Registration Form

Registration Form

This form allows Claromentis user creation simply by filling up a form on the public website.

PHP and HTML skills is required to customise example code below

Request Form

 
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Untitled Document</title>
 
<script type="text/javascript">
 var additional=0;
 
 function add_member()
 {
  document.getElementById('add_member_box').style.display='none'; 
  document.getElementById('additional_members').style.display='block';
  document.getElementById('firstname1').focus();
  additional++;
 }
 
 function more_member()
 {
  var member = new Array;
  
  for(i=1; i<=additional; i++)
  {
   n = 'firstname' + i;
   s = 'surname' + i;
   e = 'email' + i;
   member[i] = [document.getElementById(n).value, document.getElementById(s).value, document.getElementById(e).value];
  }
  
  if(additional==1) 
  {
   document.getElementById('additional_title').innerHTML += 's';
  }
  
  additional++;
  document.getElementById('members').innerHTML  += '<div class="members"><input type="text" name="number' + additional + '" size="3" id="number' + additional + '" class="number" value="' + additional + '" /> <input type="text" name="firstname' + additional + '" size="30" id="firstname' + additional + '" /> <input type="text" name="surname' + additional + '" size="30" id="surname' + additional + '" /> <input type="text" name="email' + additional + '" size="30" id="email' + additional + '" /> <a href="javascript:remove(' + additional + ')">Remove</a></div>';
  
  for(i=1; i<additional; i++)
  {
   n = 'firstname' + i;
   s = 'surname' + i;
   e = 'email' + i;
   document.getElementById(n).value = member[i][0];
   document.getElementById(s).value = member[i][1];
   document.getElementById(e).value = member[i][2];
  }
  document.getElementById('number1').value = 1;
  document.getElementById('firstname'+additional).focus();
 }
 
 function remove(row)
 {
  var member = new Array;
  var newmember = new Array;
  
  for(i=1; i<=additional; i++)
  {
   n = 'firstname' + i;
   s = 'surname' + i;
   e = 'email' + i;
   member[i] = [document.getElementById(n).value, document.getElementById(s).value, document.getElementById(e).value];
  }
  
  if(additional==1) 
  {
   document.getElementById('add_member_box').style.display='block'; 
   document.getElementById('additional_members').style.display='none';
       document.getElementById('firstname1').value = '';
	   document.getElementById('surname1').value = '';
	   document.getElementById('email1').value = '';
   additional--;
  }
  else
  {
   document.getElementById('members').innerHTML = '';
   members = '<div class="members"><input type="text" name="number" size="3" id="number" class="number" /> <input type="text" name="n" size="30" id="n" value="First Name" class="label" /> <input type="text" name="s" size="30" id="s" value="Last Name" class="label" /> <input type="text" name="e" size="30" id="e" value="Email" class="label" /></div>';
   additional--;
   
   for(i=1; i<=additional; i++)
   		members += '<div class="members"><input type="text" name="number' + i + '" size="3" id="number' + i + '" class="number" value="' + i + '" /> <input type="text" name="firstname' + i + '" size="30" id="firstname' + i + '" /> <input type="text" name="surname' + i + '" size="30" id="surname' + i + '" /> <input type="text" name="email' + i + '" size="30" id="email' + i + '" /> <a href="javascript:remove(' + i + ')">Remove</a></div>';
   document.getElementById('members').innerHTML = members;
   
   kick = member[row];
   member.splice(row,1);
   
   for(i=1; i<=additional; i++)
   {
       n = 'firstname' + i;
       s = 'surname' + i;
       e = 'email' + i;
       document.getElementById(n).value = member[i][0];
	   document.getElementById(s).value = member[i][1];
	   document.getElementById(e).value = member[i][2];
   }
   if(additional==1)
   {
     document.getElementById('additional_title').innerHTML = 'Additional Member';
	 document.getElementById('number1').value = '';
   }
  }
 }
 
 function populate()
 {
  var pre = document.registration;
  
  pre.billname.value = pre.firstname0.value + ' ' + pre.surname0.value;
  pre.billadd.value  = pre.address.value;
  pre.billcity.value = pre.city.value;
  pre.billcounty.value = pre.county.value;
  pre.billpostcode.value = pre.postcode.value
 }
 
 function clearbilling()
 {
  var pre = document.registration;
  
  pre.billname.value = '';
  pre.billadd.value  = '';
  pre.billcity.value = '';
  pre.billcounty.value = '';
  pre.billpostcode.value = '';
 }
 
 function validate()
 {
  var error = 0;
  var msg = 'Required :\n';
  var pre = document.registration;
  
