<?php
# Generated by : [URL unfurl="true"]http://phpfmg.sourceforge.net[/URL]
# This block must be placed at the very top of page.
# -----------------------------------------------------------------------------
require_once( 'form.lib.php' );
header( 'Content-Type: text/html; charset=' . PHPFMG_CHARSET );
$phpfmg_send = phpfmg_sendmail( $form_mail ) ;
$isHideForm = isset($phpfmg_send['isHideForm']) ? $phpfmg_send['isHideForm'] : false;
$sErr = isset($phpfmg_send['error']) ? $phpfmg_send['error'] : '';
# -----------------------------------------------------------------------------
# FormMail main()
# -----------------------------------------------------------------------------
phpfmg_header();
if( !$isHideForm ){
phpfmg_form($sErr);
}else{
phpfmg_thankyou();
};
phpfmg_footer();
# -----------------------------------------------------------------------------
function phpfmg_form( $sErr = false ){
?>
<div class='phpfmg_form' summary='Mail form generated by php formmail generator at [URL unfurl="true"]http://phpfmg.sourceforge.net.'[/URL] >
<form name="frmFormMail" action='' method='post' enctype='multipart/form-data' onsubmit='return fmgHandler.onsubmit();'>
<input type='hidden' name='formmail_submit' value='Y'>
<?php
if( $sErr ) print "<br><a name='error'></a><div class='form_error' >" . ERR_MISSING . "</div><br>";
$starColor = $sErr ? "#ff0000" : "#000000";
$style=" class='form_text' ";
?>
<div class='field_block' id='field_0_div'>
<label class='form_field'>Name</label> <label class='form_required' >*</label> <br>
<input type="text" name="field_0" id="field_0" value="<?php print HtmlSpecialChars( $_POST[ "field_0" ] ); ?>" class='text_box'>
<? phpfmg_field_instruction('field_0'); ?>
</div>
<div class='field_block' id='field_1_div'>
<label class='form_field'>Business Name (if applicable)</label><br>
<input type="text" name="field_1" id="field_1" value="<?php print HtmlSpecialChars( $_POST[ "field_1" ] ); ?>" class='text_box'>
<? phpfmg_field_instruction('field_1'); ?>
</div>
<div class='field_block' id='field_2_div'>
<label class='form_field'>Email Address</label> <label class='form_required' >*</label> <br>
<input type="text" name="field_2" id="field_2" value="<?php print HtmlSpecialChars( $_POST[ "field_2" ] ); ?>" class='text_box'>
<? phpfmg_field_instruction('field_2'); ?>
</div>
<div class='field_block' id='field_3_div'>
<label class='form_field'>Web URL</label> <label class='form_required' >*</label> <br>
<input type="text" name="field_3" id="field_3" value="<?php print HtmlSpecialChars( $_POST[ "field_3" ] ); ?>" class='text_box'>
<? phpfmg_field_instruction('field_3'); ?>
</div>
<div class='field_block' id='field_4_div'>
<label class='form_field'>Would you like a free analysis of our website?</label> <label class='form_required' >*</label> <br>
<?php phpfmg_checkboxes( 'field_4', "Yes, thank you|No, thank you" );?>
<? phpfmg_field_instruction('field_4'); ?>
</div>
<div class='field_block' id='field_5_div'>
<label class='form_field'>Phone Number</label> <label class='form_required' >*</label> <br>
<input type="text" name="field_5" id="field_5" value="<?php print HtmlSpecialChars( $_POST[ "field_5" ] ); ?>" class='text_box'>
<? phpfmg_field_instruction('field_5'); ?>
</div>
<div class='field_block' id='field_6_div'>
<label class='form_field'>What you would like to gain from this course?</label> <label class='form_required' >*</label> <br>
<textarea name="field_6" id="field_6" rows=4 cols=25 class='text_area'><?php print HtmlSpecialChars( $_POST[ "field_6" ] ); ?></textarea>
<? phpfmg_field_instruction('field_6'); ?>
</div>
<div class='field_block' id='field_7_div'>
<label class='form_field'>How did you hear about us?</label> <label class='form_required' >*</label> <br>
<?php phpfmg_dropdown( 'field_7', "Search Engines|Friend/Business Associate|Advertisement", '' );?>
<? phpfmg_field_instruction('field_7'); ?>
</div>
<div class='field_block' id='field_8_div'>
<label class='form_field'>Is there anything else you feel is important for us to know?</label><br>
<textarea name="field_8" id="field_8" rows=4 cols=25 class='text_area'><?php print HtmlSpecialChars( $_POST[ "field_8" ] ); ?></textarea>
<? phpfmg_field_instruction('field_8'); ?>
</div>
<div class='field_block' id='field_9_div'>
<label class='form_field'>Terms and Conditions</label><br>
<?php phpfmg_checkboxes( 'field_9', "I have read and agree to the Terms and Conditions set forth by The Missing Piece, LLC. (Please note that without accepting these terms, we will not provide coaching services or accept your registration.) You may read and print the conditions " );?><a href="[URL unfurl="true"]http://www.everywomansnorthstar.com/terms.html">here</a>[/URL]
<? phpfmg_field_instruction('field_9'); ?>
</div>
<div class='field_block' id='field_10_div'>
<label class='form_field'>The North Star Newsletter</label><br>
<?php phpfmg_checkboxes( 'field_10', "I would like to be added to TThe North Star which is a no spam newsletter released monthly with informative tips, suggestions, and resources for the Virtual Professional. Read our privacy policy." );?>
<? phpfmg_field_instruction('field_10'); ?>
</div>
<div class='field_block' id='field_11_div'>
<label class='form_field'>Privacy Policy</label><br>
<?php phpfmg_checkboxes( 'field_11', "Please add me to The Missing Piece, LLC's General Information list to receive information on upcoming courses and specials. Read our privacy policy." );?>
<? phpfmg_field_instruction('field_11'); ?>
</div>
<div class='field_block' id='phpfmg_captcha_div'>
<label class='form_field'>Security Code:</label> <label class='form_required' >*</label> <br><?php phpfmg_show_captcha(); ?>
</div>
<div class='form_submit_block'>
<input type='submit' value='Submit' class='form_button'>
<span id='phpfmg_processing' style='display:none;'>
<img id='phpfmg_processing_gif' src='<?php echo PHPFMG_ADMIN_URL . '?mod=image&func=processing' ;?>' border=0> <label id='phpfmg_processing_dots'></label>
</span>
</div>
<script type='text/javascript'>
fmgHandler.init();
</script>
</form>
</div>
<?php
if( $sErr ) {
print "<script language='javascript' type='text/javascript'>location.href='#error'; fmgHandler.highlight_fields('" . join(',',$sErr['fields']) ."'); </script>" ;
};
} // end of function phpfmg_form()
function phpfmg_thankyou(){
if( defined('PHPFMG_REDIRECT') && '' != PHPFMG_REDIRECT ){
echo "<script type='text/javascript'>
function phpfmg_redirect(){
var redirect = '" . addslashes(PHPFMG_REDIRECT) . "';
try{
if( parent ) parent.location.href = redirect;
}catch(e){
location.href = redirect;
};
}
phpfmg_redirect();
</script>";
};
?>
<!-- [Your confirmation message goes here] --------------------------------->
<br>
<b></b>
<br><br>
<?php
} // end of function phpfmg_thankyou()
?>[/code\]
Here is the link where the code is:
[URL unfurl="true"]http://www.everywomansnorthstar.com/registrationindividual/form.php[/URL]
Thanks for all your help!