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DIR:/home/dna1981/public_html/SMB/
Current File : /home/dna1981/public_html/SMB/cart.php
<?php require_once ('php/connect.php'); ?>
<?php include ('php/cart.php'); ?>
<?php include ('php/front.php'); ?>
<?php include ('php/nav.php'); ?>
<?php
date_default_timezone_set("America/Chicago");
$todaydate = date("Y-m-d");
?>

<!DOCTYPE html>
<html lang="en">
<head>
    <title>Patient information</title>
    <meta charset="utf-8">
    <meta name="format-detection" content="telephone=no"/>
    <link rel="icon" href="images/favicon.ico" type="image/x-icon">
    <link rel="stylesheet" href="css/grid.css">
    <link rel="stylesheet" href="css/style.css">
    <link rel="stylesheet" href="css/search.css">
    <script src="js/jquery.js"></script>
    <script src="js/jquery-migrate-1.2.1.js"></script>




    <!--[if lt IE 9]>
    <html class="lt-ie9">
    <div style=' clear: both; text-align:center; position: relative;'>
        <a href="http://windows.microsoft.com/en-US/internet-explorer/..">
            <img src="images/ie8-panel/warning_bar_0000_us.jpg" border="0" height="42" width="820"
                 alt="You are using an outdated browser. For a faster, safer browsing experience, upgrade for free today."/>
        </a> 
    </div>
    <script src="js/html5shiv.js"></script>
    <![endif]-->
 
    <script src='js/device.min.js'></script>
    <script type="text/javascript">
function MM_swapImgRestore() { //v3.0
  var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++) x.src=x.oSrc;
}
function MM_preloadImages() { //v3.0
  var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array();
    var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++)
    if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}}
}

function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

function MM_swapImage() { //v3.0
  var i,j=0,x,a=MM_swapImage.arguments; document.MM_sr=new Array; for(i=0;i<(a.length-2);i+=3)
   if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc) x.oSrc=x.src; x.src=a[i+2];}
}
    </script>
</head>

<body onLoad="MM_preloadImages('images/register-over.png')">
<div class="page">
    <!--========================================================
                              HEADER
    =========================================================-->
     <header>
        <div id="stuck_container" class="stuck_container">
            <div class="container">
                <div class="row">
                    <div class="grid_14">
                        <div class="brand">
                            <a href="index.php"><img src="images/SMB_logo2.png" alt="" width="150" height="150"/></a>    
                        </div>
                    </div>
                   <div class="grid_13">
                  <ul class="list01">
                            <li><a class="no-border" href="cart.php">MY CART</a></li>
                            <li><a href="register.php">REGISTER</a></li>
                            <li><a href="refresher.php">REFRESHER COURSES</a></li>
                            <li><a class="no-margin" href="https://successfulmedicalbilling.com/login/" target="_blank">ATTENDEE PORTAL</a></li>
                        </ul>
              </div>
            </div>
                <?php echo $nav; ?>

            </div>
             
        </div>

    </header>
    <!--========================================================
                              CONTENT
    =========================================================-->
    <main>
        <section>
           <div class="well-02 __sub05">
                <div class="container">
                  <div class="row">
                    <div class="grid_11">
                      <div class="box-07">
                                <h5>My Cart</h5>
                        <div class="cart_brd">
                                <table width="100%" border="0" cellpadding="2" cellspacing="2">
                                  <tbody>
                                    <tr bgcolor="#E9E9E9">
                                     <td width="6" align="left" valign="middle" bgcolor="#E9E9E9">&nbsp;</td>
                                     <td width="437" height="30" align="left" valign="middle" bgcolor="#E9E9E9" class="cart_hdr"><strong>Product Name</strong></td>
                                      <td width="114" align="center" valign="middle" bgcolor="#E9E9E9"><strong class="cart_hdr">Qty</strong></td>
                                      <td width="81" align="center" valign="middle" bgcolor="#E9E9E9"><strong class="cart_hdr">Price</strong></td>
                                      <td width="100" align="center" valign="middle" bgcolor="#E9E9E9"><strong class="cart_hdr">Total Price</strong></td>
                                      <td width="84" align="left" valign="middle" bgcolor="#E9E9E9">&nbsp;</td>
                                    </tr>
                                    <?php echo $ShoppingCart_Output; ?>
                                    </tr>
                                  </tbody>
                                </table>
                          </div>
                        <div class="cart_totals"><table width="100%" cellspacing="2" cellpadding="2">
                                  <tbody>
                                    <tr>
                                      <td width="95%" align="right" nowrap="nowrap"><strong>Sub Total:</strong></td>
                                      <td width="100" align="right" nowrap="nowrap"><strong> $<?php echo $SubTotal2; ?></strong></td>
                                    </tr>
                                    
