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third-form.php
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third-form.php
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<?php
$id = $_GET['id'];
if(empty($id)){
header('Location: first-form.php');
}else{
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<title>Kwiki Sweepstakes Website | Design By Developer Bazaar Technology</title>
<!-- site favicon -->
<link rel="shortcut icon" type="image/png" href="assets/images/favicon.png">
<!-- main style css link -->
<link rel="stylesheet" href="assets/css/style.css">
<!-- responsive css link -->
<link rel="stylesheet" href="assets/css/responsive.css">
<!-- Twitter Meta Property Started -->
<meta property="twitter:image" content="assets/images/favicon.png" />
<meta property="twitter:image:width" content="350" />
<meta property="twitter:image:height" content="597" />
<meta name="twitter:domain" content="Kwiki Sweepstakes" />
</head>
<body>
<!-- Step next start -->
<section class="step-section">
<div class="container-fluid">
<div class="row">
<div class="col-md-3 step-next">
<a href="index.php"><img src="assets/images/logo.jpg" class="img-fluid"></a>
<div class="btn-step">
<a href="index.php"><i class="fas fa-long-arrow-alt-left"></i> Back to homepage</a>
</div>
<ul>
<?php if(!empty($id)){ ?>
<li><i class="fas fa-check"></i> Selected Official Rules</li>
<li><i class="fas fa-check"></i> Kwiki Details</li>
<?php } ?>
<li><i class="fas fa-check"></i> Contact Information</li>
</ul>
</div>
<div class="col-md-4 step2">
<div class="content-box">
<div class="icon">
<i class="fas fa-volume-up"></i>
</div>
<p>Your personal data will not be shared on your kwiki page!</p>
</div>
</div>
<div class="col-md-5 step3 kwiki-detail">
<form class="contact-form" method="POST" action="controller/add_entry2.php" autocomplete="off">
<div class="row">
<div class="col-md-12 mb-4">
<h3 class="title">Contact Information</h3>
</div>
<?php if(isset($_GET['err'])){ ?>
<div class="alert alert-danger alert-dismissible fade show" role="alert">
Your Social Handle Name is Already Exist!
<button type="button" class="close" data-dismiss="alert" aria-label="Close">
<span aria-hidden="true">×</span>
</button>
</div>
<?php } ?>
<div class="col-md-6">
<label>First name</label>
<input type="text" name="fname" maxlength="20" placeholder="First name" class="form-control" required>
</div>
<div class="col-md-6">
<label>Last name</label>
<input type="text" name="lname" maxlength="15" placeholder="Last name" class="form-control" required>
</div>
<div class="col-md-12">
<label>Address</label>
<input name="address" placeholder="Street 1" class="form-control" required>
</div>
<div class="col-md-12">
<input name="address2" placeholder="Street 2" class="form-control">
</div>
<div class="col-md-6">
<label>City</label>
<input type="text" name="city" placeholder="City" class="form-control" required>
</div>
<div class="col-md-6">
<label>State</label>
<input type="text" name="state" placeholder="State" class="form-control" required>
</div>
<div class="col-md-12">
<label>Zip Code</label>
<input type="text" name="zip" placeholder="Zip Code" class="form-control" maxlength="8" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1');" required >
</div>
<div class="col-md-6">
<label>Email</label>
<input type="email" name="email" placeholder="Enter E-mail" class="form-control" required>
</div>
<div class="col-md-6">
<label>Phone</label>
<input type="text " name="mobile" placeholder="Enter Mobile" maxlength="15" class="form-control" min="0" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1');" required>
</div>
<div class="col-md-12">
<label>Primary social media handle </label>
<div class="row">
<div class="col-md-3">
<input type="radio" id="sc-1" name="socialmedia_type" value="Instagram" checked>
<label>Instagram</label>
</div>
<div class="col-md-3">
<input type="radio" id="sc-2" name="socialmedia_type" value="Youtube">
<label>Youtube</label>
</div>
<div class="col-md-3">
<input type="radio" id="sc-3" name="socialmedia_type" value="Facebook">
<label>Facebook</label>
</div>
<div class="col-md-3">
<input type="radio" id="sc-4" name="socialmedia_type" value="Snap">
<label>Snap</label>
</div>
<div class="col-md-3">
<input type="radio" id="sc-5" name="socialmedia_type" value="TikTok">
<label>TikTok</label>
</div>
<div class="col-md-3">
<input type="radio" id="sc-6" name="socialmedia_type" value="Twitter">
<label>Twitter</label>
</div>
<div class="col-md-12">
<div class="social-handle">
<input type="text" name="socialmedia_uname" placeholder="Primary social media handle" class="form-control" maxlength="25" style="text-transform:lowercase" required="">
</div>
</div>
</div>
</div>
<div class="col-md-12">
<label>Alternative social media handle</label>
<div class="row">
<div class="col-md-3">
<input type="radio" id="al-1" name="alt_socail_type" value="Instagram">
<label>Instagram</label>
</div>
<div class="col-md-3">
<input type="radio" id="al-2" name="alt_socail_type" value="Youtube">
<label>Youtube</label>
</div>
<div class="col-md-3">
<input type="radio" id="al-3" name="alt_socail_type" value="Facebook">
<label>Facebook</label>
</div>
<div class="col-md-3">
<input type="radio" id="al-4" name="alt_socail_type" value="Snap">
<label>Snap</label>
</div>
<div class="col-md-3">
<input type="radio" id="al-5" name="alt_socail_type" value="TikTok">
<label>TikTok</label>
</div>
<div class="col-md-3">
<input type="radio" id="al-6" name="alt_socail_type" value="Twitter">
<label>Twitter</label>
</div>
<div class="col-md-12">
<div class="social-handle">
<input type="text" name="alt_socail" placeholder="Alternative social media handle" class="form-control" style="text-transform:lowercase" maxlength="25">
</div>
</div>
</div>
</div>
<div class="col-md-12">
<label>Payment Information:</label>
<div class="row">
<div class="col-md-12">
<input type="text" name="bank_type" placeholder="Bank name (you can provide your payment information later)" class="form-control" required="">
</div>
<div class="col-md-6">
<input type="text" name="ab_number" placeholder="ABA number" class="form-control" min="0" maxlength="9" required>
</div>
<div class="col-md-6">
<input type="text" name="acc_number" placeholder="Account number" class="form-control" maxlength="18" required min="0">
</div>
</div>
</div>
<div class="col mt-3">
<input type="hidden" name="id" value="<?php echo $_GET['id'];?>">
<input class="submit-btn" type="submit" name="submit" value="3/3 Submit">
</div>
</div>
</form>
</div>
</div>
</div>
</section>
<!-- Step Next end -->
<!-- Js start -->
<?php include('assets/include/js.php'); ?>
</body>
</html>
<?php } ?>