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File: creditcard_payment.php
<? $temptable=session_id(); $q_data="select * from `".$temptable."`"; $r_data=mysql_query($q_data); if(!$r_data) { echo mysql_error(); } ?> <link href="../css/style.css" rel="stylesheet" type="text/css"> <table width="100%" border="0" cellpadding="0" cellspacing="0" class="all-borders"> <tr> <td align="left" valign="top"><form name="form1" method="post" action="index.php?page=checkout_step2&&p_option=creditcard" onSubmit="return check_form()"> <table width="100%" border="0" cellspacing="0" cellpadding="2"> <tr align="left" valign="middle" class="create-catalog-header"> <td width="135" height="32">Product Image</td> <td width="115">Catagory</td> <td width="115">Product Name</td> <td width="80">Rate</td> <td width="60">Quantity</td> <td width="90">Price</td> <td> </td> </tr> <? $n=0; $total_price=0; while($row_data=mysql_fetch_array($r_data)) { if($n%2==0) { $bg="#EAFFEF"; } else { $bg="#EAF0FF"; } $q_catalog="select * from catalog where catalog_id=".$row_data['catalog_id']; $r_catalog=mysql_query($q_catalog); $row_catalog=mysql_fetch_array($r_catalog); $q_product="select * from product_details where product_id=".$row_data['product_id']; $r_product=mysql_query($q_product); $row_product=mysql_fetch_array($r_product); ?> <tr align="left" valign="middle"> <td height="25" bgcolor="<?=$bg?>" class="left-links"> <img src="<?=$row_product['product_main_image_path']?>" width="125" height="75"> </td> <td bgcolor="<?=$bg?>" class="left-links"> <?=$row_catalog['catalog_name']?> </td> <td bgcolor="<?=$bg?>" class="left-links"> <?=$row_product['product_name']?> </td> <td bgcolor="<?=$bg?>" class="left-links">$ <?=$row_data['rate']?> <input name="rate_<?=$row_data['temp_id']?>" type="hidden" id="rate_<?=$row_data['temp_id']?>" value="<?=$row_data['rate']?>"> </td> <td align="left" bgcolor="<?=$bg?>"> <?=$row_data['quantity']?> </td> <td align="left" bgcolor="<?=$bg?>" class="left-links">$ <?=$row_data['price']?> </td> <td align="center" bgcolor="<?=$bg?>"> </td> </tr> <? $n++; $total_price=$total_price+$row_data['price']; } ?> <tr align="left" valign="middle" bgcolor="#0099FF"> <td height="25" class="left-links"> </td> <td class="left-links"> </td> <td class="left-links"> </td> <td colspan="2" align="right" class="left-links"><font color="#FFFFFF">Total Price </font></td> <td align="left" class="left-links"><font color="#FFFFFF">$ <?=number_format($total_price,2)?> </font> </td> <td align="center" valign="top" > </td> </tr> <tr align="left" valign="middle"> <td height="25" class="left-links"> </td> <td class="left-links"> </td> <td class="left-links"> </td> <td colspan="2" align="right" class="left-links"> </td> <td align="left" class="left-links"> </td> <td align="center" valign="top" > </td> </tr> <tr align="center" valign="middle"> <td height="25" colspan="7" class="left-links"> <table width="500" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="32" align="left" valign="middle" class="create-catalog-header" style="padding-left:20px"><font color="#000033"> Billing Information</font></td> </tr> <tr> <td align="left" valign="top"><table width="100%" border="0" cellpadding="4" cellspacing="0" class="all-borders"> <tr align="left" valign="middle"> <td width="100" height="25"><font color="#000033">Name</font></td> <td height="25"><input name="bname" type="text" id="bname"> *</td> </tr> <tr align="left" valign="middle"> <td height="25" valign="top"><font color="#000033">Address</font></td> <td height="25"><textarea name="baddress" id="baddress"></textarea> *</td> </tr> <tr align="left" valign="middle"> <td height="25"><font color="#000033">Country</font></td> <td height="25"><select name="bcountry" size="1" id="bcountry"> <option value="Afghanistan">Afghanistan</option> <option value="Aland Islands">Åland Islands</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antarctica">Antarctica</option> <option value="Antigua and Barbuda">Antigua and Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Bouvet Island">Bouvet Island</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean territory">British Indian Ocean territory</option> <option value="Brunei Darussalam">Brunei Darussalam</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Congo, Democratic Republic">Congo, Democratic Republic</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Côte d'Ivoire (Ivory