                                    <?php echo $Showshipping?>
                                    <?php echo $ShowDiscount; ?>
                                    <?php echo $ShowPromoDiscount; ?>
                                    <?php echo $ShowBooks; ?>                                  
                                    <tr>
                                      <td align="right" nowrap="nowrap"><strong>Cart Total:</strong></td>
                                      <td align="right" nowrap="nowrap"><strong>$<?php echo $GrandTotal2; ?></strong></td>
                                    </tr>
                                  </tbody>
                                </table></div>
                                <?php echo $PromoMessage; ?>
					  <?php echo $DisplayPromo; ?>                           
                                <?php echo $CancelPolicy; ?>
                                <?php echo $ShowCount; ?>
                                
                                      </div>
                                      </div>
                                      </div>
<div class="row">
                    <div class="grid_11">
                      <div class="box-07">
                                <h5>Billing & Shipping Information</h5>
                        <p>Fill out the information below to process your order.</p>
                                      <form action="php/process.php" method="post" onsubmit="document.getElementById('myButton').disabled=true;
document.getElementById('myButton').value='Submitting, please wait...';"><table width="100%" cellspacing="2" cellpadding="2">
  <tbody>
    <tr>
      <td colspan="2" align="left" valign="middle"><h6>Practice Information</h6></td>
      </tr>
    <tr>
      <td width="50%" align="left" valign="middle"><input name="practice" type="text" id="practice" placeholder="Practice" required></td>
      <td width="50%" align="left" valign="middle"><input name="name" type="text" id="name" placeholder="Dentist" required></td>
    </tr>
    <tr>
      <td width="50%" align="left" valign="middle"><input name="address" type="text" id="address" placeholder="Address" required></td>
      <td align="left" valign="middle"><input name="city" type="text" id="city" placeholder="City" required></td>
    </tr>
    <tr>
      <td align="left" valign="middle"><select name="state" size="1" class="font100-small" id="state" required>
                                <option selected value="">State...</option>
                                <option value="AL">Alabama</option>
                                <option value="AK">Alaska</option>
                                <option value="AZ">Arizona</option>
                                <option value="AR">Arkansas</option>
                                <option value="CA">California</option>
                                <option value="CO">Colorado</option>
                                <option value="CT">Connecticut</option>
                                <option value="DE">Delaware</option>
                                <option value="FL">Florida</option>
                                <option value="GA">Georgia</option>
                                <option value="HI">Hawaii</option>
                                <option value="ID">Idaho</option>
                                <option value="IL">Illinois</option>
                                <option value="IN">Indiana</option>
                                <option value="IA">Iowa</option>
                                <option value="KS">Kansas</option>
                                <option value="KY">Kentucky</option>
                                <option value="LA">Louisiana</option>
                                <option value="ME">Maine</option>
                                <option value="MD">Maryland</option>
                                <option value="MA">Massachusetts</option>
                                <option value="MI">Michigan</option>
                                <option value="MN">Minnesota</option>
                                <option value="MS">Mississippi</option>
                                <option value="MO">Missouri</option>
                                <option value="MT">Montana</option>
                                <option value="NE">Nebraska</option>
                                <option value="NV">Nevada</option>
                                <option value="NH">New Hampshire</option>
                                <option value="NJ">New Jersey</option>
                                <option value="NM">New Mexico</option>
                                <option value="NY">New York</option>
                                <option value="NC">North Carolina</option>
                                <option value="ND">North Dakota</option>
                                <option value="OH">Ohio</option>
                                <option value="OK">Oklahoma</option>
                                <option value="OR">Oregon</option>
                                <option value="PA">Pennsylvania</option>
                                <option value="RI">Rhode Island</option>
                                <option value="SC">South Carolina</option>
                                <option value="SD">South Dakota</option>
                                <option value="TN">Tennessee</option>
                                <option value="TX">Texas</option>
                                <option value="UT">Utah</option>
                                <option value="VT">Vermont</option>
                                <option value="VA">Virginia</option>
                                <option value="WA">Washington</option>
                                <option value="WV">West Virginia</option>
                                <option value="WI">Wisconsin</option>
                                <option value="WY">Wyoming</option>
                                </select></td>
      <td align="left" valign="middle"><input name="zip" type="text" id="zip" placeholder="Zip Code" required></td>
    </tr>
    <tr>
      <td align="left" valign="middle"><input name="email_address" type="text" id="email_address" placeholder="Email Address" required></td>
      <td align="left" valign="middle"><input name="phone_number" type="text" id="phone_number" placeholder="Phone Number" required></td>
    </tr>
    <tr>
      <td colspan="2" align="left" valign="middle"><h6>Billing Information: <input name="shippingtoo" type="checkbox" id="shippingtoo" onclick="FillBilling(this.form)">Check this box if the same as billing information.</h6></td>
      </tr>
    <tr>
      <td align="left" valign="middle"><input name="first_name" type="text" id="first_name" placeholder="First Name" required></td>
      <td align="left" valign="middle"><input name="last_name" type="text" id="last_name" placeholder="Last Name" required></td>
    </tr>
    <tr>
      <td align="left" valign="middle"><input name="billing_address" type="text" id="billing_address" placeholder="Address" required></td>
      <td align="left" valign="middle"><input name="billing_city" type="text" id="billing_city" placeholder="City" required></td>
    </tr>
    <tr>
      <td align="left" valign="middle"><select name="billing_state" size="1" class="font100-small" id="billing_state" required>
