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  1. Hello, I'm working on a website for a friend and can't seem to figure this out but it shows email progress right on the page without even sending a email just going to website! I was wondering if someone can help me fix also diagnose why no emails are sending! Thank you Here is the PHP file: called "form-to-email" <?php/*Configuration You are to edit these configuration values. Not all of them need to be edited.However, the first few obviously need to be edited.EMAIL_RECIPIENTS - your email address where you want to get the form submission.*/$email_recipients = "support@nueroedge.com";//<<=== enter your email address here//$email_recipients = "mymanager@gmail.com,his.manager@yahoo.com"; <<=== more than one recipients like this$visitors_email_field = 'email';//The name of the field where your user enters their email address //This is handy when you want to reply to your users via email //The script will set the reply-to header of the email to this email //Leave blank if there is no email field in your form$email_subject = "New Form submission";$enable_auto_response = true;//Make this false if you donot want auto-response.//Update the following auto-response to the user$auto_response_subj = "Thanks for contacting us";$auto_response ="HiThanks for contacting us. We will get back to you soon!RegardsNueroEdge";/*optional settings. better leave it as is for the first time*/$email_from = ''; /*From address for the emails*/$thank_you_url = 'thank-you.html';/*URL to redirect to, after successful form submission*//*This is the PHP back-end script that processes the form submission.It first validates the input and then emails the form submission.The variable $_POST contains the form submission data.*/if(!isset($_POST['submit'])){ // note that our submit button's name is 'submit' // We are checking whether submit button is pressed // This page should not be accessed directly. Need to submit the form. echo "error; you need to submit the form!".print_r($_POST,true); exit;}require_once "includes/formvalidator.php";//Setup Validations$validator = new FormValidator();$validator->addValidation("fullname","req","Please fill in Name");$validator->addValidation("email","req","Please fill in Email");//Now, validate the formif(false == $validator->ValidateForm()){ echo "<B>Validation Errors:</B>"; $error_hash = $validator->GetErrors(); foreach($error_hash as $inpname => $inp_err) { echo "<p>$inpname : $inp_err</p>n"; } exit;}$visitor_email='';if(!empty($visitors_email_field)){ $visitor_email = $_POST[$visitors_email_field];}if(empty($email_from)){ $host = $_SERVER['SERVER_NAME']; $email_from ="forms@$host";}$fieldtable = '';foreach ($_POST as $field => $value){ if($field == 'submit') { continue; } if(is_array($value)) { $value = implode(", ", $value); } $fieldtable .= "$field: $valuen";}$extra_info = "User's IP Address: ".$_SERVER['REMOTE_ADDR']."n";$email_body = "You have received a new form submission. Details below:n$fieldtablen $extra_info"; $headers = "From: $email_from rn";$headers .= "Reply-To: $visitor_email rn";//Send the email!@mail(/*to*/$email_recipients, $email_subject, $email_body,$headers);//Now send an auto-response to the user who submitted the formif($enable_auto_response == true && !empty($visitor_email)){ $headers = "From: $email_from rn"; @mail(/*to*/$visitor_email, $auto_response_subj, $auto_response,$headers);}//done. if (isset($_SERVER['HTTP_X_REQUESTED_WITH']) AND strtolower($_SERVER['HTTP_X_REQUESTED_WITH']) === 'xmlhttprequest') { //This is an ajax form. So we return success as a signal of succesful processing echo "success";}else{ //This is not an ajax form. we redirect the user to a Thank you page header('Location: '.$thank_you_url);}?> Here is the HTML: This would be the "contactus.html" <!DOCTYPE HTML><!-- Solarize by TEMPLATED templated.co @templatedco Released for free under the Creative Commons Attribution 3.0 license (templated.co/license)--><html> <head> <title>NueroEdge | Contact Us!</title> <meta http-equiv="content-type" content="text/html; charset=utf-8" /> <meta name="description" content="" /> <meta name="keywords" content="" /> <!--[if lte IE 8]><script src="css/ie/html5shiv.js"></script><![endif]--> <script src="js/jquery.min.js"></script> <script src="js/jquery.dropotron.min.js"></script> <script src="js/skel.min.js"></script> <script src="js/skel-layers.min.js"></script> <script src="js/init.js"></script> <!-- JavaScript Files --> <script type="text/javascript" src="http://code.jquery.com/jquery-1.11.0.min.js"></script> <script type="text/javascript" src="js/jquery.validate.min.js"></script> <script type="text/javascript" src="js/additional-methods.min.js"></script> <script type="text/javascript" src="js/main.js"></script> <!-- End JavaScript Files --> <noscript> <link rel="stylesheet" href="css/skel.css" /> <link rel="stylesheet" href="css/style.css" /> </noscript> <!--[if lte IE 8]><link rel="stylesheet" href="css/ie/v8.css" /><![endif]--> </head> <body> <!-- Header Wrapper --> <div class="wrapper style1"> <!-- Header --> <div id="header"> <div class="container"> <!-- Logo --> <h1><a href="#" id="logo">NueroEdge</a></h1> <!-- Nav --> <nav id="nav"> <ul> <li class="active"> <a href="index.html">Home</a> <ul> <li><a href="aboutus.html">About Us</a></li> <li><a href="contactus.html">Contact Us</a></li> </li> </ul> <li><a href="left-sidebar.html">Application</a></li> <li><a href="right-sidebar.html">Leader board</a></li> <li> <a href="">Team List</a> <ul> <li><a href="no-sidebar.html">Ryan Tarson</a></li> <li><a href="no-sidebar.html">Kavin I.</a></li> </li> </ul> <li> <a href="">More...</a> <ul> <li><a href="#">Lorem ipsum dolor</a></li> <li><a href="#">Magna phasellus</a></li> <li><a href="#">Etiam dolore nisl</a></li> <li> <a href="">Phasellus consequat</a> <ul> <li><a href="#">Lorem ipsum dolor</a></li> <li><a href="#">Phasellus consequat</a></li> <li><a href="#">Magna phasellus</a></li> <li><a href="#">Etiam dolore nisl</a></li> <li><a href="#">Veroeros feugiat</a></li> </ul> </li> <li><a href="#">Veroeros feugiat</a></li> </ul> </li> </nav> </div> </div> </div> <!-- Main --> <!-- Content --> <div id="main" class="wrapper style4"> <div id="content" class="container"> <section> <header class="major"> <h2>Contact Us</h2> <span class="byline">Want to get in touch?</span> </header> <p>Welcome to the Contact us page please drop us a line with any questions you may have! This message will be reviewed and wrote back to within 24hr! Please do not send rude messages or irrelevant messages! Thank you! </p> <p>Do not use this system to reply to us! We will message back to you, if you need to reply to our message just use the open ticket and reply to our email! Thanks!