Pre-Populating Field when Validation Fails
I have several server-side validations on a page. However, only one (password match) returns me to the page with the form fields pre-populated on an unsuccessful validation. I need the forms pre-populated when any of the validation fail.
Page code:
<?php require_once('Connections/connData.php'); ?>
<?php require_once("webassist/form_validations/wavt_scripts_php.php"); ?>
<?php require_once("webassist/form_validations/wavt_validatedform_php.php"); ?>
<?php require_once("webassist/database_management/wa_appbuilder_php.php"); ?>
<?php
if ($_SERVER["REQUEST_METHOD"] == "POST") {
$WAFV_Redirect = "reg_error_email.php";
$_SESSION['WAVT_register_697_Errors'] = "";
if ($WAFV_Redirect == "") {
$WAFV_Redirect = $_SERVER["PHP_SELF"];
}
$WAFV_Errors = "";
$WAFV_Errors .= WAValidateUnique("connData",$connData,$database_connData,"mycv","ID","none,none,NULL","0","email","',none,''","".(((isset($_POST["Email"]))?$_POST["Email"]:"")) ."",true,5);
if ($WAFV_Errors != "") {
PostResult($WAFV_Redirect,$WAFV_Errors,"register_697");
}
}
?>
<?php
if ($_SERVER["REQUEST_METHOD"] == "POST") {
$WAFV_Redirect = "register.php";
$_SESSION['WAVT_register_954_Errors'] = "";
if ($WAFV_Redirect == "") {
$WAFV_Redirect = $_SERVER["PHP_SELF"];
}
$WAFV_Errors = "";
$WAFV_Errors .= WAValidateLE(((isset($_POST["password"]))?$_POST["password"]:"") . "",((isset($_POST["password2"]))?$_POST["password2"]:"") . "",true,4);
if ($WAFV_Errors != "") {
PostResult($WAFV_Redirect,$WAFV_Errors,"register_954");
}
}
?>
<?php
if ($_SERVER["REQUEST_METHOD"] == "POST") {
$WAFV_Redirect = "register.php";
$_SESSION['WAVT_register_022_Errors'] = "";
if ($WAFV_Redirect == "") {
$WAFV_Redirect = $_SERVER["PHP_SELF"];
}
$WAFV_Errors = "";
$WAFV_Errors .= WAValidateAN(((isset($_POST["Phone_Mobile"]))?$_POST["Phone_Mobile"]:"") . "",false,false,true,false,"",true,2);
$WAFV_Errors .= WAValidateEL(((isset($_POST["Phone_Mobile"]))?$_POST["Phone_Mobile"]:"") . "",10,10,true,3);
if ($WAFV_Errors != "") {
PostResult($WAFV_Redirect,$WAFV_Errors,"register_022");
}
}
?>
<?php
if ($_SERVER["REQUEST_METHOD"] == "POST") {
$WAFV_Redirect = "register.php";
$_SESSION['WAVT_register_846_Errors'] = "";
if ($WAFV_Redirect == "") {
$WAFV_Redirect = $_SERVER["PHP_SELF"];
}
$WAFV_Errors = "";
$WAFV_Errors .= WAValidateLE(strtolower($_SESSION['captcha_Security_Code_1']) . "",strtolower(((isset($_POST["Security_Code_1"]))?$_POST["Security_Code_1"]:"")) . "",true,1);
if ($WAFV_Errors != "") {
PostResult($WAFV_Redirect,$WAFV_Errors,"register_846");
}
}
?>
<?php
if (!function_exists("GetSQLValueString")) {
function GetSQLValueString($theValue, $theType, $theDefinedValue = "", $theNotDefinedValue = "")
{
if (PHP_VERSION < 6) {
$theValue = get_magic_quotes_gpc() ? stripslashes($theValue) : $theValue;
}
$theValue = function_exists("mysql_real_escape_string") ? mysql_real_escape_string($theValue) : mysql_escape_string($theValue);
switch ($theType) {
case "text":
$theValue = ($theValue != "") ? "'" . $theValue . "'" : "NULL";
break;
case "long":
case "int":
$theValue = ($theValue != "") ? intval($theValue) : "NULL";
break;
case "double":
$theValue = ($theValue != "") ? doubleval($theValue) : "NULL";
break;
case "date":
