Application Processor - Looking for more efficent code
Posted: Tue Sep 09, 2008 10:29 am
Hello php users - I am working on a client application and would like ideas on how to make the code better or more efficient - my php executes perfectly the way I want it to, but it is some 1450 lines of code and I'm wondering if I'm being at tab bit inefficient. Please offer any and all critiques and or suggestions.
specific areas of concern/advice
declare posted variables of which there are 20-50 depending on the form
manor in which i execute my sql queries
Thanks for any suggestions - I am much appreciative
Adreck
note - i have 3 total switch cases, but I only show you 1 because it was over the character max for this window. I am displaying the crux of my questions I think I can translate the rest myself. Thanks
specific areas of concern/advice
declare posted variables of which there are 20-50 depending on the form
manor in which i execute my sql queries
Thanks for any suggestions - I am much appreciative
Adreck
note - i have 3 total switch cases, but I only show you 1 because it was over the character max for this window. I am displaying the crux of my questions I think I can translate the rest myself. Thanks
Code: Select all
<?php
// Application Processor for Test Company
// Receive a series of POST data from a form
if ($_POST)
{
//If the data has been posted connect to connect.php
//Connect to mysql database
require_once(connect.php);
//Declare Security function
//When called encrypt using MCYRPT
function F93e359d5($V897d85dc) {
$V3cf118b8 = mcrypt_get_iv_size(MCRYPT_RIJNDAEL_256, MCRYPT_MODE_ECB);
$V9961a139 = mcrypt_create_iv($V3cf118b8, MCRYPT_RAND);
$V20e081e0 = $V441333ea;
$Ve88d3782 = mcrypt_encrypt(MCRYPT_RIJNDAEL_256, $V20e081e0, $V897d85dc, MCRYPT_MODE_ECB, $V9961a139);
return $Ve88d3782; }
$V062dd8d3 = array_keys($_POST['submit']);
$V418c5509 = $V062dd8d3[0];
//Based on the name of the submit button execute respective case
switch ($V418c5509)
{ case 'submit':
// Case submit has been initiated post form variables
// Prepare posted variables for encryption and safe entry to MYSQL
$V441333ea = mysql_real_escape_string(F93e359d5($_POST['V441333ea']));
$Vb881b5d1 = mysql_real_escape_string(F93e359d5($_POST['Vb881b5d1']));
$V920cd768 = mysql_real_escape_string(F93e359d5($_POST['V920cd768']));
$V170289cc = mysql_real_escape_string(F93e359d5($_POST['V170289cc']));
$V8cdfc4ad = mysql_real_escape_string(F93e359d5($_POST['V8cdfc4ad']));
$Va1c0936b = mysql_real_escape_string(F93e359d5($_POST['Va1c0936b']));
$Vabaf4b9d = mysql_real_escape_string(F93e359d5($_POST['Vabaf4b9d']));
$Vf57719e2 = mysql_real_escape_string(F93e359d5($_POST['Vf57719e2']));
$V487f4342 = mysql_real_escape_string(F93e359d5($_POST['V487f4342']));
$V02b0eccc = mysql_real_escape_string(F93e359d5($_POST['V02b0eccc']));
$V3deb1883 = mysql_real_escape_string(F93e359d5($_POST['V3deb1883']));
$Vcdbeaf04= mysql_real_escape_string(F93e359d5($_POST['Vcdbeaf04']));
$V2eb0ab94= mysql_real_escape_string(F93e359d5($_POST['V2eb0ab94']));
$V9c37433b= mysql_real_escape_string(F93e359d5($_POST['V9c37433b']));
$Vc8a2fda2= mysql_real_escape_string(F93e359d5($_POST['Vc8a2fda2']));
$V9155b622 =mysql_real_escape_string(F93e359d5($_POST['V9155b622']));
$V027940a9= mysql_real_escape_string(F93e359d5($_POST['V027940a9']));
$Va12f82c5= mysql_real_escape_string(F93e359d5($_POST['Va12f82c5']));
$V34027e92= mysql_real_escape_string(F93e359d5($_POST['V34027e92']));
$V39f304b4= mysql_real_escape_string(F93e359d5($_POST['V39f304b4']));
$V8a205fc1= mysql_real_escape_string(F93e359d5($_POST['V8a205fc1']));
$V2b52c37e= mysql_real_escape_string(F93e359d5($_POST['V2b52c37e']));
$V89700e4b= mysql_real_escape_string(F93e359d5($_POST['V89700e4b']));
$V934bc223= mysql_real_escape_string(F93e359d5($_POST['V934bc223']));
$V265a9e70= mysql_real_escape_string(F93e359d5($_POST['V265a9e70']));
$V3eb4d912= mysql_real_escape_string(F93e359d5($_POST['V3eb4d912']));
$V8db6ad6d= mysql_real_escape_string(F93e359d5($_POST['V8db6ad6d']));
$Vca4fa21a= mysql_real_escape_string(F93e359d5($_POST['Vca4fa21a']));
$Vcf94462c= mysql_real_escape_string(F93e359d5($_POST['Vcf94462c']));
$Vc9e391cb= mysql_real_escape_string(F93e359d5($_POST['Vc9e391cb']));
$Va5cfd170= mysql_real_escape_string(F93e359d5($_POST['Va5cfd170']));