</p> <div class="contact-form"> <h1>Contact Us</h1> <form id="contact-form" method="POST" action="form-to-email.php"> <div class="control-group"> <label>Your Name</label> <input class="fullname" type="text" name="fullname" /> </div> <div class="control-group"> <label>Email</label> <input class="email" type="text" name="email" /> </div> <div class="control-group"> <label>Phone (optional)</label> <input class="phone" type="text" name="phone" /> </div> <div class="control-group"> <label>Message</label> <textarea class="message" name="message"></textarea> </div> <div id="errors"></div> <div class="control-group no-margin"> <br> <input type="submit" name="submit" value="Submit" id="submit" /> </div> </form> <div id='msg_submitting'><h2>Submitting ...</h2></div> <div id='msg_submitted'><h2>Thank you !<br> The form was submitted Successfully.</h2></div> </div> </div> </div> </section> </div> <div class="wrapper style2"> <section class="container"> <div class="row double"> <div class="6u"> <header class="major"> <div class="boxA"> <br> <h2>NueroEdge YouTube <img src="images/youtubeicon.png" alt="YouTube" style="width:50px;height:35px"></h2> <span class="byline">We here at NueroEdge are a Friendly Competitive team. We have are great YouTube channel we will try our best to keep up with our weekly uploads! Click the button below!</span> <br> <a href="#" class="button">NueroEdge YT</a> </header> </div> <div class="6u"> <h3>Twitch Streaming <img src="images/twitch.png" alt="Twitch TV" style="width:50px;height:50px"></h3> <font size="5"><p>Here at NueroEdge we have our own Twitch Streaming Team! Want to watch or check out what we do? Go ahead and click the button down below!</p></font> <a href="#" class="button">Twitch Streaming</a> </div> </div> </section> </div> </div> <!-- Team --> <div class="wrapper style5"> <section id="team" class="container"> <header class="major"> <h2>Key Members/Co-Founder</h2> <span class="byline">These are the people who make it Happen! Click the Picture for twitter</span> </header> <div class="row"> <div class="3u"> <a href="#" class="image"><img src="images/ryantarson.png" alt="" style="width:162px;height:162px"></a> <h3>Ryan Tarson</h3> <p>Ryan is a Contributor, Website Developer, Social Media Admin, Account Managers, Hosting, Financial Advisor, PC Gamer/PC streamer</p> </div> <div class="3u"> <a href="#" class="image"><img src="images/kavini.png" alt="" style="width:162px;height:162px"></a> <h3>Kavin I.</h3> <p>Kavin is a Contributor, GFX Artist, Streamer, Competitive Gamer, Social Media Modarator, Account Manager</p> </div> <div class="3u"> <a href="#" class="image"><img src="images/placeholder.png" alt="" style="width:162px;height:162px"></a> <h3>Help Wanted</h3> <p>Another Develper Needed</p> </div> <div class="3u"> <a href="#" class="image"><img src="images/placeholder.png" alt="" style="width:162px;height:162px"></a> <h3>Help Wanted</h3> <p>Streamer/Competitive Player. Trust worthy</p> </div> </div> </section> </div> <!-- Footer --> <div id="footer"> <section class="container"> <header class="major"> <h2>Connect with us</h2> <span class="byline">Want to stay up to date? Follow our Social Media Networks.</span> </header> <ul class="icons"> <li class="active"><a href="https://www.facebook.com/pages/NueroEdge/1560679180842070" class="fa fa-facebook"><span>Facebook</span></a></li> <li><a href="https://twitter.com/NueroEdge" class="fa fa-twitter"><span>Twitter</span></a></li> <li><a href="#" class="fa fa-youtube-play"><span>YouTube</span></a></li> <li><a href="https://plus.google.com/111096761474269802283/about" class="fa fa-google-plus"><span>Google+</span></a></li> <li><a href="#" class="fa fa-envelope"><span>Mail></a></li> </ul> <hr /> </section> <!-- Copyright --> <div id="copyright"> ©2014 <a href="http://nueroedge.com">NueroEdge</a> All Rights Reserved | <a href="http://nueroedge.com">Contact Us |</a> <a href="http://nueroedge.com/cc0">Team Members </a> </div> </div></body></html>
  2. elcaiaimar

    CSS in form

    Hello everybody! I' ve several forms in my website but they don't show as I want. I'm using Django (python) and my form is the next: <form name="form2" action="/edicioncuenca/" method="POST"> {% csrf_token %} {{form.as_p}} <input type="submit" name="formsewer" value="Add sewer"> </input> </form> The result is a vertical form (with much space on the right side). I want to get a form in horizontal position. I mean, I would like to have a form occupying all the space. Is this possible with css? How could I do this? Thank you very much!
  3. Hi guys, I use a very big form and my variables will be saved in a session. In most cases I´m fine with PHP. Until now I just use JS to hide and show some options. My idea is to give the user a selection (somewhere in my form). As soon as the user clicks on one of the selection options, the value of the variable shall appear as text below the selection options (not just in the selection options). 1. Idea - import the php-variables in my JS and work with it <script type="text/javascript">var test ="<?php echo $test ?>";</script> --> didnt work. I could work with the variable, but I dont get a "fresh" variable from the session, because I would have to push the form button first. 2. Idea - create a JS variable in the selection options <selection id="test"><option value=test1">Test1</option><option value=test2">Test2</option>...</selection> --> didnt work. Do you have any ideas what I should look for or what I have to do? Thanks and cheers, Chrex
  4. pls help me to create php for this html form......code is below <div class="contact-info"> <div class="contact-info-left"> <h3>Feel free to contact us. Just fill the below form.</h3> <form method="post" action="send_form_email.php"> <span> <input type="text" class="name-textbox" value="Name" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Name';}"> <input type="text" class="telephone-textbox" value="Telephone" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Telephone';}"> <div class="clear"></div> </span> <input type="text" class="textbox" value="Email" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Email';}"> <span> <textarea value="Message:" class="message-textbox" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Message';}">Message</textarea> <input type="submit" value="Go" class="contact-btn"> <div class="clear"></div> </span> </form>
  5. Good morning Would someone be able to guide me with some coding tips? I'm trying to post some current page info into a form on the next page. Either pass the page url, the page title, or the H3 tags through the "Enquire" & "Book now" buttons from the below php file. The fields on the form will then be hidden from view but passed through the submit button. I need help passing the info in this code below: <!--<div class="fright">--> <p class="packagebuttons"> <a class="button print" href="#" onclick="window.print();">Print</a> <!-- <a class="button thickbox" href="#TB_inline?height=500&width=700&inlineId=modalEnquire_<?php echo $node->nid; ?>&modal=true">Enquire</a> <a class="button thickbox book" href="#TB_inline?height=500&width=700&inlineId=modalEnquire_<?php echo $node->nid; ?>_book&modal=true">Book</a> --> <a class="button" href="#goto_form">Enquire</a> <a class="button book" href="#goto_form">Book</a> </p> <?php ukgirl_modal_enquire($node,'package'); ?> <?php ukgirl_modal_enquire($node,'package','book'); ?> <!--</div>--> <div class="clear"></div> Many thanks for anyones help this close to Christmas!