$theValue = ($theValue != "") ? "'" . $theValue . "'" : "NULL";
break;
case "defined":
$theValue = ($theValue != "") ? $theDefinedValue : $theNotDefinedValue;
break;
}
return $theValue;
}
}
mysql_select_db($database_connData, $connData);
$query_rsNetwork = "SELECT * FROM wirelessNetwork ORDER BY networkName ASC";
$rsNetwork = mysql_query($query_rsNetwork, $connData) or die(mysql_error());
$row_rsNetwork = mysql_fetch_assoc($rsNetwork);
$totalRows_rsNetwork = mysql_num_rows($rsNetwork);?>
<?php
// WA DataAssist Insert
if (($_SERVER["REQUEST_METHOD"] == "POST") && (isset($_SERVER["HTTP_REFERER"]) && strpos(urldecode($_SERVER["HTTP_REFERER"]), urldecode($_SERVER["SERVER_NAME"].$_SERVER["PHP_SELF"])) > 0) && isset($_POST)) // Trigger
{
$_SESSION['confirm_time'] = date("dmHsi");
$WA_connection = $connData;
$WA_table = "mycv";
$WA_sessionName = "sessMycvID";
$WA_redirectURL = "register_rd.php";
if (function_exists("rel2abs")) $WA_redirectURL = $WA_redirectURL?rel2abs($WA_redirectURL,dirname(__FILE__)):"";
$WA_keepQueryString = false;
$WA_fieldNamesStr = "email|password|firstName|lastName|phoneLand|phoneMobile|networkID|licNumber|licState|brokerName|brokerAddress|brokerCity|brokerState|brokerZip|brokerPhone|brokerFax|brokerURL|confirm_time";
$WA_fieldValuesStr = "".((isset($_POST["Email"]))?$_POST["Email"]:"") ."" . $WA_AB_Split . "".((isset($_POST["password"]))?$_POST["password"]:"") ."" . $WA_AB_Split . "".((isset($_POST["First_Name"]))?$_POST["First_Name"]:"") ."" . $WA_AB_Split . "".((isset($_POST["Last_Name"]))?$_POST["Last_Name"]:"") ."" . $WA_AB_Split . "".((isset($_POST["Phone_Land"]))?$_POST["Phone_Land"]:"") ."" . $WA_AB_Split . "".((isset($_POST["Phone_Mobile"]))?$_POST["Phone_Mobile"]:"") ."" . $WA_AB_Split . "".((isset($_POST["networkID"]))?$_POST["networkID"]:"") ."" . $WA_AB_Split . "".((isset($_POST["relicense"]))?$_POST["relicense"]:"") ."" . $WA_AB_Split . "".((isset($_POST["statelicense"]))?$_POST["statelicense"]:"") ."" . $WA_AB_Split . "".((isset($_POST["brokerageName"]))?$_POST["brokerageName"]:"") ."" . $WA_AB_Split . "".((isset($_POST["brokerAddress"]))?$_POST["brokerAddress"]:"") ."" . $WA_AB_Split . "".((isset($_POST["brokerCity"]))?$_POST["brokerCity"]:"") ."" . $WA_AB_Split . "".((isset($_POST["brokerState"]))?$_POST["brokerState"]:"") ."" . $WA_AB_Split . "".((isset($_POST["brokerZip"]))?$_POST["brokerZip"]:"") ."" . $WA_AB_Split . "".((isset($_POST["brokerPhone"]))?$_POST["brokerPhone"]:"") ."" . $WA_AB_Split . "".((isset($_POST["brokerFax"]))?$_POST["brokerFax"]:"") ."" . $WA_AB_Split . "".((isset($_POST["brokerSite"]))?$_POST["brokerSite"]:"") ."". $WA_AB_Split . "".$_SESSION['confirm_time'];
$WA_columnTypesStr = "',none,''|',none,''|',none,''|',none,''|',none,''|',none,''|none,none,NULL|',none,''|',none,''|',none,''|',none,''|',none,''|',none,''|none,none,NULL|',none,''|',none,''|',none,'',''|',none,''";
$WA_fieldNames = explode("|", $WA_fieldNamesStr);
$WA_fieldValues = explode($WA_AB_Split, $WA_fieldValuesStr);
$WA_columns = explode("|", $WA_columnTypesStr);
$WA_connectionDB = $database_connData;
mysql_select_db($WA_connectionDB, $WA_connection);
@session_start();
$insertParamsObj = WA_AB_generateInsertParams($WA_fieldNames, $WA_columns, $WA_fieldValues, -1);
