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- <?php /* Template Name: Register page */ ?>
- <?php get_header(); ?>
- <div class="container single">
- <!-- add the bread crumbs -->
- <?php if ( function_exists('yoast_breadcrumb') ) {
- yoast_breadcrumb('<p id="breadcrumbs">','</p>');
- } ?>
- <article class="inner-content">
- <script language="JavaScript" type="text/JavaScript">
- <!--
- function MM_openBrWindow(theURL,winName,features) { //v2.0
- window.open(theURL,winName,features);
- }
- //-->
- </script>
- <?php if (isset($_GET['submit'])):?>
- <?php
- $captcha_error = apply_filters( 'recaptcha_error' , $captcha_error );
- if ($captcha_error) {
- echo "<font size=\"3\" face=\"Arial, Helvetica, sans-serif\"><b>Error:</b> You have failed captcha validation. Please <a href=\"javascript:history.back()\">
- complete the form</a> again.</font><br><br>";
- }
- else {
- //config start
- session_start();
- $hostname_lookstein = "localhost";
- $database_lookstein = "lookste_lookjed";
- $username_lookstein = "lookste_barak";
- $password_lookstein = "PtL%K5^XDFvw";
- $lookstein = mysql_pconnect($hostname_lookstein, $username_lookstein, $password_lookstein) or trigger_error(mysql_error(),E_USER_ERROR);
- mysql_select_db($database_lookstein,$lookstein);
- //config end
- #date
- $date = date("Y-m-d h:i:s");
- #name the fields in that table
- $b = strip_tags($_POST['FirstName'], "");
- $c = strip_tags($_POST['LastName'], "");
- $d = strip_tags($_POST['Email'], "");
- $reqfields = array($b, $c, $d);
- #Confirm that reqfields were provided
- foreach ($reqfields as $reqfield){
- if (!($reqfield)){
- echo "<font size=\"3\" face=\"Arial, Helvetica, sans-serif\"><b>Error:</b> You have omitted a required field. Please <a href=\"javascript:history.back()\">
- complete the form</a> again.</font><br><br>";
- exit;
- }
- }
- // $req = "done";
- //Make up a unique AuthorID.
- $collide='TRUE';
- while ($collide == 'TRUE'){
- $authorid=rand(2,16777210) + 1;
- $collide='FALSE';
- mysql_select_db($database_lookstein, $lookstein);
- $query_primaryID = "SELECT * FROM Members";
- $primaryID = mysql_query($query_primaryID, $lookstein) or die(mysql_error());
- $row_primaryID = mysql_fetch_assoc($primaryID);
- $totalRows_primaryID = mysql_num_rows($primaryID);
- while($row_primaryID = mysql_fetch_assoc($primaryID)) {
- if ($row_primaryID['AuthorID'] == $authorid){$collide='TRUE';}
- }
- }
- $AuthorID = $authorid;
- $e_mail = strip_tags($_POST['Email'], "");
- mysql_select_db($database_lookstein, $lookstein);
- $query_email = "SELECT * FROM Members";
- $email = mysql_query($query_email, $lookstein) or die(mysql_error());
- $row_email = mysql_fetch_assoc($email);
- $totalRows_email = mysql_num_rows($email);
- while($row_email = mysql_fetch_assoc($email)) {
- if ($row_email['Email'] == $e_mail){
- echo "<font size=\"3\" face=\"Arial, Helvetica, sans-serif\"><p> Sorry, the e-mail address <b>$e_mail</b> has already registered with us. Please
