<?php
####################################
# Powered by LoginetSolutions #
# www.loginetsolutions.com #
####################################
include_once 'config.php';
// Generate security code.
function Random( ) {
$chars = "ABCDEFGHJKLMNPQRSTUVWZYZ23456789";
srand( ( double )microtime( )*1000000 );
$i = 0;
$pass = '';
while( $i <= 4 ) {
$num = rand( ) % 32;
$tmp = substr( $chars, $num, 1 );
$pass = $pass . $tmp;
$i++;
}
return $pass;
}
$random_code = Random();
?>
<html>
<head>
<title><?=$myCompanyName?> - O-Module Order Form</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<?php
include_once 'default.css';
?>
<script language="javascript">
function validateForm() {
var txt = "";
var valid = false;
str = document.orderform.email.value;
security_code = document.orderform.security_code.value.toLowerCase();
randomness = document.orderform.randomness.value.toLowerCase();
if (document.orderform.clientname.value == "") {
txt = txt + "Please enter your name." + "\n" ;
document.orderform.clientname.focus();
valid = false;
} else if (security_code == "") {
txt = txt + "Please enter security code." ;
document.orderform.security_code.focus();
valid = false;
} else if (security_code != randomness) {
txt = txt + "Please verify security code." ;
document.orderform.security_code.focus();
valid = false;
<?if ($shipping == 'yes'){?>
} else if (document.orderform.address.value == "") {
txt = txt + "Please enter the shipping address." ;
document.orderform.address.focus();
valid = false;
} else if (document.orderform.city.value == "") {
txt = txt + "Please enter the shipping city." ;
document.orderform.city.focus();
valid = false;
} else if (document.orderform.zip.value == "") {
txt = txt + "Please enter the shipping zip." ;
document.orderform.zip.focus();
valid = false;
} else if (document.orderform.state.value == "") {
txt = txt + "Please enter the shipping state." ;
document.orderform.state.focus();
valid = false;
} else if (document.orderform.country.value == "") {
txt = txt + "Please enter the shipping country." ;
document.orderform.country.focus();
valid = false;
<?}?>
} else if (document.orderform.email.value == "") {
txt = txt + "Please enter your email address." ;
document.orderform.email.focus();
valid = false;
} else if (str.length > 0) {
i=str.indexOf("@")
j=str.indexOf(".",i)
k=str.indexOf(",")
kk=str.indexOf(" ")
jj=str.lastIndexOf(".")+1
aa=str.lastIndexOf("@")+1
len=str.length
if ((i>0) && (j>(1+1)) && (k==-1) && (kk==-1) && (len-aa >=6) && (len-jj >=2) && (len-jj<=4)) {
valid = true;
}else {
alert("Please verify your email\n" + str + " isn't valid\n");
document.orderform.email.focus();
valid = false;
}
}
if (txt != "") alert (txt);
return valid;
}
</script>
</head>
<body>
<form action="sendmail.php" method="post" name="orderform" onsubmit="return validateForm()">
<input name="randomness" type="hidden" id="randomness" value="<?php print $random_code; ?>" />
<table border="0" cellspacing="0" cellpadding="0" width="624" height="26" align="center">
<tr bgcolor="#CCCCCC" valign="middle">
<td valign="middle" width="520" bgcolor="#F6F6F6">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td nowrap><font color="#000000"><b> <?=$myCompanyName?></b></font></td>
</tr>
</table>
</td>
<td valign="middle" width="80" bgcolor="#F6F6F6">
<table width="100%" border="0" cellspacing="0" cellpadding="0" height="20">
<tr>
<td bgcolor="#d3d3d3" nowrap align="center"><font color="#ffffff"><b>Order Form</b></font></td>
</tr>
</table>
</td>
</tr>
</table>
<table border="0" cellspacing="1" cellpadding="5" bgcolor="#CCCCCC" bordercolor="#F6F6F6" width="600" align="center">
<tr bgcolor="#FFFFFF" valign="middle">
<td valign="middle">
<table border="0" cellspacing="6" cellpadding="0" bgcolor="#FFFFFF" bordercolor="#F6F6F6" width="100%" align="center">
<tr valign="middle">
<td valign="middle" height="20" bgcolor="#d8d8d8" width="600" colspan="2"> Personal Information
</td>
</tr>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
Your name<font color="red">*</font>
</td>
<td valign="middle" width="480">
<input type="text" id="clientname" name="clientname">
</td>
</tr>
<?if ($company == 'yes'){?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
Company
</td>
<td valign="middle" width="480">
<input type="text" name="company" id="company">
</td>
</tr>
<?}
if ($website == 'yes'){
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
Website
</td>
<td valign="middle" width="480">
<input type="text" name="website" id="website">
</td>
</tr>
<?}
if ($phone == 'yes'){
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
Phone
</td>
<td valign="middle" width="480">
<input type="text" name="phone" id="phone">
</td>
</tr>
<?}?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
Email<font color="red">*</font>
</td>
<td valign="middle" width="480">
<input type="text" name="email" id="email">
</td>
</tr>
<?
