X-Git-Url: http://git.hcoop.net/clinton/MarylandElectronicPetitionSignature.git/blobdiff_plain/5ca4bf823984a684ec3eba4622360963ef164d98..df027d15d8c419c6e8f1d20870a6c6ac2c8615d1:/enter_information.php diff --git a/enter_information.php b/enter_information.php index 68c55c8..58ca9b0 100644 --- a/enter_information.php +++ b/enter_information.php @@ -3,7 +3,14 @@ if (empty($_COOKIE['signature_status'])){ setcookie("signature_status", 'unverified'); } if (isset($_POST['web_first_name'])){ - $DOB=''; + $email=''; + if (isset($_POST['email'])){ + if ($_POST['email'] != ''){ + $email = $_POST['email']; + setcookie("email", $email); + } + } + $DOB=''; if (isset($_POST['DOB'])){ if ($_POST['DOB'] != ''){ $DOB = $_POST['DOB']; @@ -51,65 +58,104 @@ if (isset($_POST['web_first_name'])){ header('Location: is_the_information_correct.php'); } include_once('header.php'); -slack_general('Entering Information','md-petition'); +slack_general('Enter Information ('.$_COOKIE['invite'].')','md-petition'); +?> + + + query($qX); $dX = mysqli_fetch_array($rX); ?>
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E-Mail for Follow Up*

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First Name

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First Name

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Last Name

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Last Name

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Date of Birth

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Date of Birth

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Phone Number

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Phone Number**

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House Number

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Phone Format

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443-123-4567

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Building Number

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ZIP Code

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House: 321 Here St.

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Use: 321

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Apartment: 21 Here St. Apt 1323

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Use: 21

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ZIP Code

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ZIP Code Format

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55555

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* E-Mail is not required, and will only be used internally, if we need to reach you. It will never sold or given out.
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** PHONE NUMBER IS REQUIRED BY STATE OF MARYLAND. WE WILL NEVER USE YOUR PHONE NUMBER - NEVER CALL - NEVER FOR TEXT MESSAGES.
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