                                <option selected value="">State...</option>
                                <option value="AL">Alabama</option>
                                <option value="AK">Alaska</option>
                                <option value="AZ">Arizona</option>
                                <option value="AR">Arkansas</option>
                                <option value="CA">California</option>
                                <option value="CO">Colorado</option>
                                <option value="CT">Connecticut</option>
                                <option value="DE">Delaware</option>
                                <option value="FL">Florida</option>
                                <option value="GA">Georgia</option>
                                <option value="HI">Hawaii</option>
                                <option value="ID">Idaho</option>
                                <option value="IL">Illinois</option>
                                <option value="IN">Indiana</option>
                                <option value="IA">Iowa</option>
                                <option value="KS">Kansas</option>
                                <option value="KY">Kentucky</option>
                                <option value="LA">Louisiana</option>
                                <option value="ME">Maine</option>
                                <option value="MD">Maryland</option>
                                <option value="MA">Massachusetts</option>
                                <option value="MI">Michigan</option>
                                <option value="MN">Minnesota</option>
                                <option value="MS">Mississippi</option>
                                <option value="MO">Missouri</option>
                                <option value="MT">Montana</option>
                                <option value="NE">Nebraska</option>
                                <option value="NV">Nevada</option>
                                <option value="NH">New Hampshire</option>
                                <option value="NJ">New Jersey</option>
                                <option value="NM">New Mexico</option>
                                <option value="NY">New York</option>
                                <option value="NC">North Carolina</option>
                                <option value="ND">North Dakota</option>
                                <option value="OH">Ohio</option>
                                <option value="OK">Oklahoma</option>
                                <option value="OR">Oregon</option>
                                <option value="PA">Pennsylvania</option>
                                <option value="RI">Rhode Island</option>
                                <option value="SC">South Carolina</option>
                                <option value="SD">South Dakota</option>
                                <option value="TN">Tennessee</option>
                                <option value="TX">Texas</option>
                                <option value="UT">Utah</option>
                                <option value="VT">Vermont</option>
                                <option value="VA">Virginia</option>
                                <option value="WA">Washington</option>
                                <option value="WV">West Virginia</option>
                                <option value="WI">Wisconsin</option>
                                <option value="WY">Wyoming</option>
                                </select></td>
      <td align="left" valign="middle"><input name="billing_zip" type="text" id="billing_zip" placeholder="Zip Code" required></td>
    </tr>
    <tr>
      <td colspan="2" align="left" valign="middle"><h6>Payment Information</h6></td>
      </tr>
    <tr>
      <td colspan="2" align="left" valign="middle"><img src="images/CC-logos.png" alt="" width="300"/></td>
      </tr>
    <tr>
      <td align="left" valign="middle"><input name="cc_number" type="text" id="cc_number" placeholder="Credit Card Number" required></td>
      <td align="left" valign="middle"><select name="exp_month" size="1" class="font100-small" id="exp_month" required>
                                <option selected value="">Exp Month...</option>
                                <option value="1">01</option>
                                <option value="2">02</option>
                                <option value="3">03</option>
                                <option value="4">04</option>
                                <option value="5">05</option>
                                <option value="6">06</option>
                                <option value="7">07</option>
                                <option value="8">08</option>
                                <option value="9">09</option>
                                <option value="10">10</option>
                                <option value="11">11</option>
                                <option value="12">12</option>
                                </select></td>
    </tr>
    <tr>
      <td align="left" valign="middle"><select name="exp_year" size="1" class="font100-small" id="exp_year" required>
                                <option selected value="">Exp Year...</option>
                                <option value="2019">2019</option>
                                <option value="2020">2020</option>
                                <option value="2021">2021</option>
                                <option value="2022">2022</option>
                                <option value="2023">2023</option>
                                <option value="2024">2024</option>
                                <option value="2025">2025</option>
                                <option value="2026">2026</option>
                                <option value="2027">2027</option>
                                <option value="2028">2028</option>
                                <option value="2029">2029</option>
		                        <option value="2030">2030</option>
		                        <option value="2031">2031</option>
                                </select></td>
      <td align="left" valign="middle"><input name="ccv" type="text" id="ccv" placeholder="CCV (Example: 123, 0234)" required></td>
    </tr>
    <tr>
      <td align="left" valign="middle"><input type="submit" name="submit" id="myButton" value="CHECKOUT" class="submitBtn"></td>
      <td align="left" valign="middle">&nbsp;</td>
    </tr>
    <tr>
      <td colspan="2">&nbsp;</td>
      </tr>
    <tr>
      <td colspan="2"></td>
      </tr>
    <tr>
      <td colspan="2"><input name="total" type="hidden" id="total" value="<?php echo $GrandTotal; ?>">
        <input name="Process" type="hidden" id="Process" value="Yes">
        <input name="BookTotal" type="hidden" id="BookTotal" value="<?php echo $TotalBooks;?>">
        <input name="shipping" type="hidden" id="shipping" value="<?php echo $shipping;?>">
        <input name="discount" type="hidden" id="discount" value="<?php echo $GrandTotalDiscounts;?>"></td>
    </tr>
  </tbody>
</table>
</form>
                      </div>
                  </div>
            </div>
             </div>
              </div>
        </section>
    </main>

