<?php
require_once($_SERVER['DOCUMENT_ROOT'].'/inc/globals.php');
$title = ''; 
$body_class = 'order';
require_once($_SERVER['DOCUMENT_ROOT'].'/v5/header.php');
?>
<script type="text/javascript" src="/assets/js/jquery-1.11.1.min.js"></script>
<script type="text/javascript">
function billing_same_as_street_addressf(me) {
	if($(me).is(':checked')) {
		$('#cardholder_name').val('<?= str_replace("'","\\'",$cc_fname).' '.str_replace("'","\\'",$cc_lname);?>');
		$('#billing_street_address').val('<?= str_replace("'","\\'",$cc_addr);?>');
		$('#billing_city').val('<?= str_replace("'","\\'",$cc_city);?>');
		$('#billing_state').val('<?= str_replace("'","\\'",$cc_state);?>');
		$('#billing_zip').val('<?= str_replace("'","\\'",$cc_zip);?>');
	} else {
		$('#cardholder_name').val('');
		$('#billing_street_address').val('');
		$('#billing_city').val('');
		$('#billing_state').val('');
		$('#billing_zip').val('');
	}
}
</script>


	<style type="text/css">
		
		.halfWidth select, select.halfWidth { width:auto; }
		.blurb img {
			float: left;
			margin: 0 0 0 0;
			padding: 10px 10px 0px 0px;
			position: relative;
			right: 0px !important;
		}
		
		.blurb p {
		font-size: 13px;
		{
	
		</style>

<div class="side">
	
	<h2 style="color:#a41b00;">Client Testimonials</h2>
    <div class="blurb">
       <ul class="button_quotes_class">
            <li>
                <p><img src="/v5/images/woman3.jpg">"It's a good site with Excellent Information!"</p>
                <h4>--Gayle</h4>
            </li>
        </ul>  
    </div>
    <div class="blurb">
       <ul class="button_quotes_class">
            <li>
                <p><img src="/v5/images/tommy.jpg">"Well laid out program and easy to understand. Easy for an old man with little computer knowledge to follow."</p>
                <h4>--Tommy</h4>
            </li>
        </ul>  
    </div>  
    <div class="blurb">
       <ul class="button_quotes_class">
            <li>
                <p><img src="/v5/images/woman2.jpg">I received customer assistance very quickly when I called.  The ease and readability of the site is superb and I will recommend to my friends."</p>
                <h4>--Michelle</h4>
            </li>
        </ul>  
    </div>
	<div class="blurb">
		<ul class="button_quotes_class">
			<li>
				<p><img src="/v4/images/Levoidia.jpg" />"It cuts down the time that it takes me to look up grants.  It is a great helpful tool."</p>
				<h4>--Levoidia</h4>
			</li>
		</ul>
	</div>
	<div class="blurb">
		<ul class="button_quotes_class">
			<li>
				<p><img src="/v5/images/jai.jpg"> "If you need help with grant services this is a great site that can assist you in getting started."</p>
				<h4>--Jai</h4>
			</li>
		</ul>
	</div>
	<div class="blurb">
		<ul class="button_quotes_class">
			<li>
				<p><img src="/v5/images/kathy.jpg">"They really cared about me and want me to get the help I need."</p>
				<h4>----Kathy</h4>
			</li>
		</ul>
	</div>
</div>
	
        
    	<div class="main">
    	<div class="main_">

		<?php if(isset($error_message)) { ?>
			<p style='margin:10px auto;width:90%;border:3px solid #FF0000'>
				<center>
				The following error has occurred:<br />
				<em><?= ($error_message=='Address Verification does not match') ? 'Address Verification does not match.<br />Please be sure the ADDRESS and ZIP CODE match the BILLING address on your CREDIT CARD STATEMENT and enter it in again.' : $error_message;?></em><br />
				If you need assistance, please call us at <?= $_SITE_PHONE;?>.
				</center>
			</p>
		<?php } ?>
		
