Create Registration form.

Hi, I would like some help on a way to create a family registration form for a church, where the user fills our basic information about the family, where some is required and then they fill out information per member of the family with some of those as required fields. How would I go about doing this with a max number of members as 6. How would I make it where they could say pick how many members they have and it would add a form for that many members.

Read this:
http://www.planetpdf.com/developer/article.asp?ContentID=Processing+Acrobat+Form+Data+As+E asy+As+HTML&gid=6574

Similar Messages

  • How to create a form for registration available to users that aren't logged

    Hi all,
    I am new to IDM.
    I have a task in that I have to create a form that can be accessed from the login screen for users which will enable the user to register. The user should register in the lighthouse database.
    Is that possible? Where should I find documentation for this?
    Thank you.

    Thank for your reply.
    But being new to this I don't know where to find this topic. Could you please point me in the right direction.

  • Create a Registration Form on Website?

    Please help ...
    How do I create a form that can be submitted to me through my website, rather than it needing to be emailed as an attachment?  As it stands now, once someone clicks the "Submit" button a pop up appears asking them if they want to use Outlook or another email.  I want it similar to a college application, where once "Submit" is clicked, that's it.  All the information is sent in.  Thanks!

    Read this:
    http://www.planetpdf.com/developer/article.asp?ContentID=Processing+Acrobat+Form+Data+As+E asy+As+HTML&gid=6574

  • On a tabbed panel, I am trying to create a form, but...

