="text" id="copcity" 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="copstate" type="text" id="copstate" 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="copzip" 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.cocstreet.value=="") { alert('Please Enter Street Address'); document.form1.cocstreet.focus(); return false; } if(document.form1.coccity.value=="") { alert('Please Enter City'); document.form1.coccity.focus(); return false; } if(document.form1.cocstate.value=="") { alert('Please Enter State'); document.form1.cocstate.focus(); return false; } if(document.form1.coczip.value=="") { alert('Please Enter ZIP Code'); document.form1.coczip.focus(); return false; } if((document.form1.coph1.value).length<3) { alert('Incorrect Phone number'); document.form1.coph1.focus(); return false; } if((document.form1.coph2.value).length<3) { alert('Incorrect Phone number'); document.form1.coph2.focus(); return false; } if((document.form1.coph3.value).length<4) { alert('Incorrect Phone number'); document.form1.coph3.focus(); return false; } if(document.form1.coyr.value=="") { alert('Please enter Year correctly'); document.form1.coyr.focus(); return false; } if(document.form1.comm.value=="") { alert('Please enter month correctly'); document.form1.comm.focus(); return false; } if(parseInt(document.form1.comm.value)>12) { alert('Please enter month correctly'); document.form1.comm.focus(); return false; } } function check_num() { if(event.keyCode<48 || event.keyCode>57) { event.keyCode=0; } } function back() { window.location='financial_application5.php'; } </script>