- write to
- <a href=\"mailto:alissa@lookstein.org?Subject=resend%20username/password%20request\">alissa@lookstein.org</a>
- to update your subscription preferences.</p>
- <p>Please <a href=\"http://www.lookstein.org/home.htm\">click here to return to our home page</a>.</p></font>";
- exit;
- }
- }
- if ($_POST['Lookjed'] == 'subscribe'){
- $Lookjed = 'Y';
- #send a mail message to the listserv subscribing to lookjed
- $looksub1 = "subscribe Lookjed ".$_POST['FirstName']." ".$_POST['LastName'];
- $lookbody1 = $looksub1;
- $lookfrom1 = $_POST['Email'];
- mail("listserv@listserv.biu.ac.il", $looksub1, $lookbody1, "From: $lookfrom1\r\n");
- }
- elseif ($_POST['Lookjed'] == 'subscriber'){
- $Lookjed ='Y';
- } else {
- $Lookjed ='N';
- }
- if ($_POST['Mifgashim'] == 'subscribe'){
- $Mifgashim = 'Y';
- $looksub2 = "subscribe Mifgashim ".$_POST['FirstName']." ".$_POST['LastName'];
- $lookbody2 = $looksub2;
- $lookfrom2 = $_POST['Email'];
- mail("listserv@listserv.biu.ac.il", $looksub2, $lookbody2, "From: $lookfrom2\r\n");
- }
- elseif ($_POST['Mifgashim'] == 'subscriber'){
- $Mifgashim = 'Y';
- } else {
- $Mifgashim ='N';
- }
- if ($_POST['Diburim'] == 'subscribe'){
- $Diburim = 'Y';
- $looksub2 = "subscribe Diburim ".$_POST['FirstName']." ".$_POST['LastName'];
- $lookbody2 = $looksub2;
- $lookfrom2 = $_POST['Email'];
- mail("listserv@listserv.biu.ac.il", $looksub2, $lookbody2, "From: $lookfrom2\r\n");
- }
- elseif ($_POST['Diburim'] == 'subscriber'){
- $Diburim = 'Y';
- } else {
- $Diburim ='N';
- }
- $Lookstein_list = 'Y';
- #send a mail message to listserv subscribing to Lookstein list
- $looksub = "subscribe Lookstein ".$_POST['FirstName']." ".$_POST['LastName'];
- $lookbody = $looksub;
- $lookfrom = $_POST['Email'];
- mail("listserv@listserv.biu.ac.il", $looksub, $lookbody, "From: $lookfrom\r\n");
- function GetSQLValueString($theValue, $theType, $theDefinedValue = "", $theNotDefinedValue = "")
- {
- $theValue = (!get_magic_quotes_gpc()) ? addslashes($theValue) : $theValue;
- switch ($theType) {
- case "text":
- $theValue = ($theValue != "") ? "'" . mysql_real_escape_string($theValue) . "'" : "NULL";
- break;
- case "long":
- case "int":
- $theValue = ($theValue != "") ? intval($theValue) : "NULL";
- break;
- case "double":
- $theValue = ($theValue != "") ? "'" . doubleval($theValue) . "'" : "NULL";
- break;
- case "date":
- $theValue = ($theValue != "") ? "'" . mysql_real_escape_string($theValue) . "'" : "NULL";
- break;
- case "defined":
- $theValue = ($theValue != "") ? $theDefinedValue : $theNotDefinedValue;
- break;
- }
- return $theValue;
- }
- $editFormAction = $_SERVER['PHP_SELF'];
- if (isset($_SERVER['QUERY_STRING'])) {
- $editFormAction .= "?" . htmlentities($_SERVER['QUERY_STRING']);
- }
- //if ($req == "done" AND $unique_id == "done" AND $unique_email == "done"){//are all the required checks done?