		<script type="text/javascript">
			function checkLuhn(input) {
				var sum = 0;
				var numdigits = input.length;
				var parity = numdigits % 2;
				for(var i=0; i < numdigits; i++) {
					var digit = parseInt(input.charAt(i))
					if(i % 2 == parity) digit *= 2;
					if(digit > 9) digit -= 9;
					sum += digit;
				}
				return (sum % 10) == 0;
			}
			function make_internal_popup(data) {
				$('body').append('<div id="id-popup-overlay"></div>');
				$('body').append('<div id="id-popup-container"></div>');
				$('#id-popup-overlay').attr('style','z-index:10012;position:fixed;top:0px;left:0px;bottom:0px;right:0px;background:rgba(0,0,0,.6);');
				$('#id-popup-container').attr('style','z-index:10013;position:fixed;top:0px;left:0px;background:white;border-radius:16px;padding:15px;overflow:auto;');
				$('#id-popup-container').append(data);
				$('#id-popup-container').css('max-height',$(window).height());
				$('#id-popup-container').css('max-width',$(window).width());
				$('#id-popup-container').css('left',$(window).width()/2 - $('#id-popup-container').width()/2);
				$('#id-popup-container').css('top',$(window).height()/2 - $('#id-popup-container').height()/2);
			}
			function validate_form(me) {
				var errors = '';
				
				//check card type
				if($.trim($('[name=cc_num]').val())=='') {
					errors += (errors=='') ? '' : "\n";
					errors += 'You need to enter the credit card number.';
				} else {
					var first_num = $('[name=cc_num]').val().toString().charAt(0);
					switch(first_num) {
						case '3':
						case '4':
						case '5':
						case '6':
							if(!checkLuhn($('[name=cc_num]').val().toString())) {
								errors += (errors=='') ? '' : "\n";
								errors += 'This credit card number is not valid.';
							}
							break;
						default:
							errors += (errors=='') ? '' : "\n";
							errors += 'We only accept American Express, Visa, MasterCard, and Discover.';
							break;
					}
				}
				
				//check expiration
				if($('[name=cc_month]').val() == 'MM' || $('[name=cc_year]').val() == 'YYYY') {
					errors += (errors=='') ? '' : "\n";
					errors += 'You need to enter the expiration date.';
				} else {
					if($('[name=cc_year]').val()*1 > <?= date('Y');?>) {
						//expires after this year
					} else if($('[name=cc_year]').val()*1 == <?= date('Y');?>) {
							//expires this year
						if($('[name=cc_month]').val()*1 >= <?= date('n');?>) {
							//expires this month or later
						} else {
							errors += (errors=='') ? '' : "\n";
							errors += 'This credit card is expired.';
						}
					} else {
						errors += (errors=='') ? '' : "\n";
						errors += 'This credit card is expired.';
					}
				}
				if($('[name=cc_cvv]').val()=='') {
					errors += (errors=='') ? '' : "\n";
					errors += 'You need to enter the cvv number.';
				}
				
				if($('#agree2terms').is(':checked')) {
				} else {
					errors += (errors=='') ? '' : "\n";
					errors += 'You must agree to the terms of the site.';
				}
				if(errors=='') {
					make_internal_popup('We are creating your account. Please Wait.');
					return true;
				} else {
					alert("Please fix the following errors:\n\n" + errors);
					return false;
				}
			}
		</script>
        
        	<h1 style="white-space:normal">Step 2 of 3: Confirm your Answers &amp; Complete Registration</h1>
            <p>Here is the summary of the answers on step 1 of this USA Grant Application account registration process. Please confirm your answers to be sure they are correct and complete the last step at the bottom of the page. You are 1 step away from beginning the process of applying for funding of every kind if you qualify of course!!</p>
			
			<form id="form" method="post" action="order.php" onsubmit="return validate_form(this);">
				<div class="order_form_section">
					<h2 class="cc_form_h2">Personal Information</h2>
					