  6. Hello, I created an order form on my website that takes the user's inputs, send confirmation emails to them and myself (order@), and then inserts the order into a mySQL database. The emails used to work, but now, for some reason, they never get sent. The email address it is supposed to be sending it to works and I have validated that nothing is getting blocked in SPAM, etc. The code for the email portion is below. I have tried debugging myself, but I get no errors on the mail() portion of the code. Any help that could be offered would be greatly appreciated. Thank you. if(isset($_POST['email'])) { // EDIT THE 2 LINES BELOW AS REQUIRED $email_to = "order@idrinktoremember.com"; $email_subject = "We've Got an Order!"; function died($error) { // your error code can go here echo "We are very sorry, but there were error(s) found with the form you submitted. "; echo "These errors appear below.<br /><br />"; echo $error."<br /><br />"; echo "Please go back and fix these errors.<br /><br />"; die(); } // validation expected data exists if(!isset($_POST['first_name']) || !isset($_POST['last_name']) || !isset($_POST['email']) || !isset($_POST['telephone']) || !isset($_POST['address']) || !isset($_POST['city']) || !isset($_POST['state']) || !isset($_POST['zip']) || !isset($_POST['opener']) || !isset($_POST['stain']) || !isset($_POST['memory']) || !isset($_POST['catcher'])) { died('We are sorry, but please ensure you filled in all required items. Click back to check.'); } $first_name = $_POST['first_name']; // required $last_name = $_POST['last_name']; // required $email_from = $_POST['email']; // required $telephone = $_POST['telephone']; // required $address = $_POST['address']; // required $city = $_POST['city']; // required $state = $_POST['state']; // required $zip = $_POST['zip']; // required $opener = $_POST['opener']; // required $stain = $_POST['stain']; // required $memory = $_POST['memory']; // required $catcher = $_POST['catcher']; // required $comments = $_POST['comments']; // not required $error_message = ""; $email_exp = '/^[A-Za-z0-9._%-]+@[A-Za-z0-9.-]+.[A-Za-z]{2,4}$/'; if(!preg_match($email_exp,$email_from)) { $error_message .= 'The Email Address you entered does not appear to be valid.<br />'; } $string_exp = "/^[A-Za-z .'-]+$/"; if(!preg_match($string_exp,$first_name)) { $error_message .= 'The First Name you entered does not appear to be valid.<br />'; } if(!preg_match($string_exp,$last_name)) { $error_message .= 'The Last Name you entered does not appear to be valid.<br />'; } if(strlen($error_message) > 0) { died($error_message); } $email_message = "Order details below.nn"; function clean_string($string) { $bad = array("content-type","bcc:","to:","cc:","href"); return str_replace($bad,"",$string); } $email_message .= "First Name: ".clean_string($first_name)."n"; $email_message .= "Last Name: ".clean_string($last_name)."n"; $email_message .= "Email: ".clean_string($email_from)."n"; $email_message .= "Telephone: ".clean_string($telephone)."n";$email_message .= "Address: ".clean_string($address)."n";$email_message .= "City: ".clean_string($city)."n";$email_message .= "State: ".clean_string($state)."n";$email_message .= "Zip Code: ".clean_string($zip)."n";$email_message .= "Opener: ".clean_string($opener)."n";$email_message .= "Stain Selected: ".clean_string($stain)."n";$email_message .= "Memory Requested: ".clean_string($memory)."n";$email_message .= "Catcher Requested: ".clean_string($catcher)."n";$email_message .= "Comments: ".clean_string($comments)."n"; //create email headers $email_us = "order@idrinktoremember.com";$headers = "From: $email_us rn";$headers .= "Reply-To: $email_us rn";$headers .= "Return-Path: $email_usrn";$headers .= "X-Mailer: PHP rn";if(mail($email_to, $email_subject, $email_message, $headers)){ echo '';}else{ echo 'Error';}//send order confirmation email$email_subject_confirmation = "Congratulations, your order has been submitted!";$email_message_confirmation .= "The details of your order are below. Please review.nn";$email_message_confirmation .= "First Name: ".clean_string($first_name)."n"; $email_message_confirmation .= "Last Name: ".clean_string($last_name)."n"; $email_message_confirmation .= "Email: ".clean_string($email_from)."n"; $email_message_confirmation .= "Telephone: ".clean_string($telephone)."n";$email_message_confirmation .= "Address: ".clean_string($address)."n";$email_message_confirmation .= "City: ".clean_string($city)."n";$email_message_confirmation .= "State: ".clean_string($state)."n";$email_message_confirmation .= "Zip Code: ".clean_string($zip)."n";$email_message_confirmation .= "Opener Selected: ".clean_string($opener)."n";$email_message_confirmation .= "Stain Selected: ".clean_string($stain)."n";$email_message_confirmation .= "Memory Requested: ".clean_string($memory)."n";$email_message_confirmation .= "Catcher Requested: ".clean_string($catcher)."n";$email_message_confirmation .= "Comments: ".clean_string($comments)."n";$email_message_confirmation .= "nnWe will be contacting you shortly with a prototype of your design!n";$email_message_confirmation .= "nThe MemoraBEERLia Team";$headers = "From: $email_us rn";$headers .= "Reply-To: $email_us rn";$headers .= "Return-Path: $email_usrn";$headers .= "X-Mailer: PHP rn";if(mail($email_from, $email_subject_confirmation, $email_message_confirmation, $headers)){ echo '';}else{ echo 'Error';}
  7. Hi all, I have a form that works fine inn all browsers except IE. The form needs to submit on enter and use ajax to handle the fom data, Here is the relevant code. Is there anything here I can do do make it work as is with IE. What makes IE not submit with Enter and how do I get around it. Thanks <div class="element"> <b>Address</b>: <form id="addressPForm"> <input type="text" id="addressForm" value="<?php echo $address; ?>"/> <input type="text" class="uidAddress" value="<?php echo $uid; ?>" style="display:none"/> <input type="submit" id="buttonXaddress"/> </form></div> $(function() { $("#buttonXaddress").click(function(e) { e.preventDefault(); var newName = $('input#addressForm').val(); var type = "address"; if(newName != '') { var id = $('input.uidAddress').val(); $.ajax({ type: "POST", url: "changeName.php", data: {newName: newName, id: id, type: type}, success: function(result){ document.getElementById("addressP").innerHTML = result; document.getElementById("addressP").style.display="inline"; document.getElementById("addressPForm").style.display="none"; } }); } });});