    <!--========================================================
                              FOOTER
    =========================================================-->
   <footer>
        <div class="bg-wrap">
            <div class="footer-well">
                <div class="container">
                    <div class="row">
                        <div class="grid_4">
                            <div class="copyright">
                                <h6>Copyright</h6>
                                <p>© Chris P. Farrugia</p>
                                <p><a href="#">Privacy policy</a></p>
                                <p>Website By:</span>
                                <a href="http://www.savvysitedesigns.com" target="_blank">Savvy Site Designs</a></p>                                
                            </div>
                        </div>
                        <div class="grid_4">
                           <div class="copyright">
                                <h6>QUICK LINKS</h6>
                                <p><span><a href="about-successful-medical-billing.php">About</a></span></p>
                                <p><span><a href="SMB-courses.php">Courses</a></span></p>
                                <p><span><a href="speaking-schedule.php">Schedule</a></span></p>
                                <p><span><a href="book.php">Books</a></span></p>
                                <p><span><a href="register.php">Register</a></span></p>
                                <p><span><a href="host-a-course.php">Host A Course</a></span></p>
                                <p><span><a href="claims-support.php">Additional Services</a></span></p>
                                <p><span><a href="https://successfulmedicalbilling.com/login/" target="_blank">Attendee Portal</a></span></p>
                                <p><span><a href="refresher.php">Refresher Courses</a></span></p>
                                <p><span><a href="cart.php">My Cart</a></span></p>
                            </div>
                        </div>
                        <div class="grid_4">
                            <div class="copyright">
                                <h6>CONTACT US</h6>
                                <p><span>Email: <a href="mailto:info@successfulmedicalbilling.com">info@successfulmedicalbilling.com</a></span></p>
                                <p><span>Phone: 850.261.5613</span></p>
                               