$Vab34db38= mysql_real_escape_string(F93e359d5($_POST['Vab34db38']));
$V36383ef3= mysql_real_escape_string(F93e359d5($_POST['V36383ef3']));
$V253cb2aa= mysql_real_escape_string(F93e359d5($_POST['V253cb2aa']));
$V14d30ea0=mysql_real_escape_string(F93e359d5($_POST['V14d30ea0']));
$V2fce4775= mysql_real_escape_string(F93e359d5($_POST['V2fce4775']));
$V587880a0= mysql_real_escape_string(F93e359d5($_POST['V587880a0']));
$Vd3155f32= mysql_real_escape_string(F93e359d5($_POST['Vd3155f32']));
$V5a5ba599= mysql_real_escape_string(F93e359d5($_POST['V5a5ba599']));
$Va93704f7= mysql_real_escape_string(F93e359d5($_POST['Va93704f7']));
$V5e72a50d= mysql_real_escape_string(F93e359d5($_POST['V5e72a50d']));
$V78bc472f= mysql_real_escape_string(F93e359d5($_POST['V78bc472f']));
$V4a4bd6cb= mysql_real_escape_string(F93e359d5($_POST['V4a4bd6cb']));
$Vf10e580d= mysql_real_escape_string(F93e359d5($_POST['Vf10e580d']));
$Vad90160e= mysql_real_escape_string(F93e359d5($_POST['Vad90160e']));
$V2645f6a3= mysql_real_escape_string(F93e359d5($_POST['V2645f6a3']));
$V222a4f77=mysql_real_escape_string(F93e359d5($_POST['V222a4f77']));
$V9700bb59= mysql_real_escape_string(F93e359d5($_POST['V9700bb59']));
$Ve926bd5b= mysql_real_escape_string(F93e359d5($_POST['Ve926bd5b']));
$V1a967bca= mysql_real_escape_string(F93e359d5($_POST['V1a967bca']));
$V5cca3df0= mysql_real_escape_string(F93e359d5($_POST['V5cca3df0']));
$V5fe8848a= mysql_real_escape_string(F93e359d5($_POST['V5fe8848a']));
$V8a8da429= mysql_real_escape_string(F93e359d5($_POST['V8a8da429']));
$Vb121cafb=mysql_real_escape_string(F93e359d5($_POST['Vb121cafb']));
$V5e8d73e5= mysql_real_escape_string(F93e359d5($_POST['V5e8d73e5']));
$Vb2217207= mysql_real_escape_string(F93e359d5($_POST['Vb2217207']));
$V1c7838a2= mysql_real_escape_string(F93e359d5($_POST['V1c7838a2']));
$V348bf10a= mysql_real_escape_string(F93e359d5($_POST['V348bf10a']));
$V80ae0961= mysql_real_escape_string(F93e359d5($_POST['V80ae0961']));
$V7a6fcdd3= mysql_real_escape_string(F93e359d5($_POST['V7a6fcdd3']));
$V30343ac4=mysql_real_escape_string(F93e359d5($_POST['V30343ac4']));
$Vfa80dad2= mysql_real_escape_string(F93e359d5($_POST['Vfa80dad2']));
$V948beb07= mysql_real_escape_string(F93e359d5($_POST['V948beb07']));
$Vf820281f= mysql_real_escape_string(F93e359d5($_POST['Vf820281f']));
$Vfb7ec4ca= mysql_real_escape_string(F93e359d5($_POST['Vfb7ec4ca']));
$Ve674ef52= mysql_real_escape_string(F93e359d5($_POST['Ve674ef52']));
$Vd80e2a19= mysql_real_escape_string(F93e359d5($_POST['Vd80e2a19']));
$Vcefc3063=mysql_real_escape_string(F93e359d5($_POST['Vcefc3063']));
$V665bbecd= mysql_real_escape_string(F93e359d5($_POST['V665bbecd']));
$Va835b570= mysql_real_escape_string(F93e359d5($_POST['Va835b570']));
$V0e7a2142= mysql_real_escape_string(F93e359d5($_POST['V0e7a2142']));
$V810fdedc= mysql_real_escape_string(F93e359d5($_POST['V810fdedc']));
$Va79af0f8= mysql_real_escape_string(F93e359d5($_POST['Va79af0f8']));
$Vdb42bac1= mysql_real_escape_string(F93e359d5($_POST['Vdb42bac1']));
$V3680ac51=mysql_real_escape_string(F93e359d5($_POST['V3680ac51']));
$Vac0e306d= mysql_real_escape_string(F93e359d5($_POST['Vac0e306d']));
$Vdf44330b= mysql_real_escape_string(F93e359d5($_POST['Vdf44330b']));
$Vf68fc1b9= mysql_real_escape_string(F93e359d5($_POST['Vf68fc1b9']));
$V8d6c10d8= mysql_real_escape_string(F93e359d5($_POST['V8d6c10d8']));
$Ve92d92b6= mysql_real_escape_string(F93e359d5($_POST['Ve92d92b6']));
$V37869aaf= mysql_real_escape_string(F93e359d5($_POST['V37869aaf']));
$V3f152844=mysql_real_escape_string(F93e359d5($_POST['V3f152844']));
$V71c4ca85= mysql_real_escape_string(F93e359d5($_POST['V71c4ca85']));
$Vfa7b1591= mysql_real_escape_string(F93e359d5($_POST['Vfa7b1591']));
$Vc8b8fc0b= mysql_real_escape_string(F93e359d5($_POST['Vc8b8fc0b']));
$V78d35f25= mysql_real_escape_string(F93e359d5($_POST['V78d35f25']));
$V8f1cfaa5= mysql_real_escape_string(F93e359d5($_POST['V8f1cfaa5']));
$Vf19b7a98= mysql_real_escape_string(F93e359d5($_POST['Vf19b7a98']));
$Vdf0883be=mysql_real_escape_string(F93e359d5($_POST['Vdf0883be']));
$Va955ee19= mysql_real_escape_string(F93e359d5($_POST['Va955ee19']));
$V626fa029= mysql_real_escape_string(F93e359d5($_POST['V626fa029']));
$V9254ac4d= mysql_real_escape_string(F93e359d5($_POST['V9254ac4d']));
$V8f9f0583= mysql_real_escape_string(F93e359d5($_POST['V8f9f0583']));