    On a tabbed panel I am trying to create a form, but I am having a couple of issues.
    The coding on my form is yellow - I can't figure out what is wrong. Also, I can't see the tab on the browser, only in live view. I haven't loaded it to my site as I haven't finished it yet. I don't want to go any further, until I solve the issues I have now. Any ideas?
    thanks,
    deb
            <form id="registrationForm" name="registrationform" method="post" action="">
              <fieldset>
                <legend>Contact Information</legend>
                <span id="sprytextfield1">
                  <label>Name <span class="inforequired">*</span><br />
                    <input type="text" name="name" id="name" />
                    <br />
                  </label>
                  <span class="textfieldRequiredMsg">value is required.</span><span class="textfieldMinCharsMsg">Minimum number of characters not met.</span><span class="textfieldMaxCharsMsg">Exceeded maximum number of characters.</span></span> <span id="sprytextfield2">
                  <label for="businessname">(Business or Organization) Name<br />
                  </label>
                  <input type="text" name="businessname" id="businessname" />
                  <br />
                  <span class="textfieldRequiredMsg">value is required.</span></span> <span id="sprytextfield3">
                  <label for="address">Address <span class="inforequired">*</span><br />
                  </label>
                  <input type="text" name="address" id="address" />
                  <br />
                  <span class="textfieldRequiredMsg">value is required.</span><span class="textfieldMinCharsMsg">Minimum number of characters not met.</span><span class="textfieldMaxCharsMsg">Exceeded maximum number of characters.</span></span> <span id="sprytextfield4">
                  <label for="email">City</label>
                  <span class="inforequired">*</span><br />
                  <input type="text" name="city id="city="city"" />
                  <br />
                  <span class="textfieldRequiredMsg">A value is required.</span><span class="textfieldMinCharsMsg">Minimum number of characters not met.</span><span class="textfieldMaxCharsMsg">Exceeded maximum number of characters.</span></span> <span id="sprytextfield5">
                  <label for="province">Province</label>
                  <span class="inforequired">*</span><br />
                  <input type="text" name="province" id="province" />
                  <br />
                  <span class="textfieldRequiredMsg">A value is required.</span><span class="textfieldMinCharsMsg">Minimum number of characters not met.</span><span class="textfieldMaxCharsMsg">Exceeded maximum number of characters.</span></span> <span id="sprytextfield6">
                  <label for="postalcode">Postal Code</label>
                  <span class="inforequired">*</span><br />
                  <input type="text" name="postalcode" id="postalcode" />
                  <br />
                  <span class="textfieldRequiredMsg">A value is required.</span><span class="textfieldMinCharsMsg">Minimum number of characters not met.</span><span class="textfieldMaxCharsMsg">Exceeded maximum number of characters.</span></span> <span id="sprytextfield7">
                  <label for="phone">Phone Number (including area code) <span class="inforequired">*</span><br />
                  </label>
                  <input type="text" name="phone" id="phone" />
                  <br />
                  <span class="textfieldRequiredMsg">A value is required.</span><span class="textfieldMinCharsMsg">Minimum number of characters not met.</span><span class="textfieldMaxCharsMsg">Exceeded maximum number of characters.</span></span> <span id="sprytextfield8">
                  <label for="fax">Fax Number</label>
    (including area code) <br />
    <input type="text" name="fax" id="fax" />
    <br />
    <span class="textfieldRequiredMsg">A value is required.</span><span class="textfieldMinCharsMsg">Minimum number of characters not met.</span><span class="textfieldMaxCharsMsg">Exceeded maximum number of characters.</span></span> <span id="sprytextfield9">
    <label for="email">Email Address <span class="inforequired">*</span><br />
    </label>
    <input type="text" name="email" id="email" />
    <span class="textfieldRequiredMsg">A value is required.</span><span class="textfieldInvalidFormatMsg">Invalid format.</span><span class="textfieldMinCharsMsg">Minimum number of characters not met.</span><span class="textfieldMaxCharsMsg">Exceeded maximum number of characters.</span></span> <span id="spryconfirm1">
    <label for="emailconfirm"><br />
      Re-enter Email Address <span class="inforequired">*</span><br />
    </label>
    <input type="text" name="emailconfirm" id="emailconfirm" />
    <span class="confirmRequiredMsg">A value is required.</span><span class="confirmInvalidMsg">The values don't match.</span></span>
    <p> My Interest in the Ability Axis Employment Expo is as a </p>
    <p><span id="spryradio1">
      <label>
        <input type="radio" name="RadioGroup1" value="business" id="RadioGroup1_0" />
        Business/Employer</label>
      <br />
      <label>
        <input type="radio" name="RadioGroup1" value="nonprofit" id="RadioGroup1_1" />
        Non-Profit/Service Organizatin</label>
      <br />
      <label>
        <input type="radio" name="RadioGroup1" value="jobseeker" id="RadioGroup1_2" />
        Job Seeker</label>
      <br />
      <label>
        <input type="radio" name="RadioGroup1" value="other)" id="RadioGroup1_3" />
        Other (please specify below)</label>
      <br />
      </span><br />
      <span id="sprytextarea1">
      <label for="contactcomments"> Comments or other information</label>
      <br />
      <textarea name="contactcomments" id="contactcomments" cols="45" rows="5"></textarea>
    </span> </p>
    </fieldset>
              <p></p>
              <fieldset>
