';
}
if(isset($_POST['submit'])) {
// COMPANY INFORMATION - FORM SANITATION //
$title = filter_var($_POST['title'], FILTER_SANITIZE_STRING);
$first_name = filter_var($_POST['first_name'], FILTER_SANITIZE_STRING);
$last_name = filter_var($_POST['last_name'], FILTER_SANITIZE_STRING);
$company = filter_var($_POST['company'], FILTER_SANITIZE_STRING);
$phone = filter_var($_POST['phone'], FILTER_SANITIZE_STRING);
$email = filter_var($_POST['email'], FILTER_SANITIZE_EMAIL);
// COMPANY INFORMATION - FORM VALIDATION //
if ($title == "") {
$error = $error_message;
$title_box = "red";
}
if ($first_name == "") {
$error = $error_message;
$first_name_box = "red";
}
if ($last_name == "") {
$error = $error_message;
$last_name_box = "red";
}
if ($phone == "" || !is_numeric($phone)) {
$error = $error_message;
$phone_box = "red";
}
if (!eregi("^[_a-z0-9-]+(\.[_a-z0-9-]+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,3})$", $email) || $email == "") {
$error = $error_message;
$email_box = "red";
}
// BILLING INFORMATION - FORM SANITATION //
$first_name_bill = filter_var($_POST['first_name_bill'], FILTER_SANITIZE_STRING);
$last_name_bill = filter_var($_POST['last_name_bill'], FILTER_SANITIZE_STRING);
$address_bill = filter_var($_POST['address_bill'], FILTER_SANITIZE_STRING);
$address_2_bill = filter_var($_POST['address_2_bill'], FILTER_SANITIZE_STRING);
$city_bill = filter_var($_POST['city_bill'], FILTER_SANITIZE_STRING);
$state_bill = filter_var($_POST['state_bill'], FILTER_SANITIZE_STRING);
$country_bill = filter_var($_POST['country_bill'], FILTER_SANITIZE_STRING);
$zip_bill = filter_var($_POST['zip_bill'], FILTER_SANITIZE_STRING);
$payee_bill = filter_var($_POST['payee_bill'], FILTER_SANITIZE_STRING);
// BILLING INFORMATION - FORM VALIDATION //
if ($first_name_bill == "") {
$error = $error_message;
$first_name_bill_box = "red";
}
if ($last_name_bill == "") {
$error = $error_message;
$last_name_bill_box = "red";
}
if ($address_bill == "") {
$error = $error_message;
$address_bill_box = "red";
}
if ($city_bill == "") {
$error = $error_message;
$city_bill_box = "red";
}
if ($state_bill == "") {
$error = $error_message;
$state_bill_box = "red";
}
if ($country_bill == "") {
$error = $error_message;
$country_bill_box = "red";
}
if ($zip_bill == "" || !is_numeric($zip_bill)) {
$error = $error_message;
$zip_bill_box = "red";
}
if ($payee_bill == "") {
$error = $error_message;
$payee_bill_box = "red";
}
if ($checkbox == "no") {
// SHIPPING INFORMATION - FORM SANITATION //
$first_name_ship = filter_var($_POST['first_name_ship'], FILTER_SANITIZE_STRING);
$last_name_ship = filter_var($_POST['last_name_ship'], FILTER_SANITIZE_STRING);
$address_ship = filter_var($_POST['address_ship'], FILTER_SANITIZE_STRING);
$address_2_ship = filter_var($_POST['address_2_ship'], FILTER_SANITIZE_STRING);
$city_ship = filter_var($_POST['city_ship'], FILTER_SANITIZE_STRING);
$state_ship = filter_var($_POST['state_ship'], FILTER_SANITIZE_STRING);
$country_ship = filter_var($_POST['country_ship'], FILTER_SANITIZE_STRING);
$zip_ship = filter_var($_POST['zip_ship'], FILTER_SANITIZE_STRING);
$payee_ship = filter_var($_POST['payee_ship'], FILTER_SANITIZE_STRING);
// SHIPPING INFORMATION - FORM VALIDATION //
if ($first_name_ship == "") {
$error = $error_message;
$first_name_ship_box = "red";
}
if ($last_name_ship == "") {
$error = $error_message;
$last_name_ship_box = "red";
}
if ($address_ship == "") {
$error = $error_message;
$address_ship_box = "red";
}
if ($city_ship == "") {
$error = $error_message;
$city_ship_box = "red";
}
if ($state_ship == "") {
$error = $error_message;
$state_ship_box = "red";
}
if ($country_ship == "") {
$error = $error_message;
$country_ship_box = "red";
}
if ($zip_ship == "" || !is_numeric($zip_ship)) {
$error = $error_message;
$zip_ship_box = "red";
}
if ($payee_ship == "") {
$error = $error_message;
$payee_ship_box = "red";
}
}
// STORE INFORMATION - FORM SANITATION //
$store_name = filter_var($_POST['store_name'], FILTER_SANITIZE_STRING);
$sales_tax = filter_var($_POST['sales_tax'], FILTER_SANITIZE_STRING);
$tax_id = filter_var($_POST['tax_id'], FILTER_SANITIZE_STRING);
$num_stores = filter_var($_POST['num_stores'], FILTER_SANITIZE_STRING);
$website = filter_var($_POST['website'], FILTER_SANITIZE_STRING);
$doyoucarry = filter_var($_POST['doyoucarry'], FILTER_SANITIZE_STRING);
$targetsellingprice = filter_var($_POST['targetsellingprice'], FILTER_SANITIZE_STRING);
$markets_shows = filter_var($_POST['markets_shows'], FILTER_SANITIZE_STRING);
$brand_1 = filter_var($_POST['brand_1'], FILTER_SANITIZE_STRING);
$brand_2 = filter_var($_POST['brand_2'], FILTER_SANITIZE_STRING);
