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<?php
require_once($_SERVER['DOCUMENT_ROOT'].'/inc/php_header.php');
$str = '';
foreach($_GET as $k=>$v) {
$str .= ($str=='') ? '?'.urlencode($k).'='.urlencode($v) : '&'.urlencode($k).'='.urlencode($v);
}
//testing v1, and v3 against each other
$rand = rand(1,3);
if($rand==1) {
//header("Location: /{$str}");
//exit();
} elseif($rand==2) {
header("Location: /v1/{$str}");
exit();
} elseif($rand==3) {
header("Location: /v1/1a.php{$str}");
exit();
}
if(!empty($_GET['prm'])) {
$prm_arr = explode('|',UnCryptify($_GET['prm']));
$prm = array();
$prm['cid'] = $prm_arr[0];
$prm['sid'] = $prm_arr[1];
$prm['initial'] = $prm_arr[2];
$prm['monthly'] = $prm_arr[3];
$_SESSION['prm'] = $prm;
}
//echo '<!-- https://fundingapplications.com/order.php?s=1&prm='.Cryptify('Chat|Alesha|'.($_INITIAL_FEE*0.8).'|'.($_MONTHLY_FEE)).' -->';
$categories = get_categories();
$business_questions = get_business_questions();
//$education_questions = get_education_questions();
//$disability_questions = get_disability_questions();
//echo '<!-- '.print_r($categories,true).' -->';
/*$education_questions = get_education_questions();
function sub_question_recursive($q) {
global $education_questions;
if(isset($education_questions['subquestions'][$q])) {
foreach($education_questions['subquestions'][$q] as $s=>$d) { ?>
<div class="<?= $q;?>_sub" style="padding:5px 5px 5px 20px;display:block;clear:both;">
<?= $d['name'];?><br/>
<?php if($d['type']=='bool') {?>
<label><input type="radio" value="1" name="<?= $s;?>" id="<?= $s;?>_yes" /> Yes</label>
<label><input type="radio" value="0" name="<?= $s;?>" id="<?= $s;?>_no" /> No</label>
<br/>
<?php } elseif(strpos($d['type'],'range') > -1) {
$range = array();
$pieces = explode(':',$d['type']);
$range_limits = explode('-',$pieces[1]);
for($i=$range_limits[0]; $i<=$range_limits[1]; $i++) {
$range[$i] = $i;
} ?>
<select name="<?= $s;?>" id="<?= $s;?>">
<option value="">Select</option>
<?php foreach($range as $i=>$j) {?>
<option value="<?= $i;?>"><?= $j;?></option>
<?php }?>
</select>
<?php }
if(isset($education_questions['subquestions'][$s])) {
sub_question_recursive($s);
}?>
</div><?php
}
}
}*/
/*function sub_question_recursive_disability($q) {
global $disability_questions;
if(isset($disability_questions['subquestions'][$q])) {
foreach($disability_questions['subquestions'][$q] as $k=>$data) {
foreach($data as $s=>$d) { ?>
<div class="<?= $q;?>_sub" style="padding:5px 5px 5px 20px;display:block;clear:both;">
<?= $d['name'];?><br/>
<?php if($d['type']=='bool') {?>
<label><input type="radio" value="1" name="<?= $s;?>" id="<?= $s;?>_yes" /> Yes</label>
<label><input type="radio" value="0" name="<?= $s;?>" id="<?= $s;?>_no" /> No</label>
<br/>
<?php } elseif($d['type']=='text') {
?><input style="width:100%;" type="text" name="<?= $s;?> id="<?= $s;?>" /><?php
} elseif(strpos($d['type'],'range') > -1) {
$range = array();
$pieces = explode(':',$d['type']);
$range_limits = explode('-',$pieces[1]);
for($i=$range_limits[0]; $i<=$range_limits[1]; $i++) {
$range[$i] = $i;
} ?>
<select name="<?= $s;?>" id="<?= $s;?>">
<option value="">Select</option>
<?php foreach($range as $i=>$j) {?>
<option value="<?= $i;?>"><?= $j;?></option>
<?php
}
?>
</select>
<?php
} elseif($d['type']=='textarea') {
?>
<textarea name="<?= $s;?>" id="<?= $s;?>"></textarea>
<?php
} elseif(strpos($d['type'],'select') > -1) {
$select = array();
$pieces = explode(':',$d['type']);
$more_pieces = explode('|',$pieces[1]);
?>
<select name="<?= $s;?>" id="<?= $s;?>">
<option value="">Select</option>
<?php foreach($more_pieces as $p) { ?>
<option value="<?= $p;?>"><?= $p;?></option>
<?php } ?>
</select>
<?php
}
if(isset($disability_questions['subquestions'][$s]))
