include("BC_check.php"); ?> $Signup=$_POST["Signup"]; $login=$_POST["login"]; $pass=$_POST["pass"]; $pass1=$_POST["pass1"]; $pass2=$_POST["pass2"]; $firstname=$_POST["firstname"]; $lastname=$_POST["lastname"]; $address=$_POST["address"]; $city=$_POST["city"]; $state=$_POST["state"]; $zip=$_POST["zip"]; $email=$_POST["email"]; $phone=$_POST["phone"]; $donation=$_POST["donation"]; $additional=$_POST["additional"]; $cardholder=$_POST["cardholder"]; $cc_type=$_POST["cc_type"]; $cc_number=$_POST["cc_number"]; $ccexp_month=$_POST["ccexp_month"]; $ccexp_year=$_POST["ccexp_year"]; $country=$_POST["country"]; $acknowledgement=$_POST["acknowledgement"]; $frompage=$_GET["frompage"]; ?> if ($Signup && checkcomplimentaryrequest($HTTP_POST_VARS)==0) { commitcomplimentaryrequest($HTTP_POST_VARS); $success=1; } ?>
Use this form to contact
BC Editorial Board Member Carl Bloice |