$brand_3 = filter_var($_POST['brand_3'], FILTER_SANITIZE_STRING);
// STORE INFORMATION - FORM VALIDATION //
if ($store_name == "") {
$error = $error_message;
$store_name_box = "red";
}
if ($sales_tax == "") {
$error = $error_message;
$sales_tax_box = "red";
}
if ($tax_id == "") {
$error = $error_message;
$tax_id_box = "red";
}
if ($num_stores == "") {
$error = $error_message;
$num_stores_box = "red";
}
if ($doyoucarry == "") {
$error = $error_message;
$doyoucarry_box = "red";
}
if ($targetsellingprice == "") {
$error = $error_message;
$targetsellingprice_box = "red";
}
if ($markets_shows == "") {
$error = $error_message;
$markets_shows_box = "red";
}
if ($brand_1 == "") {
$error = $error_message;
$brand_1_box = "red";
}
if ($brand_2 == "") {
$error = $error_message;
$brand_2_box = "red";
}
if ($brand_3 == "") {
$error = $error_message;
$brand_3_box = "red";
}
// USERNAME/PASSWORD - FORM SANITATION //
$username = filter_var($_POST['username'], FILTER_SANITIZE_STRING);
$password = filter_var($_POST['password'], FILTER_SANITIZE_STRING);
$conf_password = filter_var($_POST['conf_password'], FILTER_SANITIZE_STRING);
// USERNAME/PASSWORD - FORM VALIDATION //
if ($username == "") {
$error = $error_message;
$username_box = "red";
}
if ($password == "") {
$error = $error_message;
$password_box = "red";
}
if ($conf_password == "" || $conf_password != $password) {
$error = $error_message;
$conf_password_box = "red";
}
// FINAL FORM VERIFICATION AND SEND //
if ($error == "" ) {
// Full Name //
$name = $first_name . " " . $last_name;
// Email Body //
if ($checkbox == "yes") {
$shippinginfo = "Shipping Information same as Billing Information
";
}
else {
$shippinginfo = "
Shipping Information First Name: $first_name_ship
Last Name: $last_name_ship
Address: $address_ship
Address 2: $address_2_ship
City: $city_ship
State: $state_ship
Country: $country_ship
Zip/Postal Code: $zip_ship
Person responsible for accounts payable: $payee_ship
";
}
$boutique = "";
$gallery = "";
$finejewelry = "";
$giftstore = "";
if (isset($_POST['boutique'])) {
$boutique = "Boutique Clothing Store, ";
}
if (isset($_POST['gallery'])) {
$gallery = "Art or Craft Gallery, ";
}
if (isset($_POST['finejewelry'])) {
$finejewelry = "Fine Jewelry Store, ";
}
if (isset($_POST['giftstore'])) {
$giftstore = "Gift Store";
}
if (isset($_POST['email_update'])) {
$email_update = "I
do want to sign up for the email updates.";
}
if (!isset($_POST['email_update'])) {
$email_update = "I
do not want to sign up for the email updates.";
}
$body = "You have received a new response from the Wholesale form!
Customer Information Title: $title
First Name: $first_name
Last Name: $last_name
Company: $company
Phone: $phone
Email: $email
Billing Information First Name: $first_name_bill
Last Name: $last_name_bill
Address: $address_bill
Address 2: $address_2_bill
City: $city_bill
State: $state_bill
Country: $country_bill
Zip/Postal Code: $zip_bill
Person responsible for accounts payable: $payee_bill
$shippinginfo
Store Information Store Name: $store_name
Sales Tax or Resale Number: $sales_tax
Federal Tax ID Number: $tax_id
Number of Stores: $num_stores
Website Address: $website
Do you currently carry jewelry?: $doyoucarry
Target Selling Price: $targetsellingprice
Market/Trade Shows Attended: $markets_shows
What is the type of business?: $boutique$gallery$finejewelry$giftstore
Brands Carried: $brand_1, $brand_2, $brand_3
Username/Password Username: $username
Password: $password
$email_update
";
// Compile Email //
$headers = 'MIME-Version: 1.0' . "\r\n";
$headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n";
$headers .= 'From: '.$name.' <'.$email.'>' . "\r\n";
mail($to, $email_subject, $body,$headers);
$success = $success_message;
// CLEAR VALUES //
$title = "";
$first_name = "";
$last_name = "";
$company = "";
$phone = "";
$email = "";
$first_name_bill = "";
$last_name_bill = "";
$address_bill = "";
$address_2_bill = "";
$city_bill = "";
$state_bill = "";
$country_bill = "";
$zip_bill = "";
$payee_bill = "";
$first_name_ship = "";
$last_name_ship = "";
$address_ship = "";
$address_2_ship = "";
$city_ship = "";
$state_ship = "";
$country_ship = "";
$zip_ship = "";
$payee_ship = "";
$store_name = "";
$sales_tax = "";
$tax_id = "";
$num_stores = "";
$website = "";
$doyoucarry = "";
$targetsellingprice = "";
$markets_shows = "";
$brand_1 = "";
$brand_2 = "";
$brand_3 = "";
$username = "";
$password = "";
$conf_password = "";
// END FORM SEND //
}
// END IF FORM SUBMIT //
}
require("inc/meta.php");
?>
Wholesale
wholesale form
" . $error . "";
echo "
" . $success . " ";
?>
store information