                <legend>Booth Options</legend>
                <span id="spryselect1">
                  <label for="premierearlybird">Premiere (10 X 10)  until April 21 $375</label>
                  <span class="earlybirdpricing">Early Bird Pricing</span><br />
                  <select name="premierearlybird" id="premierearlybird">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="3+">More than 3 - please enter details in the comments box below</option>
                  </select>
                  <br />
                  <br />
                  <span class="selectRequiredMsg">lease select an item.</span></span> <span id="spryselect2">
                  <label for="premierereg">Premiere (10 x 10) after April 21 $425</label>
                  <br />
                  <select name="premierereg" id="premierereg">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="3+">More than 3 - please enter details in the comments box below</option>
                  </select>
                  <br />
                  <br />
                  <span class="selectRequiredMsg">Please select an item.</span></span> <span id="spryselect3">
                  <label for="premierenpearlybird">Premiere Non-Profit (10 X 10) until April 21 $325 <span class="earlybirdpricing">Early Bird Pricing</span><br />
                  </label>
                  <select name="premierenpearlybird" id="premierenpearlybird">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="3+">More than 3 - please enter details in the comments box below</option>
                  </select>
                  <br />
                  <br />
                  <span class="selectRequiredMsg">Please select an item.</span></span> <span id="spryselect4">
                  <label for="premierenp">Premiere Non-Profit (10 X 10) after April 21 $375</label>
                  <br />
                  <select name="premierenp" id="premierenp">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="3+">More than 3 - please enter details in the comments box below</option>
                  </select>
                  <br />
                  <br />
                  <br />
                  <span class="selectRequiredMsg">Please select an item.</span></span> <span id="spryselect5">
                  <label for="standardregearlybird">Standard (8  X 10)  until April 21 $250 <span class="earlybirdpricing">Early Bird Pricing</span><br />
                  </label>
                  <select name="standardregearlybird" id="standardregearlybird">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="3+">More than 3 - please enter details in the comments box below</option>
                  </select>
                  <br />
                  <br />
                  <span class="selectRequiredMsg">Please select an item.</span></span> <span id="spryselect6">
                  <label for="standardreg">Standard (8 X 10)  after April 21 $300</label>
                  <br />
                  <select name="standardreg" id="standardreg">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="3+">More than 3 - please enter details in the comments box below</option>
                  </select>
                  <br />
                  <br />
                  <span class="selectRequiredMsg">Please select an item.</span></span> <span id="spryselect7">
                  <label for="standardnpearlybird">Standard Non-Profit (8 X 10)  until April 21 $200</label>
                  <span class="earlybirdpricing">Early Bird Pricing</span><br />
                  <select name="standardnpearlybird" id="standardnpearlybird">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="3+">More than 3 - please enter details in the comments box below</option>
                  </select>
                  <br />
                  <br />
                  <span class="selectRequiredMsg">Please select an item.</span></span> <span id="spryselect8">
                  <label for="standardnp">Standard Non-Profit (8 X 10) after April 21 $250<br />
                  </label>
                  <select name="standardnp" id="standardnp">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="3+">More than 3 - please enter details in the comments box below</option>
                  </select>
                  <span class="selectRequiredMsg">Please select an item.</span></span>
    </fieldset>
              <br />
              <fieldset>
                <legend>Breakfast Tickets</legend>
                <span id="spryselect10">
                  <label for="breakfast1-5">Breakfast Tickets $40 each (up to 5 tickets)</label>
                  <br />
                  <select name="breakfast1-5" id="breakfast1-5">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="4">4</option>
                    <option value="5">5</option>
                  </select>
                  <br />
                  <br />
                  <span class="selectRequiredMsg">Please select an item.</span></span> <span id="spryselect11">
                  <label for="breakfast+5">Breakfast Tickets $35.00 each (more than 5 tickets)</label>
                  <br />
                  <select name="breakfast+5" id="breakfast+5">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="5">5</option>
                    <option value="6">6</option>
                    <option value="7">7</option>
                    <option value="8">8</option>
                    <option value="9">9</option>
                    <option value="10">10</option>
                    <option value="10+">more than 10 (please comment below)</option>
                  </select>
                  <br />
                  <br />
                  <span class="selectRequiredMsg">Please select an item.</span></span> <span id="spryselect12">
                  <label for="breakfasttable">Breakfast Tickets $400 each (table of 8 plus two event hosts)<br />
                  </label>
                  <select name="breakfasttable" id="breakfasttable">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="3+">More than 3</option>
