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<?php
// The variables used in this page are supplied in order.php
require_once("{$_SERVER["DOCUMENT_ROOT"]}/tracker/client/TrackerLib.php");
$tracker = new TrackerLib("fa");
$trackerformparams = $tracker->FormParameters();
$tc = (! isset($_POST['tc'])) ? 'none': $_POST['tc'];
?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html>
<head>
<script type="text/javascript">var _sf_startpt=(new Date()).getTime()</script>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<title>Funding Applications.org - Order Page</title>
<script language="JavaScript1.1">
// Create an associative array of 'pretty name' values
var prettynames = {
cc_fname:"First Name",
cc_lname:"Last Name",
cc_addr:"Address",
cc_city:"City",
cc_state:"State",
cc_zip:"Zip",
cc_country:"Country",
cc_phonearea:"Phone Number Area Code",
cc_phoneprefix:"Phone Number Prefix",
cc_phoneextension:"Phone Number Ending",
cc_email:"Email Address",
cc_type:"Credit Card Type",
cc_num:"Credit Card Number",
cc_month:"Credit Card Expiration Month",
cc_year:"Credit Card Expiration Year",
cc_cvv:"Credit Card CVV"
};
// Utility function that returns true if a string contains only
// whitespace characters
// Taken from "Javascript: The Definitive Guide" pg. 264
function isblank(s)
{
for (var i=0; i < s.length; i++)
{
var c = s.charAt(i);
if ((c!=' ') && (c != '\n') && (c != ''))
{
return false;
}
}
return true;
}
// Credit Card Validation Javascript
// copyright 12th May 2003, by Stephen Chapman, Felgall Pty Ltd
// You have permission to copy and use this javascript provided that
// the content of the script is not changed in any way.
function validateCreditCard(s) {
// remove non-numerics
var v = "0123456789";
var w = "";
for (i=0; i < s.length; i++) {
x = s.charAt(i);
if (v.indexOf(x,0) != -1)
w += x;
}
// validate number
j = w.length / 2;
if (j < 6.5 || j > 8 || j == 7) return false;
k = Math.floor(j);
m = Math.ceil(j) - k;
c = 0;
for (i=0; i<k; i++) {
a = w.charAt(i*2+m) * 2;
c += a > 9 ? Math.floor(a/10 + a%10) : a;
}
for (i=0; i<k+m; i++) c += w.charAt(i*2+1-m) * 1;
return (c%10 == 0);
}
function verify(f)
{
// Taken from "Javascript: The Definitive Guide" pg. 264.
// Modified heavily to suit our needs
// Loop through each element of the form and validate each item
//
// Set the parameters for each field to be valid
// If a field doesn't have any modifiers it is assumed to be
// a text field that can not be blank.
f.cc_phonearea.requiredlength = 3;
f.cc_phonearea.numeric = true;
f.cc_phoneprefix.requiredlength = 3;
f.cc_phoneprefix.numeric = true;
f.cc_phoneextension.requiredlength = 4;
f.cc_phoneextension.numeric = true;
f.cc_zip.requiredlength = 5;
f.cc_zip.numeric = true;
f.cc_state.requiredlength = 2;
f.cc_num.numeric = true;
f.cc_month.requiredlength = 2;
f.cc_month.numeric = true;
f.cc_year.requiredlength = 4;
f.cc_year.numeric = true;
f.cc_cvv.numeric = true;
var msg;
var empty_fields = "";
var errors = "";
for (var i=0; i < f.length; i++)
{
var element = f.elements[i];
//document.getElementById('errorconsole').innerHTML += element.name + ":" + element.type + "<br>";
if (element.type == 'text')
{
if ( (element.value == null || element.value == "") || isblank(element.value) )
{
empty_fields += "\n " + prettynames[element.name];
continue;
}
if (element.numeric)
{
var v = parseFloat(element.value);
if (isNaN(v))
{
errors +="- The field " + prettynames[element.name] + " must be a number\n";
}
}
if ( (element.requiredlength > 0) && (element.value.length != element.requiredlength) )
{
errors += "- The field " + prettynames[element.name] + " must be " + element.requiredlength + " digits long\n";
}
}
else if (element.type == 'select-one')
{
// The first option, option[0] can not be selected
if ( (element.value == null || element.value == "" || element.selectedIndex == 0) || isblank(element.value) )
{
empty_fields += "\n " + prettynames[element.name];
continue;
}
}
}
if (f.agree2terms.checked == false)
{
errors += "- You must agree to the terms of this site\n";
}
if (! validateCreditCard(f.cc_num.value))
{
errors += "- Please enter a valid Credit Card Number\n";
}
if (!empty_fields && !errors) { return true; }
msg = "__________________________________\n\n";
msg += "The form was not submitted because of the following error(s).\n";
msg += "Please correct these error(s) and re-submit.\n";
msg += "__________________________________\n\n";
if (empty_fields)
{