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">First Name:</div>
						<p class="cc_form_p">
							<?= $cc_fname; ?><input type="hidden" name="cc_fname" value="<?= $cc_fname; ?>" />
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">Last Name:</div>
						<p class="cc_form_p">
							<?= $cc_lname; ?><input type="hidden" name="cc_lname" value="<?= $cc_lname; ?>" />
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">Email:</div>
						<p class="cc_form_p">
							<?= $cc_email; ?><input type="hidden" name="cc_email" value="<?= $cc_email; ?>" />
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">Phone Number:</div>
						<p class="cc_form_p">
							<?= $cc_phonearea; ?>-<?= $cc_phoneprefix; ?>-<?= $cc_phoneextension; ?>
							<input type="hidden" name="cc_phonearea" value="<?= $cc_phonearea; ?>" />
							<input type="hidden" name="cc_phoneprefix" value="<?= $cc_phoneprefix; ?>" />
							<input type="hidden" name="cc_phoneextension" value="<?= $cc_phoneextension; ?>" />
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">Address:</div>
						<p class="cc_form_p">
							<?= $cc_addr; ?><input type="hidden" name="cc_addr" value="<?= $cc_addr; ?>" />
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">City:</div>
						<p class="cc_form_p">
							<?= $cc_city; ?><input type="hidden" name="cc_city" value="<?= $cc_city; ?>" />
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">State:</div>
						<p class="cc_form_p">
							<?= $cc_state; ?><input type="hidden" name="cc_state" value="<?= $cc_state; ?>" />
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">Zip:</div>
						<p class="cc_form_p">
							<?= $cc_zip; ?><input type="hidden" name="cc_zip" value="<?= $cc_zip; ?>" />
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<br />
				</div>
                    
				<div class="order_form_section">
					<h2 class="cc_form_h2">Application Question Summary</h2>
					
					
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">Citizenship:</div>
						<p class="cc_form_p">
							<?= $app_citizenship; ?>
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">How much do you need?</div>
						<p class="cc_form_p">
							<?= $app_amount_needed; ?>
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="fullWidth">How will you use the funds?</div>
						<p class="cc_form_p">
							<?= stripslashes($app_usedescription); ?>
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<div class="fullWidth">
						<div class="fullWidth">What qualifies you above other applicants?</div>
						<p class="cc_form_p">
							<?= stripslashes($app_uniqueness); ?>
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<br /><br />
				</div>
				<div class="order_form_section">
					<h2 class="cc_form_h2">USA Grant Application User Account Info:</h2>
					<div class="fullWidth">
						<div class="halfWidth cc_form_halfWidth left">Username:</div>
						<p class="cc_form_p">
							<span style="color:#a41b00;font-family:'ErasBD';"><?= $cc_email; ?></span>
						</p>
					</div>
					<div class="clear_left cc_form_clear_left"></div>
					<p class="cc_form_p"><em>The Website and Password for the Members site will be given to you at the completion of the registration process</em></p>
					<br /><br />
				</div>
				<div class="order_form_section">
					<h2 class="cc_form_h2">Payment Information for the $<?= $_INITIAL_FEE;?> Access Fee:</h2>
					
					<p class="a">Our accountant tells us we have to charge a registration fee to pay our funding writers and provide you with the most up-to-date information from the funding world. <strong>So we have settled on $<?= number_format($_INITIAL_FEE,2); ?>,</strong> which we feel is a fair price to pay for such valuable information, which is updated on a regular basis. By ordering today you understand that you are enrolling into the Exclusive USA Grant Applications Membership Resource Center where we provide you application resources for hundreds of different funding options.</p>
										
					<style>
						.checkbox_container {
						  display: block;
						  position: relative;
						  padding-left: 40px;
						  padding-top:3px;
						  margin-bottom: 12px;
						  cursor: pointer;
						  font-size: 22px;
						  -webkit-user-select: none;
						  -moz-user-select: none;
						  -ms-user-select: none;
						  user-select: none;
						}