                  </select>
                  <br />
                  <br />
                  <span class="selectRequiredMsg">Please select an item.</span></span> <span id="sprytextarea2">
                  <label for="breakfastticketscomment">Additional Information about Breakfast Tickets</label>
                  <span class="textareaRequiredMsg">A value is required.</span></span>
    </fieldset>
              <br />
              <fieldset>
                <legend>Seminar Tickets</legend>
                <p>Shayn Anderson, author of Taking Pride in That Which Sets US Apart, will host a one hour seminar at 11:00 am. </p>
                <p>
                  <label for="shayn11amreg">Shayn Anderson Seminar tickets $40 each</label>
                  <br />
                  <select name="shayn11amreg" id="shayn11amreg">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="4">4</option>
                    <option value="5">5</option>
                    <option value="6">6</option>
                    <option value="7">7</option>
                    <option value="8">8</option>
                    <option value="9">9</option>
                    <option value="10">10</option>
                    <option value="10+">more than 10</option>
                  </select>
                  <span class="selectRequiredMsg">Please select an item.</span></p>
                <p>
                  <label for="shayn11amnp">Shayn Anderson Seminar tickets (Non-Profit) $30 each</label>
                  <br />
                  <select name="shayn11amnp" id="shayn11amnp">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="4">4</option>
                    <option value="5">5</option>
                    <option value="6">6</option>
                    <option value="7">7</option>
                    <option value="8">8</option>
                    <option value="9">9</option>
                    <option value="10">10</option>
                    <option value="10+">more than 10</option>
                  </select>
                  <span class="selectRequiredMsg">Please select an item.</span></p>
                <p>Denise Bissonnette will do a seminar presentation at 1:00 pm on the topic Being True to the Dream of Diversity. Denise's presentation will run approximately 1.5 hours. </p>
                <p>
                  <label for="denise1pmreg">Denise Bissonnette Seminar tickets $50</label>
                  each <br />
                  <select name="denise1pmreg" id="denise1pmreg">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="4">4</option>
                    <option value="5">5</option>
                    <option value="6">6</option>
                    <option value="7">7</option>
                    <option value="8">8</option>
                    <option value="9">9</option>
                    <option value="10">10</option>
                    <option value="10+">more than 10</option>
                  </select>
                  <span class="selectRequiredMsg">Please select an item.</span></p>
                <p>
                  <label for="denise1pmnp">Denise Bissonnette Seminar tickets (Non-Profit) $40 each<br />
                  </label>
                  <select name="denise1pmnp" id="denise1pmnp">
                    <option value="0" selected="selected">Please Choose</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                    <option value="4">4</option>
                    <option value="5">5</option>
                    <option value="6">6</option>
                    <option value="7">7</option>
                    <option value="8">8</option>
                    <option value="9">9</option>
                    <option value="10">10</option>
                    <option value="10+">more than 10</option>
                  </select>
                  <span class="selectRequiredMsg">Please select an item.</span></p>
                <p><span id="sprytextarea3">
                  <label for="seminarcomments">Other Information About Seminar Tickets</label>
                  <textarea name="seminarcomments" id="seminarcomments" cols="45" rows="5"></textarea>
                </span></p>
    </fieldset>
              <br />
              <fieldset>
                <legend>Processing Information</legend>
                <span id="spryradio2">
                  <label>
                    <input type="radio" name="RadioGroup2" value="invoice" id="RadioGroup2_0" />
                    Please invoice me</label>
                  <br />
                  <label>
                    <input type="radio" name="RadioGroup2" value="printmail" id="RadioGroup2_1" />
                    I will print and mail my form with my payment</label>
                  <br />
                  <label>
                    <input type="radio" name="RadioGroup2" value="emailcreditcard" id="RadioGroup2_2" />
                    I will submit my information and provide my credit card information</label>
                  in the box below <br />
      <label>
        <input type="radio" name="RadioGroup2" value="other" id="RadioGroup2_3" />
        Other - I will provide full details below<br />
      </label>
                </span><span id="sprytextarea4"><span id="sprytextarea5">
                <label for="processingcomments"><br />
                  Further Information for Processing Registration</label>
                <textarea name="textarea1" id="textarea1" cols="45" rows="5"></textarea>
                <span class="textareaRequiredMsg">A value is required.</span></span></span> <span id="sprytextarea6"> <span class="textareaRequiredMsg">A value is required.</span></span>
    </fieldset>
              <p>
                <input name="submit" type="submit" class="buttons" id="submit" value="Submit Information" />
                <input name="reset" type="reset" class="buttons" id="reset" value="Reset Form" />
              </p>
            </form>

