Help needed on Dealer Signup form contribution

[ajames]

Help needed on Dealer Signup form contribution. I'v made a dealer sign up form which I've placed in my EZPages. It dies on the processing of the data collected. I need help in getting the information collected either emailed to me or placed in the data base. Any help would be appreciated. The code is below.

<p>
<link href="dealform_files/document.css" rel="stylesheet" type="text/css" /></p>
<script language="javascript">
    function validate(form){
        if (form.txtBName.value == ""){
            alert("Please enter value for Business Name");
            form.txtBName.focus();
            return(false);
        }
        if (form.txtAdd1.value == ""){ 
            alert("Please enter value for Business Address");
            form.txtAdd1.focus();
            return(false);
        }
        if (form.txtCity.value == ""){ 
            alert("Please enter value for Business City");
            form.txtCity.focus();
            return(false);
        }

        if (form.txtZip.value == ""){ 
            alert("Please enter value for Business zip/pin code");
            form.txtZip.focus();
            return(false);
        }
        if (form.txtZip.value.length < 5){ 
            alert("Please enter valid Business zip/pin code");
            form.txtZip.focus();
            return(false);
        }
        if (form.txtOFName.value == ""){ 
            alert("Please enter value for Onwer first name");
            form.txtOFName.focus();
            return(false);
        }
        if (form.txtOAdd1.value == ""){ 
            alert("Please enter value for Onwer Address");
            form.txtOAdd1.focus();
            return(false);
        }
        if (form.txtOZip.value == ""){ 
            alert("Please enter value for Onwer zip/pic code");
            form.txtOZip.focus();
            return(false);
        }
        if (form.txtOZip.value.length < 5){
            alert("Please enter valid Business zip/pin code");
            form.txtOZip.focus();
            return(false);
        }
        if (form.txtBphone.value == ""){ 
            alert("Please enter value for Business Phone number");
            form.txtBphone.focus();
            return(false);
        }                  
        if (form.cred_txtBphone.value == ""){ 
            alert("Please enter value for Business Phone number");
            form.cred_txtBphone.focus();
            return(false);
        }
        if (form.cred_txtemail.value == ""){ 
            alert("Please enter value for Email address");
            form.cred_txtemail.focus();
            return(false);
        }
        return(true);
    }
</script>
<table width="100%" valign="middle">
    <tbody>
        <tr>
            <td class="tbltitle">Barrage Barrel Dealer Application</td>
        </tr>
    </tbody>
</table>
<div width="100%" style="text-align: center;">Please complete this form then click submit at the bottom of the page</div>
<form onsubmit="javascript:return validate(this);" method="post" action="process">
    <table cellspacing="0" cellpadding="1" border="0" align="center" class="tblbody">
        <tbody>
            <tr>
                <td class="tbltitle" colspan="3">Business Information</td>
            </tr>
            <tr>
                <td class="coltitle">Business Name *</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="txtBName" name="txtBName" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Contact Name (First/Last)</td>
                <td><input type="textbox" maxlength="50" value="" style="width: 200px;" id="txtCFName" name="txtCFName" class="textbox" /></td>
                <td><input type="textbox" maxlength="50" value="" style="width: 194px;" id="txtCLName" name="txtCLName" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Business Street Address *</td>
                <td colspan="2"><input type="textbox" maxlength="100" value="" id="txtAdd1" name="txtAdd1" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Business Street Address2</td>
                <td colspan="2"><input type="textbox" maxlength="100" value="" id="txtAdd2" name="txtAdd2" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">City *</td>
                <td colspan="2"><input type="textbox" maxlength="30" value="" id="txtCity" name="txtCity" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">State</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="txtState" name="txtState" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Zip/Pin Code *</td>
                <td colspan="2"><input type="textbox" style="width: 50px;" maxlength="6" value="" id="txtZip" name="txtZip" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Country</td>
                <td colspan="2"><select style="width: 400px;" id="cmbCountry" name="cmbCountry">
                <option selected="selected" value="UNITED STATES">UNITED STATES</option>
                <option value="ANDORRA">ANDORRA</option>
                <option value="UNITED KINGDOM">UNITED KINGDOM</option>
                <option value="UNITED STATES">UNITED STATES</option>
                <option value="US MINOR OUTLYING ISLAND">US MINOR OUTLYING ISLAND</option>
                </select></td>
            </tr>
            <tr>
                <td class="coltitle">Business Phone *</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="txtBphone" name="txtBphone" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Business Fax</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="txtBFax" name="txtBFax" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Federal Tax ID (US Customers)</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="txtFTID" name="txtFTID" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Email Address</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="txtemail" name="txtemail" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Entity</td>
