function getURL()
{
if (!$this->isLive()) {
return false;
}
return '' . AMP_url_add_vars(AMP_CONTENT_URL_FORM_DISPLAY, array('modin=' . $this->getModin(), 'uid=' . $this->id));
}
function getURL()
{
if (!$this->id) {
return AMP_CONTENT_URL_ACTION;
}
return AMP_url_add_vars(AMP_CONTENT_URL_ACTION, 'action=' . $this->id);
}
function _preview_url($section)
{
$base_url = $section->getURL_default();
if (AMP_CONTENT_HUMANIZE_URLS) {
$base_url = '/' . AMP_route_for('section', $section->id);
}
return AMP_url_add_vars(AmpUtility::current_host() . $base_url, array('preview=1', 'cache=0'));
}
function _makeIcon($image)
{
if (!$image) {
return false;
}
$image_url = AMP_url_add_vars(AMP_CONTENT_URL_IMAGE, array('action=resize', 'class=thumb', 'filename=' . $image->getName(), 'width=' . $this->_image_width));
return $this->_renderer->image($image_url, $this->_image_attr);
}
function commit_megaupload()
{
$renderer = AMP_get_renderer();
$buffer = new AMP_Content_Buffer();
$buffer->add($renderer->newline(2) . $renderer->link("javascript:showPopup( '" . AMP_url_add_vars("file_uploader.php", array('doctype=img')) . "' );", AMP_TEXT_UPLOAD . $renderer->space() . AMP_TEXT_FILE) . $renderer->newline(2));
$this->_display->add($buffer);
return true;
}
function render_image($source)
{
if (!($image = $source->getImageRef())) {
return false;
}
$image_url = AMP_url_add_vars(AMP_CONTENT_URL_IMAGE, array('filename=' . $image->getName(), 'class=' . AMP_IMAGE_CLASS_THUMB, 'height=30', 'action=resize'));
return $this->_renderer->image($image_url, $this->_image_attr);
}
function onSave(&$controller)
{
$form = $controller->get_form();
$values = $form->getValues();
if (isset($values['list_form_id']) && $values['list_form_id']) {
ampredirect(AMP_url_add_vars(AMP_SYSTEM_URL_TOOL_PUBLICPAGE, array('modid=' . $values['modid'])));
}
}
function __construct()
{
$name = 'AMP_System_UserData_ImportForm';
$this->init($name, 'POST', AMP_url_add_vars(AMP_SYSTEM_URL_FORMS, 'action=import'));
$this->_init_request();
$this->_init_import_file();
$this->_init_fields();
}
function _formFooter()
{
if (isset($_REQUEST['id']) || isset($_REQUEST['file'])) {
return false;
}
require_once 'AMP/Content/Display/HTML.inc.php';
$renderer = new AMPDisplay_HTML();
return $renderer->link(AMP_url_add_vars(AMP_SYSTEM_URL_IMAGES, 'action=megaupload'), 'Alternate upload page');
}
function _makeOwnerLink($data, $fieldname)
{
if (!(isset($data['uid']) && $data['uid'])) {
return;
}
$renderer = AMP_get_renderer();
$owner_field = $this->_owner_link_def;
$owner_field['default'] = $renderer->link(AMP_url_add_vars(AMP_SYSTEM_URL_FORM_ENTRY, array('id=' . $data['uid'])), $owner_field['default']);
$this->addField($owner_field, 'owner_link');
}
function setTool($tool_id)
{
$forms_list = AMP_lookup('formsByTool');
$url_vars = array('tool_id=' . $tool_id);
if (isset($forms_list[$tool_id])) {
$url_vars[] = 'form_id=' . $forms_list[$tool_id];
}
$this->_url_add = AMP_url_add_vars(AMP_SYSTEM_URL_PUBLIC_PAGE_ADD, $url_vars);
$this->editlink = AMP_url_add_vars($this->editlink, $url_vars);
$this->addCriteria('modid=' . $tool_id);
}
function _render_permission_link(&$source)
{
$permission_id = $source->getPermission();