  pre.additionals.value = additional;
  
  if(!pre.title[0].checked && !pre.title[1].checked && !pre.title[2].checked && !pre.title[3].checked) {error=1; msg+='- Title\n';}
  if(!pre.firstname0.value) {error=1; msg+='- First Name\n';}
  if(!pre.surname0.value) {error=1; msg+='- Last Name\n';}
  if(!pre.company.value) {error=1; msg+='- Company Name\n';}
  if(!pre.address.value) {error=1; msg+='- Company Address\n';}
  if(!pre.city.value) {error=1; msg+='- City/Town\n';}
  if(!pre.county.value) {error=1; msg+='- County\n';}
  if(!pre.postcode.value) {error=1; msg+='- Postcode\n';}
  if(!pre.phone.value) {error=1; msg+='- Telephone\n';}
  if(!pre.email0.value) {error=1; msg+='- Email\n';}
  
  if(additional)
  {
   for(i=1; i<=additional; i++)
   {
    eval("if(!pre.firstname"+i+".value) {error=1; msg+='- Member "+i+" First Name\\n';}");
	eval("if(!pre.surname"+i+".value) {error=1; msg+='- Member "+i+" Last Name\\n';}");
	eval("if(!pre.email"+i+".value) {error=1; msg+='- Member "+i+" Email\\n';}");
   }
  }
  
  if(!pre.billname.value) {error=1; msg+='- Billing Contact Name\n';}
  if(!pre.billadd.value) {error=1; msg+='- Biling Address\n';}
  if(!pre.billcity.value) {error=1; msg+='- Billing City/Town\n';}
  if(!pre.billcounty.value) {error=1; msg+='- Billing County\n';}
  if(!pre.billpostcode.value) {error=1; msg+='- Billing Postcode\n';}
  
  if(!pre.terms.checked) {error=1; msg+='- Terms & Conditions\n';}
  
  if(error)
  {
   alert(msg);
   return false;
  } else return true;
 }
</script>
 
<style type="text/css">
<!--
.members {
	height: 25px;
}
.label {
	border: 2px solid #FFFFFF;
}
.number {
	border: 1px solid #FFFFFF;
	text-align:right;
}
body {
	font-family:Arial, Helvetica, sans-serif;
	font-size: 12px;
}
legend {
	font-family:Arial, Helvetica, sans-serif;
	font-weight: bold;
	color: #666666;
	text-transform: uppercase;
	font-size: 11px;
}
a {
	text-decoration: none;
	color: #CCCCCC;
	font-size: 0.9em;
}
a:hover {
	text-decoration: underline;
	color: #000000;
}
-->
</style>
</head>
 
<body>
<form action="http://53.claromentis.com/intranet/main/register_new_user.php" method="post" name="registration" id="registration" onsubmit="return validate()">
<fieldset><legend>Company Details</legend>
<label for="title">Title</label><br />
    <input type="radio" value="Mr." name="title" /> Mr. <input type="radio" value="Ms." name="title" /> Ms. <input type="radio" value="Mrs." name="title" /> Mrs. <input type="radio" value="Miss." name="title" /> Miss<br />
    <label for="firstname1">First Name</label>
    <br />
    <input name="firstname0" type="text" id="firstname0" size="30" maxlength="30" />
<br />
    <label for="surname0">Last Name</label>
    <br />
    <input name="surname0" type="text" id="surname0" size="30" maxlength="30" />
    <br />
  <label for="company">Company Name</label> 
  <br />
    <input type="text" name="company" size="30" id="company" />
    <br />
    Company Registration Number<br />
    <input type="text" name="companyreg" size="30" id="companyreg" />
    <br />
    Company Address<br />
    <textarea name="address" id="address" cols="45" rows="3"></textarea>
    <br />
    
    City/Town<br />
    <input type="text" name="city" size="30" id="city" />
    <br />
    County<br />
     <input type="text" name="county" size="30" id="county" />
     <br />
  Postcode<br />
   <input type="text" name="postcode" size="30" id="postcode" />
  <br />
   Telephone<br />
   <input type="text" name="phone" size="30" id="phone" class="field" />
   <br />
  Mobile<br />
   <input type="text" name="mobile" size="30" id="mobile" class="field" /><br />
 Fax<br />
   <input type="text" name="fax" size="30" id="fax" class="field" />
   <br />
  Email<br />
   <input type="text" name="email0" size="30" id="email0" class="field" />
  <br />
  Web<br />
   <input type="text" name="web" size="30" id="web" class="field" /> 
   <br />
</fieldset>
 