						.checkbox_container input {
						  position: absolute;
						  opacity: 0;
						  cursor: pointer;
						  height: 0;
						  width: 0;
						}

						.checkmark {
						  position: absolute;
						  top: 0;
						  left: 0;
						  height: 32px;
						  width: 32px;
						  background-color: #eee;
						  border:1px solid gray;
						}

						.checkbox_container:hover input ~ .checkmark {
						  background-color: #ccc;
						}

						.checkbox_container input:checked ~ .checkmark {
						  background-color: #2196F3;
						}

						.checkmark:after {
						  content: "";
						  position: absolute;
						  display: none;
						}

						.checkbox_container input:checked ~ .checkmark:after {
						  display: block;
						}

						.checkbox_container .checkmark:after {
						  left: 11px;
						  top: 5px;
						  width: 8px;
						  height: 15px;
						  border: solid white;
						  border-width: 0 3px 3px 0;
						  -webkit-transform: rotate(45deg);
						  -ms-transform: rotate(45deg);
						  transform: rotate(45deg);
						}
					</style>
					<div style="padding-left:20px;">
						<table>
							<tr>
								<td style="vertical-align:top;width:42px;text-align:center;">
									<label class="checkbox_container">
										<input type="checkbox" name="include_monthly_fee" value="1" />
										<span class="checkmark"></span>
									</label>
									<input type="hidden" name="include_monthly_fee_order_form" value="1" />
									<div style="margin-top:40px;padding-right:10px;font-size:9px;color:#033076;font-weight:bold;font-style:italic;">Click to mark yes</div>
								</td>
								<td style="vertical-align:top;">
									<div><strong>UPGRADE to VIP Member Services</strong></div>
									<div>1. <strong>Grant Deadline Calendar</strong></div>
									<div>2. Access the <strong>Newest Grant Applications</strong> found in the <strong>last 30 Days!</strong></div>
									<div>3. New <strong>Grant Application ALERTS</strong> delivered to your INBOX</div>
									<div>4. Weekly <strong>Grant Tele-Seminars</strong> from our Grant Writing Professionals</div>
									<div>5. <strong>Business Plan Template</strong></div>
									<div style="padding-top:5px;font-size:11px;font-style:italic;">By checking the box above, you agree to receive ALL VIP Member Services FREE for 30 DAYS. It's normally $34.95 per month, but if you include it now, we'll lower the price to $29.95 per month and you can cancel at any time!!</div>
								</td>
							</tr>
						</table>
					</div>
					
					<p class="a"><strong>OUR GUARANTEE.</strong> If you don't qualify for a Funding Program, you will be refunded immediately. Just provide us with the funding application you applied for and the response letter from the funder. <strong>So, you qualify for a funding program or you will have your payment refunded to you!</strong> <strong>So Start Applying Today!</strong></p>
					