$permission_name = $this->lookup($permission_id, 'permission');
if ($permission_name == $permission_id) {
return $permission_name;
}
$url = AMP_url_add_vars(AMP_SYSTEM_URL_PERMISSION_GROUP, array('id=' . $permission_id));
$renderer = AMP_get_renderer();
return $renderer->link($url, $permission_name);
}
function _getUrlEdit($row_data)
{
if (isset($this->_saved_edit_urls[$row_data['id']])) {
return $this->_saved_edit_urls[$row_data['id']];
}
$source =& $this->source[$this->_source_keys[$this->_source_counter]];
$uid = $source ? $source->getOwner() : false;
if ($this->editlink_uid && $uid) {
$editlink = isset($this->_url_edit) ? $this->_url_edit : $this->editlink;
$value = AMP_url_add_vars(AMP_SYSTEM_URL_FORM_ENTRY, array("uid=" . $uid));
} else {
$value = parent::_getUrlEdit($row_data);
}
$this->_saved_edit_urls[$row_data['id']] = $value;
return $value;
}
function execute($options = array())
{
$options = array_merge($this->getOptions(), $options);
if (!isset($options['_userid'])) {
return false;
}
$uid = $options['_userid'];
$alias_url[] = AMP_url_add_vars(AMP_CONTENT_URL_FORM_DISPLAY, array('modin=' . $this->udm->instance, 'uid=' . $uid));
$alias_url[] = AMP_url_add_vars('userdata_display.php', array('modin=' . $this->udm->instance, 'uid=' . $uid));
require_once 'AMP/Content/Redirect/List.inc.php';
$tag_list = new AMP_Content_Redirect_List(AMP_Registry::getDbcon(), array('target' => $alias_url));
$tag_list->drop_column('select');
$tag_list->suppress('form');
$tag_list->suppress('footer');
$tag_list->suppress('messages');
/*
$tag_list->suppressToolbar( );
$tag_list->suppressAddlink( );
$tag_list->suppressMessages( );
*/
$this->udm->fields[$this->addPrefix('redirect_list_public')]['values'] = $this->inForm($tag_list->execute());
}
function _init_criteria($criteria)
{
if (isset($criteria['modid']) && ($tool_id = $criteria['modid'])) {
$this->_url_add = AMP_url_add_vars(AMP_SYSTEM_URL_NAV_ADD, array('tool_id=' . $tool_id));
}
}
function render_sort_link($text, $sort_to_request)
{
if ($this->_suppress_sort_links) {
return $text;
}
if (!$this->validate_sort_link($sort_to_request)) {
return $text;
}
$url_values = $_GET;
$url_values['sort'] = $sort_to_request;
unset($url_values['sort_direction']);
if (isset($this->_sort) && $this->_sort == $sort_to_request && !(isset($this->_sort_direction) && $this->_sort_direction == AMP_SORT_DESC)) {
$url_values['sort_direction'] = AMP_SORT_DESC;
}
return $this->_renderer->link(AMP_url_add_vars($_SERVER['PHP_SELF'], AMP_url_build_query($url_values)), $text);
}
function _initCopier()
{
require_once 'AMP/Content/Nav/Location/Form.inc.php';
$form =& new AMP_Content_Nav_Location_Form();
$form->_getValueSet('navid');
$form->_getValueSet('position');
// $form->_getValueSet( 'badge_id');
$copier_fields = array('position' => $form->getField('position'), 'navid' => $form->getField('navid'), 'id' => array('type' => 'hidden'));
foreach ($copier_fields as $key => $field_def) {
unset($copier_fields[$key]['label']);
}
$this->_copier =& ElementCopierScript::instance();
$this->_copier->addControl('edit', array('type' => 'button', 'action' => 'window.open( "' . AMP_url_add_vars(AMP_SYSTEM_URL_NAV, 'id=') . '"+window.' . $this->copier_name . '.GetCurrentValue(this, "' . $this->copier_name . '_navid" ));', 'label' => AMP_TEXT_EDIT));