    Gramps, you are always coming to my rescue.
    Okay, I loaded the page under a different name http://abilityaxis.com/test.html. Viewing the source code doesn't show the yellow.
    For demonstration purposes I copied a small amount of the text and changed the colour of what is yellow in Dreamweaver to this pinkish colour (I tried yellow but you couldn't read it)
              <form id="registrationForm" name="registrationForm1" method="post" action="">
                <fieldset>
                  <legend>Contact Information</legend>
                  <span id="sprytextfield1">
                    <label>Name <span class="inforequired">*</span><br />
                      <input type="text" name="name" id="name" />
                      <br />
                   </label>
                    <span class="textfieldRequiredMsg">value is required.</span><span class="textfieldMinCharsMsg">Minimum number of characters not met.</span><span class="textfieldMaxCharsMsg">Exceeded maximum number of characters.</span></span> <span id="sprytextfield2">
                     <label for="businessname">(Business or Organization) Name<br />
                      </label>
                      <input type="text" name="businessname" id="businessname" />
    It basically goes all the way through the form.
    Any advice?
    thanks,
    deb

  • Trying to create a form

    Newbie here. I am trying to create a form and have the information emailed to me. When I hit the submit button, it opens my outlook email. I have searched online and looked @ videos and am sure I have everything correct. What am I not doing? Thanks in advance.
    <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.1//EN" "http://www.w3.org/TR/xhtml11/DTD/xhtml11.dtd">
    <html xmlns="http://www.w3.org/1999/xhtml">
    <head>
    <link rel="shortcut icon" href="commonmedia/favicon" />
    <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
    <meta http-equiv="Content-Language" content="en" />
    <meta name="description" content="Experience a call to joy! We encourage you to visit us and experience the difference Christ has made in our lives. " />
    <meta name="keywords" content="Missionary Baptist Church, African-American, Houston, Texas, Third Ward, Lilly Grove, Jesus, Christian, love, Salvation, God" />
    <title>Lilly Grove Missionary Baptist Church | Houston, Texas &gt; Vacation Bible School Registration</title>
    <script type="text/javascript"  src="popmenu.js"></script>
    <link rel="stylesheet" type="text/css" media="screen, print, projection"  href="prayer.css"></link>
    <style type="text/css">
    #apDiv1 {
              position:absolute;
              width:503px;
              height:188px;
              z-index:1;
              left: 845px;
              top: 313px;
    #apDiv2 {
              position:absolute;
              width:799px;
              height:1094px;
              z-index:2;
              left: 1px;
              top: 280px;
              font-family: "Trajan Pro";
              font-weight: bold;
              font-style: italic;
    #apDiv3 {
              position:absolute;
              width:811px;
              height:196px;
              z-index:3;
              left: 50px;
              top: 1206px;
    #apDiv4 {
              position:absolute;
              width:660px;
              height:268px;
              z-index:3;
              left: 799px;
              top: 515px;
              text-align: center;
    </style>
    </head>
    <body>
    <div  id="prayer">
      <div id="welcomeb"><a  href="index.php"  title="Welcome"></a></div>
      <div id="historyb"><a  href="history.php"  title="History"></a></div>
      <div id="leadershipb"><a  href="leadership.php"  title="Leadership"></a></div>
      <div id="ministriesb"><a  href="ministries.php"  title="Ministries"></a></div>
      <div id="eventsb"><a  href="events.php"  onclick="target='_blank';"  title="Events"></a></div>
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      <div id="shadow"></div>
      <div id="id29frame"></div>
      <div id="box"></div>
      <div id="i50thanniversity"></div>
      <div id="verticalresponseliteral">
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          <div style="font-family: verdana; font-size: 11px; width: 160px; padding: 10px; border: 1px solid #803124; background: #803124">
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            <input name="email_address" size="15" style="margin-top: 5px; border: 1px solid #999; padding: 3px;"/>
            <br/>
            <input type="submit" value="Join Now" style="margin-top: 5px; border: 1px solid #999; padding: 3px;"/>
            <br/>
            <br/>
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        <p>&copy; 2011 Lilly Grove Missionary Baptist Church. All rights reserved.</p>
        <p><a href="http://tinyurl.com/nwjnx2"  onclick="target='_blank';">CSS Valid</a>
          | <a href="http://tinyurl.com/ncuxt5"  onclick="target='_blank';">XHTML
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      <div id="operab"><a  href="http://www.opera.com/"  onclick="target='_blank';"  title="Opera"></a></div>
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    <div id="apDiv1"><img src="img/media.jpg" alt="" width="476" height="178" /></div>
    <div id="apDiv2">
      <table width="794" height="422" border="3">
        <tr>
          <td width="780"><form action="mailto:[email protected]" method="get" enctype="text/plain" id="form12">