{
sub_question_recursive_disability($s);
}
?>
</div>
<?php
}
}
}
}*/
$trackerformparams = $tracker->FormParameters();
$title = 'Choose Application';
$body_id = 'index';
require_once("header.php") ?>
<script type="text/javascript" src="/js/jquery.1.11.1.min.js"></script>
<script type="text/javascript" src="/js/jquery.formatter.min.js"></script>
<script type="text/javascript">
function checkZip(zip,me) {
zip = zip.replace(/[^0-9]/g,'');
if(zip.length==5) {
var str = 'zip='+encodeURIComponent(zip);
$.ajax
({
cache: false,
type: "POST",
dataType:"json",
data: str,
url: "/php/ZipToCity.php",
success: function(data)
{
if(!data.error) {
$('[name=cc_city]').val(data.city);
$('[name=cc_state]').val(data.state);
}
},error: function(jqXHR, textStatus, errorThrown) {
}
});
}
}
$(document).ready( function() {
$('.subcategory,.subtext,#education_questions,#business_questions').hide().find('input,select,textarea').attr('disabled','disabled');
$('input[name=category_id]').click( function() {
var show_class = $(this).attr('class');
var subcat_elements = $('.subcategory[class~='+show_class+']');
$('.subcategory').hide().find('input,select,textarea').attr('disabled', 'disabled');
if(subcat_elements.length > 0) {
$('#subcategories').show();
subcat_elements.show().find('input,select,textarea').removeAttr('disabled');
} else {
$('#subcategories').hide().find('input,select,textarea').attr('disabled', 'disabled');
}
var granttype = $(this).parents('td:first').attr('id');
$('#granttype_input').val(granttype);
var amount_needed = $('select[name=app_amount_needed]').val();
if(granttype == 'business') {
$('#amount_needed').html('<select name="app_amount_needed"><option selected>Select</option><option value="$500 - $10,000">$500 - $10,000</option><option value="$10,000 - $25,000">$10,000 - $25,000</option><option value="$25,000 - $50,000">$25,000 - $50,000</option><option value="$50,000 - $100,000">$50,000 - $100,000</option><option value="$100,000 - $250,000">$100,000 - $250,000</option><option value="$250,000 - $500,000">$250,000 - $500,000</option><option value="$500,000 - $1,000,000">$500,000 - $1,000,000</option><option value="$1,000,000 +">$1,000,000 +</option></select>');
$('#business_questions').show('slow').find('input,select,textarea').removeAttr('disabled');
} else {
$('#amount_needed').html('<select name="app_amount_needed"><option selected>Select</option><option value="$500 - $10,000">$500 - $10,000</option><option value="$10,000 - $25,000">$10,000 - $25,000</option><option value="$25,000 - $50,000">$25,000 - $50,000</option><option value="$50,000 - $100,000">$50,000 - $100,000</option><option value="$100,000 or More">$100,000 or More</option></select>');
$('#business_questions').hide('slow').find('input,select,textarea').attr('disabled','disabled');
}
/*if($(this).val() == '2') { //education
$('#education_questions').show().find('input,select,textarea').removeAttr('disabled');
} else {
$('#education_questions').hide().find('input,select,textarea').attr('disabled','disabled');
}*/
});
$('input[name=phone_full]').formatter({
'pattern': '({{999}}) {{999}}-{{9999}}',
'persistent': false
});
<?php
if(!empty($_REQUEST)) {
echo "$('input:radio[name=category_id]').filter(function() { return $(this).val()=='{$_REQUEST['category_id']}'; }).click();\n";
}
?>
});
</script>
<? include("assets/sidebar.php") ?>
<h1>New Funding Applications are Available Now!</h1>
<p class="text">Want to take advantage of all the Free Funding out there, but don't know HOW? Truth is, there are Billions of Dollars of Free Funding awaiting those who qualify and those who know how to apply. This money is awarded to individuals, businesses, researchers, and non-profit organizations through various lenders, including state agencies, federal agencies, private corporations and foundations. We've done the research and THE MONEY EXISTS! Let us show you how and where to apply and how much you may qualify for!</p>