if ($contactmeby == 'yes'){
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
Contact me by
</td>
<td valign="middle" width="480">
<SELECT id="howcontact" name="howcontact">
<option value="Email">Email</option>
<option value="Phone">Phone</option>
</SELECT>
</td>
</tr>
<?}
if ($shipping == 'yes'){
?>
<tr valign="middle">
<td valign="middle" height="20" bgcolor="#d8d8d8" width="600" colspan="2"> Shipping address
</td>
</tr>
<?
if ($ship_address == 'yes'){
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
Address<font color="red">*</font>
</td>
<td valign="middle" width="480">
<input type="text" name="address" id="address">
</td>
</tr>
<?}
if ($ship_city == 'yes'){
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
City<font color="red">*</font>
</td>
<td valign="middle" width="480">
<input type="text" name="city" id="city">
</td>
</tr>
<?}
if ($ship_zip == 'yes'){
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
Zip<font color="red">*</font>
</td>
<td valign="middle" width="480">
<input type="text" name="zip" id="zip">
</td>
</tr>
<?}
if ($ship_state == 'yes'){
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
State<font color="red">*</font>
</td>
<td valign="middle" width="480">
<input type="text" name="state" id="state">
</td>
</tr>
<?}
if ($ship_country == 'yes'){
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
Country<font color="red">*</font>
</td>
<td valign="middle" width="480">
<input type="text" name="country" id="country">
</td>
</tr>
<?}}
?>
<tr valign="middle">
<td valign="middle" height="20" bgcolor="#d8d8d8" width="600" colspan="2"> Product Description
</td>
</tr>
<?
if ($interestedin > 0){
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="120">
I'm interested in
</td>
<td valign="middle" width="480">
<SELECT id="interest" name="interest">
<?for ( $i = 1; $i <= $interestedin; $i += 1){?>
<option value="<?=$interestedInOpt[$i]?>"><?=$interestedInOpt[$i]?></option>
<?}?>
</SELECT>
</td>
</tr>
<tr valign="middle">
<td valign="middle" width="600" colspan="2">
<table width="600" cellpadding="2" cellspacing="2" style="border:1px solid #000000;"><tr>
<td valign="middle" width="120">Image
</td>
<td valign="middle" width="440"> Description
</td>
<td valign="middle" align="center" width="20">Qty
</td>
<td valign="middle" width="20">
</td>
</tr></table>
</td>
</tr>
<?}
if ($category1 > 0) {
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="600" colspan="2">
<?=$cat1Name;?>
</td>
</tr>
<? for ( $i = 1; $i <= $category1; $i += 1) {?>
<tr valign="middle">
<td valign="middle" width="600" colspan="2">
<table width="600" cellpadding="2" cellspacing="2" style="border:1px solid #000000;"><tr>
<td valign="middle" width="120"><img alt="" border="0" src="<?=$path.$cat1Imgs[$i];?>" />
</td>
<td valign="middle" width="440"><?=$cat1OptDesc[$i];?>
</td>
<td valign="middle" align="center" width="20"><?=$cat1Qty[$i];?>
</td>
<td valign="middle" width="20">
<input type="checkbox" style="width:20px;background:#FFFFFF;border:0px;" name="cat1[]" value="<?=$cat1OptDesc[$i];?>">
</td>
</tr></table>
</td>
</tr>
<?}
}
if ($category2 > 0) {
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="600" colspan="2">