              <p> </p>
              <p> </p>
              <p>Name (Last, First)
                <label for="textfield"></label>
                <input type="text" name="textfield" id="textfield" />
              </p>
              <p>Address (Street, City, St., Zip)
                <label for="textfield2"></label>
                <input type="text" name="textfield2" id="textfield2" />
              </p>
              <p>Telephone Number
                <label for="textfield3"></label>
                <input type="text" name="textfield3" id="textfield3" />
              </p>
              <p>Email Address
                <label for="textfield4"></label>
                <input type="text" name="textfield4" id="textfield4" />
              </p>
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                <label for="textfield5"></label>
                <input type="text" name="textfield5" id="textfield5" />
              </p>
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                <input type="radio" name="radio" id="radio" value="radio" />
                7:30 a.m
                <input type="radio" name="radio2" id="radio2" value="radio2" />
                11:00 a.m
                <label for="radio3"></label>
                <input type="radio" name="radio3" id="radio3" value="radio3" />
                6:30 p.m
                <label for="radio4"></label>
                <input type="radio" name="radio4" id="radio4" value="radio4" />
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                <label for="radio5"></label>
                <input type="radio" name="radio5" id="radio5" value="radio5" />
                cd
                <label for="radio6"></label>
                <input type="radio" name="radio6" id="radio6" value="radio6" />
              dvd</p>
              <p>Sermon Preference
                <label for="radio7"></label>
                <input type="radio" name="radio7" id="radio7" value="radio7" />
                consecutive
                <label for="radio8"></label>
                <input type="radio" name="radio8" id="radio8" value="radio8" />
              Pastor Anderson only
              <label for="radio9"></label>
              <input type="radio" name="radio9" id="radio9" value="radio9" />
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              </p>
              <p>Series Start Date
                <label for="textfield6"></label>
                <input type="text" name="textfield6" id="textfield6" />
              </p>
              <p>Payment Information</p>
              <p>Credit Card Type
                <label for="radio10"></label>
                <input type="radio" name="radio10" id="radio10" value="radio10" />
                Visa
                <label for="radio11"></label>
                <input type="radio" name="radio11" id="radio11" value="radio11" />
                MasterCard
              </p>
              <p>Name On Credit Card
                <label for="textfield7"></label>
                <input type="text" name="textfield7" id="textfield7" />
              </p>
              <p>Credit Card #
                <label for="textfield8"></label>
                <input type="text" name="textfield8" id="textfield8" />
              </p>
              <p>Exp. Date
                <label for="textfield9"></label>
                <input type="text" name="textfield9" id="textfield9" />
              </p>
              <p>CSV #
                <label for="textfield10"></label>
                <input type="text" name="textfield10" id="textfield10" />
              </p>
              <p>Amount
                <label for="textfield11"></label>
                <input type="text" name="textfield11" id="textfield11" />
              </p>
              <p>Banking Information</p>
              <p>Name On Check
                <label for="textfield12"></label>
                <input type="text" name="textfield12" id="textfield12" />
              </p>
              <p>Check #
                <label for="textfield13"></label>
                <input type="text" name="textfield13" id="textfield13" />
              </p>
              <p>Account #
                <label for="textfield16"></label>
                <input type="text" name="textfield16" id="textfield16" />
              </p>
              <p>Routing #
                <label for="textfield14"></label>
                <input type="text" name="textfield14" id="textfield14" />
              </p>
              <p>Amount
                <label for="textfield15"></label>
                <input type="text" name="textfield15" id="textfield15" />
              </p>
              <p>
                <input type="submit" name="Submit" id="Submit" value="Submit" />
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              <p> </p>
          </form></td>
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    <div id="apDiv4"> MAIL ORDERS ONLY - FEE DUE IN ADVANCE<br />
       PRICES $30 DVD'S $20 CD'S<br />
       ALL MONIES ARE DUE BY THE 15TH OF THE MONTH.<br />
       4 TO 5 SERMONS RECEIVED (based on number of Sundays in the month the order is placed)<br />
      SERMON TIME PREFERENCES SHOULD BE PROVIDED AT TIME OF ORDER.(i.e. . , if you choose 7:45 am, you receive 4 sermons for that time, only.)<br />
      SERMONS MAILED FROM CONSECUTIVE SUNDAYS, REGARDLESS OF SPEAKER.(unless specified at the time order is placed).<br />
    ORDERS WILL BE MAILED OUT WEEKLY.</div>
    </body>
    </html>