$WA_Sql = "INSERT INTO `" . $WA_table . "` (" . $insertParamsObj->WA_tableValues . ") VALUES (" . $insertParamsObj->WA_dbValues . ")";
$MM_editCmd = mysql_query($WA_Sql, $WA_connection) or die(mysql_error());
$_SESSION[$WA_sessionName] = mysql_insert_id($WA_connection);
if ($WA_redirectURL != "") {
$WA_redirectURL = str_replace("[Insert_ID]",$_SESSION[$WA_sessionName],$WA_redirectURL);
if ($WA_keepQueryString && $WA_redirectURL != "" && isset($_SERVER["QUERY_STRING"]) && $_SERVER["QUERY_STRING"] !== "" && sizeof($_POST) > 0) {
$WA_redirectURL .= ((strpos($WA_redirectURL, '?') === false)?"?":"&").$_SERVER["QUERY_STRING"];
}
header("Location: ".$WA_redirectURL);
}
}
?>
<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=0"/>
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1,requiresActiveX=true">
<title>Clearview Offers | cvoffers.com</title>
<meta name="description" content="...">
<!-- /// Favicons //////// -->
<link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/images/apple-touch-icon-144-precomposed.png">
<link rel="shortcut icon" href="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/images/favicon.png">
<link rel="stylesheet" href="//fonts.googleapis.com/css?family=Open+Sans:400,300,400italic,600,600italic,700,700italic">
<link rel="stylesheet" href="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/css/fontawesome/font-awesome.min.css">
<link rel="stylesheet" href="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/css/iconfontcustom/icon-font-custom.css">
<link rel="stylesheet" href="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/css/base.css">
<link rel="stylesheet" href="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/css/grid.css">
<link rel="stylesheet" href="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/css/elements.css">
<link rel="stylesheet" href="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/css/layout.css">
<link rel="stylesheet" href="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/css/tooltip.css">
<script type="text/javascript">
function MM_validateForm() { //v4.0
if (document.getElementById){
var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=document.getElementById(args[i]);
if (val) { nm=val.name; if ((val=val.value)!="") {
if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
} else if (test!='R') { num = parseFloat(val);
if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
min=test.substring(8,p); max=test.substring(p+1);
if (num<min || max<num) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
} } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
} if (errors) alert('The following error(s) occurred:\n'+errors);
document.MM_returnValue = (errors == '');
} }
</script>
</head>
<body>
<?php include_once("_include/analyticstracking.php") ?>
<noscript>
<div class="alert warning">
<i class="fa fa-left-sides-circle"></i> You seem to have Javascript disabled. This website needs javascript in order to function properly!
</div>
</noscript>
<!--[if lte IE 8]>
<div class="alert error">
You are using an <strong>outdated</strong> browser. Please
<a href="http://windows.microsoft.com/en-us/internet-explorer/download-ie">upgrade your browser</a>
to improve your experience.