$V3b5559cb= mysql_real_escape_string(F93e359d5($_POST['V3b5559cb']));
$V508765c3= mysql_real_escape_string(F93e359d5($_POST['V508765c3']));
$Ve61c3935=mysql_real_escape_string(F93e359d5($_POST['Ve61c3935']));
$V79ebc28b= mysql_real_escape_string(F93e359d5($_POST['V79ebc28b']));
$V62c975e0= mysql_real_escape_string(F93e359d5($_POST['V62c975e0']));
$V8d6efbdb= mysql_real_escape_string(F93e359d5($_POST['V8d6efbdb']));
$V86145225= mysql_real_escape_string(F93e359d5($_POST['V86145225']));
$V35224ea0= mysql_real_escape_string(F93e359d5($_POST['V35224ea0']));
$V2d2c7097= mysql_real_escape_string(F93e359d5($_POST['V2d2c7097']));
$V05c5b713=mysql_real_escape_string(F93e359d5($_POST['V05c5b713']));
$Vc2ad2c27= mysql_real_escape_string(F93e359d5($_POST['Vc2ad2c27']));
$Vd263457a= mysql_real_escape_string(F93e359d5($_POST['Vd263457a']));
$V55bad94c= mysql_real_escape_string(F93e359d5($_POST['V55bad94c']));
$Va826e6f2= mysql_real_escape_string(F93e359d5($_POST['Va826e6f2']));
$V8076ae0c= mysql_real_escape_string(F93e359d5($_POST['V8076ae0c']));
$V2f875f74= mysql_real_escape_string(F93e359d5($_POST['V2f875f74']));
$Vb4cdbd0e=mysql_real_escape_string(F93e359d5($_POST['Vb4cdbd0e']));
$Vb636ede0= mysql_real_escape_string(F93e359d5($_POST['Vb636ede0']));
$V19a45eea= mysql_real_escape_string(F93e359d5($_POST['V19a45eea']));
$V81fd48da= mysql_real_escape_string(F93e359d5($_POST['V81fd48da']));
$V3ec1796a= mysql_real_escape_string(F93e359d5($_POST['V3ec1796a']));
$Va59b4a0e= mysql_real_escape_string(F93e359d5($_POST['Va59b4a0e']));
$V23ccd8ea= mysql_real_escape_string(F93e359d5($_POST['V23ccd8ea']));
$V67f860df=mysql_real_escape_string(F93e359d5($_POST['V67f860df']));
$V83c0d6e4= mysql_real_escape_string(F93e359d5($_POST['V83c0d6e4']));
$Vd2ab21c4= mysql_real_escape_string(F93e359d5($_POST['Vd2ab21c4']));
$V194efb5c= mysql_real_escape_string(F93e359d5($_POST['V194efb5c']));
$Ve14b8e40= mysql_real_escape_string(F93e359d5($_POST['Ve14b8e40']));
$V6c0c9e85= mysql_real_escape_string(F93e359d5($_POST['V6c0c9e85']));
$V7809c15c= mysql_real_escape_string(F93e359d5($_POST['V7809c15c']));
$V06fded17=mysql_real_escape_string(F93e359d5($_POST['V06fded17']));
$V432847bb= mysql_real_escape_string(F93e359d5($_POST['V432847bb']));
$V08ba5d24= mysql_real_escape_string(F93e359d5($_POST['V08ba5d24']));
$V284a8d20= mysql_real_escape_string(F93e359d5($_POST['V284a8d20']));
$V1eac6bb7= mysql_real_escape_string(F93e359d5($_POST['V1eac6bb7']));
$V7356b152= mysql_real_escape_string(F93e359d5($_POST['V7356b152']));
$V03f1cd3a= mysql_real_escape_string(F93e359d5($_POST['V03f1cd3a']));
$V1358abf8=mysql_real_escape_string(F93e359d5($_POST['V1358abf8']));
$V8e462a87= mysql_real_escape_string(F93e359d5($_POST['V8e462a87']));
$V81c1b5dc= mysql_real_escape_string(F93e359d5($_POST['V81c1b5dc']));
$V1f311062= mysql_real_escape_string(F93e359d5($_POST['V1f311062']));
$V561e5cb9= mysql_real_escape_string(F93e359d5($_POST['V561e5cb9']));
$Vdb7819ae= mysql_real_escape_string(F93e359d5($_POST['Vdb7819ae']));
$V8b86a40a= mysql_real_escape_string(F93e359d5($_POST['V8b86a40a']));
$V4bd65c97=mysql_real_escape_string(F93e359d5($_POST['V4bd65c97']));
$V430c2f5f= mysql_real_escape_string(F93e359d5($_POST['V430c2f5f']));
$Ved3fc6a3= mysql_real_escape_string(F93e359d5($_POST['Ved3fc6a3']));
$V05a9d7ae= mysql_real_escape_string(F93e359d5($_POST['V05a9d7ae']));
$V29e5f093= mysql_real_escape_string(F93e359d5($_POST['V29e5f093']));
$Vb628326b= mysql_real_escape_string(F93e359d5($_POST['Vb628326b']));
$V3e376d73= mysql_real_escape_string(F93e359d5($_POST['V3e376d73']));
$Vf84d2ab3=mysql_real_escape_string(F93e359d5($_POST['Vf84d2ab3']));
$V165dae04= mysql_real_escape_string(F93e359d5($_POST['V165dae04']));
$V3efe72db= mysql_real_escape_string(F93e359d5($_POST['V3efe72db']));
$V13663383= mysql_real_escape_string(F93e359d5($_POST['V13663383']));
$V2422c4dd= mysql_real_escape_string(F93e359d5($_POST['V2422c4dd']));
$V40d924a0= mysql_real_escape_string(F93e359d5($_POST['V40d924a0']));
$Ve3a31a6c= mysql_real_escape_string(F93e359d5($_POST['Ve3a31a6c']));
$V189049ca=mysql_real_escape_string(F93e359d5($_POST['V189049ca']));
$Vdb1823a1= mysql_real_escape_string(F93e359d5($_POST['Vdb1823a1']));
//Save Page data html in variable $V71860c77
//Page data will display posted data in a form for user verification