    If you want to sell CD's, DVD's or subscriptions to digital downloads, look at PayPal or Google Checkout. 
    As Gramps said, e-mail is NOT web secure for on-line credit card transactions.  You could be putting yourself and your customers at risk.  See PCI Compliance FAQs:
    http://www.pcicomplianceguide.org/pcifaqs.php
    Nancy O.
    Alt-Web Design & Publishing
    Web | Graphics | Print | Media  Specialists 
    http://alt-web.com/
    http://twitter.com/altweb

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  • Help With Registration Form

    Hi
    I have created a registration form, where on the first page
    the user enters a user name and password, then they go to the next
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    '<%= request.getParameter("Last_Name").trim() %>'
    INSERT INTO address VALUES ('<%=
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    Your code is correct only for the first page. What you need
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    Paul Whitham
    Certified Dreamweaver MX2004 Professional
    Adobe Community Expert - Dreamweaver
    Valleybiz Internet Design
    www.valleybiz.net
    "LoobieLouLou" <[email protected]> wrote in
    message
    news:emggvv$q67$[email protected]..
    > Hi
    >
    > I have created a registration form, where on the first
    page the user
    > enters a
    > user name and password, then they go to the next page
    where they enter
    > their
    > name. This then goes to the next page where they enter
    their address, then
    > there contact details.
    >
    > But I want all these details to go on to a page where
    they can review
    > their
    > details, then press a submit button which inserts the
    data into a mysql
    > db.
    >
    > But I need help with how I do this?
    >
    > I have created the following Java script in the body. Or
    should it be in
    > the
    > header? Or on another form? to insert their details:-
    >
    > <% Insert Data %>
    > <jrun:sql datasrc="regift">
    >
    > INSERT INTO account VALUES ('<%=
    request.getParameter("User_Name").trim()
    > %>',
    > '<%= request.getParameter("Password").trim() %>',
    >
    > INSERT INTO name VALUES ('<%=
    request.getParameter("First_Name").trim()
    > %>',
    > '<%= request.getParameter("Last_Name").trim() %>'
    >
    > INSERT INTO address VALUES ('<%=
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    > '<%= request.getParameter("Street").trim() %>',
    > '<%= request.getParameter("Town").trim() %>',
    > '<%= request.getParameter("County").trim() %>',
    > '<%= request.getParameter("Postcode").trim() %>'
    >
    > INSERT INTO contact_details VALUES ('<%=
    > request.getParameter("Email_Address").trim() %>',
    > '<%= request.getParameter("Telephone_Number").trim()
    %>'
    > </jrun:sql>
    >
    > Is this correct?
    >
    > Thanks for all your help, Lou.
    >
    >