Coast)">Côte d'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)">Croatia (Hrvatska)</option> <option value="Cuba">Cuba</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="East Timor">East Timor</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands">Falkland Islands</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Territories">French Southern Territories</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guinea-Bissau">Guinea-Bissau</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Heard and McDonald Islands">Heard and McDonald Islands</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (north)">Korea (north)</option> <option value="Korea (south)">Korea (south)</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macao">Macao</option> <option value="Macedonia, Former Yugoslav Republic Of">Macedonia, Former Yugoslav Republic Of</option> <option value="Madagascar">Madagascar</option> <option value="Malawi">Malawi</option> <option value="Malaysia">Malaysia</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Micronesia">Micronesia</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palau">Palau</option> <option value="Palestinian Territories">Palestinian Territories</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Qatar">Qatar</option> <option value="Réunion">Réunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="Saint Helena">Saint Helena</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option> <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Serbia and Montenegro">Serbia and Montenegro</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovakia">Slovakia</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States of America" selected>United States of America</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City">Vatican City</option> <option value="Venezuela">Venezuela</option> <option value="Vietnam">Vietnam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Virgin Islands (US)">Virgin Islands (US)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> *</td> </tr> <tr align="left" valign="middle"> <td height="25"><font color="#000033">State</font></td> <td height="25"><select id="States" name="bus_state" size="1"> <option selected>Select a State</option> <option value="Alaska">Alaska</option> <option value="Alabama">Alabama</option> <option value="Arkansas">Arkansas</option> <option value="Arizona">Arizona</option> <option value="California">California</option> <option value="Colorado">Colorado</option> <option value="Connecticut">Connecticut</option> <option value="Washington D.C.">Washington D.C.</option> <option value="Delaware">Delaware</option> <option value="Florida">Florida</option> <option value="Georgia">Georgia</option> <option value="Hawaii">Hawaii</option> <option value="Iowa">Iowa</option> <option value="Idaho">Idaho</option> <option value="Illinois">Illinois</option> <option value="Indiana">Indiana</option> <option value="Kansas">Kansas</option> <option value="Kentucky">Kentucky</option> <option value="Louisiana">Louisiana</option> <option value="Massachusetts">Massachusetts</option> <option value="Maryland">Maryland</option> <option value="Maine">Maine</option> <option value="Michigan">Michigan</option> <option value="Minnesota">Minnesota</option> <option value="Missourri">Missourri</option> <option value="Mississippi">Mississippi</option> <option value="Montana">Montana</option> <option value="North Carolina">North Carolina</option> <option value="North Dakota">North Dakota</option> <option value="Nebraska">Nebraska</option> <option value="New Hampshire">New Hampshire</option> <option value="New Jersey">New Jersey</option> <option value="New Mexico">New Mexico</option> <option value="Nevada">Nevada</option> <option value="New York">New York</option> <option value="Ohio">Ohio</option> <option value="Oklahoma">Oklahoma</option> <option value="Oregon">Oregon</option> <option value="Pennsylvania">Pennsylvania</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Rhode Island">Rhode Island</option> <option value="South Carolina">South Carolina</option> <option value="South Dakota">South Dakota</option> <option value="Tennessee">Tennessee</option> <option value="Texas">Texas</option> <option value="Utah">Utah</option> <option value="Virginia">Virginia</option> <option value="Vermont">Vermont</option> <option value="Washington">Washington</option> <option value="Wisconsin">Wisconsin</option> <option value="West Virginia">West Virginia</option> <option value="Wyoming">Wyoming</option> </select> <font color="#FF0000" size="1">(For US)</font></td> </tr> <tr align="left" valign="middle"> <td height="25"> </td> <td height="25"><input name="bstate" type="text" id="bstate"> <font color="#FF0000"> <font size="1">(For non-US)</font></font></td> </tr> <tr align="left" valign="middle"> <td height="25"><font color="#000033">Contact No.