- if ((isset($_POST["MM_insert"])) && ($_POST["MM_insert"] == "form1")) {
- $insertSQL = sprintf("INSERT INTO Members (AuthorID, ID, Password, Type, Institution, `Position`, Lookjed, Mifgashim, Title, FirstName, LastName, Email, URL, Phone, Fax, Street, City, `State`, Zip, Country, `Public`, JoinDate, Lookstein_list, user_bio, Diburim) VALUES (%s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s)",
- GetSQLValueString($AuthorID, "text"),
- GetSQLValueString($id, "text"),
- GetSQLValueString($_POST['Password'], "text"),
- GetSQLValueString($_POST['Type'], "text"),
- GetSQLValueString($_POST['Institution'], "text"),
- GetSQLValueString($_POST['Position'], "text"),
- GetSQLValueString($Lookjed, "text"),
- GetSQLValueString($Mifgashim, "text"),
- GetSQLValueString($_POST['Title'], "text"),
- GetSQLValueString($_POST['FirstName'], "text"),
- GetSQLValueString($_POST['LastName'], "text"),
- GetSQLValueString($_POST['Email'], "text"),
- GetSQLValueString($_POST['URL'], "text"),
- GetSQLValueString($_POST['Phone'], "text"),
- GetSQLValueString($_POST['Fax'], "text"),
- GetSQLValueString($_POST['Street'], "text"),
- GetSQLValueString($_POST['City'], "text"),
- GetSQLValueString($_POST['State'], "text"),
- GetSQLValueString($_POST['Zip'], "text"),
- GetSQLValueString($_POST['Country'], "text"),
- GetSQLValueString($_POST['Public'], "text"),
- GetSQLValueString($date, "text"),
- GetSQLValueString($Lookstein_list, "text"),
- GetSQLValueString($_POST['user_bio'], "text"),
- GetSQLValueString($Diburim, "text"));
- mysql_select_db($database_lookstein, $lookstein);
- $Result1 = mysql_query($insertSQL, $lookstein) or die(mysql_error());
- }
- //}//end if required fields done
- mysql_select_db($database_lookstein, $lookstein);
- $query_registration = "SELECT * FROM Members";
- $registration = mysql_query($query_registration, $lookstein) or die(mysql_error());
- $row_registration = mysql_fetch_assoc($registration);
- $totalRows_registration = mysql_num_rows($registration);
- ?>
- <p><font size="3"><b><font face="Arial, Helvetica, sans-serif">You have successfully signed up for Lookstein Center Discussion Groups/e-communities. Welcome!</font></b></font>
- <p><font size="3" face="Arial, Helvetica, sans-serif"><a href=http://www.lookstein.org/>Back</a> to the Lookstein
- Center.
- </font>
- <?php }?>
- <?php else: ?>
- <table width="747" border="0" align="center" cellpadding="0" cellspacing="0">
- <tr valign="top" >
- <td align="center" valign="middle" class="leftonly"><span class="style6"><br>
- </span>
- <table width="587" height="54" border="0" align="center">
- <tr>
- <td width="573" height="50" ><p> Fill out this form
- to subscribe to the Lookstein Center lists. Subscribers will be
- able to participate in one or more of our main e-communities
- (<a href="lookjed2.htm">Lookjed</a>, <a href="mifgashim.htm">Mifgashim</a>),
- in addition to receiving <a href="announcements.htm">Announcements</a>. </p></td>
- </tr>
- </table></td>
- </tr>
- <tr valign="top" >
- <td height="600" colspan="2" align="left" class="notop"><table width="738" border="0" align="center">
- <tr>
- <td width="732" ><p><font face="Verdana, Arial, Helvetica, sans-serif" color="#CA0042" size="1">*Required
- Fields</font><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> are
- marked with an asterisk. All other fields are optional.</font> </p>
- <table width=429 border=0 align="center" cellpadding=0 cellspacing=0>
- <tbody>
- <tr>
- <td width="429" colspan="2" valign=top><form name="form1" action="?submit=true" method="POST">
- <table width="100%" border="0" height="608">
- <tr>
- <td width="26%"><div align="right"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Title:</font></div></td>
- <td width="74%"><select name=Title>
- <option value="" selected>Click to select from list</option>
- <option value="Mr.">Mr.</option>
- <option value="Mrs.">Mrs.