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        
    </footer>
</div>
<?php echo $StaffPopUp; ?>
<script>
function FillBilling(f) {
  if(f.shippingtoo.checked == true) {
	f.billing_address.value = f.address.value;
	f.billing_city.value = f.city.value;
	f.billing_state.value = f.state.value;
	f.billing_zip.value = f.zip.value;
  }
}
</script>
<script src="//ajax.googleapis.com/ajax/libs/jquery/1.10.2/jquery.min.js"></script>
<script src="//cdnjs.cloudflare.com/ajax/libs/jquery-form-validator/2.2.1/jquery.form-validator.min.js"></script>
<script> 
$.validate({
    validateOnBlur : false, // disable validation when input looses focus
    errorMessagePosition : 'top',// Instead of 'element' which is default
    scrollToTopOnError : false // Set this property to true if you have a long form
});
</script>
<script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jquery/1.8/jquery.min.js"></script>
<script type="text/javascript">
	jQuery(function($) {
		var open = true;
		$('#footerSlideContent').animate({ height: '300px' });
				$(this).css('backgroundPosition', 'bottom left');
				open = true;
		$('#footerSlideButton').click(function () {
			if(open === false) {
				$('#footerSlideContent').animate({ height: '300px' });
				$(this).css('backgroundPosition', 'bottom left');
				open = true;
			} else {
				$('#footerSlideContent').animate({ height: '0px' });
				$(this).css('backgroundPosition', 'top left');
				open = false;
			}
		});		
	});
</script>
<link rel="stylesheet" href="//code.jquery.com/ui/1.11.4/themes/smoothness/jquery-ui.css">
  <script src="//code.jquery.com/jquery-1.10.2.js"></script>
  <script src="//code.jquery.com/ui/1.11.4/jquery-ui.js"></script>
  <script>
  $(function() {
    $( "#dialog" ).dialog({
      autoOpen: false,
      show: {
        effect: "blind",
        duration: 1000
      },
      hide: {
        effect: "explode",
        duration: 1000
      }
    });
 
    $( "#opener" ).click(function() {
      $( "#dialog" ).dialog( "open" );
    });
  });
  </script>
<script src="js/script.js"></script>
</body>
</html>