$this->_copier->addCopier($this->copier_name, $copier_fields, $this->formname);
$this->_copier->setSingleRow(true, $this->copier_name);
$this->_copier->setLabelColumn(false, $this->copier_name);
$this->_copier->setRowOffset("0", $this->copier_name);
$this->_copier->setFormTable($this->_css_id_container_table, $this->copier_name);
$this->_copier->setElementClass('system_list_input', $this->copier_name);
if (!empty($_POST)) {
$this->_copier->addSets($this->copier_name, $_POST);
}
//$header = &_getHeader( );
//$header->addJavascriptDynamic( $this->_copier->output( ), 'copier' );
}
<input type="text" name="email" size="40">
</div>
</div>
</td>
</tr>
<tr>
<td class="form"></td><td>
<br />
<div align="left">
First, enter the code from the image below
<span class='red'><font color = 'red'><?php
print $GLOBALS['captcha_message'];
?>
</font></span><BR />
<img src='<?php
print AMP_url_add_vars(AMP_CONTENT_URL_CAPTCHA, array('key=' . AMP_SYSTEM_UNIQUE_VISITOR_ID));
?>
'/>
<div align="left">
<p>
<input name="captcha" type="text" id="captcha" size="8"/>
<input name='AMP_SYSTEM_UNIQUE_VISITOR_ID' type='hidden' value='<?php
print AMP_SYSTEM_UNIQUE_VISITOR_ID;
?>
'/>
</p>
</td>
</tr>
<tr>
<td class="form">
<?php
require_once 'AMP/System/Base.php';
$url = AMP_SYSTEM_URL_PUBLIC_PAGE_ADD;
if (isset($_GET['id']) && $_GET['id']) {
$url = AMP_url_add_vars(AMP_SYSTEM_URL_PUBLIC_PAGE, array('id=' . $_GET['id']));
}
if (isset($_GET['tool_id']) && $_GET['tool_id']) {
$url = AMP_url_add_vars(AMP_SYSTEM_URL_PUBLIC_PAGE_ADD, array('tool_id=' . $_GET['tool_id']));
}
ampredirect($url);
/*
require_once( 'AMP/Content/Nav/ComponentMap.inc.php');
require_once( 'AMP/System/Page.inc.php');
$map = new ComponentMap_Nav( );
$systemPage = new AMPSystem_Page( $dbcon, $map );
if (isset($_GET['action']) && $_GET['action'] == "list") $systemPage->showList( true );
// allow default to link to referring module
if (isset( $_GET[ 'tool_id' ]) && ($tool_id = $_GET[ 'tool_id' ])) {
$systemPage->addCallback( 'form', 'setDefaultValue', array( 'modid', $tool_id ));
}
$systemPage->execute( );
print $systemPage->output( );
*/
function render_preview($source)
{
if (!method_exists($source, 'getURL')) {
return false;
}
$url = $source->getURL();
if (!$url) {
return false;
}
if (substr($url, 0, 7) != 'http://' && substr($url, 0, 1) != '/') {
$url = '/' . $url;
}
return $this->_renderer->link(AMP_url_add_vars($url, array('preview=1')), $this->_renderer->image(AMP_SYSTEM_ICON_PREVIEW, array('class' => 'icon')), array('target' => '_blank', 'title' => AMP_TEXT_PREVIEW_ITEM));
}
function render_field_captcha($name, $field_def)
{
return $this->format_field($this->_renderer->div('', array('class' => 'label')) . $this->_renderer->div($this->_renderer->image(AMP_url_add_vars(AMP_CONTENT_URL_CAPTCHA, array('key=' . AMP_SYSTEM_UNIQUE_VISITOR_ID)), array('align' => 'center')), array('class' => 'element')), 'captcha_image') . $this->format_field_delimiter() . $this->render_field_default($name, $field_def);
}
function get_url_edit()
{
return AMP_url_add_vars(AMP_SYSTEM_URL_CUSTOM_FILE, array('id=' . $this->id));
}