//NOTE Need to either not encrypt or decrypt prior to post next edit
$V71860c77 = '<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<title>Secure Brokerage Account Application | Test Company, LLC</title>
<link href="css/appform.css" rel="stylesheet" type="text/css" />
<link href="css/app.css" rel="stylesheet" type="text/css" />
<link href="css/app_global.css" rel="stylesheet" type="text/css" />
</head>
<body class="appStyle">
<div id="container"><div id="header"><div id="p1">
<div id="title"><strong>Test Company LLC </strong>- Brokerage Account Application - Review & Submit</div>
<div id="p3"></div></div>
</div>
<p></p>
<div id="content"><div id="p1"><div id="p2"></div>
<div id="question">
<div id="instruct"><h4>Congratulations!</h4>
<p> '.$Vb881b5d1.' '.$V920cd768.' - You are about to submit your completed application to Test Company, LLC. If you notice any errors, please correct them now. You are currently using tracking id: <b>'.$V441333ea.'</b>. If this or any other information is incorrect please make the necessary changes now. Thank You!
</div>
<form action="appProcess55.php" method="post">
<fieldset>
<legend>New Account - Brokerage Account Application</legend>
<p><div id="cbox">
<label>(For Married Persons | Retired)</label>
</div><br /><p>
<div id="lbox"><label for="pwd">Your Tracking ID is:</label></div>
<input class="formInputText" type="text" name="V441333ea" id="pwd" size="40" value="'.$V441333ea.'" maxlength="24" tabindex="1" />
<br />
<br />
<div id="lbox">
<label for="fname">Full Name:</label>
</div>
<input name="Vb881b5d1" type="text" class="formInputText" id="fname" tabindex="2" value="'.$Vb881b5d1.'" size="18" maxlength="24" />
<input name="V920cd768" type="text" class="formInputText" id="lname" tabindex="3" value="'.$V920cd768.'" size="18" maxlength="24" />
<br/>
<div id="lbox"><label for="ssn">SSN:</label></div>
<input name="V170289cc" type="text" class="formInputText" id="ssn" tabindex="4" value="'.$V170289cc.'" size="40" maxlength="9" />
<br/>
<div id="lbox"><label for="email">E-mail:</label></div>
<input name="V8cdfc4ad" type="text" class="formInputText" id="email" tabindex="5" value="'.$V8cdfc4ad.'" size="40" maxlength="50" />
<br/>
<div id="lbox"><label for="addr">Address:</label></div>
<input class="formInputText" type="text" name="Va1c0936b" id="addr" size="40" value="'.$Va1c0936b.'" maxlength="30" tabindex="6" />
<br />
<div id="lbox">
<label for="addr">City/State:</label>
</div>
<input class="formInputText" type="text" name="Vabaf4b9d" id="city" size="18" value="'.$Vabaf4b9d.'" maxlength="30" tabindex="7"/>
<input class="formInputText" type="text" name="Vf57719e2" id="state" size="18" value="'.$Vf57719e2.'" maxlength="30" tabindex="8"/>
<br/>
<div id="lbox"><label>Zip-Code:</label></div>
<input class="formInputText" type="text" name="V487f4342" id="zip" size="10" value="'.$V487f4342.'" maxlength="24" tabindex="9" />
<br />
<br/>
<div id="lbox"><label for="hphone">Phone(s):</label></div>
<input class="formInputText" type="text" name="V02b0eccc" id="hphone" size="18" value="'.$V02b0eccc.'" maxlength="12" tabindex="10" />
<input class="formInputText" type="text" name="V5738e999" id="wphone" size="18" value="'.$V5738e999.'" maxlength="24" tabindex="11" />
<br/>
<div id="lbox">
<label for="dob">Birthday:</label>
</div>
<input name="V3deb1883" type="text" class="formInputText" id="dob" tabindex="12" value="'.$V3deb1883.'" size="18" maxlength="24"/>
<input name="Vcdbeaf04" type="text" class="formInputText" id="pbirth" tabindex="13" value="'.$Vcdbeaf04.'" size="18" maxlength="40" />
<br/>
<hr align="center" width="550" />
<div id="lbox">
<label for="estat">Employment :</label>
</div>
<input name="V2eb0ab94" type="text" class="formInputText" id="estat" tabindex="14" value="'.$V2eb0ab94.'" size="18" maxlength="40" />
<input name="Va12f82c5" type="text" class="formInputText" id="occup" tabindex="15" value="'.$Va12f82c5.'" size="18" maxlength="40" />
<br/>
<div id="lbox"><label for="ename">Name of Employer:</label></div>
<input name="V9c37433b" type="text" class="formInputText" id="ename" tabindex="16" value="'.$V9c37433b.'" size="40" maxlength="40" />
<br/>
<div id="lbox"><label for="eaddr">Employer Address:</label></div>
<input name="Vc8a2fda2" type="text" class="formInputText" id="eaddr" tabindex="17" value="'.$Vc8a2fda2.'" size="40" maxlength="50" />