					<div id="card" class="form_section" style="display:block">
						<div class="fullWidth">
							<p class="left">Billing Information</p>
							<label class="halfWidth right"><input type="checkbox" value="1" id="billing_same_as_street_address" name="billing_same_as_street_address" onclick="billing_same_as_street_addressf(this);" style="padding:0px;margin:0px;width:auto;height:auto;position:static;" /> Same as Street Address</label>
						</div>
						<div class="clear_left"></div>
						<div class="fullWidth">
							<p class="left">Cardholder Name</p>
							<input type="text" name="cardholder_name" class="halfWidth right" id="cardholder_name" maxlength="128" value="<?= $cardholder_name;?>" />
						</div>
						<div class="clear_left"></div>
						<div class="fullWidth">
							<p class="left">Billing Address</p>
							<input type="text" name="billing_street_address" class="halfWidth right" id="billing_street_address" maxlength="64" value="<?= $billing_street_address;?>" />
						</div>
						<div class="clear_left"></div>
						<div class="fullWidth">
							<p class="left">City, State, Zip</p>
							<div class="halfWidth right" style="width:51%;">
								<input type="text" name="billing_city" id="billing_city" maxlength="64" value="<?= $billing_city;?>" />
								<input type="text" name="billing_state" id="billing_state" maxlength="2" value="<?= $billing_state;?>" />
								<input type="text" name="billing_zip" id="billing_zip" maxlength="5" value="<?= $billing_zip;?>" />
							</div>
						</div>
						<div class="clear_left"></div>
						<div>&nbsp;</div>
						<div class="fullWidth">
							<p class="left">Credit Card Number</p>
							<input name="cc_num" type="tel" maxlength="16" class="halfWidth right" />
							<img id="credit_card_icon" class="right" style="margin-right:15px;" src="/images/credit_cards.png" />
						</div>
						<div class="clear_left"></div>
						<div class="fullWidth">
							<p class="left">Expiration Date</p>
							<div class="halfWidth right">
								<select name="cc_month">
									<option value="MM">MM</option>
									<?php
										for($i = 1; $i <= 12; $i++) {
											$month = sprintf('%02s',$i);
											$selected = (strcmp($month, $cc_month) == 0) ? "selected" : NULL; 
											echo "\n<option value='$month' $selected>$month</option>";
										}
									?>
								</select>
								<select name="cc_year">
									<option value="YYYY">YYYY</option>
									<?php 
										$years = range(date('Y'), date('Y')+15);
										foreach($years as $year) {
											$selected = (strcmp($year, $cc_year) == 0) ? "selected" : NULL; 
											echo "\n<option value='$year' $selected>$year</option>";
										}
									?>
								</select>
							</div>
						</div>
						<div class="clear_left"></div>
						<div class="fullWidth">
							<p class="left">CVV</p>
							<div class="halfWidth right">
								<input name="cc_cvv" type="tel" maxlength="4" style="width:25%">
							</div>
						</div>
						<div class="clear_left"></div>
						<div class="fullWidth">
							<label><input type="checkbox" name="send_login_text" value="1" checked onclick="if($(this).is(':checked')) { $('#login_text_hidden_box').show(); } else { $('#login_text_hidden_box').hide(); }" /> Send login information in a text</label>
							<div id="login_text_hidden_box" style="display:block;">
							<label>Cell Phone: <input type="text" name="text_phone" value="<?= $cc_phonearea; ?>-<?= $cc_phoneprefix; ?>-<?= $cc_phoneextension; ?>" /></label>
							</div>
						</div>
						<div class="clear_left"></div>
					</div>
					
					<div style="width:100%;text-align:center">
						<input type="checkbox" value="agreed" name="agree2terms" id="agree2terms">
						<label title="I agree to the terms of this site" for="agree2terms">I agree to the terms of this site</label>
					</div>
					<br /><br />
					<input type="hidden" name="submitted" value="submitted">
					<input type="hidden" name="cc_lead_id" value="<? echo $cc_lead_id; ?>">
					<center><input type="submit" class="submit cc_form_submit" value="Start Applying" /><br /><p class="cc_form_p">Your Order is Protected by SSL Security</p></center>

					<br /><br />
				</div>

			</form>
			<center>
			<table border="0">
				<tr>
					<!--
					<td><img src="/images/privacy.jpg"></td>
					//-->
					<td>
						<img src="/images/ssl_cert.png" />
					</td>
					<!--
						<td><img src="/images/security.jpg"></td>
					//-->
				</tr>
			</table>
			</center>

            
        </div>
        </div>
        <img src="https://www.surfcrm.com/lcapi/FormCCImpressionTracking.php?site=usaga&lead_id=<?= $cc_lead_id;?>&form_url=<?= urlencode('/order_form_v2.php');?>" />
        <?php require_once($_SERVER['DOCUMENT_ROOT'].'/v5/footer.php');?>