msg += "- The following required field(s) are empty:" + empty_fields + "\n";
if (errors) { msg += "\n"; }
}
msg += errors;
alert(msg);
return false;
}
</script>
<style type="text/css">
.thumbnail{
position: relative;
z-index: 0;
text-decoration:none;
}
.thumbnail:hover{
background-color: transparent;
z-index: 50;
}
.thumbnail span{ /*CSS for enlarged image*/
position: absolute;
background-color: #AAD5FF;
width: 300px;
padding: 5px;
left: 250px;
border: 2px dashed #003399;
visibility: hidden;
color: black;
text-decoration: none;
}
.thumbnail span img{ /*CSS for enlarged image*/
border-width: 0;
padding: 2px;
}
.thumbnail:hover span{ /*CSS for enlarged image on hover*/
visibility: visible;
top: 0;
left: 60px; /*position where enlarged image should offset horizontally */
}
-->
</style>
<style>
<!--
body {margin:0px auto;background-color:#FFFFFF}
body table {margin:0px auto}
.header1 {font:bold 12pt verdana}
.header {font:bold 10pt verdana}
.gray {width:215px;background-color:#dbd7d6;text-align:center}
.white {width:485px;background-color:#ffffff;text-align:left;font:8pt verdana;padding-top:10px}
#base {list-style-type:none;text-align:center;margin:0px auto}
#base li {display:inline;padding:4px;font:7.5pt/120% verdana}
#base a:link, #base a:visited {color:#000000;text-decoration:none}
#base a:hover, #base a:active {color:#666666;text-decoration:underline}
#white {color:#fff}
.questions {width:580px;color:#000;margin-bottom:10px; padding: 8px;}
.questions input {font: 8pt verdana;display:inline;margin:1px 3px;color:#000;background-color:#f8f8f8}
.questions select {font: 8pt verdana;margin:1px 3px;color:#000;background-color:#f8f8f8}
.q {font:bold 8pt verdana;}
.a {font:normal 8pt verdana;}
.s {font:normal 7pt verdana;}
.gray img {margin:5px}
.white p {padding-left:10px}
.white img {padding:0px 0px 5px 10px;border:0px}
table span {font:bold 8pt verdana;color:#000}
ol {margin-left:40px}
-->
</style>
</head>
<? include('header.php'); ?>
<tr>
<td style="background-color:#ffffff;text-align:left;font:9pt/120% verdana;padding:10px 0px 0px 10px">
<div style="width:650px; margin:0px 0px 10px 40px;">
<div style="text-align:left;">
<p class="header1">Step 2 of 3: Confirm your Answers & Complete Registration</p>
<p>Here is the summary of the answers on step 1 of this Funding 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>
</div>
<?= (isset($error_message)) ? "<p style='margin:0px auto;width:90%;border:3px solid #FF0000'>
The following error has occured: <em>$error_message</em></p>" : NULL;
?>
<form action="https://fundingapplications.com/order.php" method="post" name="orderform" onsubmit="return verify(this);">
<div class="regform" style="margin:15px 0px;">
<table cellpadding="0" cellspacing="0">
<tr>
<td colspan="4">
<p class="header">Personal Information Summary</p>
</td>
</tr>
<tr>
<td class="q">First Name:</td>
<td class="a"><?= $cc_fname; ?><input type="hidden" name="cc_fname" value="<?= $cc_fname; ?>" /></td>
<td class="q">Last Name:</td>
<td class="a"><?= $cc_lname; ?><input type="hidden" name="cc_lname" value="<?= $cc_lname; ?>" /></td>
</tr>
<tr>
<td class="q">Street Address:</td>
<td class="a"><?= $cc_addr; ?><input type="hidden" name="cc_addr" value="<?= $cc_addr; ?>" /></td>
<td class="q">City:</td>
<td class="a"><?= $cc_city; ?><input type="hidden" name="cc_city" value="<?= $cc_city; ?>" /></td>
</tr>
<tr>
<td class="q">State:</td>
<td class="a"><?= $cc_state; ?><input type="hidden" name="cc_state" value="<?= $cc_state; ?>" /></td>
<td class="q">Zip:</td>
<td class="a"><?= $cc_zip; ?><input type="hidden" name="cc_zip" value="<?= $cc_zip; ?>" /></td>
</tr>
<tr>
<td class="q">Gender:</td>
<td class="a"><?= $app_gender; ?><input type="hidden" name="app_gender" value="<?= $app_gender; ?>" /></td>
<td class="q">What is<br />your age?</td>
<td class="a"><?= $app_age; ?><input type="hidden" name="app_age" value="<?= $app_age; ?>" /></td>
</tr>
<tr>
<td class="q">Day Phone:</td>
<td class="a">
<?= $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="<?= $cc_phoneextension; ?>" />
</td>
<td colspan="2" class="q"> </td>
</tr>
</table>
</div>
<?
if (! isset($error_message))
{
?>
<div class="regform" style="margin:15px 0px;">
<table>
<tr>
<td colspan="2"><p class="header">Application Question Summary</p></td>
</tr>
<tr>
<td class="q">Citizenship Status:</td>
<td class="a"><?= $app_citizenship; ?></td>
</tr>
<? if(!empty($types_of_grants)) { ?>
<tr>
<td class="q" colspan="2">Funding areas you are interested in?</td>
</tr>
<tr>
<?
