enter_information.php

   1 <?PHP
   2 if (isset($_POST['web_first_name'])){
   3   $DOB='';
   4   if (isset($_POST['DOB'])){
   5     if ($_POST['DOB'] != ''){
   6      $DOB = $_POST['DOB'];
   7      setcookie("pDOB", $DOB);
   8     }
   9   }
  10   $web_first_name='';
  11   if (isset($_POST['web_first_name'])){
  12     if ($_POST['web_first_name'] != ''){
  13      $web_first_name = $_POST['web_first_name'];
  14      setcookie("web_first_name", $web_first_name);
  15     }
  16   }
  17   $web_last_name='';
  18   if (isset($_POST['web_last_name'])){
  19     if ($_POST['web_last_name'] != ''){
  20      $web_last_name = $_POST['web_last_name'];
  21      setcookie("web_last_name", $web_last_name);
  22     }
  23   }
  24   if(isset($_POST['web_last_name']) && isset($_POST['web_first_name'])){
  25      setcookie("web_name", $web_first_name.' '.$web_last_name);
  26   }
  27   $web_house_number='';
  28   if (isset($_POST['web_house_number'])){
  29     if ($_POST['web_house_number'] != ''){
  30      $web_house_number = $_POST['web_house_number'];
  31      setcookie("web_house_number", $web_house_number);
  32     }
  33   }
  34   $web_zip_code='';
  35   if (isset($_POST['web_zip_code'])){
  36     if ($_POST['web_zip_code'] != ''){
  37      $web_zip_code = $_POST['web_zip_code'];
  38      setcookie("web_zip_code", $web_zip_code);
  39     }
  40   }
  41   header('Location: is_the_information_correct.php');
  42 }
  43 include_once('header.php');
  44 ?>
  45 <form method='POST'>
  46   <div class='row'>
  47     <div class='col-sm-12' style='height:100px; text-align:center;'><h3>Please enter your Name and ZIP Code as it appears on your Maryland Voter Registration</h3></div>
  48   </div>
  49   <div class='row'>
  50     <div class='col-sm-4' style='height:50px; text-align:center;'><h3>First Name</h3></div>
  51     <div class='col-sm-4' style='height:50px; text-align:center;'><h3>Last Name</h3></div>
  52     <div class='col-sm-4' style='height:50px; text-align:center;'><h3>Date of Birth</h3></div>
  53   </div>
  54   <div class='row'>
  55     <div class='col-sm-4' style='height:50px; text-align:center;'><input name='web_first_name'></div>
  56     <div class='col-sm-4' style='height:50px; text-align:center;'><input name='web_last_name'></div>
  57     <div class='col-sm-4' style='height:50px; text-align:center;'><input name='DOB' type="date"></div>
  58     </div>
  59   <div class='row'>
  60     <div class='col-sm-6' style='height:50px; text-align:center;'><h3>House Number</h3></div>
  61     <div class='col-sm-6' style='height:50px; text-align:center;'><h3>ZIP Code</h3></div>
  62   </div>
  63   <div class='row'>
  64     <div class='col-sm-6' style='height:50px; text-align:center;'><input name='web_house_number'> </div>
  65     <div class='col-sm-6' style='height:50px; text-align:center;'><input name='web_zip_code'> </div>
  66   </div>
  67   <div class='row'>
  68     <div class='col-sm-12' style='height:50px; text-align:center;'><button type="submit" class="btn btn-success">Next</button></div>
  69   </div>
  70   <div class='row'>
  71     <div class='col-sm-12' style='height:50px; text-align:center;'><button type="reset" class="btn btn-warning">Clear</button></div>
  72   </div>
  73 </form>
  74 <?PHP include_once('footer.php');