</div>
<![endif]-->
<div id="wrap">
<!-- /// HEADER-TOP /// -->
<div id="header-top">
<div class="row">
<div class="span6" id="header-top-widget-area-1">
<div class="widget ewf_widget_contact_info">
<ul>
<li> <!--1-844-4CVOFFER<br>--></li>
</ul>
</div><!-- end .ewf_widget_contact_info -->
</div><!-- end .span6 -->
<div class="span6" id="header-top-widget-area-2">
<?php include '_include/social.php'; ?>
</div><!-- end .span6 -->
</div><!-- end .row -->
</div><!-- end #header-top -->
<!-- /// HEADER-TOP END ///////// -->
<!-- /// HEADER /// -->
<div id="header">
<div class="row">
<div class="span3">
<!-- // Logo // -->
<a href="index.php" id="logo"><img src="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/images/logo.png" alt="cvoffers.com - Cloud-bases real estate offer management system" width="293" height="81" class="responsive-img"></a>
</div><!-- end .span3 -->
<div class="span9">
<a href="#" id="mobile-menu-trigger"><i class="fa fa-bars"></i></a>
<!-- // Menu // -->
<?php include '_include/menu_top.php'; ?>
</div><!-- end .span9 -->
</div><!-- end .row -->
</div><!-- end #header -->
<!-- /// HEADER END ///////// -->
<!-- /// CONTENT ///////// -->
<div id="content">
<div id="page-header">
<div class="row">
<div class="span12">
<h2>CV Dashboard</h2>
<p>User Registration</p>
</div><!-- end .span12 -->
</div><!-- end .row -->
</div><!-- end .page-header -->
<div class="row">
<div class="row">
<div class="span12">
<div class="icon-box-1"> <i class="ifc-add_user"></i>
<div class="icon-box-content">
<h3>Agent Registration Form</h3>
<p>The Clearview Dashboard section of cvoffers.com gives you the ability to manage all your listings and offers... all from our secure, easy-to-use cloud-based system.<br>
<strong class="text-highlight">Sellers:</strong> your listing agent will create an account for you to view all offer activity related to your property.</p>
<p> </p>
</div>
<!-- end .icon-box-content -->
</div>
<!-- end .icon-box-1 -->
</div><!-- end .span12 -->
</div><!-- end .row -->
<!-- BEGIN FORM -->
<form action="" method="post" name="form1" onSubmit="MM_validateForm('Email','','NisEmail');return document.MM_returnValue">
<div class="row">
<div class="span6">
<p>
<label for="First_Name">First Name<span class="red">*</span>:</label>
<input name="First_Name" type="text" required="required" id="First_Name" value="<?php echo(ValidatedField("register_954","First_Name")) ?>">
</p>
<p>
<label for="Last_Name">Last Name<span class="red">*</span>:</label>
<input name="Last_Name" type="text" required="required" id="Last_Name" value="<?php echo(ValidatedField("register_954","Last_Name")) ?>">
</p>
<p>
<label for="Phone_Mobile">Mobile Phone (must be 10-digits, numbers only)<span class="red">*</span>:</label>
<span class="red">
<input name="Phone_Mobile" type="text" required="required" id="Phone_Mobile" value="<?php echo(ValidatedField("register_954","Phone_Mobile")) ?>">
<?php
if (ValidatedField('register_022','register_022')) {
if ((strpos((",".ValidatedField("register_022","register_022").","), "," . "2" . ",") !== false || "2" == "") || (strpos((",".ValidatedField("register_022","register_022").","), "," . "3" . ",") !== false || "3" == "")) {
if (!(false)) {
?>
Mobile Phone must contain 10-digit number only
<?php //WAFV_Conditional register.php register_022(2,3:)
}
}
}?>
</span></p>
<label for="networkID">Wireless Carrier<span class="red">*</span> <a class="tooltips" href="#"><img src="https://s3-us-west-1.amazonaws.com/cvoffers/_layout/images/help.png" width="15" height="15" alt=""/><span>To Receive Text Message Updates.</span></a>:</label>
<select name="networkID" required id="networkID">
<option value="" <?php if (!(strcmp("", (ValidatedField("register_954","networkID"))))) {echo "selected=\"selected\"";} ?>>-- Select One --</option>
<?php
do {
?>
<option value="<?php echo $row_rsNetwork['networkID']?>"<?php if (!(strcmp($row_rsNetwork['networkID'], (ValidatedField("register_954","networkID"))))) {echo "selected=\"selected\"";} ?>><?php echo $row_rsNetwork['networkName']?></option>
<?php
} while ($row_rsNetwork = mysql_fetch_assoc($rsNetwork));
$rows = mysql_num_rows($rsNetwork);
if($rows > 0) {
mysql_data_seek($rsNetwork, 0);
$row_rsNetwork = mysql_fetch_assoc($rsNetwork);
}
?>
</select>
</p>
<p>
<label for="Phone_Land">Direct Office Phone (if different):</label>
<input name="Phone_Land" type="text" id="Phone_Land" value="<?php echo(ValidatedField("register_954","Phone_Land")) ?>">
</p>
</div>
<!-- end .span6 -->
<div class="span6">
<p>
<label for="Email">Email<span class="red">*</span>:</label>
<input name="Email" type="text" required="required" id="Email" value="<?php echo(ValidatedField("register_954","Email")) ?>">
</p>
<p>
<label for="password">Password<span class="red">*</span>:</label>
<input name="password" type="password" required="required" id="password">
<?php
if (ValidatedField('register_954','register_954')) {
if ((strpos((",".ValidatedField("register_954","register_954").","), "," . "4" . ",") !== false || "4" == "")) {
if (!(false)) {
?>
<span class="red">Passwords don't match </span>
<?php //WAFV_Conditional register.php register_954(4:)
}
}
}?>
</p>
<p>
<label for="password2">Re-Type Password<span class="red">*</span>:</label>