</font></td> <td height="25"><input name="bcontact" type="text" id="bcontact"> *</td> </tr> <tr align="left" valign="middle"> <td height="25"><font color="#000033">Email</font></td> <td height="25"><input name="bemail" type="text" id="bemail"> *</td> </tr> </table></td> </tr> <tr> <td align="left" valign="top"> </td> </tr> <tr> <td height="32" align="left" valign="middle" class="create-catalog-header" style="padding-left:20px"><font color="#000033">Delivery Information</font> </td> </tr> <tr> <td align="left" valign="top"><table width="100%" border="0" cellpadding="4" cellspacing="0" class="all-borders"> <tr align="left" valign="middle"> <td width="100" height="25"><font color="#000033">Name</font></td> <td height="25"><input name="dname" type="text" id="dname"> *</td> </tr> <tr align="left" valign="middle"> <td height="25" valign="top"><font color="#000033">Address</font></td> <td height="25"><textarea name="daddress" id="daddress"></textarea> *</td> </tr> <tr align="left" valign="middle"> <td height="25"><font color="#000033">Country</font></td> <td height="25"><select name="dcountry" size="1" id="dcountry"> <option value="Afghanistan">Afghanistan</option> <option value="Aland Islands">Åland Islands</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antarctica">Antarctica</option> <option value="Antigua and Barbuda">Antigua and Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Bouvet Island">Bouvet Island</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean territory">British Indian Ocean territory</option> <option value="Brunei Darussalam">Brunei Darussalam</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Congo, Democratic Republic">Congo, Democratic Republic</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Côte d'Ivoire (Ivory Coast)">Côte d'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)">Croatia (Hrvatska)</option> <option value="Cuba">Cuba</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="East Timor">East Timor</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands">Falkland Islands</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Territories">French Southern Territories</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guinea-Bissau">Guinea-Bissau</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Heard and McDonald Islands">Heard and McDonald Islands</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (north)">Korea (north)</option> <option value="Korea (south)">Korea (south)</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macao">Macao</option> <option value="Macedonia, Former Yugoslav Republic Of">Macedonia, Former Yugoslav Republic Of</option> <option value="Madagascar">Madagascar</option> <option value="Malawi">Malawi</option> <option value="Malaysia">Malaysia</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Micronesia">Micronesia</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palau">Palau</option> <option value="Palestinian Territories">Palestinian Territories</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Qatar">Qatar</option> <option value="Réunion">Réunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="Saint Helena">Saint Helena</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option> <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Serbia and Montenegro">Serbia and Montenegro</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovakia">Slovakia</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States of America" selected>United States of America</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City">Vatican City</option> <option value="Venezuela">Venezuela</option> <option value="Vietnam">Vietnam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Virgin Islands (US)">Virgin Islands (US)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> *</td> </tr> <tr align="left" valign="middle"> <td height="25"><font color="#000033">State</font></td> <td height="25"><select id="dus_state" name="dus_state" size="1"> <option selected>Select a State</option> <option value="Alaska">Alaska</option> <option value="Alabama">Alabama</option> <option value="Arkansas">Arkansas</option> <option value="Arizona">Arizona</option> <option value="California">California</option> <option value="Colorado">Colorado</option> <option value="Connecticut">Connecticut</option> <option value="Washington D.C.">Washington D.C.