  8. Hi, friends, this is my first time here (sorry for my english). I have rpoblem in my code and I've tryed hard to solve it unsucessfully! I hope someone can help me...The problem: The form runs almost perfectly, except for the javascript function "mostrarCampo()". It should show an "imput field" each time I check the checkbox beside it. It happens that it shows only the first input. Here is the code: [background='light grey']//-----------------function Javasscript (in a file .js)------------------//function mostrarCampo(){ var nameForm = document.forms[0].name; switch (nameForm) { case "f_Ins_Suprimento": document.f_Ins_Suprimento.sClaNome.style.visibility="visible"; document.f_Ins_Suprimento.tfSupNome.style.visibility="visible"; document.f_Ins_Suprimento.tfSupEstoque.style.visibility="visible"; break; . . . case "f_Solicitacao_2": est = document.getElementsByName("tfEst[]"); for(var i = 0; i<est.length; i++){ document.f_Solicitacao_2.tfEst[i].style.visibility="visible"; } break; default: break; }}[/background] [background='light grey']//------------------THE FORM--------------------------------------------------//<!-- FORMULARIO DINÂMICO COM TRECHOS EM PHP QUE TRAZEM DADOS PARA SEREM MANIPULADOS --><form name="f_Solicitacao_2" action="index.php" method="post"><div align="center"><table id="tabRel"> <tr> <th colspan="4">SOLICITAÇÃO DE ALOCAÇÃO DE RECURSOS</th> </tr> <tr><td colspan='2'>Equipamentos</td><td>Estoque</td><td></td></tr><?php/*RESCUING A VRIABLE */ $proId = $_REQUEST['id'];/* CAPTURANDO E TRATANDO UMA EXCEPTION*/ try {/*GETTING DATA*/$lista = Equipamento::listarEquipamento();/*FOR EACH DATA IN ARRAY LIST, GET...*/foreach($lista as $value){$equ_Id = $value['equ_Id'];$equ_Nome = $value['equ_Nome'];$equ_Est = $value['equ_Estoque'];/*WRITTING IN SCREEN A TABLE WITH FOLLOWING ROWS* IN THE FIRST ROW, THE FUNCTION 'mostrarCampo() RUNS WHEN* THE CHECKBOX IS CHECKED AND SHOULD TURN "VISIBLE" THE "INPUT"* ON NEXT ROW */echo " <tr><td colspan='2'><input type='checkbox' id='chEquName' name='chEquName[]' onclick='mostrarCampo();' value="".$equ_Id."" />".$equ_Nome."</td> <td>Estoque :<input name='tfEst[]' id='tfEst[]' type='text' size='4' style='visibility:hidden;' value="".$equ_Est."" /></td> <td><input type='hidden' name='hProId' value="".$proId."" /></td></tr>";}/* CASO A EXCEÇÃO TENHA SIDO CAPTURADA, EXEBE MENSAGEM*/} catch (N_ListaVazia $exc) {echo $exc->getMessage();}?></table> <input type='hidden' name='hLabel' value='tela_Solicitacao_2' /> <p align="center"><input type="submit" name="bSubmit" value="confirmar"/></p><p align="center"><a href="?acao=tela_Servicos">VOLTAR</a></p><p align="center"><a href="?acao=logout">SAIR</a></p></div></form>[/background]
  9. Hi, I'm new to HTML and was wondering if anyone can point me in the right direction I have a wix site and have created my own form a HTML widget The form works OK and uses Google docs to record the information and mail back to me the contents I am trying to get the form when the submit button is pressed to continue to do as before but then to open another page on my wix site The snippet of code below works OK when run in Chrome including the re-direct but fail to re-direct when in my wix widget. Any help greatly appreciated </head> <body dir="ltr" class="ss-base-body"><meta itemprop="name" content="Contact form"> <script type="text/javascript">var submitted=false;</script> <iframe name="hidden_iframe" id="hidden_iframe" style="display:none;" onload="if(submitted) {window.location='http://google.co.uk';}"></iframe> <form action="https://docs.google.com/forms/d/1wBXOs4pWPLF9BKKZslPS4-VEQIaYDkaZNYLZTpZKKIg/formResponse" method="post" target="hidden_iframe" onsubmit="submitted=true;">
  10. Let's try this again... I'm using 2 radio buttons and a drop down. what I want is to send the user to one of 6 urls when they hit submit. radio buttons: -Fairy Goddess -Inner Warrior drop down : -Young Adult -20 Something -30 and up Possible outcomes: 1. Fairy Goddess - Young Adult -->url 2. Fairy Goddess - 20 Something -->url 3. Fairy Goddess - 30 and up -->url 4. Inner Warrior - Young Adult -->url 5. Inner Warrior - 20 Something -->url 6. Inner Warrior - 30 and up -->url here's my NEW code: <form action="/html/tags/html_form_tag_action.cfm" method="get"><fieldset><div><label for="guide">Choose Your Guide</label><br><input type="radio" name="guide" value="fairygoddess" /> Fairy Goddess<input type="radio" name="guide" value="innerwarrior" /> Inner Warrior</div><div><label for="age">Choose your Age Group:</label><br><select name="age"><option value ="youngadult">Young Adult</option><option value ="20something">20 Something</option><option value ="30andup">30 and up</option></select></div><div><input type="submit" value="Submit" /></div></fieldset></form>
  11. Hi All, This is my first post! I think this site is amazing. I love the little try it yourself windows. SO cool. So my question is this: how can I make a form that has two drop down menus (the first with 2 options and the second with 3) and a submit button which upon clicking will take the user to one of 6 html pages on my website. Drop down 1: -Fairy Goddess -Inner Warrior Drop down 2: -Young Adult -20 Something -30 and up Possible outcomes: 1. Fairy Goddess - Young Adult 2. Fairy Goddess - 20 Something 3. Fairy Goddess - 30 and up 4. Inner Warrior - Young Adult 5. Inner Warrior - 20 Something 6. Inner Warrior - 30 and up I've tried to get a start by modifying this check-box & submit disclaimer code that I successfully implemented on one page. I haven't an idea how to modify the JS to match what I want to do with the HTML. Please correct and direct me to solve this! The code I have now: <SCRIPT language=JavaScript><!--//Accept terms & conditions script (by InsightEye www.insighteye.com)//Visit JavaScript Kit (http://javascriptkit.com) for this script & more.function checkCheckBox(f){if (f.agree.checked == false ){alert('Please agree to the terms by checking the box to continue.');return false;}else{return true;}}//--> </SCRIPT> followed by: <!-- Consultation form code --> <form action="fairy-goddess.html" autocomplete="on"> Choose your Guide <input list="guides" name="guide"> <datalist id="guides"> <option value="Fairy Goddess"> <option value="Inner Warrior"> </datalist><br> Choose your age group <input list="age-groups" name="age-group"> <datalist id="age-groups"> <option value="Young Adult"> <option value="20 Something"> <option value="30 & up"> </datalist><br> <input type="button" class="btn btn-default" value="Submit" onclick="document.location.href='../disclaimer.html';"></form><!-- Consultation form code --> THANKS!!