                <td colspan="2"><select style="" id="cmbEntity" name="cmbEntity">
                <option selected="selected" value="Sole Prop">Sole Prop</option>
                <option value="Partnership">Partnership</option>
                <option value="LLC">LLC</option>
                <option value="Corporation">Corporation</option>
                </select></td>
            </tr>
            <tr>
                <td class="coltitle" rowspan="4">Business type <br />
                (Check all that apply)</td>
                <td class="coltitle">Field</td>
                <td><input type="checkbox" id="txtFType" name="txtFType" /></td>
            </tr>
            <tr>
                <td class="coltitle">Retail Store</td>
                <td><input type="checkbox" id="txtRType" name="txtRType" /></td>
            </tr>
            <tr>
                <td class="coltitle">Online Store</td>
                <td><input type="checkbox" id="txtOType" name="txtOType" /></td>
            </tr>
            <tr>
                <td class="coltitle">Distributor</td>
                <td><input type="checkbox" id="txtDType" name="txtDType" /></td>
            </tr>
        </tbody>
    </table>
    <br />
    <table cellspacing="0" cellpadding="1" border="0" align="center" class="tblbody">
        <tbody>
            <tr>
                <td class="tbltitle" colspan="3">Credit / Billing Information</td>
            </tr>
            <tr>
                <td class="coltitle">Business Name *</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="cred_txtBName" name="cred_txtBName" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Contact Name (First/Last)</td>
                <td><input type="textbox" maxlength="50" value="" style="width: 200px;" id="cred_txtCFName" name="cred_txtCFName" class="textbox" /></td>
                <td><input type="textbox" maxlength="50" value="" style="width: 194px;" id="cred_txtCLName" name="cred_txtCLName" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Business Billing Address *</td>
                <td colspan="2"><input type="textbox" maxlength="100" value="" id="cred_txtAdd1" name="cred_txtAdd1" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Business Billing Address2</td>
                <td colspan="2"><input type="textbox" maxlength="100" value="" id="cred_txtAdd2" name="cred_txtAdd2" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">City *</td>
                <td colspan="2"><input type="textbox" maxlength="30" value="" id="cred_txtCity" name="cred_txtCity" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">State</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="cred_txtState" name="cred_txtState" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Zip/Pin Code *</td>
                <td colspan="2"><input type="textbox" style="width: 50px;" maxlength="6" value="" id="cred_txtZip" name="cred_txtZip" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Country</td>
                <td colspan="2"><select style="width: 400px;" id="cred_cmbCountry" name="cred_cmbCountry">
                <option selected="selected" value="UNITED STATES">UNITED STATES</option>
                <option value="ANDORRA">ANDORRA</option>
                <option value="UNITED KINGDOM">UNITED KINGDOM</option>
                <option value="UNITED STATES">UNITED STATES</option>
                <option value="US MINOR OUTLYING ISLAND">US MINOR OUTLYING ISLAND</option>
                </select></td>
            </tr>
            <tr>
                <td class="coltitle">Business Phone *</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="cred_txtBphone" name="cred_txtBphone" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Business Fax</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="cred_txtBFax" name="cred_txtBFax" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Federal Tax ID (US Customers)</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="txtFTID" name="cred_txtFTID" class="cred_textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Email Address *</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="cred_txtemail" name="cred_txtemail" class="textbox" /></td>
            </tr>
        </tbody>
    </table>
    <br />
    <table cellspacing="0" cellpadding="1" border="0" align="center" class="tblbody">
        <tbody>
            <tr>
                <td class="tbltitle" colspan="3">Owner / Officer  Information</td>
            </tr>
            <tr>
                <td class="coltitle">Owner Name (First/Last) *</td>
                <td><input type="textbox" maxlength="50" value="" style="width: 200px;" id="txtOFName" name="txtOFName" class="textbox" /></td>
                <td><input type="textbox" maxlength="50" value="" style="width: 194px;" id="txtOLName" name="txtOLName" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Home Street Address *</td>
                <td colspan="2"><input type="textbox" maxlength="100" value="" id="txtOAdd1" name="txtOAdd1" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Home Street Address2</td>
                <td colspan="2"><input type="textbox" maxlength="100" value="" id="txtOAdd2" name="txtOAdd2" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">City</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="txtOCity" name="txtOCity" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">State</td>
                <td style="border-bottom: 0px none; margin-left: 0px; padding-left: 0px;" class="textbox" colspan="2"><input type="textbox" style="width: 100px;" maxlength="2" value="" id="txtOState" name="txtOState" class="textbox" />   <font size="2">(2 Letters)</font></td>