<input name="password2" type="password" required id="password2">
</p>
<p>
<label for="relicense">Real Estate License Number<span class="red">*</span>:</label>
<input name="relicense" type="text" required id="relicense" value="<?php echo(ValidatedField("register_954","relicense")) ?>">
</p>
<p>
<label for="statelicense">State Licensed<span class="red">*</span>:</label>
<select name="statelicense" required id="statelicense">
<option value="AL" <?php if (!(strcmp("AL", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Alabama</option>
<option value="AK" <?php if (!(strcmp("AK", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Alaska</option>
<option value="AZ" <?php if (!(strcmp("AZ", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Arizona</option>
<option value="AR" <?php if (!(strcmp("AR", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Arkansas</option>
<option value="CA" selected="selected" <?php if (!(strcmp("CA", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>California</option>
<option value="CO" <?php if (!(strcmp("CO", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Colorado</option>
<option value="CT" <?php if (!(strcmp("CT", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Connecticut</option>
<option value="DE" <?php if (!(strcmp("DE", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Delaware</option>
<option value="FL" <?php if (!(strcmp("FL", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Florida</option>
<option value="GA" <?php if (!(strcmp("GA", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Georgia</option>
<option value="HI" <?php if (!(strcmp("HI", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Hawaii</option>
<option value="ID" <?php if (!(strcmp("ID", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Idaho</option>
<option value="IL" <?php if (!(strcmp("IL", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Illinois</option>
<option value="IN" <?php if (!(strcmp("IN", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Indiana</option>
<option value="IA" <?php if (!(strcmp("IA", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Iowa</option>
<option value="KS" <?php if (!(strcmp("KS", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Kansas</option>
<option value="KY" <?php if (!(strcmp("KY", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Kentucky</option>
<option value="LA" <?php if (!(strcmp("LA", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Louisiana</option>
<option value="ME" <?php if (!(strcmp("ME", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Maine</option>
<option value="MD" <?php if (!(strcmp("MD", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Maryland</option>
<option value="MA" <?php if (!(strcmp("MA", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Massachusetts</option>
<option value="MI" <?php if (!(strcmp("MI", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Michigan</option>
<option value="MN" <?php if (!(strcmp("MN", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Minnesota</option>
<option value="MS" <?php if (!(strcmp("MS", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Mississippi</option>
<option value="MO" <?php if (!(strcmp("MO", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Missouri</option>
<option value="MT" <?php if (!(strcmp("MT", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Montana</option>
<option value="NE" <?php if (!(strcmp("NE", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Nebraska</option>
<option value="NV" <?php if (!(strcmp("NV", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Nevada</option>
<option value="NH" <?php if (!(strcmp("NH", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>New Hampshire</option>
<option value="NJ" <?php if (!(strcmp("NJ", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>New Jersey</option>
<option value="NM" <?php if (!(strcmp("NM", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>New Mexico</option>
<option value="NY" <?php if (!(strcmp("NY", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>New York</option>
<option value="NC" <?php if (!(strcmp("NC", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>North Carolina</option>
<option value="ND" <?php if (!(strcmp("ND", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>North Dakota</option>
<option value="OH" <?php if (!(strcmp("OH", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Ohio</option>
<option value="OK" <?php if (!(strcmp("OK", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Oklahoma</option>
<option value="OR" <?php if (!(strcmp("OR", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Oregon</option>
<option value="PA" <?php if (!(strcmp("PA", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Pennsylvania</option>
<option value="RI" <?php if (!(strcmp("RI", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Rhode Island</option>
<option value="SC" <?php if (!(strcmp("SC", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>South Carolina</option>
<option value="SD" <?php if (!(strcmp("SD", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>South Dakota</option>
