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<?php
include_once($_SERVER['DOCUMENT_ROOT'].'/inc/php_header.php');
if(empty($_SESSION['lead_id'])) {
header("Location: /apply.php");
exit(0);
}
$meta_title = 'APPLY NOW | USA Grant Application';
$meta_description = 'APPLY Today! USAGrantApplication.org.';
$meta_canonical = 'https://usagrantapplication.org/apply.php';
include_once($_SERVER['DOCUMENT_ROOT'].'/inc/amp_header_order.php');
?>
<div class="form-head">
<p>Step 2 of 3: Confirm your Answers & Complete Registration</p>
</div>
<div class="form-text">
<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 Free Money of every kind.</p>
</div>
<!--form starts here-->
<form method="post"
class="p2"
action-xhr="/inc/order/order_submit.php"
target="_top">
<h3>Personal Information Summary</h3>
<table style="width:100%;">
<tr>
<td>
<div class="rib p10">
<div class="rib f14 bold">
First Name:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['firstname'];?>
</div>
</div>
</td>
<td>
<div class="rib p10">
<div class="rib f14 bold">
Last Name:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['lastname'];?>
</div>
</div>
</td>
</tr>
<tr>
<td>
<div class="rib p10">
<div class="rib f14 bold">
Street Address:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['address'];?>
</div>
</div>
</td>
<td>
<div class="rib p10">
<div class="rib f14 bold">
City:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['city'];?>
</div>
</div>
</td>
</tr>
<tr>
<td>
<div class="rib p10">
<div class="rib f14 bold">
State:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['state'];?>
</div>
</div>
</td>
<td>
<div class="rib p10">
<div class="rib f14 bold">
Zip:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['zip'];?>
</div>
</div>
</td>
</tr>
<tr>
<td>
<div class="rib p10">
<div class="rib f14 bold">
Gender:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['gender'];?>
</div>
</div>
</td>
<td>
<div class="rib p10">
<div class="rib f14 bold">
Age:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['age'];?>
</div>
</div>
</td>
</tr>
<tr>
<td>
<div class="rib p10">
<div class="rib f14 bold">
Citizenship:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['citizenship'];?>
</div>
</div>
</td>
<td>
<div class="rib p10">
<div class="rib f14 bold">
Phone:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['telephone'];?>
</div>
</div>
</td>
</tr>
</table>
<h3>Funding Summary</h3>
<table style="width:100%;">
<tr>
<td>
<div class="rib p10">
<div class="rib f14 bold">
How much money do you need?:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['total_money'];?>
</div>
</div>
</td>
</tr>
<tr>
<td>
<div class="rib p10">
<div class="rib f14 bold">
Describe what you will use the money for:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['whats_the_money_for'];?>
</div>
</div>
</td>
</tr>
<tr>
<td>
<div class="rib p10">
<div class="rib f14 bold">
What makes you an ideal candidate for a grant?:
</div>
<div class="rb f16">
<?= $_SESSION['application_form']['grant_candidate'];?>
</div>
</div>
</td>
</tr>
</table>
<h3>USA Grant Application User Account Info:</h3>
<div class="rb p10">
<div class="rib f16 bold">
Username:
</div>
<div class="rb f18">
<?= $_SESSION['application_form']['email'];?>
</div>
</div>
<div class="rb p10">
<div class="rib f16 bold">
Password:
</div>
<div class="rb f18">
***It will be given to you on the confirmation page***
</div>
</div>
<div class="rb left f13 p10 pb25">
<div class="f18 black pt10 pb10 bold">100% RISK FREE MONEY-BACK GUARANTEE</div>
<p>We are a 100% RISK FREE MONEY-BACK GUARANTEE COMPANY, so if you apply and get turned down, your money will be refunded to you. All you have to do is provide us with the details of the grant you were denied. Either you qualify for the Free Funding Program or you will have your payment refunded to you. These funding opportunities are updated on a regular basis. You can fill out as many applications as you like because there is no limit as to how many grantors you can apply to. The more, the better!</p>
<div class="f18 black pt10 pb10 bold">RESEARCH NEW APPLICATIONS</div>
<p>
With over 10,000 applications sources in our database, we have one of the largest
application databases in the country! We search the internet for the newest, most up-
to-date applications and post them to our site so you don't have to spend hours each
week searching on your own. Let our Grant Research Team do the work for you!
</p>
<div class="f18 black pt10 pb10 bold">GRANT WRITING TIPS</div>
<p>Unlimited access to our Grant Writing Education Center. Learn how to write Grant Applications like a professional!</p>
<div class="f18 black pt10 pb10 bold">Enjoy access for only $29.95</div>
</div>
<div class="grid-row fields">
<div class="input-box col-mb-6">
<label class="rib">Credit Card Number<br />
<input type="text" name="cc_num" placeholder="Credit Card Number" required class="p10" maxlength="16" />
</label>
</div>
<div class="input-box col-mb-6">
<label class="rib">Expiration Date<br />
<select name="cc_exp_month" class="p10">
<?php for($i=1;$i<=12;$i++) { ?>
<option value="<?= str_pad($i,2,'0',STR_PAD_LEFT);?>"><?= str_pad($i,2,'0',STR_PAD_LEFT);?></option>
<?php } ?>
</select>
</label>
/
<label class="rib">
<select name="cc_exp_year" class="p10">
<?php $this_year = date('Y');
for($i=0;$i<10;$i++) { ?>
<option value="<?= $this_year*1 + $i;?>"><?= $this_year*1 + $i;?></option>
<?php } ?>
</select>
</label>
</div>
<div class="clear"></div>
<div class="input-box col-mb-6">
<label class="rib">CVV<br />
<input type="text" name="cc_cvv" placeholder="CVV" required class="p10" />
</label>
</div>
<div class="input-box col-mb-6">
<label class="rib">Send login information in a text
<input type="checkbox" name="send_login_text" value="1" checked />
</label><br />
<input type="text" name="texting_phone" placeholder="Cell Phone" class="p10" value="<?= $_SESSION['application_form']['telephone'];?>" />
</div>
</div>
<div style="margin:20px;clear:both;"></div>
<label>
<input type="checkbox" id="agree2terms" name="agree2terms" value="agreed" required />
I agree to the terms of this site
</label>
<div style="margin:20px;clear:both;"></div>
<div class="btn-wrapper align-center">
<input type="submit" name="button" id="esub_button" value="Submit" class="submit-btn">
</div>
<div submit-success>
<template type="amp-mustache">Success! Thanks for contacting us!</template>
</div>
<div submit-error>
<template type="amp-mustache">{{message}}</template>
</div>
</form>
<center>
<span id="siteseal">
<script async type="text/javascript" src="https://seal.godaddy.com/getSeal?sealID=Wg8Au9FfyUfT5zh5RO8VmmxxWo6lnEgRHKsFqXVGsqIlKcqUY2lkG"></script>
</span>
</center>
<!--form ends here-->
<?php include($_SERVER['DOCUMENT_ROOT'].'/inc/amp_footer_order.php'); ?>