topical media & game development
basic-php-15-checkout.php / php
<?php
session_start();
?>
<html>
<head>
<title>Step 1 of 3 - Billing and Shipping Information</title>
</head>
<body>
<strong>Order Checkout</strong><br>
<strong>Step 1 - Please Enter Billing and Shipping
Information</strong><br>
Step 2 - Please Verify Accuracy of Order Information and Send Order<br>
Step 3 - Order Confirmation and Receipt<br>
<form method="post" action=<checkout2.php>>
<table width="300" border="1" align="left">
<tr>
<td colspan="2" bgcolor="#0000FF">
<div align="center"><strong>Billing Information</strong></div>
</td>
</tr>
<tr>
<td width="50%">
<div align="right">First Name</div>
</td>
<td width="50%">
<input type="text" name="firstname" maxlength="15">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Last Name</div>
</td>
<td width="50%">
<input type="text" name="lastname" maxlength="50">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Billing Address</div>
</td>
<td width="50%">
<input type="text" name="add1" maxlength="50">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Billing Address 2</div>
</td>
<td width="50%">
<input type="text" name="add2" maxlength="50">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">City</div>
</td>
<td width="50%">
<input type="text" name="city" maxlength="50">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">State</div>
</td>
<td width="50%">
<input type="text" name="state" size="2" maxlength="2">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Zip</div>
</td>
<td width="50%">
<input type="text" name="zip" maxlength="5" size="5">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Phone Number</div>
</td>
<td width="50%">
<input type="text" name="phone" size="12" maxlength="12">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Fax Number</div>
</td>
<td width="50%">
<input type="text" name="fax" maxlength="12" size="12">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">E-Mail Address</div>
</td>
<td width="50%">
<input type="text" name="email" maxlength="50">
</td>
</tr>
</table>
<table width="300" border="1">
<tr bgcolor="#990000">
<td colspan="2">
<div align="center"><strong>Shipping Information</strong></div>
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Shipping Info same as Billing</div>
</td>
<td width="50%">
<input type="checkbox" name="same">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">First Name</div>
</td>
<td width="50%">
<input type="text" name="shipfirst" maxlength="15">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Last Name</div>
</td>
<td width="50%">
<input type="text" name="shiplast" maxlength="50">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Billing Address</div>
</td>
<td width="50%">
<input type="text" name="shipadd1" maxlength="50">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Billing Address 2</div>
</td>
<td width="50%">
<input type="text" name="shipadd2" maxlength="50">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">City</div>
</td>
<td width="50%">
<input type="text" name="shipcity" maxlength="50">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">State</div>
</td>
<td width="50%">
<input type="text" name="shipstate" size="2" maxlength="2">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Zip</div>
</td>
<td width="50%">
<input type="text" name="shipzip" maxlength="5" size="5">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">Phone Number</div>
</td>
<td width="50%">
<input type="text" name="shipphone" size="12" maxlength="12">
</td>
</tr>
<tr>
<td width="50%">
<div align="right">E-Mail Address</div>
</td>
<td width="50%">
<input type="text" name="shipemail" maxlength="50">
</td>
</tr>
</table>
<p>
<input type="submit" name="Submit"
value="Proceed to Next Step -->">
</p>
</form>
</body>
</html>
(C) Æliens
20/2/2008
You may not copy or print any of this material without explicit permission of the author or the publisher.
In case of other copyright issues, contact the author.
