<?php echo $page

(Add your name)

"; if ($total== 0) { print "At the moment there are no persons in the guestbook.

"; } elseif ($total> 0) { /* default */ $counter=0; if ($dir== "") $dir= "Next"; $lpp = $records; if ($offset==0) $offset=0; if ($dir== "Next") { if ($total > $lpp) { $counter=$offset; $offset+=$lpp; $num=$offset; if ($num > $total) { $num=$total; } } else { $num=$total; } } elseif ($dir== "Previous") { if ($total > $lpp) { $offset-=$lpp; if ($offset < 0) { $offset=0; } $counter=$offset-$lpp; if ($counter < 0) $counter=0; $num=$counter+$lpp; } else { $num=$total; } } while ($counter < $num) { $j=0; $j=$counter + 1; /* now really grab the data */ $i1=mysql_result($result,$counter,"firstname"); $i2=mysql_result($result,$counter,"lastname"); $i3=mysql_result($result,$counter,"address"); $i4=mysql_result($result,$counter,"city"); $i5=mysql_result($result,$counter,"state"); $i6=mysql_result($result,$counter,"zip"); $i7=mysql_result($result,$counter,"country"); $i8=mysql_result($result,$counter,"phone"); $i9=mysql_result($result,$counter,"pager"); $i10=mysql_result($result,$counter,"email"); $i11=mysql_result($result,$counter,"specialty"); $i12=mysql_result($result,$counter,"desiredcity"); $i13=mysql_result($result,$counter,"salary"); $i14=mysql_result($result,$counter,"startdate"); /* print it in a nice layout */ print "\n"; print "

\n"; print "

\n"; print "First Name: $i1\n"; print "Last Name: $i2\n"; print "
Address: $i3\n"; print "
City: $i4\n"; print "
State: $i5\n"; print "
Zip: $i6\n"; print "
Country: $i7\n"; print "
Phone: $i8\n"; print "
Pager: $i9\n"; print "
Email: $i10\n"; print "
Specialty: $i11\n"; print "
Desired City: $i12\n"; print "
Desired Salary: $i13\n"; print "
Desired Start Date: $i14\n"; print "

\n"; print "\n"; $counter++; } } mysql_close(); } /* execute the function */ search_it($name); /* See if we need to put on the NEXT or PREVIOUS buttons */ if ($total > $lpp) { echo( ""); } } /* action=add : add the data from the user into the database */ if($action == "add") { $reset = reset($required); while (list($key, $value) = each($required)) { if($form[$value] == "") { $count++; } } if($count > 0) { ?>

/* below here is the oops html page */

First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
Phone:
Pager:
E-Mail Address:
Specialty:
Desired City:
Desired Salary:
Desired Start Date:

", "Physician Application", "$form[firstname] $form[lastname] ($form[email]) submitted their Physician Application :


Name:	$form[firstname] $form[lastname]
Specialty:	$form[specialty]
City:	$form[city]
Phone:	$form[phone]
Pager:	$form[pager]
Email:	$form[email]
Desired City:	$form[desiredcity]

", "From: $form[firstname] $form[lastname] <$form[email]>\nReply-To: $form[firstname] $form[lastname] <$form[email]>\nContent-type: text/html\nX-Mailer: PHP/" . phpversion()); } else { mail( "$admin_mail", "Physician Application", "$form[firstname] $form[lastname] ($form[email]) Submitted his Physician Application: \n\n Name: $form[firstname] $form[lastname] \n Address: $form[address] \n City: $form[city] \n State: $form[state] \n Zip: $form[zip] \n Country: $form[country] \n Phone: $form[phone] \n Pager: $form[pager] \n Email: $form[email] \n Specialty: $form[specialty] \n Desired City: $form[desiredcity] \n Desired Salary: $form[salary] \n Desired Start Date: $form[startdate] \n", "From: $form[firstname] $form[lastname] <$form[email]>\nReply-To: $form[firstname] $form[lastname] <$form[email]>\nContent-type: text/plain\nX-Mailer: PHP/" . phpversion()); } $query = "INSERT INTO $table VALUES('','$form[firstname]','$form[lastname]','$form[address]','$form[city]','$form[state]','$form[zip]','$form[country]','$form[phone]','$form[pager]','$form[email]','$form[specialty]','$form[desiredcity]','$form[salary]','$form[startdate]')"; $result = MYSQL_QUERY($query); ?>

	Thank you Dr. . We will contact you after reviewing your information.
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First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
Phone:
Pager:
E-Mail Address:
Specialty:
Desired City:
Desired Salary:
Desired Start Date:

Script by Advanced IT Services Holland