</option> <option value="Delaware">Delaware</option> <option value="Florida">Florida</option> <option value="Georgia">Georgia</option> <option value="Hawaii">Hawaii</option> <option value="Iowa">Iowa</option> <option value="Idaho">Idaho</option> <option value="Illinois">Illinois</option> <option value="Indiana">Indiana</option> <option value="Kansas">Kansas</option> <option value="Kentucky">Kentucky</option> <option value="Louisiana">Louisiana</option> <option value="Massachusetts">Massachusetts</option> <option value="Maryland">Maryland</option> <option value="Maine">Maine</option> <option value="Michigan">Michigan</option> <option value="Minnesota">Minnesota</option> <option value="Missourri">Missourri</option> <option value="Mississippi">Mississippi</option> <option value="Montana">Montana</option> <option value="North Carolina">North Carolina</option> <option value="North Dakota">North Dakota</option> <option value="Nebraska">Nebraska</option> <option value="New Hampshire">New Hampshire</option> <option value="New Jersey">New Jersey</option> <option value="New Mexico">New Mexico</option> <option value="Nevada">Nevada</option> <option value="New York">New York</option> <option value="Ohio">Ohio</option> <option value="Oklahoma">Oklahoma</option> <option value="Oregon">Oregon</option> <option value="Pennsylvania">Pennsylvania</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Rhode Island">Rhode Island</option> <option value="South Carolina">South Carolina</option> <option value="South Dakota">South Dakota</option> <option value="Tennessee">Tennessee</option> <option value="Texas">Texas</option> <option value="Utah">Utah</option> <option value="Virginia">Virginia</option> <option value="Vermont">Vermont</option> <option value="Washington">Washington</option> <option value="Wisconsin">Wisconsin</option> <option value="West Virginia">West Virginia</option> <option value="Wyoming">Wyoming</option> </select> <font color="#FF0000" size="1">(For US)</font></td> </tr> <tr align="left" valign="middle"> <td height="25"> </td> <td height="25"><input name="dstate" type="text" id="dstate"> <font color="#FF0000"> <font size="1">(For non-US)</font></font></td> </tr> <tr align="left" valign="middle"> <td height="25"><font color="#000033">Zip code</font></td> <td height="25"><input name="dzip" type="text" id="dzip"> *</td> </tr> <tr align="left" valign="middle"> <td height="25"><font color="#000033">Contact No.</font></td> <td height="25"><input name="dcontact" type="text" id="dcontact"> *</td> </tr> </table></td> </tr> <tr> <td align="left" valign="top"> </td> </tr> <tr> <td height="32" align="left" valign="middle" class="create-catalog-header" style="padding-left:20px"><font color="#000033">Any Special Notes</font></td> </tr> <tr> <td align="left" valign="top"><table width="100%" border="0" cellpadding="4" cellspacing="0" class="all-borders"> <tr align="left" valign="middle"> <td width="100" height="25" valign="top"><font color="#000033">Special Note </font></td> <td height="25"><textarea name="special_note" cols="40" rows="5" id="textarea2"></textarea></td> </tr> <tr align="left" valign="middle"> <td height="25" valign="top"> </td> <td height="25"> </td> </tr> <tr> <td height="32" colspan="2" align="left" valign="middle" class="create-catalog-header" style="padding-left:20px"><font color="#000033">Credit Card Information</font></td> </tr> <tr align="left" valign="middle"> <td height="25" valign="top"><font color="#000033">Card Type</font></td> <td height="25"><select name="card_type" id="card_type"> <option value="mcd" selected>Master</option> <option value="vis">Visa</option> <option value="amx">American Express</option> <option value="dsc">Discover</option> <option value="dnc">Diners Club</option> <option value="jcb">JCB</option> <option value="swi">Switch</option> <option value="dlt">Delta</option> <option value="enr">EnRoute</option> </select></td> </tr> <tr align="left" valign="middle"> <td