$counter = 0;
foreach ($types_of_grants as $grant)
{
echo "<td class=\"a\">$grant</td>";
$counter++;
if ($counter % 2 == 0)
{
echo "</tr><tr>";
}
}
?>
</tr>
<? } ?>
<tr>
<td class="q">How much money do you need?</td>
<td class="a"><?= $app_amount_needed; ?></td>
</tr>
<tr>
<td class="q" colspan="2">Describe what you will use the money for:</td>
</tr>
<tr>
<td class="a" colspan="2"><p><?= $app_usedescription; ?></p></td>
</tr>
<tr>
<td class="q" colspan="2">What unique things would separate you from other applicants applying for this money?</td>
</tr>
<tr>
<td class="a" colspan="2"><p><? echo stripslashes($app_uniqueness); ?></p></td>
</tr>
</table>
</div>
<?
}
?>
<div class="regform" style="margin:15px 0px;">
<table cellpadding="1" cellspacing="0" style="margin-bottom: 0px;">
<tr>
<td colspan="2"><p class="header">Funding Application User Account Info:</p></td>
</tr>
<tr>
<td class="q">Username for Online Funding Application:</td>
<td class="a"><?= $cc_email; ?><input type="hidden" name="cc_email" value="<?= $cc_email; ?>" /></td>
</tr>
<tr>
<td class="s">
<i>** The Website and Password for the Members site will be given to you at the completion of the registration process</i>
</td>
</tr>
</table>
</div>
<div class="regform" style="margin:15px 0px;">
<table>
<tr>
<td colspan="3">
<p class="header">Payment Information for the $<?= $initial_subscription_fee; ?> Access Fee:</p>
<p class="a">Our accountant tells us we have to charge a registration fee to help pay for the Internet advertising we have to do to get this information out to you and to cover administration expenses. <strong>So we have settled on $<?= $initial_subscription_fee; ?>,</strong> which we feel is a fair price to pay for such valuable information, which is updated on a regular basis. <strong>WE ALSO HAVE A GUARANTEE. <u>If you don't qualify for a Funding Program, you will be refunded immediately</u></strong>. Just provide us with the funding application you applied for and the response letter from the funder. <strong>So Start Applying Today!</strong></p>
</td>
</tr>
<tr>
<td class="q">Credit Card Number:</td>
<td class="a"><input type="text" name="cc_num" size="20" maxlength="16" value="<?= ($cc_num != '') ? $cc_num : NULL; ?>" /></td>
<td>
<img src="/images/creditcards.jpg" /> <img src="/images/logo_ccDiscover.gif" />
</td>
</tr>
<tr>
<td class="q">Exp:</td>
<td>
<select name="cc_month">
<option value="MM">MM</option>
<?
for($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>
<?
$years = range(date('Y'), date('Y')+20);
foreach($years as $year) {
$selected = (strcmp($year, $cc_year) == 0) ? "selected" : NULL;
echo "\n<option value='$year' $selected>$year</option>";
}
?>
</select>
</td>
<td> </td>
</tr>
<tr>
<td class="q">3 Digit Verification Code<br />on back of Card:</td>
<td class="a"><input size=5 maxlength="4" name="cc_cvv" value="<?php echo $cc_cvv ?>" /></td>
<td colspan="2"> </td>
</tr>
</table>
</div>
<div style="text-align:center;">
<p align="center">
<label for="agree2terms" title="I agree to the terms of this site">
<input type="checkbox" id="agree2terms" name="agree2terms" value="agreed" />I agree to the terms of this site
</label>
</p>
<input type="submit" value="CLICK HERE TO APPLY" />
<p>Your Order is Protected by SSL Security</p>
<input type="hidden" name="submitted" value="submitted" />
<input type="hidden" name="cc_lead_id" value="<? echo $cc_lead_id; ?>" />
<input type="hidden" name="tc" value="<?= $tc; ?>" />
<?= $trackerformparams; ?>
</div>
</form>
<br />
<br />
<center>
<table border="0">
<tr>
<!--
<td><img src="/images/privacy.jpg"></td>
//-->
<td>
<span id="siteseal"><script type="text/javascript" src="https://seal.godaddy.com/getSeal?sealID=Q32E3zI17VD3Kh7Q1IqBOsnP0rdpumrvuSARgIU9mm3Hhy2KI2qOzUjAOCuh"></script><br/>
<a style="font-family: arial; font-size: 9px" href="https://www.godaddy.com/gdshop/ssl/ssl_opensource.asp" target="_blank">SSL Certificates</a></span>
</td>
<!--
<td><img src="/images/security.jpg"></td>
//-->
</tr>
</table>
</center>
</div>
</td>
</tr>
<? if($use_vsa) { ?>
<script language="javascript" src="/vsa/callagent.php?cid=1"></script>
<? } ?>
<? include_once("{$_SERVER["DOCUMENT_ROOT"]}/footer.php"); ?>