my html page is <a href="http://www.lifelinestaff.com/apply.htm">here</a>.
My problem is that on the form (note i return the data as a debug tool) no data is getting passed .. i am sure it is something small, but I am brain dead .. thanks for any input
///////// Begin Apply.php ////////
<?php
$site_name = $SERVER['HTTP_HOST'];
$url_dir = "http://".$SERVER['HTTP_HOST'].dirname($SERVER['PHP_SELF']);
$url_this = "http://".$SERVER['HTTP_HOST'].$_SERVER['PHP_SELF'];
$link = mysql_connect ("SERVER","UNAME","PWORD");
mysql_select_db ("test", $link);
mysql_query("INSERT INTO appunqual (fname,lname,street1,street2,city,state,zip,homephone,cellphone,otherphone,email1,email2,travelnurse,prnstaffing,specmedsurg,specsicu,specmicu,specer,spectransplant,speconcology,specortho,speccathlab,spectelemetry,speccvor,specpacu,specneuro,specneuroicu,speccasemanagement,specdischargeplanning,specpsych,speclandd,spechighrishlandd,specpostpartum,specnursery,specniculevel2,specniculevel3,specpicu,specpedier,specpedioncology,specpt,specot,specpharmacology,specother,specotherdesc,certifications,contactby,commants) VALUES ('$fname','$lname','$street1','$street2','$city','$state','$zip','$homephone','$cellphone','$otherphone','$email1','$email2','$travelnurse','$prnstaffing','$specmedsurg','$specsicu','$specmicu','$specer','$spectransplant','$speconcology','$specortho','$speccathlab','$spectelemetry','$speccvor','$specpacu','$specneuro','$specneuroicu','$speccasemanagement','$specdischargeplanning','$specpsych','$speclandd','$spechighrishlandd','$specpostpartum','$specnursery','$specniculevel2','$specniculevel3','$specpicu','$specpedier','$specpedioncology','$specpt','$specot','$specpharmacology','$specother','$specotherdesc','$certifications','$contactby','$comments')");
// RETURN data received for debug
$message = "'$fname','$lname','$street1','$street2','$city','$state','$zip','$homephone','$cellphone','$otherphone','$email1','$email2','$travelnurse','$prnstaffing','$specmedsurg','$specsicu','$specmicu','$specer','$spectransplant','$speconcology','$specortho','$speccathlab','$spectelemetry','$speccvor','$specpacu','$specneuro','$specneuroicu','$speccasemanagement','$specdischargeplanning','$specpsych','$speclandd','$spechighrishlandd','$specpostpartum','$specnursery','$specniculevel2','$specniculevel3','$specpicu','$specpedier','$specpedioncology','$specpt','$specot','$specpharmacology','$specother','$specotherdesc','$certifications','$contactby','$comments'";
print $message;
?>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
"http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<title>LifeLine Medical Staffing Application Complete</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<style type="text/css">
<!--
body,td,th {
color: #000066;
}
body {
background-color: #FFFFFF;
margin-left: 0px;
margin-top: 0px;
margin-right: 0px;
margin-bottom: 0px;
}
a:link {
color: #000066;
}
a:visited {
color: #000066;
}
a:hover {
color: #000066;
}
a:active {
color: #000066;
}
.style1 {
font-family: Arial, Helvetica, sans-serif;
font-size: 3;
font-weight: bold;
}
b:link {
color: #FFFFFF;
font-family: Arial, Helvetica, sans-serif;
}
b:visited {
color: #FFFFFF;
font-family: Arial, Helvetica, sans-serif;
}
b:hover {
color: #FFFFFF;
font-family: Arial, Helvetica, sans-serif;
text-decoration: underline;
}
b:active {
color: #FFFFFF;
font-family: Arial, Helvetica, sans-serif;
text-decoration: underline;
}
a {
font-family: Arial, Helvetica, sans-serif;
}
.style2 {color: #ffffff}
.style3 {color: #333333}
.style4 {color: #000000}
.style5 { font-size: x-large;
font-family: Arial, Helvetica, sans-serif;
}
-->
</style>
</head>
<body>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td colspan="3" align="left" valign="top" bgcolor="#000066"><table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="401" align="left" valign="top"><object classid="clsid😃27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,29,0" width="400" height="150">
<param name="movie" value="Logo.swf">
<param name="quality" value="high">
<embed src="Logo.swf" quality="high" pluginspage="http://www.macromedia.com/go/getflashplayer" type="application/x-shockwave-flash" width="400" height="150"></embed>
</object></td>
<td align="right" valign="top"><div align="center">
<object classid="clsid😃27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,29,0" width="200" height="150" align="right">
<param name="movie" value="pictures.swf">
<param name="quality" value="high">
<embed src="pictures.swf" width="200" height="150" align="right" quality="high" pluginspage="http://www.macromedia.com/go/getflashplayer" type="application/x-shockwave-flash"></embed>
</object>
</div></td>
</tr>
</table>
</td>
</tr>
<tr>
<td width="150" align="center" valign="top" bgcolor="#000066"> <p align="left">
<object classid="clsid😃27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,29,0" width="140" height="350">
<param name="movie" value="links.swf">
<param name="quality" value="high">
<embed src="links.swf" quality="high" pluginspage="http://www.macromedia.com/go/getflashplayer" type="application/x-shockwave-flash" width="140" height="350"></embed>
</object>
</p> </td>
<td align="left" valign="top"><p align="left"><img src="corner1.jpg" width="50" height="50"></p>
<blockquote>
<p align="left" class="style5">Thank you for applying to Lifeline Medical Staffing. We will contact you soon to get any more information we need. </p>
</blockquote>
<div align="center">
</div> </td>
<td width="223" align="left" valign="top"><p> </p>
<p align="center">Click below for more rates <br>
<object classid="clsid😃27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,29,0" width="180" height="150">
<param name="movie" value="news1.swf">
<param name="quality" value="high">
<embed src="news1.swf" quality="high" pluginspage="http://www.macromedia.com/go/getflashplayer" type="application/x-shockwave-flash" width="180" height="150"></embed>
</object>
</p>
<p align="center">
<object classid="clsid😃27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,29,0" width="160" height="400">
<param name="movie" value="news2.swf">
<param name="quality" value="high">
<embed src="news2.swf" quality="high" pluginspage="http://www.macromedia.com/go/getflashplayer" type="application/x-shockwave-flash" width="160" height="400"></embed>
</object>
</p></td>
</tr>
<tr>
<td width="150" align="left" valign="top" bgcolor="#000066">copyright</td>
<td align="left" valign="top"><p align="center" class="style1"> </p>
<p align="center" class="style1"><span class="style5">LifeLine Medical Staffing</span><br>
6830 Cochran road<br>
Solon, OH 44139<br>
Phone: 866-LIFNURSE or 440-248-0454<br>
Fax: 440-248-1846<br>
<a href="mailto:info@lifelinestaff.com">info@lifelinestaff.com</a></p></td>
<td align="left" valign="top"> </td>
</tr>
</table>
</body></html>