  12. Hello everyone, I am facing an issue with a page containing a table and a form : the form does not take over the style defined in the style sheet. It work out fine once I omit the closing </table>, however in that case the order of the elements gets messed up. What can I do to fix this ? Here is the code (I've taken out several irrelevant elements (additional list items, metas, etc.) : <!DOCTYPE html> <html> <head> <meta charset="iso-8859-1" /> <title>HIGHWAY - Hard Rock'n'Roll</title> <link rel="Shortcut icon" href="favicon2.ico" type="image/x-icon"> <link rel="stylesheet" type="text/css" media="screen" href="styles.css"> <style> ul {list-style-type: none; margin: 0; padding: 0;} li {display: inline;} </style> </head> <body style="background-color:#000"> <center> <img src="logo_entete.jpg" alt="Logo Highway" style="width:700px; height:196px;"><br/> <br/> <br/> <!-- Site navigation menu --> <nav> <ul> <li><a href="news_fr.html">★ NEWS</a></li> <li><a href="band_fr.html">★ BAND</a></li> </ul> </nav> <br/> <!-- Main content --> <h1 style="text-align:left">CONTACT</h1> </br> <table> <tr> <td><u>Booking (France)</u><br/><br/> HIGHWAY Corp.<br/> 128 Place du Quebec, Appt 36<br/> 34000 Montpellier - France<br/> Email : highwaybeer@hotmail.com<br/> Téléphone : +33 6 29 37 93 57 </td> <td><u>Booking international (hors France)</u><br/><br/> Big Noise Productions<br/> Christina Guntert<br/> Email : ca.guntert@hotmail.fr<br/> Téléphone : +33 6 43 58 53 29<br/> </br> </td> <td><u>Technicien son</u><br/><br/> Adrien Lagarde<br/> Email : lagarde.music@gmail.com<br/> Téléphone : +33 6 48 55 29 59<br/> </br> </br> </td> </table> <p class="section_form" align="left"> <form action="MAILTO:ca.guntert@hotmail.fr" method="post" enctype="text/plain"> Abonnez-vous à la newsletter : <input type=text name:mail value="Votre adresse email"> <input type="submit" value="S'abonner"> </form> </p> <br/> <!-- Footer --> <p class="footer">© Highway Corp. 2014</p> </body> </html>
  13. Hi, i am new to the PHP scene and am having trouble getting this PHP code i found to work. I found it here:http://www.inmotionhosting.com/support/edu/website-design/using-php-and-mysql/how-to-create-a-custom-php-contact-form <!doctype html><html><head><meta charset="utf-8"><title>Untitled Document</title></head> <body><?php if (isset($_REQUEST['submitted'])) {// Initialize error array. $errors = array(); // Check for a proper First name if (!empty($_REQUEST['firstname'])) { $firstname = $_REQUEST['firstname']; $pattern = "/^[a-zA-Z0-9_]{2,20}/";// This is a regular expression that checks if the name is valid characters if (preg_match($pattern,$firstname)){ $firstname = $_REQUEST['firstname'];} else{ $errors[] = 'Your Name can only contain _, 1-9, A-Z or a-z 2-20 long.';} } else {$errors[] = 'You forgot to enter your First Name.';} // Check for a proper Last name if (!empty($_REQUEST['lastname'])) { $lastname = $_REQUEST['lastname']; $pattern = "/^[a-zA-Z0-9_]{2,20}/";// This is a regular expression that checks if the name is valid characters if (preg_match($pattern,$lastname)){ $lastname = $_REQUEST['lastname'];} else{ $errors[] = 'Your Name can only contain _, 1-9, A-Z or a-z 2-20 long.';} } else {$errors[] = 'You forgot to enter your Last Name.';} //Check for a valid phone number if (!empty($_REQUEST['phone'])) { $phone = $_REQUEST['phone']; $pattern = "/^[0-9_]{7,20}/"; if (preg_match($pattern,$phone)){ $phone = $_REQUEST['phone'];} else{ $errors[] = 'Your Phone number can only be numbers.';} } else {$errors[] = 'You forgot to enter your Phone number.';} if (!empty($_REQUEST['redmapleacer']) || !empty($_REQUEST['chinesepistache']) || !empty($_REQUEST['raywoodash'])) { $check1 = $_REQUEST['redmapleacer']; if (empty($check1)){$check1 = 'Unchecked';}else{$check1 = 'Checked';} $check2 = $_REQUEST['chinesepistache']; if (empty($check2)){$check2 = 'Unchecked';}else{$check2 = 'Checked';} $check3 = $_REQUEST['raywoodash']; if (empty($check3)){$check3 = 'Unchecked';}else{$check3 = 'Checked';} } else {$errors[] = 'You forgot to enter your Phone number.';} } //End of validation if (empty($errors)) { $from = "From: Our Site!"; //Site name // Change this to your email address you want to form sent to $to = "your@email.com"; $subject = "Admin - Our Site! Comment from " . $name . ""; $message = "Message from " . $firstname . " " . $lastname . " Phone: " . $phone . " Red Maple Acer: " . $check1 ." Chinese Pistache: " . $check2 ." Raywood Ash: " . $check3 .""; mail($to,$subject,$message,$from); }?> <!--Error Reporting Code--><?php //Print Errors if (isset($_REQUEST['submitted'])) { // Print any error messages. if (!empty($errors)) { echo '<hr /><h3>The following occurred:</h3><ul>'; // Print each error. foreach ($errors as $msg) { echo '<li>'. $msg . '</li>';} echo '</ul><h3>Your mail could not be sent due to input errors.</h3><hr />';} else{echo '<hr /><h3 align="center">Your mail was sent. Thank you!</h3><hr /><p>Below is the message that you sent.</p>'; echo "Message from " . $firstname . " " . $lastname . " <br />Phone: ".$phone." <br />"; echo "<br />Red Maple Acer: " . $check3 . ""; echo "<br />Chinese Pistache: " . $check2 . ""; echo "<br />Raywood Ash: " . $check3 . ""; } }//End of errors array ?> <h2>Contact us</h2> <p>Fill out the form below.</p> <form action="" method="post"> <label>First Name: <br /> <input name="firstname" type="text" value="- Enter First Name -" /><br /></label> <label>Last Name: <br /> <input name="lastname" type="text" value="- Enter Last Name -" /><br /></label> <label>Phone Number: <br /> <input name="phone" type="text" value="- Enter Phone Number -" /><br /></label> <label>Red Maple Acer: <input name="redmapleacer" type="checkbox" value="Red Maple Acer" /><br /></label> <label>Chinese Pistache: <input name="chinesepistache" type="checkbox" value="Chinese Pistache" /><br /></label> <label>Raywood Ash: <input name="raywoodash" type="checkbox" value="Raywood Ash" /><br /></label> <input name="" type="reset" value="Reset Form" /><input name="submitted" type="submit" value="Submit" /> </form> </body></html> I get an issue with the phone number check could someone give me an idea of whats wrong? Thanks Simon Lehmann
  14. Hi good people of w3, I'd been using the tutorials on this site a lot in an attempt to get the email enquiry form working for the website I've been putting together for the place I'm currently employed at. This isn't exactly my forte, I'm pretty decent when it comes to html but php is an animal I'm only just starting to become familiar with.I have an issue currently where particular parts of the form are required to be filled in, and I can successfully generate errors when this does not occur. However, the errors do not actually stop the email from being sent and hence we end up with incomplete enquiries on the other side when the form is not correctly filled in.If anyone could provide some advice as to a means to make the errors stop the email from being sent, that would be much appreciated. The relevant code is below. <?php// define variables and set to empty values$nameErr = $emailErr = $partErr = $phoneErr = "";$name = $email = $part = $comments = $model = $brand = $phone = $contact_method = $product = $breakdown = "";if ($_SERVER["REQUEST_METHOD"] == "POST") { if (empty($_POST["name"])) { $nameErr = "Name is required"; } else { $name = test_input($_POST["name"]); // check if name only contains letters and whitespace if (!preg_match("/^[a-zA-Z ]*$/",$name)) { $nameErr = "Only letters and white space allowed"; } } if (empty($_POST["email"])) { $emailErr = "Email is required"; } else { $email = test_input($_POST["email"]); // check if e-mail address is well-formed if (!filter_var($email, FILTER_VALIDATE_EMAIL)) { $emailErr = "Invalid email format"; } } if (empty($_POST["phone"])) { $contact_methodErr = "Phone number is required"; } else { $phone = test_input($_POST["phone"]); } $contact_method = test_input($_POST["contact_method"]); $brand = test_input($_POST["brand"]); $product = test_input($_POST["product"]); $model = test_input($_POST["model"]); $breakdown = test_input($_POST["breakdown"]); if (empty($_POST["part"])) { $partErr = "Part number or description is required"; } else { $part = test_input($_POST["part"]); } $comments = test_input($_POST["comments"]); } function test_input($data) { $data = trim($data); $data = stripslashes($data); $data = htmlspecialchars($data); return $data;}// Function to validate against any email injection attemptsfunction IsInjected($str){ $injections = array('(n+)', '(r+)', '(t+)', '(%0A+)', '(%0D+)', '(%08+)', '(%09+)' ); $inject = join('|', $injections); $inject = "/$inject/i"; if(preg_match($inject,$str)) { return true; } else { return false; }} //Validate firstif(IsInjected($customer_email)){ echo "Bad email value!"; exit;} $email_from = 'sales@speedyspares.com';//<== update the email address $email_subject = "Online Enquiry"; $email_body = '<html><body>'; $email_body .= '<table rules="all" style="border-color: #666;" cellpadding="10">'; $email_body .= "<tr style='background: #eee;'><td><strong>Name:</strong> </td><td>" . $name = $_POST["name"] . "</td></tr>"; $email_body .= "<tr><td><strong>Email:</strong> </td><td>" . $email = $_POST["email"] . "</td></tr>"; $email_body .= "<tr><td><strong>Phone:</strong> </td><td>" . $phone = $_POST["phone"] . "</td></tr>"; $email_body .= "<tr><td><strong>Preferred Method of Contact:</strong> </td><td>" . $contact_method = $_POST[ "contact_method"] . "</td></tr>"; $email_body .= "<tr><td><strong>Brand:</strong> </td><td>" . $brand = $_POST["brand"] . "</td></tr>"; $email_body .= "<tr><td><strong>Product:</strong> </td><td>" . $product = $_POST["product"] . "</td></tr>"; $email_body .= "<tr><td><strong>Model:</strong> </td><td>" . $model = $_POST["model"] . "</td></tr>"; $email_body .= "<tr><td><strong>Breakdown Required:</strong> </td><td>" . $breakdown = $_POST["breakdown"] . "</td></tr>"; $email_body .= "<tr><td><strong>Part:</strong> </td><td>" . $part = $_POST["part"] . "</td></tr>"; $email_body .= "<tr><td><strong>Comments:</strong> </td><td>" . $comments = $_POST["comments"] . "</td></tr>"; $email_body .= "</table>"; $email_body .= "</body></html>"; $to = "sales@speedyspares.com";//<== update the email address $headers = "From: $email_from rn"; $headers .= "Reply-To: $email rn"; $headers .= "MIME-Version: 1.0rn"; $headers .= "Content-Type: text/htmlrn"; //Send the email! mail($to,$email_subject,$email_body,$headers); //done. redirect to thank-you page. header('Location: thankyou.html'); ?><form method="post" name="enquiry-form" action="<?php echo htmlspecialchars($_SERVER["PHP_SELF"]);?>"> <h6><strong><span class="redasterisk">*</span></strong>denotes a required field</h6> <h6>Name:<span class="error">* <?php echo $nameErr;?></span><br> <input name="name" type="text" size="50"> <br> E-mail:<span class="error">* <?php echo $emailErr;?></span><br> <input name="email" type="text" size="50"> <br> Phone:<span class="error">* <?php echo $phoneErr;?></span><br> <input name="phone" type="text" size="50"> <br /> Preferred Contact Method:<br /> <input type="radio" name="contact" value="email" /> Email <input type="radio" name="contact" value="phone" /> Phone <br /> Brand:<br> <select name="brand"> <option value="Sony">SONY</option> <option value="Sharp">SHARP</option> <option value="Hills">HILLS</option> <option value="Other">OTHER</option> </select><br /> Product:<br> <select name="product"> <option value="TV">TV/PROJECTOR</option> <option value="VIDEO">HOME VIDEO/DVD/BLU-RAY</option> <option value="AUDIO">HOME AUDIO/THEATRE SYSTEM</option> <option value="CAMERA">DIGITAL STILL CAMERA</option> <option value="CAMCORDER">VIDEO CAMERA/CAMCORDER</option> <option value="VAIO">PERSONAL COMPUTER (VAIO)</option> <option value="EREADER">eBOOK READER</option> <option value="PAUDIO">PERSONAL AUDIO</option> <option value="CAUDIO">CAR AUDIO</option> <option value="FRIDGE">REFRIDGERATOR</option> <option value="MICROWAVE">MICROWAVE</option> <option value="OTHER">OTHER</option> </select><br /> Model :<br /><em>(eg. KDL-46HX800)</em><br> <input type="text" name="model" size="50"> <br /> <input type="checkbox" name="breakdown" value="Yes" /> Request Breakdown<br /> Part number/description:<span class="error">* <?php echo $partErr;?></span><br /><em>(e.g. UWA-BR100 Wi-fi Adaptor)</em><br /> <input type="text" name="part" size="50"> <br> Comments:<br> <textarea name="comments" cols="50" rows="5">Please supply any additional information that may assist with your enquiry. (color/size/location etc.)</textarea> <br /> (Please do not use this form for submission of credit card information)</h6> <h5> <input type="submit" name="submit" value="Submit"> <input type="reset" name="reset" value="Reset"> </h5> </form>
  15. Hello everybody, I would like to add a simple form to a webpage that will allow internet users to suscribe to a newsletter by indicating their email address.I do have the HTML code for the form and it works out fine, but I do not know how to style the form with CSS (font, font size, text align, etc.).Currently, adding the HTML form code to the page overrides nearly all CSS styling defined for the section of the page concerned :-( Thank you very much in advance for your help !
  16. Hi there, I´m new at this forum and a beginner with PHP. I used the here offert "PHP - Complete Form Example" and it works fine. Thanks for that.But the submit button just proves the form and doesnt send the variables to the next page. Does anyone know a way to send the proven variables to another page? I tried: 1) Print the variable on my secound page with echo $var; --> that didnt work. I guess my secound page doesnt know where to get the variable from. I also dont know where and if my variables are saved after I press the submit button on my page. 2) Create two actions in the form like <form action="<?php echo htmlspecialchars($SERVER[...]);?>"> action=page2.php method="post"> That also didnt work. Probably because you cant use 2 actions in one form. 3) I dont want to work with url links, because you can see the variables in the url. 4) I dont want to work with sessions. 5) One of my ideas was to work with another php-script after my form, which will send my variables from the form to the secound page. I figured out how to activate the scrip, when the form is filled out correctly, but I have no idea how to send my data. How would it work with the here offert form? Thanks for your help guys.
  17. I'd like to achieve the following with javascript:When you type any of the following words into the inputbox and click the submit button you'll be redirected to the corresponding page:tree => tree.phpchocolate => chocolate.phpbird => bird.phpcandle => candle.phpapple => apple.phpHowever if you type a different word than the above, you'll get a warning message. <div id="main"> <form action=""> <ul> <li><input class="inputbox" type="text" name="TypeWord" value="" placeholder="Type a word here"/></li> <li><input class="button" type="submit" name="Submit" value="Submit word"/></li> </ul> </form></div><div id="warning"> <p style="visibility:hidden;">Oops, wrong word, please try again.</p></div>   Does anyone know of a javascript that can do this?