function _formFooter()
{
$renderer = AMP_get_renderer();
return $renderer->link(AMP_url_add_vars(AMP_SYSTEM_URL_GALLERY_IMAGE, array('action=clear_bookmark')), sprintf(AMP_TEXT_VIEW_ALL, ucfirst(AMP_pluralize(AMP_TEXT_IMAGE)))) . join($renderer->newline(), $this->_preview_links);
}
function get_url_edit()
{
if (!$this->id) {
return false;
}
return AMP_url_add_vars(AMP_SYSTEM_URL_BADGE, "id=" . $this->id);
}
function AMP_route_for($type, $id, $options = array())
{
$route = AMP_url_update(constant(strtoupper("AMP_CONTENT_URL_{$type}")), array('id' => $id));
if (empty($options)) {
return $route;
}
if (isset($options['preview']) && $options['preview']) {
#if( strpos( $route,'.php')) {
return AMP_url_add_vars($route, array('preview=1', 'cache=0'));
#}
}
return $route;
}
<?php
/*********************
07-02-2003 v3.01
Module: email
Description: email subscription form
CSS: text, form
VARS: $studenton = displays the student box
$send = sends a link to edit the subscriptions
To Do: declare post vars
insert into contacts database
*********************/
//
$mod_id = 20;
$modid = 9;
include "AMP/BaseDB.php";
require_once 'AMP/Content/Redirect/Redirect.php';
$redirect = new AMP_Content_Redirect(AMP_Registry::getDbcon());
$target_set = $redirect->find(array('alias' => 'email'));
if ($target_set) {
$source = current($target_set);
$new_url = $source->getTarget();
} else {
$new_url = AMP_url_add_vars(AMP_CONTENT_URL_FORM, array('modin=3'));
}
ampredirect($new_url);
function render_content_view($source)
{
return $this->_renderer->link(AMP_url_add_vars(AMP_SYSTEM_URL_ARTICLE, array('section=' . $source->id)), $this->_renderer->image(AMP_SYSTEM_ICON_VIEW, array('width' => 16, 'height' => 16, 'border' => '0')), array('title' => AMP_TEXT_CONTENT_PAGES));
}
function get_url_edit()
{
return AMP_url_add_vars(AMP_SYSTEM_URL_NAV_LAYOUT, array('id=' . $this->id));
}
}
#set_error_handler( 'e' );
$modin = isset($_REQUEST['modin']) && $_REQUEST['modin'] ? $_REQUEST['modin'] : false;
if ($uid && !$modin) {
//look up the modin via uid
require_once 'AMP/System/User/Profile/Profile.php';
$profile = new AMP_System_User_Profile(AMP_Registry::getDbcon(), $uid);
if ($profile->hasData() && ($modin = $profile->getModin())) {
//redirect to the standard URL
$url_vars = AMP_URL_Values();
if (!$url_vars) {
$url_vars = array();
}
$url_vars = array_merge($url_vars, array('uid' => 'uid=' . $uid, 'modin' => 'modin=' . $modin));
unset($url_vars['id']);
ampredirect(AMP_url_add_vars(AMP_SYSTEM_URL_FORM_ENTRY, $url_vars));
}
}
if ($modin) {
$form_id_nav = $modin;
$form_permissions =& AMPSystem_Lookup::instance('PermissionsbyForm');
$tools = AMP_lookup('ToolsbyForm');
$modin_permission = isset($form_permissions[$modin]) && $form_permissions[$modin] ? $form_permissions[$modin] : false;
//$modidselect=$dbcon->GetRow("SELECT id, perid from modules where userdatamodid=" . $modin) or DIE($dbcon->ErrorMsg());
//$modid=$modidselect['id'];
$modid = isset($tools[$modin]) && $tools[$modin] ? $tools[$modin] : false;
} else {
ampredirect("modinput4_list.php");
}
$admin = AMP_Authorized(AMP_PERMISSION_FORM_DATA_EDIT) && AMP_Authorized($modin_permission);
// Fetch the form instance specified by submitted modin value.