<option value="TN" <?php if (!(strcmp("TN", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Tennessee</option>
<option value="TX" <?php if (!(strcmp("TX", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Texas</option>
<option value="UT" <?php if (!(strcmp("UT", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Utah</option>
<option value="VT" <?php if (!(strcmp("VT", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Vermont</option>
<option value="VA" <?php if (!(strcmp("VA", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Virginia</option>
<option value="WA" <?php if (!(strcmp("WA", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Washington</option>
<option value="WV" <?php if (!(strcmp("WV", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>West Virginia</option>
<option value="WI" <?php if (!(strcmp("WI", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Wisconsin</option>
<option value="WY" <?php if (!(strcmp("WY", (ValidatedField("register_954","statelicense"))))) {echo "selected=\"selected\"";} ?>>Wyoming</option>
</select>
</p>
</div>
<hr>
<!-- end .span6 -->
</div><!-- end .row --><!-- end .span12 -->
<div class="row">
<div class="span6">
<p>
<label for="brokerageName">Brokerage Name<span class="red">*</span>:</label>
<input name="brokerageName" type="text" required id="brokerageName" value="<?php echo(ValidatedField("register_954","brokerageName")) ?>">
</p>
<p>
<label for="brokerPhone">Brokerage Phone<span class="red">*</span>:</label>
<input name="brokerPhone" type="text" required id="brokerPhone" value="<?php echo(ValidatedField("register_954","brokerPhone")) ?>">
</p>
<p>
<label for="brokerFax">Brokerage Fax:</label>
<input name="brokerFax" type="text" id="brokerPhone" value="<?php echo(ValidatedField("register_954","brokerFax")) ?>">
</p>
<p>
<label for="brokerSite">Brokerage Website:</label>
<input name="brokerSite" type="text" id="brokerSite" value="<?php echo(ValidatedField("register_954","brokerSite")) ?>">
</p>
</div>
<div class="span6">
<p>
<label for="brokerAddress">Brokerage Address<span class="red">*</span>:</label>
<input name="brokerAddress" type="text" required id="brokerAddress" value="<?php echo(ValidatedField("register_954","brokerAddress")) ?>">
</p>
<p>
<label for="brokerCity">Brokerage City<span class="red">*</span>:</label>
<input name="brokerCity" type="text" required id="brokerCity" value="<?php echo(ValidatedField("register_954","brokerCity")) ?>">
</p>
<p>
<label for="brokerState">Brokerage State<span class="red">*</span>:</label>
<select name="brokerState" required id="brokerState">
<option value="AL" <?php if (!(strcmp("AL", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Alabama</option>
<option value="AK" <?php if (!(strcmp("AK", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Alaska</option>
<option value="AZ" <?php if (!(strcmp("AZ", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Arizona</option>
<option value="AR" <?php if (!(strcmp("AR", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Arkansas</option>
<option value="CA" selected="selected" <?php if (!(strcmp("CA", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>California</option>
<option value="CO" <?php if (!(strcmp("CO", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Colorado</option>
<option value="CT" <?php if (!(strcmp("CT", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Connecticut</option>
<option value="DE" <?php if (!(strcmp("DE", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Delaware</option>
<option value="DC" <?php if (!(strcmp("DC", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>District Of Columbia</option>
<option value="FL" <?php if (!(strcmp("FL", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Florida</option>
<option value="GA" <?php if (!(strcmp("GA", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Georgia</option>
<option value="HI" <?php if (!(strcmp("HI", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Hawaii</option>
<option value="ID" <?php if (!(strcmp("ID", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Idaho</option>
<option value="IL" <?php if (!(strcmp("IL", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Illinois</option>
<option value="IN" <?php if (!(strcmp("IN", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Indiana</option>
<option value="IA" <?php if (!(strcmp("IA", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Iowa</option>
<option value="KS" <?php if (!(strcmp("KS", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Kansas</option>
<option value="KY" <?php if (!(strcmp("KY", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Kentucky</option>
<option value="LA" <?php if (!(strcmp("LA", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Louisiana</option>
<option value="ME" <?php if (!(strcmp("ME", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Maine</option>
<option value="MD" <?php if (!(strcmp("MD", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Maryland</option>
<option value="MA" <?php if (!(strcmp("MA", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Massachusetts</option>
<option value="MI" <?php if (!(strcmp("MI", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Michigan</option>
