"; ENDIF; ?>

"; ELSEIF ($number > 0) : WHILE ($i < $number): $name = mysql_result($result,$i,"name"); $address = mysql_result($result,$i,"address"); $city = mysql_result($result,$i,"city"); $state = mysql_result($result,$i,"state"); $zip = mysql_result($result,$i,"zip"); $saddress = mysql_result($result,$i,"saddress"); $scity = mysql_result($result,$i,"scity"); $sstate = mysql_result($result,$i,"sstate"); $szip = mysql_result($result,$i,"szip"); $phone = mysql_result($result,$i,"phone"); $fax = mysql_result($result,$i,"fax"); $email = mysql_result($result,$i,"email"); $i++; ENDWHILE; ENDIF; ENDIF; ?>
Billing and Shipping information
EXACTLY AS IT APPEARS ON YOUR CREDIT CARD
* = required information
*Name:
*Email:
*Phone:
Fax:
Billing Address
*Address:
*City:
*State:     *Zip:
Shipping Address
(If different then billing)
Address:
City:
State:     Zip:


"; ?>