<p class="text">The amount of money and the time of year the money is given away varies. No two funding application deadlines are alike. Therefore, you need to get started as soon as you can so you can take advantage of all those you qualify for and not miss their due dates. Apply all year long.</p>
<p class="text">No need to procrastinate now that we have found the applications for you. No excuses. Get started applying today. "FundingApplications.com" was created for people like you who need help finding the applications. That seems to be one of the hardest things people have to do in the funding seeking process.</p>
<p class="text">Most will miss out on the opportunity to receive such funds because they just don't know where to start. Thousands of private corporations and foundations are just waiting to help provide programs to help individuals and small businesses or organizations throughout the country now more than ever before because more people and businesses need help more than ever before.</p>
<?php if(!empty($_SESSION['prm'])) { ?>
<p class="text" style="color:#33aa66">Thanks to <?= $_SESSION['prm']['sid']; ?>, you can get access to these funding opportunities for only <span style='text-decoration:line-through'>$<?= $_INITIAL_FEE; ?></span> $<?= $_SESSION['prm']['initial']; ?>.</p>
<?php } ?>
<a name="form"></a>
<form action='order.php' method='post'>
<table id="form" cellspacing="0" cellpadding="0">
<tr>
<td class="form_top">Funding Application Registration</td>
</tr>
<tr>
<td class="form_in" height="400px">
<table cellpadding="0" cellspacing="0" id="select">
<tr>
<td id="personal" class="personal">
<img src="images/select_tl.png" style="float:left" />
<img src="images/select_tr.png" style="float:right" />
<div>
<label><input type="radio" name="category_id" id="inp_personal" value="4" onclick="test();" />PERSONAL</label>
</div>
</td>
<td id="education" class="education">
<img src="images/select_tl.png" style="float:left" />
<img src="images/select_tr.png" style="float:right" />
<div>
<label><input type="radio" name="category_id" id="inp_education" value="2" onclick="test();" />EDUCATION</label>
</div>
</td>
<td id="realestate" class="realestate">
<img src="images/select_tl.png" style="float:left" />
<img src="images/select_tr.png" style="float:right" />
<div>
<label><input type="radio" name="category_id" id="inp_realestate" value="5" onclick="test();" />REAL ESTATE</label>
</div>
</td>
<td id="business" class="business">
<img src="images/select_tl.png" style="float:left" />
<img src="images/select_tr.png" style="float:right" />
<div>
<label><input type="radio" name="category_id" id="inp_business" value="1" onclick="test();" />BUSINESSES</label>
</div>
</td>
</tr>
</table>
<table cellpadding="0" cellspacing="0" class="select" id="a1">
<tr>
<td></td>
<td></td>
<td class="tr"></td>
<tr>
</tr>
<td></td>
<td>
<?php $counter = 0; if(!empty($categories['subcategories'])) {
echo '<ul>';
foreach($categories['subcategories'] as $subcats) {
if(isset($subcats['categories'][4])) { $counter++;
if($counter > 5) { $counter=0; echo '</ul><ul>'; }
?><li><label><input type="checkbox" class="check" name="subcategories[]" value="<?= $subcats['id'];?>" /><?= $subcats['name']; ?></label></li><?php
}
}
echo '</ul>';
}?>
<span><img src="images/arrow_up.png" />Highlight All Applicable Personal Sub-Categories<img src="images/arrow_up.png" /></span>
</td>
<td></td>
</tr>
<tr>
<td class="bl"></td>
<td></td>
<td class="br"></td>
</tr>
</table>
