Help please -SQL

hey,
My cardType is entered into the Title Table in the database for some reason
I can't see how its doing this.
thanx
String radiob = request.getParameter("radiobutton");
String Username = request.getParameter("Username");
String Password = request.getParameter("Password");
String FirstName = request.getParameter("FirstName");
String Surname = request.getParameter("Surname");
String Address = request.getParameter("Address");
String City = request.getParameter("City");
String Email = request.getParameter("Email");
String telephoneNum = request.getParameter("telephoneNum");
String myradio = request.getParameter("radiobutton");
String cardNum = request.getParameter("cardNum");
String date = request.getParameter("date");
String month = request.getParameter("month");
String year = request.getParameter("year");
String driver="com.mysql.jdbc.Driver";
String connectionURL = "jdbc:mysql://localhost:3306/petshopwebsite";
//connection code
PreparedStatement p = con.prepareStatement("INSERT INTO customerdetails(Title,Username,Password,FirstName,Surname,Address,City,Email,telephoneNum,cardType,cardNum,date,month,year)VALUES('"+ radiob +"','"+Username+"','"+ Password+ "','"+ FirstName +"','"+Surname+"','"+Address+"','"+City+"','"+Email+"','"+telephoneNum+"','"+ myradio +"','"+cardNum+ "','" date "','"+month+"','"+year+"')");
int affectedRows= p.executeUpdate();

I have 2 groups of radio buttons and they're both different.
one group of radio buttons is Title which are Miss Mrs Ms Mr
and the other one is cardType which are Mastercard,American Express,Other etc
So when i click on say, Mr for Title
and later
click on American Express for cardType
American Express is entered into my Title column and cardType column, instead of Mr in Title column and American Express in cardType column.
I hope I have explained it ok
Thanx

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