<option value="MN" <?php if (!(strcmp("MN", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Minnesota</option>
<option value="MS" <?php if (!(strcmp("MS", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Mississippi</option>
<option value="MO" <?php if (!(strcmp("MO", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Missouri</option>
<option value="MT" <?php if (!(strcmp("MT", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Montana</option>
<option value="NE" <?php if (!(strcmp("NE", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Nebraska</option>
<option value="NV" <?php if (!(strcmp("NV", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Nevada</option>
<option value="NH" <?php if (!(strcmp("NH", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>New Hampshire</option>
<option value="NJ" <?php if (!(strcmp("NJ", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>New Jersey</option>
<option value="NM" <?php if (!(strcmp("NM", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>New Mexico</option>
<option value="NY" <?php if (!(strcmp("NY", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>New York</option>
<option value="NC" <?php if (!(strcmp("NC", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>North Carolina</option>
<option value="ND" <?php if (!(strcmp("ND", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>North Dakota</option>
<option value="OH" <?php if (!(strcmp("OH", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Ohio</option>
<option value="OK" <?php if (!(strcmp("OK", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Oklahoma</option>
<option value="OR" <?php if (!(strcmp("OR", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Oregon</option>
<option value="PA" <?php if (!(strcmp("PA", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Pennsylvania</option>
<option value="RI" <?php if (!(strcmp("RI", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Rhode Island</option>
<option value="SC" <?php if (!(strcmp("SC", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>South Carolina</option>
<option value="SD" <?php if (!(strcmp("SD", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>South Dakota</option>
<option value="TN" <?php if (!(strcmp("TN", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Tennessee</option>
<option value="TX" <?php if (!(strcmp("TX", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Texas</option>
<option value="UT" <?php if (!(strcmp("UT", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Utah</option>
<option value="VT" <?php if (!(strcmp("VT", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Vermont</option>
<option value="VA" <?php if (!(strcmp("VA", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Virginia</option>
<option value="WA" <?php if (!(strcmp("WA", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Washington</option>
<option value="WV" <?php if (!(strcmp("WV", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>West Virginia</option>
<option value="WI" <?php if (!(strcmp("WI", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Wisconsin</option>
<option value="WY" <?php if (!(strcmp("WY", (ValidatedField("register_954","brokerState"))))) {echo "selected=\"selected\"";} ?>>Wyoming</option>
</select>
</p>
<p>
<label for="brokerZip">Brokerage Zip Code<span class="red">*</span>:</label>
<input name="brokerZip" type="text" required id="brokerZip" value="<?php echo(ValidatedField("register_954","brokerZip")) ?>">
</p>
</div>
</div>
<div class="row">
<div class="span6">
<p class="red">* Required</p>
<p><img id="capt1" src="webassist/captcha/wavt_captchasecurityimages.php?width=200&height=50&field=Security_Code_1&bgcolor=FFFFFF&transparent=0&bgimage=&gridfreq=20&gridcolor=000000&gridorder=behind&noisefreq=20&noisecolor=000000&noiseorder=behind&characters=5&charheight=&font=fonts/MOM_T___.TTF&textcolor=000000" alt="security code" width="200" height="50" /><img src="webassist/captcha/images/refresh.png" height="18" onClick="document.getElementById('capt1').src+='&ref=1'"><br>
<label for="Security_Code_1">Enter the characters as they appear in the image above:<span class="red">*</span></label>
<input id="Security_Code_1" name="Security_Code_1" type="text" value="" />
<?php
if (ValidatedField('register_846','register_846')) {
if ((strpos((",".ValidatedField("register_846","register_846").","), "," . "1" . ",") !== false || "1" == "")) {
if (!(false)) {
?>
<span class="red">Characters entered did not match image above.</span>
<?php //WAFV_Conditional register.php register_846(1:)
}
}
}?>
</p>
<p>
<input name="submit" type="submit" class="neoSubmitButton" id="submit" value="Register">
</p>
</div>
</div>
</form>
<!-- END FORM -->
</div>
<!-- end .row -->
</div><!-- end #content -->
<!-- /// CONTENT END ///////// -->
<!-- /// FOOTER-BOTTOM ///////// -->
<div id="footer-bottom">
<div class="row">
<?php include '_include/menu_footer.php'; ?>
</div><!-- end .row -->
</div>
<!-- /// FOOTER-BOTTOM END ///////// -->
</div><!-- end #wrap -->
<a id="back-to-top" href="#"><i class="fa fa-angle-up"></i></a>
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<?php
mysql_free_result($rsNetwork);
?>