<br />
<div id="add_member_box">
 <input name="add_member_button" type="button" id="add_member_button" value="Additional Member" onclick="add_member()" /><br />
</div>
 
<fieldset id="additional_members" style="display:none">
<legend id="additional_title">Additional Member</legend>
<div id="members">
<div class="members"><input type="text" name="number" size="3" id="number" class="number" /> <input type="text" name="n" size="30" id="n" value="First Name" class="label" /> <input type="text" name="s" size="30" id="s" value="Last Name" class="label" /> <input type="text" name="e" size="30" id="e" value="Email" class="label" /></div>
<div class="members"><input type="text" name="number1" size="3" id="number1" class="number" /> <input type="text" name="firstname1" size="30" id="firstname1" /> <input type="text" name="surname1" size="30" id="surname1" /> <input type="text" name="email1" size="30" id="email1" /> <a href="javascript:remove(1)">Remove</a></div>
</div>
<div style="clear:both; padding-top:10px; padding-left:45px;"><input name="more_member_button" type="button" id="more_member_button" value="Add More Member" onclick="more_member()" /></div>
</fieldset>
<input name="additionals" type="hidden" id="additionals" value="0" />
<br />
<fieldset>
<legend>Billing Information</legend>
 
<input name="billing" id="billing" type="radio" value="same" onclick="populate()" /> 
Same as above <input name="billing" id="billing" type="radio" value="new" onclick="clearbilling()" />
 Enter new billing Information
 
<br />
 
<p>Contact Name<br />
     <input type="text" name="billname" size="30" id="billname" />
         <br />
         Billing Address<br />
         <textarea name="billadd" id="billadd" cols="45" rows="3"></textarea>
        
             <br />
    
    City/Town<br />
    <input type="text" name="billcity" size="30" id="billcity" />
    <br />
    County<br />
     <input type="text" name="billcounty" size="30" id="billcounty" />
     <br />
  Postcode<br />
   <input type="text" name="billpostcode" size="30" id="billpostcode" />
  <br />
  </fieldset>
   <br />
   </p>
   <label for="reference">
   <input type="checkbox" name="terms" id="terms" />
   I have read and agree to membership Guide and Terms &amp; Conditions<br />
    <br />
    <input type="submit" value="Submit Form" name="Submit" /> <br />
    <br />
   </label>
</form>
</body>
</html>
tml>

Adding New User

script ‘register_new_user.php’

<?
// User Registration Process
 
 
// dB connection
require_once("../common/core.php");
require_once("../common/connect.php");
 
 
// random password generator
function rand_pass()
{
 $pass = '';
 for($i=1; $i<=6 ; $i++) $pass .= chr( mt_rand(97, 122) );
 $pass .= mt_rand(11,99);
 return $pass;
}
 
 
// time stamp = NOW
$timestampnow = mktime();
 
 
// set language
if (!isset($_POST['language'])) $language = 'en';
 
 
// processing the users
$add_member = "";
if(isset($_POST['additionals']) && $_POST['additionals']>=0)
{
  if($_POST['additionals']==1) $add_member = "Additional member";
  else $add_member = "Additional members";
  
  for($i=0; $i<=$_POST['additionals']; $i++)
  {
	// strip slashes from additional member data
	$add_firstname = stripslashes($_POST['firstname'.$i]);
	$add_surname = stripslashes($_POST['surname'.$i]);
	$add_email = $_POST['email'.$i];
 
	// create user name
	mt_srand((double)microtime() * 1000000);
	$add_uname = strtolower($add_firstname[0].$add_surname.mt_rand(1, 100));
 
	// create password
	$add_user_pass = rand_pass();
 
	// encrypt password
	$add_epass = md5($add_user_pass);
	
	// insert user to database
	if($i==0)
	$query = "insert into users (
				intranetuser, 
				username, 
				password, 
				last_time_used, 
				last_time_login, 
				surname, 
				firstname, 
				company, 
				work_location,
				landline,
				mobile,
				emailad, 
				ex_area_id, 
				city, 
				language)
      		  values (
				'yes',
				'$add_uname', 
				'$add_epass', 
				0, 
				'$timestampnow', 
				'".addslashes($add_surname)."', 
				'".addslashes($add_firstname)."',
				'".$_POST['company']."', 
				'".$_POST['address']."',
				'".$_POST['phone']."',
				'".$_POST['mobile']."',
				'$add_email', 
				2, 
				'".$_POST['city']."', 
				'$language'
			  )";
	else
	$query = "insert into users (
				intranetuser, 
				username, 
				password, 
				last_time_used, 
				last_time_login, 
				surname, 
				firstname, 
				company, 
				usercomments,
				landline,
				emailad, 
				ex_area_id, 
				city, 
				language)
      		  values (
				'yes',
				'$add_uname', 
				'$add_epass', 
				0, 
				'$timestampnow', 
				'".addslashes($add_surname)."', 
				'".addslashes($add_firstname)."',
				'".$_POST['company']."', 
				'".$_POST['address']."',
				'".$_POST['phone']."',
				'$add_email', 
				2, 
				'".$_POST['city']."', 
				'$language'
			  )";
	$result = $db->query(new Query($query)); 
	$userid_new = $db->insertId();
	