function buildactionform($id, $error = NULL)
{
global $dbcon;
$act = $dbcon->Execute("SELECT * FROM action_text WHERE id = " . $dbcon->qstr($id) . " and actiontype != 'Congress Merge'");
if ($act) {
?>
<p class="title"><?php
echo $act->Fields("title");
?>
</p>
<p class="text"><?php
echo converttext($act->Fields("introtext"));
?>
</p>
<?php
echo $error;
?>
<script language="Javascript" type="text/javascript">
var fieldstocheck = new Array();
fieldnames = new Array();
function checkform() {
for (i=0;i<fieldstocheck.length;i++) {
if (eval("document.subscribeform.elements['"+fieldstocheck[i]+"'].value") == "") {
alert("Please enter your "+fieldnames[i]);
eval("document.subscribeform.elements['"+fieldstocheck[i]+"'].focus()");
return false;
}
}
return true;
}
function addFieldToCheck(value,name) {
fieldstocheck[fieldstocheck.length] = value;
fieldnames[fieldnames.length] = name;
}
</script>
<form method="POST" name="subscribeform" class="form" action="<?php
echo $_SERVER['PHP_SELF'];
?>
">
<script language="Javascript" type="text/javascript">
addFieldToCheck("First_Name","First Name");
</script>
<input type="hidden" name="actionid" value="<?php
echo $act->Fields("id");
?>
">
<input type="hidden" name="MM_insert" value="true">
<table width="100%" border="0" cellspacing="0" cellpadding="5">
<tr>
<td width="50%" valign="top"><h3>Read and Edit the Letter</h3></td>
<td width="20"> </td>
<td width="50%"><h3>Send the Message</h3></td>
</tr>
<tr>
<td width="31%" valign="top"><TABLE width=250 cellpadding=0 cellspacing=0>
<TR>
<!-- PREVIEW LETTER -->
<TD valign="top"> </TD>
</TR>
</TABLE>
<center>
<TABLE CELLPADDING="2" CELLSPACING="2" bgcolor="#E1E1E1">
<tr>
<td valign="top">
Subject:<BR> <input type="text" name="subjectText" size="42" style="width:225px" value="<?php
if ($_POST['subjectText']) {
echo $_POST['subjectText'];
} else {
echo $act->Fields("subject");
}
?>
" >
<br></i>
<br>
Dear <?php
echo $act->Fields("prefix");
?>
<?php
echo $act->Fields("firstname");
?>
<?php
echo $act->Fields("lastname");
?>
,<br> <br> <textarea name="Letter_Content" rows="22" cols="53" wrap="soft" style="width:250px"><?php
if ($_POST['Letter_Content']) {
echo $_POST['Letter_Content'];
} else {
echo $act->Fields("text");
}
?>
</textarea>
<br>
Sincerely,<br> <br> <i>Your signature will be added from the information
you provide below.</i></td>
</tr>
</TABLE>
</center></td>
<td width="19%" valign="top"> </td>
<td width="50%" valign="top"> <center>
<table border="0" cellpadding="0" cellspacing="2">
<tr>
<td colspan="2" valign="top" class="form"><TABLE cellpadding=0 cellspacing=0>
<tr>
<td>
<div align="left">
First, enter the code from the image below
<span class='red'><font color = 'red'><?php
print $GLOBALS['captcha_message'];
?>
</font></span><BR />
<img src='<?php
print AMP_url_add_vars(AMP_CONTENT_URL_CAPTCHA, array('key=' . AMP_SYSTEM_UNIQUE_VISITOR_ID));
?>
'/>
</div></td>
</tr>
<tr>
<td>
<div align="left">
<p>
<input name="captcha" type="text" id="captcha" size="8"/>
<input name='AMP_SYSTEM_UNIQUE_VISITOR_ID' type='hidden' value='<?php
print AMP_SYSTEM_UNIQUE_VISITOR_ID;
?>
'/>
</p>
</div></td>
</tr>
<tr>
<td> <B>Already Taken Action? <br>
Just Enter Your Email and Send:</B> </td>
</tr>
<tr>
<td> <table>
<tr>
<td>Email: <input type="text" maxlength="99" name="old_EmailAddress" size="20" style="width:140px"></td>
<td><input type="submit" class="submit" name="Submit2" value="Send"></td>
</tr>
<tr>
<td>
<?php
if ($act->Fields("email")) {
?>
<INPUT type="checkbox" NAME="'Send_Email'" checked>
<span class="form">Send an Email</span>
<?php
}
?>
<?php
if ($act->Fields("fax")) {
?>
<INPUT type="checkbox" NAME="Send_Fax" checked >
<span class="form">Send a Fax</span>
<?php
}
?>
</td>
</tr>
</table> </td>
</tr>
</TABLE></td>
</tr>
<tr>
<td colspan="2" valign="top" class="form"><div align="left"><br>
<!-- First Time Taking Action? <br>
Please fill out the fields below<br> -->
<b>All fields below are required</b><br>
</div></td>
</tr>
<tr>
<td valign="top"><div align="right">E-Mail: </div></td>
<td> <input name="Email" type="text" size="35" value="<?php
echo $_POST["Email"];
?>
" style="width:165px">
</td>
</tr>
<tr>
<td valign="top"><div align="right">Title: </div></td>
<td> <select name="Title" size="1" >
<?php
if ($_POST['Title']) {
echo "<option>" . $_POST['Title'] . "</option>";
}
?>
<option value=""SELECTED>Select Title
<option value="Mr." >Mr.