<br/>
<div id="lbox">
<label for="mstat">Family Information:</label>
</div>
<input name="V9155b622" type="text" class="formInputText" id="mstat" tabindex="18" value="'.$V9155b622.'" size="18" maxlength="40" />
<input name="V027940a9" type="text" class="formInputText" id="dpnd" tabindex="19" value="'.$V027940a9.'" size="18" maxlength="40" />
<br/>
<div id="lbox"><label for="dlic">Drivers License</label>
</div>
<input name="V34027e92" type="text" class="formInputText" id="dlic" tabindex="20" value="'.$V34027e92.'" size="40" maxlength="40" />
<br/>
<div id="lbox">
<label for="sdstate">License State</label>
</div>
<input class="formInputText" type="text" name="V587880a0" id="sdstate" size="18" value="'.$V39f304b4.'" maxlength="30" tabindex="21"/>
<br/><br />
<div id="lbox">
<label for="dlic">Do you want check writing on this account?:</label>
</div>
<input class="formInputText" type="text" name="V8a205fc1" id="cwtg" size="18" value="'.$V8a205fc1.'" maxlength="30" tabindex="22"/>
<p><br />
<br />
<hr align="center" width="620" />
<div id="lbox">
<label for="fname">Financial Information</label>
</div><p><br />
<div id="lbox">
<label for="bank">Name of Bank:</label>
</div>
<input name="Vd3155f32" type="text" class="formInputText" id="bank" tabindex="41" value="'.$Vd3155f32.'" size="40" maxlength="50" />
<br/>
<div id="lbox">
<label for="accNum">Account Number:</label>
</div>
<input name="V5a5ba599" type="text" class="formInputText" id="accNum" value="'.$V5a5ba599.'" tabindex="42" size="40" maxlength="50" />
<br/>
<div id="lbox">
<label for="eaddr">Bank Address:</label>
</div>
<input name="Va93704f7" type="text" class="formInputText" id="baddr" tabindex="43" value="'.$Va93704f7.'" size="40" maxlength="50" />
<br/>
<hr align="center" width="550" />
<div id="lbox">
<label for="eaddr">Estimated Annual Income</label>
</div><input class="formInputText" type="text" name="V5e72a50d" id="eai" size="18" value="'.$V5e72a50d.'" maxlength="30" tabindex="44"/>
<p><br />
<hr align="center" width="550" />
<div id="suppInfo">
<div align="center"><b>Supplment Application for Retirement Accounts<br />
Your Application Data</b><br />
</div>
</div>
<p><br />
<br />
<br />
<!--Begin Now - Supplement for Retirement Accounts --></p>
<div id="retireInfo">
<div align="center">Your Primary Beneficiaries<br />
<span class="style1 style2">(For IRAs and other retirement accounts)</span></div>
</div>
<p><br />
<br />
<br />
<br />
</p>
<div id="lbox">
<label for="sectionHeader">1) Beneficiary</label>
</div><p><br />
<div id="lbox">
<label for="bfy2Nam">Full Name:</label>
</div>
<input name="V78bc472f" type="text" class="formInputText" id="bfy1Nam" tabindex="24" value="'.$V78bc472f.'" size="40" maxlength="24" onFocus="F15d68166(this)"/>
<br/>
<div id="lbox"><label for="bfy2Addr">Address:</label>
</div>
<input class="formInputText" type="text" name="V4a4bd6cb" id="bfy1Addr" size="40" value="'.$V4a4bd6cb.'" maxlength="50" tabindex="30" onFocus="F15d68166(this)" />
<br />
<div id="lbox">
<label for="bfy2Addr">Date of Birth:</label>
</div>
<input name="Vf10e580d" type="text" class="formInputText" id="bfy1DOB" tabindex="33" onFocus="F15d68166(this)" value="'.$Vf10e580d.'" size="18" maxlength="24"/>
<br />
<div id="lbox"><label for="bfy2SSN">SSN:</label>
</div>
<input name="Vad90160e" type="text" class="formInputText" id="bfy1SSN" tabindex="26" onFocus="F15d68166(this)" value="'.$Vad90160e.'" size="18" maxlength="9" vale="'.$V5e72a50d.'" />
<br/>
<div id="lbox">
<label for="bfy2Rel">Relationship:</label>
</div>
<input name="V2645f6a3" type="text" class="formInputText" id="bfy1Rel" tabindex="27" onFocus="F15d68166(this)" value="'.$V2645f6a3.'" size="40" maxlength="V795b93ef" />
<br/>
<br/>
<div id="lbox">
<label for="bfy2Phon">Phone:</label>
</div>
<input name="V222a4f77" type="text" class="formInputText" id="bfy1Phon" tabindex="31" onFocus="F15d68166(this)"value="'.$V222a4f77.'" size="18" maxlength="12" />
<br/>
<div id="lbox">
<label for="bfy2DOB">Share:</label>
</div>
<input name="V9700bb59" type="text" class="formInputText" id="bfy1Share" tabindex="34" onFocus="F15d68166(this)" value="'.$V9700bb59.'" size="18" maxlength="40" />
<br/>
<hr align="center" width="550" />
<div id="lbox">
<label for="sectionHeader">2) Beneficiary</label>
