AEAS Membership Application
if ( $HTTP_POST_VARS )
{
?>
if ($_POST["fname"] == "" || $_POST["lname"] == "" || $_POST["mname"] == "" || $_POST["street1"] == "" || $_POST["city"] == "" || $_POST["state"] == "" || $_POST["zipcode"] == "" || $_POST["hphone"] == "" || $_POST["wphone"] == "" || $_POST["email"] == "" || $_POST["schoolname1"] == "" || $_POST["field1"] == "" || $_POST["degree1"] == "" || $_POST["year1"] == ""|| $_POST["schoolname2"] == "" || $_POST["field2"] == "" || $_POST["degree2"] == "" || $_POST["year2"] == "" || $_POST["schoolname3"] == "" || $_POST["field3"] == "" || $_POST["degree3"] == "" || $_POST["year3"] == "")
echo "
Some fields are missing. Please go back and fill all the required fields.
" ;
else
{
?>
Please find below the information you submitted. Click Confirm to be directed
to the online payment page. If any of the information below is not correct,
please go back and correct it.
Personal Information
Name |
|
Address: |
, |
Home Phone: |
|
Work Phone: |
ext.: |
Fax: |
|
Email Address: |
|
Undergraduate Education Information
School Name: |
|
Field: |
|
Degree: |
|
Year: |
|
Graduate Education Information
Master's
School Name: |
|
Field: |
|
Degree: |
|
Year: |
|
Doctoral
School Name: |
|
Field: |
|
Degree: |
|
Year: |
|
Current Employment Information
Employer: |
|
Position/Title: |
|
Area of Expertise |
|
}
?>
}
else
{
?>
}
?>