<option value="Ms." >Ms.
<option value="Mrs." >Mrs.
<option value="Miss" >Miss
<option value="Dr." >Dr.
<option value="Rabbi" >Rabbi
<option value="Fr." >Fr.
<option value="Rev." >Rev.
<option value="Hon." >Hon.
<option value="Br." >Br.
<option value="Sr." >Sr.
<option value="Msr." >Msr. </select> </td>
</tr>
<tr>
<td valign="top"><div align="right"><nobr>First Name: </nobr></div></td>
<td> <input name="First_Name" type="text" size="35" value="<?php
echo $_POST['First_Name'];
?>
" style="width:160px">
</td>
</tr>
<tr>
<td valign="top"><div align="right"><nobr>Last Name: </nobr></div></td>
<td> <input name="Last_Name" type="text" size="35" value="<?php
echo $_POST['Last_Name'];
?>
" style="width:165px">
</td>
</tr>
<tr>
<td valign="top"><div align="right">Address: </div></td>
<td> <input name="Street" type="text" size="35" value="<?php
echo $_POST['Street'];
?>
" style="width:165px">
</td>
</tr>
<tr>
<td valign="top"><div align="right"></div></td>
<td> <input name="Street_2" type="text" size="35" value="<?php
echo $_POST['Street_2'];
?>
" style="width:165px">
</td>
</tr>
<tr>
<td valign="top"><div align="right">City: </div></td>
<td> <input name="City" type="text" size="35" value="<?php
echo $_POST['City'];
?>
" style="width:165px">
</td>
</tr>
<tr>
<td valign="top"><div align="right">State: </div></td>
<td><nobr> <select TABINDEX=7 name="State" size="1">
<?php
if ($_POST['State']) {
echo "<option>" . $_POST['State'] . "</option>";
}
?>
<OPTION VALUE="">Select One...</option>
<OPTION VALUE="AL" >Alabama</OPTION>
<OPTION VALUE="AK" >Alaska</OPTION>
<OPTION VALUE="AZ" >Arizona</OPTION>
<OPTION VALUE="AR" >Arkansas</OPTION>
<OPTION VALUE="CA" >California</OPTION>
<OPTION VALUE="CO" >Colorado</OPTION>
<OPTION VALUE="CT" >Connecticut</OPTION>
<OPTION VALUE="DE" >Delaware</OPTION>
<OPTION VALUE="DC" >D.C.</OPTION>
<OPTION VALUE="FL" >Florida</OPTION>
<OPTION VALUE="GA" >Georgia</OPTION>
<OPTION VALUE="HI" >Hawaii</OPTION>
<OPTION VALUE="ID" >Idaho</OPTION>
<OPTION VALUE="IL" >Illinois</OPTION>
<OPTION VALUE="IN" >Indiana</OPTION>
<OPTION VALUE="IA" >Iowa</OPTION>
<OPTION VALUE="KS" >Kansas</OPTION>
<OPTION VALUE="KY" >Kentucky</OPTION>
<OPTION VALUE="LA" >Louisiana</OPTION>
<OPTION VALUE="ME" >Maine</OPTION>
<OPTION VALUE="MD" >Maryland</OPTION>
<OPTION VALUE="MA" >Massachusetts</OPTION>
<OPTION VALUE="MI" >Michigan</OPTION>
<OPTION VALUE="MN" >Minnesota</OPTION>
<OPTION VALUE="MS" >Mississippi</OPTION>
<OPTION VALUE="MO" >Missouri</OPTION>