- <option value="Ms.">Ms.
- <option value="Dr.">Dr.
- <option value="Rabbi">Rabbi
- <option value="Rabbi Dr.">Rabbi Dr.</option>
- </select></td>
- </tr>
- <tr>
- <td align=right width="26%"><font color="#CA0042" face="Verdana, Arial, Helvetica, sans-serif" size="2">*FirstName:</font></td>
- <td width="74%"><input type="text" name="FirstName"></td>
- </tr>
- <tr>
- <td align=right width="26%"><font color="#CA0042" face="Verdana, Arial, Helvetica, sans-serif" size="2">*LastName:</font></td>
- <td width="74%"><input type="text" name="LastName"></td>
- </tr>
- <tr>
- <td align=right width="26%"><font color="#CA0042" face="Verdana, Arial, Helvetica, sans-serif" size="2">*Email:</font></td>
- <td width="74%"><input type="text" name="Email" size="40"></td>
- </tr>
- <tr>
- <td align=right width="26%"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">URL:</font></td>
- <td width="74%"><input type="text" name="URL" size="40"></td>
- </tr>
- <tr>
- <td align=right width="26%"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Institution:</font></td>
- <td width="74%"><input type="text" name="Institution" size="40"></td>
- </tr>
- <tr>
- <td align=right width="26%"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Position:</font></td>
- <td width="74%"><input type="text" name="Position"></td>
- </tr>
- <tr align="left">
- <td colspan="2"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Brief
- description of your background and interests:<br>
- <font size="1"><em>(You will only be able to submit
- up to 500 characters.)</em></font></font></td>
- </tr>
- <tr>
- <td align=right width="26%"> </td>
- <td width="74%"><textarea name="user_bio" cols="35" rows="15" wrap="VIRTUAL"></textarea></td>
- </tr>
- <tr>
- <td align=right width="26%"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Street:</font></td>
- <td width="74%"><input type="text" name="Street" size="40"></td>
- </tr>
- <tr>
- <td align=right width="26%"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">City:</font></td>
- <td width="74%"><input type="text" name="City" size="40"></td>
- </tr>
- <tr>
- <td align=right width="26%"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">State:</font></td>
- <td width="74%"><input type="text" name="State"></td>
- </tr>
- <tr>
- <td align=right width="26%"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Zip:</font></td>
- <td width="74%"><input type="text" name="Zip"></td>
- </tr>
- <tr>
- <td align=right width="26%"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Country:</font></td>
- <td width="74%"><select name="Country">
- <option value="AF">Afghanistan</option>
- <option value="AL">Albania</option>
- <option value="DZ">Algeria</option>
- <option value="AS">American Samoa</option>
- <option value="AD">Andorra</option>
- <option value="AO">Angola</option>
- <option value="AI">Anguilla</option>
- <option value="AQ">Antarctica</option>
- <option value="AG">Antigua and Barbuda</option>
- <option value="AR">Argentina</option>
- <option value="AM">Armenia</option>
- <option value="AW">Aruba</option>
- <option value="AU">Australia</option>
- <option value="AT">Austria</option>
- <option value="AZ">Azerbaijan</option>
- <option value="BS">Bahama</option>
- <option value="BH">Bahrain</option>
- <option value="BD">Bangladesh</option>
- <option value="BB">Barbados</option>
- <option value="BY">Belarus</option>
- <option value="BE">Belgium</option>
- <option value="BZ">Belize</option>
- <option value="BJ">Benin</option>
- <option value="BM">Bermuda</option>
- <option value="BT">Bhutan</option>
- <option value="BO">Bolivia</option>
- <option value="BA">Bosnia and Herzegovina</option>
- <option value="BW">Botswana</option>