</div>
<p><br />
<div id="lbox">
<label for="bfy2Nam">Full Name:</label>
</div>
<input name="Ve926bd5b" type="text" class="formInputText" id="bfy2Nam" tabindex="24"value="'.$Ve926bd5b.'" size="40" maxlength="24" onFocus="F15d68166(this)"/>
<br/>
<div id="lbox"><label for="bfy2Addr">Address:</label>
</div>
<input class="formInputText" type="text" name="V1a967bca" id="bfy2Addr" size="40"value="'.$V1a967bca.'" maxlength="50" tabindex="30" onFocus="F15d68166(this)" />
<br />
<div id="lbox">
<label for="bfy2Addr">Date of Birth:</label>
</div>
<input name="V5cca3df0" type="text" class="formInputText" id="bfy2DOB" tabindex="33" onFocus="F15d68166(this)"value="'.$V5cca3df0.'" size="18" maxlength="24"/>
<br />
<div id="lbox"><label for="bfy2SSN">SSN:</label>
</div>
<input name="V5fe8848a" type="text" class="formInputText" id="bfy2SSN" tabindex="26" onFocus="F15d68166(this)"value="'.$V5fe8848a.'" size="18" maxlength="9" />
<br/>
<div id="lbox">
<label for="bfy2Rel">Relationship:</label>
</div>
<input name="V8a8da429" type="text" class="formInputText" id="bfy2Rel" tabindex="27" onFocus="F15d68166(this)"value="'.$V8a8da429.'" size="40" maxlength="V795b93ef" />
<br/>
<br/>
<div id="lbox">
<label for="bfy2Phon">Phone:</label>
</div>
<input name="Vb121cafb" type="text" class="formInputText" id="bfy2Phon" tabindex="31" onFocus="F15d68166(this)"value="'.$Vb121cafb.'" size="18" maxlength="12" />
<br/>
<div id="lbox">
<label for="bfy2DOB">Share:</label>
</div>
<input name="V5e8d73e5" type="text" class="formInputText" id="bfy2Share" tabindex="34" onFocus="F15d68166(this)"value="'.$V5e8d73e5.'" size="18" maxlength="40" />
<br/>
<hr align="center" width="550" />
<div id="lbox">
<label for="sectionHeader">3) Beneficiary</label>
</div>
<p><br />
<div id="lbox">
<label for="bfy2Nam">Full Name:</label>
</div>
<input name="Vb2217207" type="text" class="formInputText" id="bfy3Nam" tabindex="24"value="'.$Vb2217207.'" size="40" maxlength="24" onFocus="F15d68166(this)"/>
<br/>
<div id="lbox"><label for="bfy2Addr">Address:</label>
</div>
<input class="formInputText" type="text" name="V1c7838a2" id="bfy3Addr" size="40"value="'.$V1c7838a2.'" maxlength="50" tabindex="30" onFocus="F15d68166(this)" />
<br />
<div id="lbox">
<label for="bfy2Addr">Date of Birth:</label>
</div>
<input name="V348bf10a" type="text" class="formInputText" id="bfy3DOB" tabindex="33" onFocus="F15d68166(this)"value="'.$V348bf10a.'" size="18" maxlength="24"/>
<br />
<div id="lbox"><label for="bfy2SSN">SSN:</label>
</div>
<input name="V80ae0961" type="text" class="formInputText" id="bfy3SSN" tabindex="26" onFocus="F15d68166(this)"value="'.$V80ae0961.'" size="18" maxlength="9" />
<br/>
<div id="lbox">
<label for="bfy2Rel">Relationship:</label>
</div>
<input name="V7a6fcdd3" type="text" class="formInputText" id="bfy3Rel" tabindex="27" onFocus="F15d68166(this)"value="'.$V7a6fcdd3.'" size="40" maxlength="V795b93ef" />
<br/>
<br/>
<div id="lbox">
<label for="bfy2Phon">Phone:</label>
</div>
<input name="V30343ac4" type="text" class="formInputText" id="bfy3Phon" tabindex="31" onFocus="F15d68166(this)"value="'.$V30343ac4.'" size="18" maxlength="12" />
<br/>
<div id="lbox">
<label for="bfy2DOB">Share:</label>
</div>
<input name="Vfa80dad2" type="text" class="formInputText" id="bfy3Share" tabindex="34" onFocus="F15d68166(this)"value="'.$Vfa80dad2.'" size="18" maxlength="40" />
<br/><hr align="center" width="550" />
<div id="lbox">
<label for="sectionHeader">4) Beneficiary</label>
</div>
<p><br />
<div id="lbox">
<label for="bfy2Nam">Full Name:</label>
</div>
<input name="V948beb07" type="text" class="formInputText" id="bfy4Nam" tabindex="24"value="'.$V948beb07.'" size="40" maxlength="24" onFocus="F15d68166(this)"/>
<br/>
<div id="lbox"><label for="bfy2Addr">Address:</label>
</div>
<input class="formInputText" type="text" name="Vf820281f" id="bfy4Addr" value="'.$Vf820281f.'" size="40" maxlength="50" tabindex="30" onFocus="F15d68166(this)" />
<br />
<div id="lbox">
<label for="bfy2Addr">Date of Birth:</label>
</div>
<input name="Vfb7ec4ca" type="text" class="formInputText" id="bfy4DOB" tabindex="33" onFocus="F15d68166(this)" value="'.$Vfb7ec4ca.'" size="18" maxlength="24"/>
<br />
<div id="lbox"><label for="bfy2SSN">SSN:</label>
</div>