            </tr>
            <tr>
                <td class="coltitle">Zip *</td>
                <td style="margin-left: 0px; padding-left: 0px;" class="coltitle" colspan="2"><input type="textbox" style="width: 100px;" maxlength="6" value="" id="txtOZip" name="txtOZip" class="textbox" /></td>
            </tr>
            <tr>
                <td class="coltitle">Country</td>
                <td colspan="2"><select style="width: 400px;" id="cmbOCountry" name="cmbOCountry">
                <option selected="selected" value="UNITED STATES">UNITED STATES</option>
                <option value="UNITED KINGDOM">UNITED KINGDOM</option>
                <option value="UNITED STATES">UNITED STATES</option>
                <option value="US MINOR OUTLYING ISLAND">US MINOR OUTLYING ISLAND</option>
                </select></td>
            </tr>
            <tr>
                <td class="coltitle">Business Phone</td>
                <td colspan="2"><input type="textbox" maxlength="50" value="" id="txtOBphone" name="txtOBphone" class="textbox" /></td>
            </tr>
        </tbody>
    </table>
    <br />
    <!-- &lt;%
Dim i
response.write "<input name="txtMax" id="txtMax" value="4" type="hidden">"
for i = 1 to 4
%&gt; 
    &lt;%   
next
%&gt; -->
    <table cellspacing="0" cellpadding="1" border="0" align="center">
        <tbody>
            <tr>
                <td class="tbltitle">Trade References</td>
            </tr>
            <tr>
                <td style="height: 120px;">
                <table cellspacing="0" cellpadding="1" border="0" align="center" class="tblbody">
                    <tbody>
                        <tr>
                            <td style="word-spacing: 0px; text-align: left; letter-spacing: 0px; font-family: verdana; font-style: normal; font-variant: normal; font-weight: normal; font-size: 12px; line-height: normal; font-size-adjust: none; font-stretch: normal;" class="tbltitle" colspan="3">&nbsp;</td>
                        </tr>
                        <tr>
                            <td class="coltitle">Company Name</td>
                            <td colspan="2"><input type="textbox" maxlength="100" value="" id="txtCName&lt;%=i%&gt;" name="txtCName&lt;%=i%&gt;" class="textbox" /></td>
                        </tr>
                        <tr>
                            <td class="coltitle">Contact Person</td>
                            <td colspan="2"><input type="textbox" maxlength="100" value="" id="txtCP&lt;%=i%&gt;" name="txtCP&lt;%=i%&gt;" class="textbox" /></td>
                        </tr>
                        <tr>
                            <td class="coltitle">Account #</td>
                            <td colspan="2"><input type="textbox" maxlength="20" value="" id="txtCAccount&lt;%=i%&gt;" name="txtCAccount&lt;%=i%&gt;" class="textbox" /></td>
                        </tr>
                        <tr>
                            <td class="coltitle">Phone Number</td>
                            <td colspan="2"><input type="textbox" maxlength="50" style="width: 100px;" value="" id="txtCPhone&lt;%=i%&gt;" name="txtCPhone&lt;%=i%&gt;" class="textbox" /></td>
                        </tr>
                    </tbody>
                </table>
                </td>
            </tr>
        </tbody>
    </table>
    <br />
    <div width="100%" style="text-align: center;">
    <table cellspacing="0" cellpadding="1" border="0" align="center" class="tblbody">
        <tbody>
            <tr>
                <td align="center" class="coltitle2"><font color="#ff0000">All lines with a '*' are required</font></td>
                <td colspan="2">&nbsp;</td>
            </tr>
            <tr>
                <td align="center" class="coltitle2">Please send us a copy of your State Business License<br />
                New York businesses must <font color="#ff0000">also</font> fill out an ST120 Resale Certificate which can<br />
                be downloaded from http://www.tax.state.ny.us/pdf/1999/fillin/st/st120_699_fill_in.pdf <br />
                You can email it to <a href="mailto:[email protected]">[email protected]</a></td>
                <td colspan="2">&nbsp;</td>
            </tr>
        </tbody>
    </table>
    <br />
    <table align="center">
        <tbody>
            <tr>
                <td><input type="submit" value="Submit" id="cmdSubmit" name="cmdSubmit" class="cmdButton" /></td>
            </tr>
            <tr>
            </tr>
        </tbody>
    </table>
    </div>
</form>

[yellow1912]

You should use define page instead of ezpage

Also,

<link href="dealform_files/document.css" rel="stylesheet" type="text/css" /></p>

The code above should go between the head tags

Any you have VBscript code in there as well? o_O
VBScript will not run on Firefox

[ajames]

yellow1912,

I got you on the css part, but lost you on the VB (Visual Basic?) part. Could you give me an example of 'do it this way - not that way?

Thanks

[yellow1912]

First, to use a form, you should really check the way the current zen contact us page works, that will give you the general idea (tho to tell the truth, I dont really like its current way of doing that)

There are many files you need to check:
includes/mouldes/pages/contact_us
includes/templates/template_default/templates/tpl_contact_us_default.php

The files above will give you the general idea.

Regarding the vbcode, I now notice it is commented out?

<!-- &lt;%
Dim i
response.write "<input name="txtMax" id="txtMax" value="4" type="hidden">"
for i = 1 to 4
%&gt; 
    &lt;%   
next
%&gt; -->

It should be removed anyway, as it will not work for you.