<?=$cat2Name;?>
</td>
</tr>
<? for ( $i = 1; $i <= $category2; $i += 1) {?>
<tr valign="middle">
<td valign="middle" width="600" colspan="2">
<table width="600" cellpadding="2" cellspacing="2" style="border:1px solid #000000;"><tr>
<td valign="middle" width="120"><img alt="" border="0" src="<?=$path.$cat2Imgs[$i];?>" />
</td>
<td valign="middle" width="440"><?=$cat2OptDesc[$i];?>
</td>
<td valign="middle" align="center" width="20"><?=$cat2Qty[$i];?>
</td>
<td valign="middle" width="20">
<input type="checkbox" style="width:20px;background:#FFFFFF;border:0px;" name="cat2[]" value="<?=$cat2OptDesc[$i];?>">
</td>
</tr></table>
</td>
</tr>
<?}
}
if ($category3 > 0) {
?>
<tr valign="middle">
<td valign="middle" bgcolor="#F6F6F6" width="600" colspan="2">
<?=$cat3Name;?>
</td>
</tr>
<? for ( $i = 1; $i <= $category3; $i += 1) {?>
<tr valign="middle">
<td valign="middle" width="600" colspan="2">
<table width="600" cellpadding="2" cellspacing="2" style="border:1px solid #000000;"><tr>
<td valign="middle" width="120"><img alt="" border="0" src="<?=$path.$cat3Imgs[$i];?>" />
</td>
<td valign="middle" width="440"><?=$cat3OptDesc[$i];?>
</td>
<td valign="middle" align="center" width="20"><?=$cat3Qty[$i];?>
</td>
<td valign="middle" width="20">
<input type="radio" style="width:20px;background:#FFFFFF;border:0px;" name="cat3[]" value="<?=$cat3OptDesc[$i];?>">
</td>
</tr></table>
</td>
</tr>
<?}
}
if ($uploadFiles > 0) {
?>
<tr valign="middle">
<td valign="middle" height="20" bgcolor="#d8d8d8" width="600" colspan="2"> File(s) Upload(s) | *.zip, *.rar, *.gif, *.jpg <br> Max file size: 1024kb. | Total upload: 2048kb.
</td>
</tr>
<?}
if ($miscInfo == "yes") {
?>
<tr valign="middle">
<td valign="middle" height="20" bgcolor="#d8d8d8" width="600" colspan="2"> Miscellaneous Information
</td>
</tr>
<?
}
if ($comments == 'yes'){
?>
<tr valign="middle">
<td valign="top" bgcolor="#F6F6F6" width="120">
Commnents
</td>
<td valign="middle" width="480">
<TEXTAREA id="comments" name="comments" rows="3"></TEXTAREA>
</td>
</tr>
<?}?>
<tr valign="middle">
<td valign="top" bgcolor="#F6F6F6" width="120" height="32">
Enter security code<br>
<center><b><span style="font-size:21px;color:red;"><?php echo $random_code; ?></span></b></center>
</td>
<td valign="top" width="480">
<input name="security_code" type="text" id="security_code" size="5">
</td>
</tr>
<tr valign="middle">
<td valign="middle" height="20" bgcolor="#f6f6f6" width="600" colspan="2"> <font color="red">*</font> = required fields
</td>
</tr>
<?if ($terms != "") {?>
<tr valign="middle">
<td valign="middle" height="20" bgcolor="#d8d8d8" width="600" colspan="2"> Terms & Conditions
</td>
</tr>
<tr valign="middle">
<td valign="middle" height="20" bgcolor="#f6f6f6" width="600" colspan="2">
<?=$terms;?>
<br>
</td>
</tr>
<?}?>
<tr height="40" valign="top">
<td valign="middle" align="center" width="120"><a href="http://loginetsolutions.com"><img src="images/omodule.jpg" alt="" border="0"></a></td>
<td valign="middle" align="center" width="480">
<input type="submit" name="Submit" value="Send Order">
</td>
</tr>
</table>
</td>
</tr>
</table>
<br>
</form>
</body>
</html>