PHP Code:
<?php
session_start();
?>
<form method='post' action='somewhere.php'>
<TABLE>
<Tr>
<td>
<font size="3" face="century gothic">
</td>
</tR>
<TR>
<TD>
<font face="century gothic" size="4">Catergory:</TD><TD> <select name="catergory">
<option value="">------------------------- Please select a category -------------------------- </option>
<option value="AeroSpace"> AeroSpace </option>
<option value="Agriculture, Fishing, Forestry"> Agriculture, Fishing, Forestry </option>
<option value="Banking, Insurance, Finance"> Banking, Insurance, Finance </option>
<option value="Catering & Hospitality"> Catering & Hospitality </option>
<option value="Construction"> Construction </option>
<option value="Customer services, Call centres"> Customer services, Call centres </option>
<option value="Catering & Hospitality"> Catering & Hospitality </option>
<option value="Education"> Education </option>
<option value="Electronics"> Electronics </option>
<option value="Engineering, Manufacturing, Utilities"> Engineering, Manufacturing, Utilities </option>
<option value="Graduate"> Graduate </option>
<option value="Health, Nursing"> Health, Nursing </option>
<option value="Human resources"> Human resources </option>
<option value="IT & Internet"> IT & Internet </option>
<option value="Legal"> Legal </option>
<option value="Management consultancy"> Management consultancy </option>
<option value="Marketing, Advertising, PR"> Marketing, Advertising, PR </option>
<option value="Media, New media, Creative"> Media, New media, Creative </option>
<option value="Not for profit, Charities"> Not for profit, Charities </option>
<option value="Property"> Property </option>
<option value="Public sector & Services"> Public sector & Services </option>
<option value="Recruitment sales"> Recruitment sales </option>
<option value="Retail, Wholesale"> Retail, Wholesale </option>
<option value="Sales"> Sales </option>
<option value="AeroSpace"> AeroSpace </option>
<option value="Agriculture, Fishing, Forestry"> Agriculture, Fishing, Forestry </option>
<option value="Banking, Insurance, Finance"> Banking, Insurance, Finance </option>
<option value="AeroSpace"> AeroSpace </option>
</select></TD><td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">Location:</TD><TD> <select name="location" value="<? htmlspecialchars($_POST['location']); ?>">
<option value="">------------------------- Please select a Location -------------------------- </option>
<option value="Avon">Avon </option>
<option value="Bedfordshire">Bedfordshire</option>
<option value="Berkshire">Berkshire</option>
<option value="Buckinghamshire"> Buckinghamshire </option>
<option value="Cambridgeshire">Cambridgeshire </option>
<option value="Cheshire">Cheshire </option>
<option value="Cleveland">Cleveland </option>
<option value="Cornwall">Cornwall </option>
<option value="Cotswolds">Cotswolds </option>
<option value="Cumbria">Cumbria </option>
<option value="Derbyshire">Derbyshire </option>
<option value="Devon"> Devon </option>
<option value="Dorset"> Dorset </option>
<option value="Durham"> Durham </option>
<option value="East Anglia"> East Anglia </option>
<option value="East Midlands"> East Midlands </option>
<option value="East Sussex"> East Sussex </option>
<option value="Essex"> Essex </option>
<option value="Gloucestershire"> Gloucestershire </option>
<option value="Greater London"> Greater London </option>
<option value="Greater Manchester"> Greater Manchester </option>
<option value="Hampshire"> Hampshire </option>
<option value="Herefordshire"> Herefordshire </option>
<option value="Hertfordshire"> Hertfordshire </option>
<option value="Humberside"> Humberside </option>
<option value="Isle of Wight"> Isle of Wight </option>
<option value="Isles of Scilly"> Isles of Scilly</option>
<option value="Kent"> Kent </option>
<option value="Lake District"> Lake District </option>
<option value="Lancashire"> Lancashire </option>
<option value="Leicestershire"> Leicestershire </option>
<option value="Lincolnshire"> Lincolnshire </option>
<option value="Merseyside"> Merseyside </option>
<option value="Norfolk"> Norfolk </option>
<option value="North Yorkshire"> North Yorkshire </option>
<option value="Northamptonshire"> Northamptonshire </option>
<option value="Northumberland"> Northumberland </option>
<option value="Northumbria"> Northumbria </option>
<option value="Nottinghamshire"> Nottinghamshire </option>
<option value="Oxfordshire"> Oxfordshire </option>
<option value="Rutland"> Rutland </option>