<table cellpadding="0" cellspacing="0" class="select" id="a2">
<tr>
<td class="tl"></td>
<td></td>
<td class="tr"></td>
<tr>
<tr>
<td></td>
<td>
<?php $counter = 0; if(!empty($categories['subcategories'])) {
echo '<ul>';
foreach($categories['subcategories'] as $subcats) {
if(isset($subcats['categories'][2])) { $counter++;
if($counter > 5) { $counter=0; echo '</ul><ul>'; }
?><li><label><input type="checkbox" class="check" name="subcategories[]" value="<?= $subcats['id'];?>" /><?= $subcats['name']; ?></label></li><?php
}
}
echo '</ul>';
}?>
<span><img src="images/arrow_up.png" />Highlight All Applicable Education Sub-Categories<img src="images/arrow_up.png" /></span>
</td>
<td></td>
</tr>
<tr>
<td class="bl"></td>
<td></td>
<td class="br"></td>
</tr>
</table>
<table cellpadding="0" cellspacing="0" class="select" id="a3">
<tr>
<td class="tl"></td>
<td></td>
<td class="tr"></td>
<tr>
<tr>
<td></td>
<td>
<?php $counter = 0; if(!empty($categories['subcategories'])) {
echo '<ul>';
foreach($categories['subcategories'] as $subcats) {
if(isset($subcats['categories'][5])) { $counter++;
if($counter > 5) { $counter=0; echo '</ul><ul>'; }
?><li><label><input type="checkbox" class="check" name="subcategories[]" value="<?= $subcats['id'];?>" /><?= $subcats['name']; ?></label></li><?php
}
}
echo '</ul>';
}?>
<span><img src="images/arrow_up.png" />Highlight All Applicable Real Estate Sub-Categories<img src="images/arrow_up.png" /></span>
</td>
<td></td>
</tr>
<tr>
<td class="bl"></td>
<td></td>
<td class="br"></td>
</tr>
</table>
<table cellpadding="0" cellspacing="0" class="select" id="a4">
<tr>
<td class="tl"></td>
<td></td>
<td></td>
<tr>
<tr>
<td></td>
<td>
<?php $counter = 0; if(!empty($categories['subcategories'])) {
echo '<ul>';
foreach($categories['subcategories'] as $subcats) {
if(isset($subcats['categories'][1])) { $counter++;
if($counter > 5) { $counter=0; echo '</ul><ul>'; }
?><li><label><input type="checkbox" class="check" name="subcategories[]" value="<?= $subcats['id'];?>" /><?= $subcats['name']; ?></label></li><?php
}
}
echo '</ul>';
}?>
<span><img src="images/arrow_up.png" />Highlight All Applicable Business Sub-Categories<img src="images/arrow_up.png" /></span>
</td>
<td></td>
</tr>
<tr>
<td class="bl"></td>
<td></td>
<td class="br"></td>
</tr>
</table>
<script language="JavaScript">
function test() {
if (document.getElementById('inp_personal').checked == true) {
document.getElementById('personal').className = 'personal_';
document.getElementById('education').className = 'education';
document.getElementById('realestate').className = 'realestate';
document.getElementById('business').className = 'business';
switchid('a1');
}
if (document.getElementById('inp_education').checked == true) {
document.getElementById('personal').className = 'personal';
document.getElementById('education').className = 'education_';
document.getElementById('realestate').className = 'realestate';
document.getElementById('business').className = 'business';
switchid('a2');
}
if (document.getElementById('inp_realestate').checked == true) {
document.getElementById('personal').className = 'personal';
document.getElementById('education').className = 'education';
document.getElementById('realestate').className = 'realestate_';
document.getElementById('business').className = 'business';
switchid('a3');
}
if (document.getElementById('inp_business').checked == true) {
document.getElementById('personal').className = 'personal';
document.getElementById('education').className = 'education';
document.getElementById('realestate').className = 'realestate';
document.getElementById('business').className = 'business_';
switchid('a4');
}
}
//here you place the ids of every element you want.