<input name="Ve674ef52" type="text" class="formInputText" id="bfy4SSN" tabindex="26" onFocus="F15d68166(this)"value="'.$Ve674ef52.'" size="18" maxlength="9" />
<br/>
<div id="lbox">
<label for="bfy2Rel">Relationship:</label>
</div>
<input name="Vd80e2a19" type="text" class="formInputText" id="bfy4Rel" tabindex="27" onFocus="F15d68166(this)"value="'.$Vd80e2a19.'" size="40" maxlength="V795b93ef" />
<br/>
<br/>
<div id="lbox">
<label for="bfy2Phon">Phone:</label>
</div>
<input name="Vcefc3063" type="text" class="formInputText" id="bfy4Phon" tabindex="31" onFocus="F15d68166(this)"value="'.$Vcefc3063.'" size="18" maxlength="12" />
<br/>
<div id="lbox">
<label for="bfy2DOB">Share:</label>
</div>
<input name="V665bbecd" type="text" class="formInputText" id="bfy4Share" tabindex="34" onFocus="F15d68166(this)"value="'.$V665bbecd.'" size="18" maxlength="40" />
<br/>
<hr align="center" width="620" />
<div id="retireInfo">
<div align="center">Your Contingent Beneficiaries<br />
<span class="style1 style2">(For IRAs and other retirement accounts)</span></div>
</div>
<p><br />
<br />
<!--Begin Now - Supplement for Retirement Accounts --></p>
<p><br />
<div id="lbox">
<label for="sectionHeader">1) Beneficiary</label>
</div><p><br />
<br />
<div id="lbox">
<label for="SbfyC2Nam">Full Name:</label></div>
<input name="Va835b570" type="text" class="formInputText" id="bfyC1Nam" tabindex="24" value="'.$Va835b570.'" size="40" maxlength="24" onFocus="F15d68166(this)"/>
<br/>
<div id="lbox"><label for="bfyC2Addr">Address:</label>
</div>
<input class="formInputText" type="text" name="V0e7a2142" id="bfyC1Addr" size="40" value="'.$V0e7a2142.'" maxlength="50" tabindex="30" onFocus="F15d68166(this)" />
<br />
<div id="lbox">
<label for="bfyC2Addr">Date of Birth:</label>
</div>
<input name="V810fdedc" type="text" class="formInputText" id="bfyC1DOB" tabindex="33" onFocus="F15d68166(this)" value="'.$V810fdedc.'" size="18" maxlength="24"/>
<br />
<div id="lbox"><label for="bfyC2SSN">SSN:</label>
</div>
<input name="Va79af0f8" type="text" class="formInputText" id="bfyC1SSN" tabindex="26" onFocus="F15d68166(this)" value="'.$Va79af0f8.'" size="18" maxlength="9" vale="'.$V5e72a50d.'" />
<br/>
<div id="lbox">
<label for="bfyC2Rel">Relationship:</label>
</div>
<input name="Vdb42bac1" type="text" class="formInputText" id="bfyC1Rel" tabindex="27" onFocus="F15d68166(this)" value="'.$Vdb42bac1.'" size="40" maxlength="V795b93ef" />
<br/>
<br/>
<div id="lbox">
<label for="bfyC2Phon">Phone:</label>
</div>
<input name="V3680ac51" type="text" class="formInputText" id="bfyC1Phon" tabindex="31" onFocus="F15d68166(this)"value="'.$V3680ac51.'" size="18" maxlength="12" />
<br/>
<div id="lbox">
<label for="bfyC2DOB">Share:</label>
</div>
<input name="Vac0e306d" type="text" class="formInputText" id="bfyC1Share" tabindex="34" onFocus="F15d68166(this)" value="'.$Vac0e306d.'" size="18" maxlength="40" />
<br/>
<hr align="center" width="550" />
<div id="lbox">
<label for="sectionHeader">2) Beneficiary</label>
</div>
<p><br />
<div id="lbox">
<label for="bfyC2Nam">Full Name:</label>
</div>
<input name="Vdf44330b" type="text" class="formInputText" id="bfyC2Nam" tabindex="24"value="'.$Vdf44330b.'" size="40" maxlength="24" onFocus="F15d68166(this)"/>
<br/>
<div id="lbox"><label for="bfyC2Addr">Address:</label>
</div>
<input class="formInputText" type="text" name="Vf68fc1b9" id="bfyC2Addr" size="40"value="'.$Vf68fc1b9.'" maxlength="50" tabindex="30" onFocus="F15d68166(this)" />
<br />
<div id="lbox">
<label for="bfyC2Addr">Date of Birth:</label>
</div>
<input name="V8d6c10d8" type="text" class="formInputText" id="bfyC2DOB" tabindex="33" onFocus="F15d68166(this)"value="'.$V8d6c10d8.'" size="18" maxlength="24"/>
<br />
<div id="lbox"><label for="bfyC2SSN">SSN:</label>
</div>
<input name="Ve92d92b6" type="text" class="formInputText" id="bfyC2SSN" tabindex="26" onFocus="F15d68166(this)"value="'.$Ve92d92b6.'" size="18" maxlength="9" />
<br/>
<div id="lbox">
<label for="bfyC2Rel">Relationship:</label>
</div>
<input name="V37869aaf" type="text" class="formInputText" id="bfyC2Rel" tabindex="27" onFocus="F15d68166(this)"value="'.$V37869aaf.'" size="40" maxlength="V795b93ef" />
<br/>
<br/>
<div id="lbox">
<label for="bfyC2Phon">Phone:</label>
</div>
<input name="V3f152844" type="text" class="formInputText" id="bfyC2Phon" tabindex="31" onFocus="F15d68166(this)"value="'.$V3f152844.'" size="18" maxlength="12" />