- <option value="BV">Bouvet Island</option>
- <option value="BR">Brazil</option>
- <option value="IO">British Indian Ocean Territory</option>
- <option value="VG">British Virgin Islands</option>
- <option value="BN">Brunei Darussalam</option>
- <option value="BG">Bulgaria</option>
- <option value="BF">Burkina Faso</option>
- <option value="BI">Burundi</option>
- <option value="CI">Côte D'ivoire (Ivory Coast)</option>
- <option value="KH">Cambodia</option>
- <option value="CM">Cameroon</option>
- <option value="CA">Canada</option>
- <option value="CV">Cape Verde</option>
- <option value="KY">Cayman Islands</option>
- <option value="CF">Central African Republic</option>
- <option value="TD">Chad</option>
- <option value="CL">Chile</option>
- <option value="CN">China</option>
- <option value="CX">Christmas Island</option>
- <option value="CC">Cocos (Keeling) Islands</option>
- <option value="CO">Colombia</option>
- <option value="KM">Comoros</option>
- <option value="CG">Congo</option>
- <option value="CK">Cook Islands</option>
- <option value="CR">Costa Rica</option>
- <option value="HR">Croatia</option>
- <option value="CU">Cuba</option>
- <option value="CY">Cyprus</option>
- <option value="CZ">Czech Republic</option>
- <option value="DK">Denmark</option>
- <option value="DJ">Djibouti</option>
- <option value="DM">Dominica</option>
- <option value="DO">Dominican Republic</option>
- <option value="TP">East Timor</option>
- <option value="EC">Ecuador</option>
- <option value="EG">Egypt</option>
- <option value="SV">El Salvador</option>
- <option value="GQ">Equatorial Guinea</option>
- <option value="ER">Eritrea</option>
- <option value="EE">Estonia</option>
- <option value="ET">Ethiopia</option>
- <option value="FK">Falkland Islands (Malvinas)</option>
- <option value="FO">Faroe Islands</option>
- <option value="FJ">Fiji</option>
- <option value="FI">Finland</option>
- <option value="FR">France</option>
- <option value="FX">France, Metropolitan</option>
- <option value="GF">French Guiana</option>
- <option value="PF">French Polynesia</option>
- <option value="TF">French Southern Territories</option>
- <option value="GA">Gabon</option>
- <option value="GM">Gambia</option>
- <option value="GE">Georgia</option>
- <option value="DE">Germany</option>
- <option value="GH">Ghana</option>
- <option value="GI">Gibraltar</option>
- <option value="GR">Greece</option>
- <option value="GL">Greenland</option>
- <option value="GD">Grenada</option>
- <option value="GP">Guadeloupe</option>
- <option value="GU">Guam</option>
- <option value="GT">Guatemala</option>
- <option value="GN">Guinea</option>
- <option value="GW">Guinea-Bissau</option>
- <option value="GY">Guyana</option>
- <option value="HT">Haiti</option>
- <option value="HM">Heard and McDonald Islands</option>
- <option value="HN">Honduras</option>
- <option value="HK">Hong Kong</option>
- <option value="HU">Hungary</option>
- <option value="IS">Iceland</option>
- <option value="IN">India</option>
- <option value="ID">Indonesia</option>
- <option value="IQ">Iraq</option>
- <option value="IE">Ireland</option>
- <option value="IR">Iran</option>
- <option value="IL" selected>Israel</option>
- <option value="IT">Italy</option>
- <option value="JM">Jamaica</option>
- <option value="JP">Japan</option>
- <option value="JO">Jordan</option>
- <option value="KZ">Kazakhstan</option>
- <option value="KE">Kenya</option>
- <option value="KI">Kiribati</option>
- <option value="KP">Korea, Democratic People's Republic
- of</option>
- <option value="KR">Korea, Republic of</option>
- <option value="KW">Kuwait</option>
- <option value="KG">Kyrgyzstan</option>
- <option value="LA">Lao People's Democratic Republic</option>