var ids=new Array('a1','a2','a3','a4');
function switchid(id){
hideallids();
showdiv(id);
}
function hideallids(){
//loop through the array and hide each element by id
for (var i=0;i<ids.length;i++){
hidediv(ids[i]);
}
}
function hidediv(id) {
//safe function to hide an element with a specified id
if (document.getElementById) { // DOM3 = IE5, NS6
document.getElementById(id).style.display = 'none';
}
else {
if (document.layers) { // Netscape 4
document.id.display = 'none';
}
else { // IE 4
document.all.id.style.display = 'none';
}
}
}
function showdiv(id) {
//safe function to show an element with a specified id
if (document.getElementById) { // DOM3 = IE5, NS6
document.getElementById(id).style.display = 'block';
}
else {
if (document.layers) { // Netscape 4
document.id.display = 'block';
}
else { // IE 4
document.all.id.style.display = 'block';
}
}
}
</script>
<table cellpadding="0" cellspacing="0" border="0" class="form_table">
<tr>
<td>citizenship</td>
<td>age</td>
<td colspan="2">gender</td>
</tr>
<tr>
<td><select class="third_" name="app_citizenship">
<option value="" >Select</option>
<option value="citizen" >U.S. Citizen</option>
<option value="resident" >Resident Alien</option>
<option value="greencard" >Green Card Holder</option>
<option value="permanent" >Permanent Resident</option>
<option value="unsure" >Not Sure</option>
</select></td>
<td><input type="tel" maxlength="3" class="third" name="app_age" value="" /></td>
<td colspan="2">
<label><input type="radio" name="app_gender" class="radio" value="male" />male</label>
<label><input type="radio" name="app_gender" class="radio" value="female" />female</label>
</td>
</tr>
</table>
<?php /*
<table cellpadding="0" cellspacing="0" border="0" class="form_table" id="disability_questions">
<?php foreach($disability_questions['questions'] as $slug=>$data) {?>
<tr>
<td><?= $data['name'];?></td>
</tr>
<tr>
<td>
<?php if($data['type']=='bool') {?>
<label><input type="radio" value="1" name="<?= $slug;?>" id="<?= $slug;?>_yes" /> Yes</label>
<label><input type="radio" value="0" name="<?= $slug;?>" id="<?= $slug;?>_no" /> No</label>
<?php } elseif(strpos($data['type'],'range') > -1) {
$range = array();
$pieces = explode(':',$data['type']);
$range_limits = explode('-',$pieces[1]);
if($range_limits[0] > $range_limits[1]) {
for($i=$range_limits[0]; $i>=$range_limits[1]; $i--) {
$range[$i] = $i;
}
} else {
for($i=$range_limits[0]; $i<=$range_limits[1]; $i++) {
$range[$i] = $i;
}
}
?>
<select name="<?= $slug;?>" id="<?= $slug;?>">
<option value="">Select</option>
<?php foreach($range as $i=>$j) {?>
<option value="<?= $i;?>"><?= $j;?></option>
<?php }?>
</select>
<?php } elseif($data['type']=='textarea') {
?>
<textarea name="<?= $slug;?>" id="<?= $slug;?>"></textarea>
<?php
}
sub_question_recursive_disability($slug);
?>
</td>
</tr>
<?php } ?>
</table>
*/?>
<?php /*<table cellpadding="0" cellspacing="0" border="0" class="form_table" id="education_questions">
<?php foreach($education_questions['questions'] as $slug=>$data) {?>
<tr>
<td><?= $data['name'];?></td>
</tr>
<tr>
<td>
<?php if($data['type']=='bool') {?>
<label><input type="radio" value="1" name="<?= $slug;?>" id="<?= $slug;?>_yes" /> Yes</label>
<label><input type="radio" value="0" name="<?= $slug;?>" id="<?= $slug;?>_no" /> No</label>
<?php } elseif(strpos($data['type'],'range') > -1) {
$range = array();
$pieces = explode(':',$data['type']);
$range_limits = explode('-',$pieces[1]);
if($range_limits[0] > $range_limits[1]) {
for($i=$range_limits[0]; $i>=$range_limits[1]; $i--) {
$range[$i] = $i;
}
} else {
for($i=$range_limits[0]; $i<=$range_limits[1]; $i++) {
$range[$i] = $i;
}
}
?>
<select name="<?= $slug;?>" id="<?= $slug;?>">