  18. <!DOCTYPE html><html lang = "en-US"> <head> <meta charset = "UTF-8"> <style type = "text/css"> fieldset { width: 850px; margin: auto; text-align: center; } #txtField { text-align: center; } #tryAgainBtn { display: none; } </style> <script type = "text/javascript"> window.onload = myFunction; var randomNumber; var outPut; function myFunction() { randomNumber = Math.floor(Math.random()*1000); document.getElementById("checkBtn").onclick = checkAnswer; document.getElementById("tryAgainBtn").onclick = tryAgain; } function checkAnswer() { outPut = document.getElementById("outPut"); outPut.innerHTML = ""; var myInput = document.getElementById("txtField"); if (myInput.value < 0 || myInput.value > 1000) { return outPut.innerHTML += "I said between 0 and 1000."; } if (myInput.value == "") { return outPut.innerHTML += "Please enter a number between 0 and 1000!!!"; } if (myInput.value > randomNumber) { outPut.innerHTML += "Too High !!!"; } if (myInput.value < randomNumber) { outPut.innerHTML += "Too low !!!"; } if (myInput.value == randomNumber) { outPut.innerHTML += "Yay, you are awesome !!!"; document.getElementById("tryAgainBtn").style.display = "inline"; } document.getElementById("txtField").onclick = reset(); } function tryAgain() { document.getElementById("txtField").value = ""; outPut.innerHTML = ""; document.getElementById("tryAgainBtn").style.display = "none"; randomNumber = Math.floor(Math.random()*1000); } </script> </head> [attachment=1390:MyGame.png]<body> <form action = " " id = "myForm"> <fieldset> <p>Let's play a guessing game, I am thinking about a number between 0 and 1000. Enter your guess in the box, I'll tell you if it's correct or not. </p> <div id = "outPut"> </div> <input type = "text" id = "txtField"/> <br/> <button type = "button" id = "checkBtn"> Check your guess!!! </button> <br/> <button type = "button" id = "tryAgainBtn"> Try again ??? </button> </fieldset> </form> </body></html> Hi guys, I am building this text-based guessing game(please don't judge, I'm just a starter), everything is working correctly, just one thing I can't find the answer anywhere at all, but I sure know you guys do know the answer, my question is, btw, I've attached a picture so you can conjure up what I am trying to say, ok, so, after the user entered a value, and they are gonna enter another value, so when the user clicks on the box, what do I do to make the previously entered value removed, like when they click on the box, the previous value disappears, I've tried using the reset() method as you can see in the code, but every time the "Check your answer" button is clicked, the value disappears right away, and that is not I want, I really don't know method to use? any suggestions are greatly appreciated. Thank you very much for your time and help.
  19. hi, I have a contact form with 4 fields; name, email, input text, and security question.. For some reason, I can get the input fields of Name and Email to sit on the left side of their respective input fields, but for Input Text and the Security Question, the label sits on the right of the input field... Anyone have any idea what I'm doing wrong?? Thankyou!! http://www.atmananda.com/contact-us/
  20. funbinod

    duplicate entry

    how to check for duplicate entry on a form using php?
  21. i was trying to make error message relating from the w3schools learning center but it returned nothing. please help me find the error.... here is the code i wrote... <?php// define variables and set to empty values$cnameErr = $dateErr = $itemErr = $rateErr = $qtyErr = "";$cname = $date = $rfn = $item = $rate = $qty = $less = $amt = "";if ($_SERVER["REQUEST_METHOD"] == "POST"){ if (empty($_POST["cname"])) {$cnameErr = "Customer Name is required";} else {$cname = test_input($_POST["cname"]);} if (empty($_POST["date"])) {$emailErr = "Date is required";} else {$date = test_input($_POST["date"]);} if (empty($_POST["rfn"])) {$rfn = "";} else {$rfn = test_input($_POST["rfn"]);} if (empty($_POST["item"])) {$itemErr = "Item name is required";} else {$item = test_input($_POST["item"]);} if (empty($_POST["rate"])) {$rateErr = "Please input Rate";} else {$rate = test_input($_POST["rate"]);} if (empty($_POST["qty"])) {$qtyErr = "Please input item quantity";} else {$qty = test_input($_POST["qty"]);} if (empty($_POST["less"])) {$less = "";} else {$less = test_input($_POST["less"]);} if (empty($_POST["amt"])) {$amt = "";} else {$amt = test_input($_POST["amt"]);}}function test_input($data){ $data = trim($data); $data = stripslashes($data); $data = htmlspecialchars($data); return $data;}// error messageecho $dateErr; // and so on?>
  22. i created loop for selecting from all the rows of a table like this--- <?$rows = mysql_num_rows($result);for ($n = 0 ; $n < $rows ; ++$n) { echo '' . mysql_result($result,$n,'item') . '<br />'; }?> and tried to put in dropdown menu like this ---- echo '<form action="#" id="test" name="test">';echo '<select name="item">';echo "<option></option>";echo "<option>";{echo '' . mysql_result($result,$n,'item') . '<br />';}echo "</option>";echo '</select>';echo '</form>'; but returned error "Warning: mysql_result(): Unable to jump to row 2 on MySQL result index 5 in .................................." please guide me....
  23. so, what i am trying to do is send an email from an HTML FORM. i want to keep it somewhat simple, meaning i don't want employ JS or PHP. HTML and CSS only. what i have so far: <form name="DriveOnRequest" method="POST" action="mailto:myemail@example.com?subject=Drive On Request" type="text/html" content-type="Multipart/formdata" accept-charset="UTF-8" enctype="Multipart/formdata" > <table> <td> <tr> <th><label>Requestor Name:<abbr title="Enter your name if you are the requestor or the name of the person who you are requesting the drive on for.">Help</abbr></label></th> <td><label>First</label><input type="text" name="first1" min="2" required></td> <td><label>Last</label><input type="text" name="last1" min="2" required></td> </tr> this is the more important part .. i think as i believe that the problem is somewhere in here. i am closing the form out and have a submit button. everything works fine up until then. when i submit it opens the default email program and is ready to send; however, the email inside looks something like this: Questions: 1. How can i remove the INPUT NAME Tags (first1=) or at least the "=" sign? 2. How can i remove the "&" sign obviously used as space. 3. Is there a way to style the whole thing at all? Because this is really where i need it. In the email, not the form. I am thinking that it has to do with the charset or the encoding but i am not sure. I find everything on the www about how to style the form but no more than bits and pieces about the resulting email.
  24. Hello, Can anyone show me a demo of a code, I'm looking for a form that uses text and file upload. I need a form that has details such as title and content, but I also want an image upload where it saves the file to my FTP server in a folder called Uploads and then it saves the filename and extension to the database, along with the other details from the form. Can anyone give me the code and explain it please! Thanks in advance.