- <option value="LV">Latvia</option>
- <option value="LB">Lebanon</option>
- <option value="LS">Lesotho</option>
- <option value="LR">Liberia</option>
- <option value="LY">Libyan Arab Jamahiriya</option>
- <option value="LI">Liechtenstein</option>
- <option value="LT">Lithuania</option>
- <option value="LU">Luxembourg</option>
- <option value="MO">Macau</option>
- <option value="MG">Madagascar</option>
- <option value="MW">Malawi</option>
- <option value="MY">Malaysia</option>
- <option value="MV">Maldives</option>
- <option value="ML">Mali</option>
- <option value="MT">Malta</option>
- <option value="MH">Marshall Islands</option>
- <option value="MQ">Martinique</option>
- <option value="MR">Mauritania</option>
- <option value="MU">Mauritius</option>
- <option value="YT">Mayotte</option>
- <option value="MX">Mexico</option>
- <option value="FM">Micronesia</option>
- <option value="MD">Moldova, Republic of</option>
- <option value="MC">Monaco</option>
- <option value="MN">Mongolia</option>
- <option value="MS">Monserrat</option>
- <option value="MA">Morocco</option>
- <option value="MZ">Mozambique</option>
- <option value="MM">Myanmar</option>
- <option value="NA">Nambia</option>
- <option value="NR">Nauru</option>
- <option value="NP">Nepal</option>
- <option value="AN">Netherlands Antilles</option>
- <option value="NL">Netherlands</option>
- <option value="NC">New Caledonia</option>
- <option value="NZ">New Zealand</option>
- <option value="NI">Nicaragua</option>
- <option value="NE">Niger</option>
- <option value="NG">Nigeria</option>
- <option value="NU">Niue</option>
- <option value="NF">Norfolk Island</option>
- <option value="MP">Northern Mariana Islands</option>
- <option value="NO">Norway</option>
- <option value="OM">Oman</option>
- <option value="PK">Pakistan</option>
- <option value="PW">Palau</option>
- <option value="PA">Panama</option>
- <option value="PG">Papua New Guinea</option>
- <option value="PY">Paraguay</option>
- <option value="PE">Peru</option>
- <option value="PH">Philippines</option>
- <option value="PN">Pitcairn</option>
- <option value="PL">Poland</option>
- <option value="PT">Portugal</option>
- <option value="PR">Puerto Rico</option>
- <option value="QA">Qatar</option>
- <option value="RE">Réunion</option>
- <option value="RO">Romania</option>
- <option value="RU">Russian Federation</option>
- <option value="RW">Rwanda</option>
- <option value="LC">Saint Lucia</option>
- <option value="WS">Samoa</option>
- <option value="SM">San Marino</option>
- <option value="ST">Sao Tome and Principe</option>
- <option value="SA">Saudi Arabia</option>
- <option value="SN">Senegal</option>
- <option value="SC">Seychelles</option>
- <option value="SL">Sierra Leone</option>
- <option value="SG">Singapore</option>
- <option value="SK">Slovakia</option>
- <option value="SI">Slovenia</option>
- <option value="SB">Solomon Islands</option>
- <option value="SO">Somalia</option>
- <option value="ZA">South Africa</option>
- <option value="GS">South Georgia</option>
- <option value="ES">Spain</option>
- <option value="LK">Sri Lanka</option>
- <option value="SH">St. Helena</option>
- <option value="KN">St. Kitts and Nevis</option>
- <option value="PM">St. Pierre and Miquelon</option>
- <option value="VC">St. Vincent and the Grenadines</option>
- <option value="SD">Sudan</option>
- <option value="SR">Suriname</option>
- <option value="SJ">Svalbard and Jan Mayen Islands</option>
- <option value="SZ">Swaziland</option>
- <option value="SE">Sweden</option>
- <option value="CH">Switzerland</option>
- <option value="SY">Syrian Arab Republic</option>
- <option value="TW">Taiwan, Province of China</option>