<option value="">Select</option>
<?php foreach($range as $i=>$j) {?>
<option value="<?= $i;?>"><?= $j;?></option>
<?php }?>
</select>
<?php }
sub_question_recursive($slug);
?>
</td>
</tr>
<?php } ?>
</table>*/?>
<table cellpadding="0" cellspacing="0" border="0" class="form_table" id="business_questions">
<tr>
<td>What are the major financial needs for your business? <i>(Check all that apply)</i></td>
</tr>
<?php foreach($business_questions['questions'] as $slug=>$data) {?>
<tr>
<td>
<label><input type="checkbox" value="1" name="<?= $slug;?>" id="<?= $slug;?>_yes" style="vertical-align:middle;" /> <?= $data['name'];?></label>
</td>
</tr>
<?php } ?>
</table>
<table cellpadding="0" cellspacing="0" border="0" class="form_table">
<tr>
<td>How much funding are you looking for?</td>
</tr>
<tr>
<td id="amount_needed"><select name="app_amount_needed">
<option selected>Select</option>
<option value="$500 - $10,000" >$500 - $10,000</option>
<option value="$10,000 - $25,000" >$10,000 - $25,000</option>
<option value="$25,000 - $50,000" >$25,000 - $50,000</option>
<option value="$50,000 - $100,000" >$50,000 - $100,000</option>
<option value="$100,000 or More" >$100,000 or More</option>
</select></td>
</tr>
<tr>
<td>Describe in detail how you'll use the money:</td>
</tr>
<tr>
<td><textarea name="app_usedescription"></textarea></td>
</tr>
<tr>
<td>What makes you the ideal candidate for this funding?</td>
</tr>
<tr>
<td><textarea name="app_uniqueness"></textarea></td>
</tr>
</table>
<table cellpadding="0" cellspacing="0" border="0" class="form_table">
<tr>
<td colspan="2">first name</td>
<td colspan="2">last name</td>
</tr>
<tr>
<td colspan="2"><input type="text" class="full" name="cc_fname" value="" /></td>
<td colspan="2"><input type="text" class="full" name="cc_lname" value="" /></td>
</tr>
<tr>
<td colspan="2">street address</td>
<td colspan="2">zip</td>
</tr>
<tr>
<td colspan="2"><input type="text" class="full" name="cc_addr" value="" /></td>
<td colspan="2"><input type="tel" class="full" maxlength="5" id="id-cc-zip" name="cc_zip" onkeyup="checkZip($(this).val(),this);" value="<?= isset($_REQUEST['cc_zip']) ? $_REQUEST['cc_zip'] : null;?>" /></td>
</tr>
<tr>
<td colspan="2">city</td>
<td colspan="2">state</td>
</tr>
<tr>
<td colspan="2">
<input type="text" name="cc_city" class="full" value="<?= $_POST['cc_city'];?>" />
</td>
<td colspan="2">
<select name="cc_state" class="full">
<?php
$_STATES = array(''=>'','AL'=>'Alabama','AK'=>'Alaska','AS'=>'American Samoa','AZ'=>'Arizona','AR'=>'Arkansas','CA'=>'California','CO'=>'Colorado','CT'=>'Connecticut','DE'=>'Delaware','DC'=>'District of Columbia','FM'=>'Federated States of Micronesia','FL'=>'Florida','GA'=>'Georgia','GU'=>'Guam','HI'=>'Hawaii','ID'=>'Idaho','IL'=>'Illinois','IN'=>'Indiana','IA'=>'Iowa','KS'=>'Kansas','KY'=>'Kentucky','LA'=>'Louisiana','ME'=>'Maine','MD'=>'Maryland','MH'=>'Marshall Islands','MA'=>'Massachusetts','MI'=>'Michigan','MN'=>'Minnesota','MS'=>'Mississippi','MO'=>'Missouri','MT'=>'Montana','NE'=>'Nebraska','NV'=>'Nevada','NH'=>'New Hampshire','NJ'=>'New Jersey','NM'=>'New Mexico','NY'=>'New York','NC'=>'North Carolina','ND'=>'North Dakota','MP'=>'Northern Mariana Islands','OH'=>'Ohio','OK'=>'Oklahoma','OR'=>'Oregon','PW'=>'Palau','PA'=>'Pennsylvania','PR'=>'Puerto Rico','RI'=>'Rhode Island','SC'=>'South Carolina','SD'=>'South Dakota','TN'=>'Tennessee','TX'=>'Texas','UT'=>'Utah','VT'=>'Vermont','VI'=>'Virgin Islands','VA'=>'Virginia','WA'=>'Washington','WV'=>'West Virginia','WI'=>'Wisconsin','WY'=>'Wyoming');
foreach($_STATES as $k=>$v) {
?><option value="<?= $k;?>" <?= ($_POST['cc_state']==$k) ? 'selected' : '';?>><?= $v;?></option><?php
}
?>
</select>
</td>
</tr>
<tr>
<td colspan="2">phone</td>