height="25" valign="top"><font color="#000033">Card No:</font></td> <td height="25"><input name="card_number" type="text" id="card_number" size="30"> <br> <font color="#FF0000" size="1" face="Verdana, Arial, Helvetica, sans-serif">(e.z. : xxxx xxxx xxxx xxxx) Please Maintain This Format</font></td> </tr> <tr align="left" valign="middle"> <td height="25" valign="top"><font color="#000033">Validate Upto</font></td> <td height="25"><select name="month" id="month"> <option value="01" selected>January</option> <option value="02">February</option> <option value="03">March</option> <option value="04">April</option> <option value="05">May</option> <option value="06">June</option> <option value="07">July</option> <option value="08">August</option> <option value="09">September</option> <option value="10">October</option> <option value="11">November</option> <option value="12">December</option> </select> <select name="year" id="year"> <option value="08">2008</option> <option value="09" selected>2009</option> <option value="10">2010</option> <option value="11">2011</option> <option value="12">2012</option> <option value="13">2013</option> <option value="14">2014</option> <option value="15">2015</option> <option value="16">2016</option> <option value="17">1017</option> <option value="18">2018</option> <option value="19">2019</option> <option value="20">2020</option> <option value="21">2021</option> <option value="22">2022</option> <option value="23">2023</option> <option value="24">2024</option> <option value="25">2025</option> </select> </td> </tr> <tr align="left" valign="middle"> <td height="25" valign="top"> </td> <td height="25"> </td> </tr> </table></td> </tr> <tr> <td height="50" align="right" valign="bottom"> <input name="imageField" type="image" src="images/confirm_pay.jpg" width="150" height="30" border="0"></td> </tr> </table> </td> </tr> <tr align="left" valign="middle"> <td height="25" class="left-links"> </td> <td class="left-links"> </td> <td class="left-links"> </td> <td colspan="2" align="right" class="left-links"> </td> <td align="left" class="left-links"> </td> <td align="center" valign="top" > </td> </tr> </table> </form></td> </tr> </table> <script language="JavaScript" type="text/javascript"> function check_form() { //Checking Billing Information if(document.form1.bname.value=="") { alert('Please Enter Billing Name'); document.form1.bname.focus(); return false; } if(document.form1.baddress.value=="") { alert('Please Enter Billing Address'); document.form1.baddress.focus(); return false; } var bcountry=document.form1.bcountry.options[document.form1.bcountry.selectedIndex].text; if(bcountry=="United States of America") { if(document.form1.bus_state.options[document.form1.bus_state.selectedIndex].text=="Select a State") { alert('Please Select Billing State'); return false; } } else if(document.form1.bstate.value=="") { alert('Please Enter Your State'); document.form1.bstate.focus(); return false; } if(document.form1.bcontact.value=="") { alert('Please Enter Billing Contact'); document.form1.bcontact.focus(); return false; } if(document.form1.bemail.value=="") { alert('Please Enter Billing Email'); document.form1.bemail.focus(); return false; } else { var AtPos = document.form1.bemail.value.indexOf("@"); var StopPos = document.form1.bemail.value.lastIndexOf("."); if (AtPos == -1 || StopPos == -1) { alert('Not a valid email address'); document.form1.bemail.focus(); return false; } } //Checking Delivery Information if(document.form1.dname.value=="") { alert('Please Enter Shipping Name'); document.form1.dname.focus(); return false; } if(document.form1.daddress.value=="") { alert('Please Enter Shipping Address'); document.form1.daddress.focus(); return false; } var dcountry=document.form1.dcountry.options[document.form1.dcountry.selectedIndex].text; if(dcountry=="United States of America") { if(document.form1.dus_state.options[document.form1.dus_state.selectedIndex].text=="Select a State") { alert('Please Select Shipping State'); return false; } } else if(document.form1.dstate.value=="") { alert('Please Enter Your Shipping State'); document.form1.dstate.focus(); return false; } if(document.form1.dzip.value=="") { alert('Please Enter Shipping ZIP'); document.form1.dzip.focus(); return false; } if(document.form1.dcontact.value=="") { alert('Please Enter Shipping Contact'); document.form1.dcontact.focus(); return false; } } </script>