- <option value="TJ">Tajikistan</option>
- <option value="TZ">Tanzania, United Republic of</option>
- <option value="TH">Thailand</option>
- <option value="TG">Togo</option>
- <option value="TK">Tokelau</option>
- <option value="TO">Tonga</option>
- <option value="TT">Trinidad and Tobago</option>
- <option value="TN">Tunisia</option>
- <option value="TR">Turkey</option>
- <option value="TM">Turkmenistan</option>
- <option value="TC">Turks and Caicos Islands</option>
- <option value="TV">Tuvalu</option>
- <option value="UG">Uganda</option>
- <option value="UA">Ukraine</option>
- <option value="AE">United Arab Emirates</option>
- <option value="GB">United Kingdom (Great Britain)</option>
- <option value="UM">United States Minor Outlying Islands</option>
- <option value="US">United States of America</option>
- <option value="VI">United States Virgin Islands</option>
- <option value="ZZ">Unknown or unspecified country</option>
- <option value="UY">Uruguay</option>
- <option value="UZ">Uzbekistan</option>
- <option value="VU">Vanuatu</option>
- <option value="VA">Vatican City State</option>
- <option value="VE">Venezuela</option>
- <option value="VN">Viet Nam</option>
- <option value="WF">Wallis and Futuna Islands</option>
- <option value="EH">Western Sahara</option>
- <option value="YE">Yemen</option>
- <option value="YU">Yugoslavia</option>
- <option value="ZR">Zaire</option>
- <option value="ZM">Zambia</option>
- <option value="ZW">Zimbabwe</option>
- </select></td>
- </tr>
- </table>
- <blockquote>
- <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Which best describes your role in Jewish education? </font></p>
- <p align="center"><font face="Verdana, Arial, Helvetica, sans-serif" size="2">
- <select size=1 name=Type>
- <option selected>Teacher</option>
- <option>Administrator</option>
- <option>Student</option>
- <option>Lay</option>
- </select>
- </font></p>
- <input name="Public" type="hidden" id="Public" value="Y">
- <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">
- <input type=radio CHECKED value=subscribe name=Lookjed>
- Please subscribe me to the <a href="#" onClick="MM_openBrWindow('http://www.lookstein.org/lookjed.htm','','')">Lookjed
- List</a>.<br>
- <input type=radio value=N name=Lookjed>
- Please don't subscribe me to the Lookjed List.<br>
- <input type=radio value=subscriber name=Lookjed>
- I already subscribe to the Lookjed List.</font></p>
- <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">
- <input type=radio CHECKED value=subscribe name=Mifgashim>
- Please subscribe me to the <a href="#" onClick="MM_openBrWindow('http://www.lookstein.org/mifgashim.htm','','')">Mifgashim
- List</a>.<br>
- <input type=radio value=N name=Mifgashim>
- Please don't subscribe me to the Mifgashim List.<br>
- <input type=radio value=subscriber name=Mifgashim>
- I already subscribe to the Mifgashim List.</font></p>
- <p>
- <div id='notification'></div>
- </font>
- </p>
- <p>
- <?php $attr = array(
- 'data-theme' => 'light',
- );
- do_action( 'recaptcha_print' , $attr );
- $recaptcha_valid = apply_filters( 'recaptcha_valid' , null ) !== false;
- ?>
- </p>
- <p align="center"><font face="Verdana, Arial, Helvetica, sans-serif" size="1">Please
- only click<b> once</b>. Registration may take a few minutes.</font><br>
- <font face="Verdana, Arial, Helvetica, sans-serif" size="2">
- <input type="hidden" name="MM_insert" value="form1">
- <input type=submit value="Submit Form" >
- </font></p>
- </blockquote>
- </form></td>
- </tr>
- </tbody>
- </table></td>
- </tr>
- </table></td>
- </tr>
- </table>
- </article>
- </div>
- <?php endif;?>
- <?php get_footer(); ?>
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