<td colspan="2">email</td>
</tr>
<tr>
<td colspan="2" class="phoneBox"><input type="tel" class="full" name="phone_full" value="<?= $_REQUEST['phone_full'];?>" /></td>
<td colspan="2"><input type="text" class="full" name="cc_email" value="" /></td>
</tr>
<tr>
<td colspan="4"><label><input id="inform_me" type="checkbox" name="inform_me" value="1" checked="checked" />Yes, inform me of new funding opportunities!</label></td>
</tr>
<tr>
<td colspan="4">
<input type="hidden" name="application" value="application">
<input type="hidden" name="tc" value="<?= $tc; ?>">
<input type="hidden" name="form_filled_out" value="<?= $_SERVER['REQUEST_URI'];?>" />
<?= $trackerformparams; ?>
<input type="submit" class="submit" value="" />
<script type="text/JavaScript">
//<![CDATA[
var sealServer=document.location.protocol+"//seals.websiteprotection.com/sealws/4dd36c0b-cfc8-4488-898d-26210a0607d7.gif";var certServer=document.location.protocol+"//certs.websiteprotection.com/sealws/?sealId=4dd36c0b-cfc8-4488-898d-26210a0607d7";var hostName="newusafunding.com";document.write(unescape('<div style="text-align:center;margin:0 auto;"><a target="_blank" href="'+certServer+'&pop=true" style="display:inline-block;"><img src="'+sealServer+'" alt="Website Protection™Site Scanner protects this website from security threats." title="This Website Protection site seal is issued to '+ hostName +'. Copyright ? 2010, all rights reserved."oncontextmenu="alert(\'Copying Prohibited by Law - Website Protection is a Trademark of GoDaddy.com\'); return false;" border="0" /></a><div id="bannerLink"><a href="https://www.godaddy.com/" target="_blank"></a></div></div>'));
//]]>
</script>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="form_bot"></td>
</tr>
</table>
</form>
<p class="text">In order to pay the online advertising we have to do to get this information out to you, we need to charge a small registration fee of <?= (!empty($_SESSION['prm'])) ? '<span style="text-decoration:line-through">$'.$_INITIAL_FEE.'</span> <span style="color:#33aa66">$'.$_SESSION['prm']['initial'].'</span>' : '$'.$_INITIAL_FEE; ?>. I hope you understand. Remember, this information is updated on a regular basis so you should always have the most current information! Our membership registration fee also comes with a RISK FREE GUARANTEE: If you apply and don't qualify for one of the funding programs on our site, your fee will be refunded to you on the spot!! All you have to do is send us the application and response you received from the funding agency, and we will refund you the <?= (!empty($_SESSION['prm'])) ? '<span style="text-decoration:line-through">$'.$_INITIAL_FEE.'</span> <span style="color:#33aa66">$'.$_SESSION['prm']['initial'].'</span>' : '$'.$_INITIAL_FEE; ?>! You have nothing to lose--either you qualify for Free Funding or you get your money back, GUARANTEED! You will have instant access to the online training program through our exclusive members-only application website.</p>
<p style="font:bold italic 14pt/140% SegoeUI; color:#DA912E; padding:5px 0 0 10px">What are you waiting for?</p>
<p class="text">Fill out the <a href="#form">Registration Form</a> above and start your Funding Applications today!</p>
<img src="https://www.surfcrm.com/lcapi/FormImpressionTracking.php?site=fa&ip_address=<?= $_SERVER['REMOTE_ADDR'];?>&form_url=<?= urlencode($_SERVER['REQUEST_URI']);?>" />
<script type="text/javascript">
window.setTimeout(function() {
var form_session = new Image();
form_session.src = "https://www.surfcrm.com/lcapi/FormSessionTracking.php?site=fa&ip_address=<?= $_SERVER['REMOTE_ADDR'];?>&form_url=<?= urlencode($_SERVER['REQUEST_URI']);?>";
},10000);
</script>
<? require_once("footer.php")?>