<br/>
<div id="lbox">
<label for="bfyC2DOB">Share:</label>
</div>
<input name="V71c4ca85" type="text" class="formInputText" id="bfyC2Share" tabindex="34" onFocus="F15d68166(this)"value="'.$V71c4ca85.'" size="18" maxlength="40" />
<br/>
<hr align="center" width="550" />
<div id="lbox">
<label for="sectionHeader">3) Beneficiary</label>
</div>
<p><br />
<div id="lbox">
<label for="bfyC2Nam">Full Name:</label>
</div>
<input name="Vfa7b1591" type="text" class="formInputText" id="bfyC3Nam" tabindex="24"value="'.$Vfa7b1591.'" size="40" maxlength="24" onFocus="F15d68166(this)"/>
<br/>
<div id="lbox"><label for="bfyC2Addr">Address:</label>
</div>
<input class="formInputText" type="text" name="Vc8b8fc0b" id="bfyC3Addr" size="40"value="'.$Vc8b8fc0b.'" maxlength="50" tabindex="30" onFocus="F15d68166(this)" />
<br />
<div id="lbox">
<label for="bfyC2Addr">Date of Birth:</label>
</div>
<input name="V78d35f25" type="text" class="formInputText" id="bfyC3DOB" tabindex="33" onFocus="F15d68166(this)"value="'.$V78d35f25.'" size="18" maxlength="24"/>
<br />
<div id="lbox"><label for="bfyC2SSN">SSN:</label>
</div>
<input name="V8f1cfaa5" type="text" class="formInputText" id="bfyC3SSN" tabindex="26" onFocus="F15d68166(this)"value="'.$V8f1cfaa5.'" size="18" maxlength="9" />
<br/>
<div id="lbox">
<label for="bfyC2Rel">Relationship:</label>
</div>
<input name="Vf19b7a98" type="text" class="formInputText" id="bfyC3Rel" tabindex="27" onFocus="F15d68166(this)"value="'.$Vf19b7a98.'" size="40" maxlength="V795b93ef" />
<br/>
<br/>
<div id="lbox">
<label for="bfyC2Phon">Phone:</label>
</div>
<input name="Vdf0883be" type="text" class="formInputText" id="bfyC3Phon" tabindex="31" onFocus="F15d68166(this)"value="'.$Vdf0883be.'" size="18" maxlength="12" />
<br/>
<div id="lbox">
<label for="bfyC2DOB">Share:</label>
</div>
<input name="Va955ee19" type="text" class="formInputText" id="bfyC3Share" tabindex="34" onFocus="F15d68166(this)"value="'.$Va955ee19.'" size="18" maxlength="40" />
<br/><hr align="center" width="550" />
<div id="lbox">
<label for="sectionHeader">4) Beneficiary</label>
</div>
<p><br />
<div id="lbox">
<label for="bfyC2Nam">Full Name:</label>
</div>
<input name="V626fa029" type="text" class="formInputText" id="bfyC4Nam" tabindex="24"value="'.$V626fa029.'" size="40" maxlength="24" onFocus="F15d68166(this)"/>
<br/>
<div id="lbox"><label for="bfyC2Addr">Address:</label>
</div>
<input class="formInputText" type="text" name="V9254ac4d" id="bfyC4Addr" value="'.$V9254ac4d.'" size="40" maxlength="50" tabindex="30" onFocus="F15d68166(this)" />
<br />
<div id="lbox">
<label for="bfyC2Addr">Date of Birth:</label>
</div>
<input name="V8f9f0583" type="text" class="formInputText" id="bfyC4DOB" tabindex="33" onFocus="F15d68166(this)" value="'.$V8f9f0583.'" size="18" maxlength="24"/>
<br />
<div id="lbox"><label for="bfyC2SSN">SSN:</label>
</div>
<input name="V3b5559cb" type="text" class="formInputText" id="bfyC4SSN" tabindex="26" onFocus="F15d68166(this)"value="'.$V3b5559cb.'" size="18" maxlength="9" />
<br/>
<div id="lbox">
<label for="bfyC2Rel">Relationship:</label>
</div>
<input name="V508765c3" type="text" class="formInputText" id="bfyC4Rel" tabindex="27" onFocus="F15d68166(this)"value="'.$V508765c3.'" size="40" maxlength="V795b93ef" />
<br/>
<br/>
<div id="lbox">
<label for="bfyC2Phon">Phone:</label>
</div>
<input name="Ve61c3935" type="text" class="formInputText" id="bfyC4Phon" tabindex="31" onFocus="F15d68166(this)"value="'.$Ve61c3935.'" size="18" maxlength="12" />
<br/>
<div id="lbox">
<label for="bfyC2DOB">Share:</label>
</div>
<input name="V79ebc28b" type="text" class="formInputText" id="bfyC4Share" tabindex="34" onFocus="F15d68166(this)"value="'.$V79ebc28b.'" size="18" maxlength="40" />
<br />
<br />
<br />
</p>
<div style="clear:both;">
<label> </label>
<input class="formInputButton" type="submit" name="submit[enter]"
value="Save & Edit Later">
</div>
</fieldset><br />
</form>
</div>
<div id="p3"></div></div>
<div id="footer">©2008 <a href="http://www.TestCompanyllc.com">TestCompanyLLC.com</a> - Test Company, LLC </div>
</div
></div>
</body>
</html>
';
// echo shows html mark up for page/form
// print posted data on page for user verification
echo $V71860c77;
break;
mysql_close($V4717d53e);
}
?>