  25. I have been searching for days and just cant figure this out. Hope someone can help. I am fairly new to html and have been working on an application form. I finally have the form working, However - the submit button is towards to top and any attempt to move it renders the button non functioning. I know my code is messy - I'll clean that up once I know what I need to do can even be done. Thanks to anyone who can help! Here is my HTML" ​<head><meta content="en-us" http-equiv="Content-Language" /><meta content="text/html; charset=utf-8" http-equiv="Content-Type" /><title>CALIFORNIA SCHOOL OF LAW APPLICA</title><style type="text/css">.auto-style1 { color: #000080;}.auto-style3 { text-align: center;}.auto-style4 { font-size: large; font-family: Arial, Helvetica, sans-serif; text-align: left;}.auto-style5 { font-size: small;}.auto-style6 { font-family: Arial, Helvetica, sans-serif; font-size: large;}.auto-style7 { font-size: xx-small;}.auto-style8 { font-size: large;}.auto-style9 { font-size: small; font-family: Arial, Helvetica, sans-serif;}.auto-style10 { color: #000000;}</style></head><form method="post" action="contact.php"><body> <p><img alt="California School Of Law Logo" height="116" src="LogoFinal%20no%20text.jpg" width="162" /></p><div id="layer1" class="auto-style3" style="position: absolute; width: 347px; height: 52px; z-index: 1; left: 368px; top: 53px"> <span class="auto-style6">CALIFORNIA SCHOOL OF LAW</span><br class="auto-style6" /> <span class="auto-style6">APPLICATION</span></div><hr class="auto-style1" style="height: 4px" /><div id="layer2" class="auto-style4" style="position: absolute; width: 397px; height: 380px; z-index: 2; left: 76px; top: 170px"> <strong>Personal Information<br /> <br /> </strong><span class="auto-style5">Last Name: <input name="Text1" type="text" /><br /> <br /> First Name: <input name="Text2" type="text" /> M.I: <input name="Text3" style="width: 15px" type="text" /><br /> <br /> Name on acedemic records (if different from above) <br /> <input name="Text4" style="width: 227px" type="text" /><br /> <br /> Social Security Number: <input name="SS" size="9" style="width: 141px" type="text" /> <br /> <br /> DL State:<select name="Select1"> <option></option> <option value="CA">CA</option> <option>NV</option> <option>TX</option> </select> DL Number: <input name="Text5" type="text" /><br /> <br /> Gender: <select name="Select2"> <option></option> <option>Male</option> <option>Female</option> </select> Date of birth: <input name="Text6" style="width: 92px" type="text" /><br /> <br /> Ethnic/Racial Background: <select name="Select3"> <option></option> <option>Caucasian</option> <option>Hispanic</option> <option>Asian</option> <option>African American</option> <option>Other</option> </select><br /> <br /> Birth place: <input name="Text7" type="text" /><br /> </span></div><p> </p><p> </p><div id="layer9" class="auto-style9" style="position: absolute; width: 518px; height: 230px; z-index: 9; left: 537px; top: 1022px"> D. Have you ever been court marshaled? <select name="Select14"> <option></option> <option>YES</option> <option>NO</option> </select><br /> <br /> E. Have you ever been dishonorably disharged<br /> from Miltary service? <select name="Select15"> <option></option> <option>YES</option> <option>NO</option> </select><br /> <br /> F. Do you know of any matter which might otherwise adversly affect your admissions to law school or the state bar? <select name="Select16"> <option></option> <option>YES</option> <option>NO</option> </select><br /> <br /> </div><div id="layer8" class="auto-style8" style="position: absolute; width: 520px; height: 307px; z-index: 8; left: 11px; top: 949px"> <strong>Miscellaneous<br /> <br /> </strong><span class="auto-style9">Please answer the following questions, if you answer YES to any question please explain<br /> <br /> A. Have you ever been on probation, suspended, dismissed or formally reprimanded by any educational institution? <select name="Select11"> <option></option> <option>YES</option> <option>NO</option> </select><br /> <br /> B. Have you ever been convicted, pleaded guilty or no contest to any crime other than a minor traffic violation or juvenile offense? <select name="Select12"> <option></option> <option>YES</option> <option>NO</option> </select><br /> <br /> C. Are there any criminal charges currently pending or expected against you? <select name="Select13"> <option></option> <option>YES</option> <option>NO</option> </select><br /> <br /> Explanation: <br /> </span></div><div id="layer7" style="position: absolute; width: 1162px; height: 24px; z-index: 7; left: 9px; top: 922px"> <strong><span class="auto-style5"> <hr class="auto-style1" style="height: 4px" /></span></strong></div><div id="layer6" style="position: absolute; width: 415px; height: 205px; z-index: 6; left: 462px; top: 644px"> Email Address: <input name="Text18" style="width: 229px" type="text" /><br /> <br /> In case of emergency:<br /> <br /> Name: <input name="Text19" type="text" /><br /> <br /> Relationship: <input name="Text20" type="text" /><br /> <br /> Phone: <input name="Text21" type="text" /></div><div id="layer5" class="auto-style6" style="position: absolute; width: 431px; height: 278px; z-index: 5; left: 10px; top: 643px"> <strong>Contact Information<br /> <br /> </strong><span class="auto-style5">Street Address:</span><strong> <input name="Text12" type="text" /><br /> <br /> </strong><span class="auto-style5">City:<strong> <input name="Text13" type="text" /><br /> <br /> </strong>State:<strong> <select name="Select10"> <option></option> <option>CA</option> <option>CO</option> <option>TX</option> <option>NV</option> <option>WA</option> </select> </strong>ZIP:<strong> <input name="Text14" type="text" /><br /> <br /> </strong>Home Ph:<strong> <input name="Text15" type="text" /><br /> <br /> </strong>Work Ph<strong>: <input name="Text16" type="text" /><br /> <br /> </strong>Cell Ph:<strong> <input name="Text17" type="text" /><br /> </strong></span></div><div id="layer4" style="position: absolute; width: 1174px; height: 31px; z-index: 4; left: 5px; top: 610px"> <strong><span class="auto-style5"> <hr class="auto-style10" style="height: 4px" /></span></strong></div><div id="layer3" class="auto-style6" style="position: absolute; width: 446px; height: 422px; z-index: 3; left: 671px; top: 165px"> <strong>Status - Term Start 14WIN<br /> <br /> </strong><span class="auto-style5">Application Status:<strong> <select name="Select4"> <option></option> <option>New Student</option> <option>Returning Student</option> </select><br /> <br /> </strong>Prior Application Submitted?:<strong> <select name="Select5"> <option></option> <option>YES</option> <option>NO</option> </select><br /> <br /> </strong>LSAC Registration No.: <strong> <input name="Text8" type="text" /></strong></span><br /> <br /> <span class="auto-style5">Have you taken the LSAT?: <select name="Select6"> <option></option> <option>NO</option> <option>YES</option> </select> Score: <input name="Text9" style="width: 71px" type="text" /><br /> <br /> Are your transcripts on file with LSAC? : <select name="Select7"> <option></option> <option>YES</option> <option>NO</option> </select><br /> <br /> </span><em><span class="auto-style7"><strong>Note: You do not have to be a U.S. Citizen to attend law school or practice law in California<br /> <br /> </strong></span></em><span class="auto-style5">Are you a United States Citizen? :<strong> <em><span class="auto-style7"> <select name="Select8" style="width: 24px"> <option>YES</option> <option>NO</option> </select></span></em><br /> <br /> </strong>If NO, are you a permanent resident? :<strong> <select name="Select9"> <option></option> <option>YES</option> <option>NO</option> </select><br /> <br /> </strong>VISA Type:<strong> <input name="Text10" style="width: 166px" type="text" /><br /> <br /> </strong>Alien Number:<strong> </strong></span> <input name="Text11" style="width: 178px" type="text" /></div><p> </p><tr><td> <input type=submit name="send" value="Submit" input align="bottom" style="margin-left:550px"> </td></tr> </form></body></html>
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