	
	// assign to role
	$query = "insert into user_roles(userid,roleid) values ('$userid_new', '1')";
	$result = $db->query(new Query($query));
	
	
	// assign to group
	$query = "insert into user_groups(userid,groupid) values ('$userid_new', '2')";
	$result = $db->query(new Query($query));
 
	
	if($i>0) 
	{
	$add_member .= "
	$i . First Name : $add_firstname,  Last Name : $add_surname,  Email : $add_email,  User Name : $add_uname,  Password : $add_user_pass";
	} 
	
	// email the username and password
	$mail_body = 
"Thank you for your registering with Claromentis.
 
Your account has been set up
--------------------------------------------------------------------------
Please point your browser to http://53.claromentis.com/
and then enter the information below :
 
username : $add_uname
password : $add_user_pass
 
--------------------------------------------------------------------------
 
If you have any problem please send us an email to enquiries@claromentis.com
and we will be happy to help.
 
--------------------------------------------------------------------------
www.claromentis.com
";
 
$headers = "From: Claromentis Support <support@claromentis.com>\r\n";
$headers.= "Reply-to: Claromentis Support <support@claromentis.com>\r\n";
$headers.= "Content-Type: text/plain\r\n";
$headers.= "Message-ID: <mailserver@".$_SERVER['SERVER_NAME'].">\r\n";
$headers.= "X-Mailer: PHP v".phpversion()."\r\n";
 
mail($add_email, 'Claromentis: Your Account', $mail_body, $headers); 
 
  } 
}
 
 
// send email to admin
$admin_mail = "Claromentis Support <support@claromentis.com>";
$mail_body = "New registration
   	Title : ".$_POST['title']."
	First Name : ".$_POST['firstname0']."
	Last Name : ".$_POST['surname0']."
	Company Name : ".$_POST['company']."
	Company Registration Number : ".$_POST['companyreg']."
	Address : ".$_POST['address']."
	City/Town : ".$_POST['city']."
	County : ".$_POST['county']."
	Postcode : ".$_POST['postcode']."
	Telephone : ".$_POST['phone']."
	Mobile : ".$_POST['mobile']."
	Fax : ".$_POST['fax']."
	Email : ".$_POST['email0']."
	Web : ".$_POST['web'];
if(isset($_POST['additionals']) && $_POST['additionals']>=0) $mail_body.= "
 
".$add_member;
$mail_body.="
 
Billing 
	Contact Name : ".$_POST['billname']."
	Address : ".$_POST['billadd.']."
	City/Town : ".$_POST['billcity']."
	County : ".$_POST['billcounty']."
	Postcode : ".$_POST['billpostcode'];
 
$headers = "From: Claromentis Support <support@claromentis.com>\r\n";
$headers.= "Reply-to: Claromentis Support <support@claromentis.com>\r\n";
$headers.= "Content-Type: text/plain\r\n";
$headers.= "Message-ID: <mailserver@".$_SERVER['SERVER_NAME'].">\r\n";
$headers.= "X-Mailer: PHP v".phpversion()."\r\n";
 
mail($admin_mail, 'Claromentis: New Members', $mail_body, $headers); 
 
 
// redirect to thank you page
header("Location: http://53.claromentis.com/thanks.html"); 
?>

Thank You Page

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml"><head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8"><title>Thank You</title>
<style>
body {
font-family:Arial, Helvetica, sans-serif;
font-size: 12px;
}
</style></head><body>
<h1>Thank You</h1>
<p>Your form has been submitted.</p>
<p>You will be emailed with username and password to access members area at <a linkindex="0" href="http://53.claromentis.com/">http://53.claromentis.com</a></p>
<p>Note: Make sure check your junk (spam) folder if you have not receive our email in 5 minutes.<br>
Should you require further assistance please don't hesitate to <a linkindex="1" href="http://www.claromentis.com/contact/contact.php">contact us</a></p>
</body></html>

Registration Form

Request Form

Adding New User

Thank You Page

Discussion