<option value="Shropshire"> Shropshire </option>
<option value="Somerset"> Somerset </option>
<option value="South Yorkshire"> South Yorkshire </option>
<option value="Staffordshire"> Staffordshire </option>
<option value="Suffolk"> Suffolk </option>
<option value="Surrey"> Surrey </option>
<option value="Tyne and Wear"> Tyne and Wear </option>
<option value="Warwickshire"> Warwickshire </option>
<option value="West Country"> West Country </option>
<option value="West Midlands"> West Midlands </option>
<option value="West Sussex"> West Sussex </option>
<option value="West Yorkshire"> West Yorkshire </option>
<option value="Wiltshire"> Wiltshire </option>
<option value="Worcestershire"> Worcestershire </option>
<option value="Yorkshire"> Yorkshire </option>
</select></TD><td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">Sub Location: </TD>
<TD><input type="text" size="60" name="sublocation" value="<?=$_SESSION['sublocation']?>" />
</TD>
<td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">Job Title: </TD>
<TD><input type="text" size="60" name="jobtitle" value="<?=$_SESSION['jobtitle']?>" /></TD>
<td valign="top"><img src="required.gif"></td></TR>
<TR><TD valign="top"><font face="century gothic" size="4">Job Description:</TD>
<TD> <textarea rows="15" cols="45" name="jobdescription" wrap="physical" value="<? htmlspecialchars($_POST['jobdescription']); ?>"></textarea><br /></TD>
<td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">Salary: </TD><TD><select name="salary" value="<? htmlspecialchars($_POST['salary']); ?>">
<option value="">-------------------------- Please select a Salary --------------------------- </option>
<option value="0 - £9,999">0 - £9,999</option>
<option value="£10,000 - £11,999">£10,000 - £11,999</option>
<option value="£12,000 - £13,999">£12,000 - £13,999</option>
<option value="£14,000 - £15,999">£14,000 - £15,999</option>
<option value="£16,000 - £17,999">£16,000 - £17,999</option>
<option value="£18,000 - £19,999">£18,000 - £19,999</option>
<option value="£20,000 - £23,999">£20,000 - £23,999</option>
<option value="£24,000 - £27,999">£24,000 - £27,999</option>
<option value="£28,000 - £31,999">£28,000 - £31,999</option>
<option value="£32,000 - £35,999">£32,000 - £35,999</option>
<option value="£36,000 - £39,999">£36,000 - £39,999</option>
<option value="£40,000 - £49,999">£40,000 - £49,999</option>
<option value="£50,000 - ">50,000 - </option>
</select></TD><td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">Job Status:</TD><TD><select name="jobstatus" value="<? htmlspecialchars($_POST['jobstatus']); ?>">
<option value="">----------------------- Please select a Job Status ------------------------ </option>
<option value="Permanent">Permanent</option>
<option value="Part Time">Part Time</option>
<option value="Temporary">Temporary</option>
</select></TD><td valign="top"><img src="required.gif"></td></TR>
<tr><td><font face="century gothic" size="4"><b>Contact Info</b></td></tr>
<TR><TD><font face="century gothic" size="4">Company:</TD><TD><input type="text" size="60" name="company" value="<? htmlspecialchars($_POST['company']); ?>"></TD><td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">First Name:</TD><TD><input type="text" size="60" name="firstname" value="<? htmlspecialchars($_POST['firstname']); ?>"></TD><td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">Surname:</TD><TD><input type="text" size="60" name="surname" value="<? htmlspecialchars($_POST['surname']); ?>"></TD><td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">E Mail:</TD><TD><input type="text" size="60" name="email" value="<? htmlspecialchars($_POST['email']); ?>"></TD><td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">Telephone:</TD><TD><input type="text" size="60" name="telephone" value="<? htmlspecialchars($_POST['telephone']); ?>"></TD><td valign="top"><img src="required.gif"></td></TR>
<TR><TD><font face="century gothic" size="4">Fax:</TD><TD><input type="text" size="60" name="fax" value="<? htmlspecialchars($_POST['fax']); ?>"></TD><td valign="top"><img src="required.gif"></td></TR>
</table>
<table width="100%">
<tr><td><font face="century gothic" size="4"><b>Payment Info</b></td></tr>
<TR><td>
The cost to list your job is <b>1</b> credit<br> This will automatically be deducted from your account
<br>
If your account has no credits you will be redirected to our payment page
</td></TR>
<TR>
<TD>
</TD>
<TD>
</tr></table>
<input type="submit" value="Submit Job" />
</form>
insert.php
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