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<?php
// The variables used in this page are supplied in order.php
<?php require_once($_SERVER['DOCUMENT_ROOT']."/inc/php_header.php"); ?>
?>
<!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>USA Grant 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>
<body>
<table cellpadding="2" cellspacing="0" border="0" style="margin-bottom:20px" width="700">
<tr>
<td colspan="2" style="background:url(/images/logo.jpg) no-repeat;width:700px;height:63px"></td>
</tr>
<?php
if (! isset($error_message))
{
?>
<?php
}
else
{
echo '<tr><td width="100"></td><td width="590"><center><table style="margin:0px auto;width:500px;border:3px solid #FF0000">';
echo '<tr>';
echo '<td>The following error has occured:</td>';
echo '</tr>';
echo '<tr>';
echo '<td><em>' . $error_message . '</em></td>';
echo '</tr>';
echo '</table></center></td></tr>';
}
?>
<tr>
<td style="width:100px;background-color:#dbd7d6;text-align:center" valign="top"></td>
<td style="width:590px;background-color:#ffffff;text-align:left;font:9pt/120% verdana;padding:10px 0px 0px 10px">
<p class="header1" style="color:#ff0000;">SPECIAL INTERNET OFFER: $<?= number_format($vsa_price,2); ?> Instant Access</p>
<p>You are 1 step away from beginning the process of applying for Free Money of every kind.</p>
<form action="https://www.usagrantapplications.org/order.php" method="POST" name="orderform" onsubmit="return verify(this);">
<p class="header">Personal Information Summary</p>
<table cellpadding="0" cellspacing="0" class="questions">
<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>
<p class="header">USA Grant Application User Account Info:</p>
<table cellpadding="1" cellspacing="0" class="questions" style="margin-bottom: 0px;">
<tr>
<td>
<table border="0" cellpadding="1" cellspacing="0" align="left">
<tr>
<td class="q">Username for Online Funding Application:</td>
<td class="a"><?= $cc_email; ?><input type="hidden" name="cc_email" value="<?= $cc_email; ?>"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="s">
<i>** The Website and Password for the Members site will be given to you at the completion of the registration
process</i>
</td>
</tr>
</table>
<p class="header">Payment Information:</p>
<table cellpadding="1" cellspacing="0" class="questions" style="margin-bottom: 0px;">
<tr>
<td>
<table border="0" cellpadding="1" cellspacing="0" align="left">
<tr>
<td class="q">Credit Card Number:</td>
<td class="a"><input type="text" name="cc_num" size="20" maxlength="16" value="<?= ($cc_num != '') ? $cc_num : NULL; ?>"></td>
<td class="a"><img src="/images/creditcards.jpg"></td>
</tr>
</table>
</td>
<td class="q">
<table border="0" cellspacing="0" cellpadding="0" align="left">
<tr>
<td class="q">Exp:</td>
<td>
<select name="cc_month">
<option value="MM">MM</option>
<?
for($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>
</td>
<td>
<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>
</tr>
</table>
</td>
</tr>
</table>
<table cellpadding="1" cellspacing="0" class="questions" style="margin-bottom: 0px;">
<tr>
<td>
<table border="0" cellspacing="0" cellpadding="0" align="left">
<tr>
<td class="q">
3 Digit Verification Code on back of Card:
</td>
<td class="a"><input size=5 maxlength="4" name="cc_cvv" value="<?php echo $cc_cvv ?>"></td>
</tr>
</table>
</td>
</tr>
</table>
<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 DISCOUNTED FEE OF $<?= number_format($vsa_price,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. Your access to the site will automatically be renewed each month for the monthly fee of $<?= number_format($monthly_fee,2); ?> unless you cancel with us. You understand that this consumer transaction involves a negative option, and that you may be liable for payment of future payment of future goods and services under the terms of this agreement if I fail to notify the supplier not to supply the goods or services described. <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>
<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>
<br/>
<br/>
<input type="submit" value="CLICK HERE TO START APPLYING">
<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; ?>">
<input type="hidden" name="so" value="1" />
<?= $trackerformparams; ?>
</form>
</center>
<br />
<br />
<center>
<table border="0">
<tr>
<!--
<td><img src="/images/privacy.jpg"></td>
//-->
<td>
<span id="siteseal"><script type="text/javascript" src="https://seal.godaddy.com/getSeal?sealID=180540978601360912812711d4c84747117dda09502206015660253927"></script><br/><a href='https://www.godaddy.com/gdshop/ssl/ssl.asp'>SSL Certificates</a></span>
</td>
<!--
<td><img src="/images/security.jpg"></td>
//-->
</tr>
</table>
</center>
</td>
</tr>
<? include_once("{$_SERVER["DOCUMENT_ROOT"]}/footer.php"); ?>