<OPTION VALUE="MT" >Montana</OPTION>
<OPTION VALUE="NE" >Nebraska</OPTION>
<OPTION VALUE="NV" >Nevada</OPTION>
<OPTION VALUE="NH" >New Hampshire</OPTION>
<OPTION VALUE="NJ" >New Jersey</OPTION>
<OPTION VALUE="NM" >New Mexico</OPTION>
<OPTION VALUE="NY" >New York</OPTION>
<OPTION VALUE="NC" >North Carolina</OPTION>
<OPTION VALUE="ND" >North Dakota</OPTION>
<OPTION VALUE="OH" >Ohio</OPTION>
<OPTION VALUE="OK" >Oklahoma</OPTION>
<OPTION VALUE="OR" >Oregon</OPTION>
<OPTION VALUE="PA" >Pennsylvania</OPTION>
<OPTION VALUE="RI" >Rhode Island</OPTION>
<OPTION VALUE="SC" >South Carolina</OPTION>
<OPTION VALUE="SD" >South Dakota</OPTION>
<OPTION VALUE="TN" >Tennessee</OPTION>
<OPTION VALUE="TX" >Texas</OPTION>
<OPTION VALUE="UT" >Utah</OPTION>
<OPTION VALUE="VT" >Vermont</OPTION>
<OPTION VALUE="VA" >Virginia</OPTION>
<OPTION VALUE="WA" >Washington</OPTION>
<OPTION VALUE="WV" >West Virginia</OPTION>
<OPTION VALUE="WI" >Wisconsin</OPTION>
<OPTION VALUE="WY" >Wyoming</OPTION>
<OPTION VALUE="">Other</OPTION>
</SELECT> <input name="State2" type="text" size="10" value="<?php
echo $_POST['State2'];
?>
" style="width:30px"></nobr>
</td>
</tr>
<tr>
<td valign="top"><div align="right">Zip: </div></td>
<td> <input name="Zip" type="text" size="35" value="<?php
echo $_POST['Zip'];
?>
" style="width:165px">
</td>
</tr>
<tr>
<td valign="top"><div align="right">Country: </div></td>
<td> <input name="Country" type="text" id="Country" value="<?php
echo $_POST['Country'];
?>
" size="35" style="width:165px">
</td>
</tr>
<tr>
<td valign="top"><div align="right">Phone: </div></td>
<td> <input name="Phone" type="text" id="Phone" size="35" value="<?php
echo $_POST['Phone'];
?>
" style="width:165px">
</td>
</tr>
<tr>
<td valign="top"> </td>
<td> </td>
</tr>
<tr>
<?php
if ($act->Fields("uselist")) {
?>
<td colspan="2" valign="top" class="form"><input type="checkbox" name="list1" checked value="<?php
echo $act->Fields("list1");
?>
">
<input type="hidden" name="list2" value="<?php
echo $act->Fields("list2");
?>
">
<input type="hidden" name="list3" value="<?php
echo $act->Fields("list3");
?>
">
<input type="hidden" name="list4" value="<?php
echo $act->Fields("list4");
?>
">
Keep me informed about this and other related campaigns</td>
</tr>
<?php
}
?>
</table>
</center></td>
</tr>
<tr>
<td colspan="3" valign="top"><center>
<input type="submit" class="submit" name="Submit" value="Send My Message!" onClick="return checkform();">
</center></td>
</tr>
</table>
<p> </p>
</form>
<?php
}
}