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    Alt-Web Design & Publishing
    Web | Graphics | Print | Media  Specialists 
    http://alt-web.com/
    http://twitter.com/altweb
    http://alt-web.blogspot.com/

  • Desperate for help: ADDT registration form

    New to ADTT and back again with another, more urgent problem.
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      $uploadObj->setDbFieldName("UserPhoto");
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      $uploadObj->setResize("true", 200, 0);
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        case "text":
          $theValue = ($theValue != "") ? "'" . $theValue . "'" : "NULL";
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        case "int":
          $theValue = ($theValue != "") ? intval($theValue) : "NULL";
          break;
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          $theValue = ($theValue != "") ? "'" . doubleval($theValue) . "'" : "NULL";
          break;
        case "date":
          $theValue = ($theValue != "") ? "'" . $theValue . "'" : "NULL";
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          $theValue = ($theValue != "") ? $theDefinedValue : $theNotDefinedValue;
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    mysql_select_db($database_AGCI, $AGCI);
    $query_rsUsers = "SELECT * FROM users";
    $rsUsers = mysql_query($query_rsUsers, $AGCI) or die(mysql_error());
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    $totalRows_rsUsers = mysql_num_rows($rsUsers);
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    $UserRegistration->addColumn("UserFirstName", "STRING_TYPE", "POST", "UserFirstName");
    $UserRegistration->addColumn("UserLastName", "STRING_TYPE", "POST", "UserLastName");
    $UserRegistration->addColumn("UserTitle", "STRING_TYPE", "POST", "UserTitle");
    $UserRegistration->addColumn("UserDepartment", "STRING_TYPE", "POST", "UserDepartment");
    $UserRegistration->addColumn("UserOrganization", "STRING_TYPE", "POST", "UserOrganization");
    $UserRegistration->addColumn("UserPhone", "STRING_TYPE", "POST", "UserPhone");
    $UserRegistration->addColumn("UserCellPhone", "STRING_TYPE", "POST", "UserCellPhone");
    $UserRegistration->addColumn("UserAddress", "STRING_TYPE", "POST", "UserAddress");
    $UserRegistration->addColumn("UserAddress2", "STRING_TYPE", "POST", "UserAddress2");
    $UserRegistration->addColumn("UserCity", "STRING_TYPE", "POST", "UserCity");
    $UserRegistration->addColumn("UserState", "STRING_TYPE", "POST", "UserState");
    $UserRegistration->addColumn("UserZip", "STRING_TYPE", "POST", "UserZip");
    $UserRegistration->addColumn("UserCountry", "STRING_TYPE", "POST", "UserCountry");
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    $UserRegistration->addColumn("UserExpertise", "STRING_TYPE", "POST", "UserExpertise");
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    <div id="RegistrationContainer">
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            <table width="515" border="0" align="right">
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                    </td>
    </tr>
          <tr>
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           </tr>
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    </tr>
    <tr>
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    </tr>
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    </tr>
    </table>
    </td>
           </tr>
    <tr>
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           </tr>
    <tr>
    <td width="229" height="323" align="right" valign="top" scope="col">
    <input name="UserContactType" type="hidden" value="Scientist">
    <input name="UserEventID" type="hidden" value="259"> <!---NEEDS TO BE CHANGED FOR EACH WORKSHOP--->
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    <input name="UserRegistrationDate" type="hidden"  value="<?php echo $date ?>" >
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              <p align="right"><span class="style5">*</span> Job Title:
                <input type=text name="title"></p>
              <p align="right">Department:
               <input type=text name="department"></p>
             <p align="right"><span class="style5">*</span>Organization:
               <input type=text name="organization"></p>
             <p align="right"><span class="style5">*</span>Office Phone:
               <input type=text name="officephone"></p> 
              <p align="right">Cell Phone:
               <input type=text name="cellphone"></p>     
                </td>
                    <td width="255" height="323" valign="top" scope="col">
             <p align="right"><span class="style5">*</span>Address 1:
                <input type=text name="address1"></p>
             <p align="right">Address 2:
               <input type=text name="address2"></p>
              <p align="right"><span class="style5">*</span>City:
                <input type=text name="city"></p>
             <p align="right"><span class="style5">*</span>State / Province:
               <input type=text name="state"></p>
             <p align="right"><span class="style5">*</span>Zip / Postal Code:
               <input type=text name="zipcode"></p>
             <p align="right"><span class="style5">*</span>Country:
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                  <option value="Australia">Australia
                  <option value="Austria">Austria
                  <option value="Belgium">Belgium
                  <option value="Brazil">Brazil
                  <option value="Canada">Canada
                  <option value="Caribbean_Islands">Caribbean Islands
                  <option value="Chile">Chile
                  <option value="China">China
                  <option value="Colombia">Colombia
                  <option value="Denmark">Denmark
                  <option value="Ecuador">Ecuador
                  <option value="Egypt">Egypt
                  <option value="Finland">Finland
                  <option value="France">France
                  <option value="Germany">Germany
                  <option value="Greece">Greece
                  <option value="Greenland">Greenland
                  <option value="Hong_Kong">Hong Kong
                  <option value="Iceland">Iceland
                  <option value="India">India
                  <option value="Indonesia">Indonesia
                  <option value="Ireland">Ireland
                  <option value="Israel">Israel
                  <option value="Italy">Italy
                  <option value="Japan">Japan
                  <option value="Korea">Republic of Korea
                  <option value="Luxembourg">Luxembourg
                  <option value="Malaysia">Malaysia
                  <option value="Mexico">Mexico
                  <option value="Netherlands">Netherlands
                  <option value="New_Zealand">New Zealand
                  <option value="Norway">Norway
                  <option value="Philippines">Philippines
                  <option value="Portugal">Portugal
                  <option value="Russian">Russian Federation
                  <option value="Saudi_Arabia">Saudi Arabia
                  <option value="Singapore">Singapore
                  <option value="South_Africa">South Africa
                  <option value="Spain">Spain
                  <option value="Sweden">Sweden
                  <option value="Switzerland">Switzerland
                  <option value="China">Province Of China Taiwan
                  <option value="Thailand">Thailand
                  <option value="Turkey">Turkey
                  <option value="United Kingdom">United Kingdom
                  <option value="US" selected="selected">United States
                  <option value="Venezuela">Venezuela
                  <option value="Viet_Nam">Viet Nam
                  <option value="N/A">Not listed
              </select></p>
                <p align="right">Website:
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              </td>
    </tr>
       <tr>
              <td colspan="2" align="right" valign="top" scope="col">
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    <div class="lineDiv"></div>
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           </tr>
          <tr>
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                </td>
                <td height="66" align="right" valign="top" scope="col">
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                  </div>
                </td>
    </tr>
          <tr>
              <td height="34" colspan="2" align="right" valign="top" scope="col">
                <label>
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               </td>
            </tr>
              <td height="184" colspan="2" valign="bottom" scope="col">
                  <br>
    <div class="lineDiv"></div>
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                  <option value="3">3</option>
                  <option value="4">4</option>
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                  <option value="2">2</option>
                  <option value="3">3</option>
                  <option value="4">4</option>
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                <input type=text name="childguestnames">
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                  </td>
            </tr>
          <tr>
            <td height="182" colspan="2" valign="bottom" scope="col">
    <br>
    <div class="lineDiv"></div>
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    </td>
           </tr>
          <tr>
              <td height="218" colspan="2" valign="bottom" scope="col">
                <p><strong>Comments:</strong><br>
                <textarea name="comments" cols="400" rows="3"></textarea></p>
                </td>
           </tr>
          <tr>
             <td height="57" colspan="2" valign="middle" scope="col">
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            </tr>
          <tr>
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          <tr>
            <td height="121" colspan="2" valign="bottom" scope="col">
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           </tr>
         </table>
    </form>
    </div>
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    Community Expert: Dreamweaver
    Usergroup Manager: Northern British Columbia Adobe Usersgroup

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    > </jrun:sql>
    >
    > Is this correct?
    >
    > Thanks for all your help, Lou.
    >
    >

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    http://sivarajan.me/post/SharePoint-2013-Enabling-Custom-Login-Page-and-Mixed-Contents-Part-2
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