Form Loop Error
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by JM4
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Published on 2010-05-18T00:51:43Z
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2010/05/18
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php
I have a form which loops if the value indicated is less than or equal the number of 'enrollee's needed. The while loop works perfectly with one exception, I use DOB fields which ALSO use FOR loops to display their values. If I remove the DOB fields, the form loop works fine, when left in, it errors out. Any ideas?
<form id="Enroll_Form" action="<?php $_SERVER['PHP_SELF']; ?>" method="post" name="Enroll_Form" >
<?php
$i=1;
while ($i <= ($_SESSION['Num_Members'])): {?>
<table class="demoTable">
<tr>
<td>First Name: </td>
<td><input type="text" name="F1FirstName" value="<?php echo $fields['F1FirstName']; ?>" /></td>
</tr>
<tr>
<td>Middle Initial: </td>
<td><input type="text" name="F1MI" size="2" maxlength="1" value="<?php echo $fields['F1MI']; ?>" /></td>
</tr>
<tr>
<td>Last Name: </td>
<td><input type="text" name="F1LastName" value="<?php echo $fields['F1LastName']; ?>" /></td>
</tr>
<tr>
<td>Federation No: </td>
<td><input type="text" name="F1FedNum" maxlength="10" value="<?php echo $fields['F1FedNum']; ?>" /></td>
</tr>
<tr>
<td>SSN: </td>
<td><input type="text" name="F1SSN1" size="3" maxlength="3" value="<?php echo $fields['F1SSN1']; ?>" /> -
<input type="text" name="F1SSN2" size="2" maxlength="2" value="<?php echo $fields['F1SSN2']; ?>" /> -
<input type="text" name="F1SSN3" size="4" maxlength="4" value="<?php echo $fields['F1SSN3']; ?>" />
</td>
</tr>
<tr>
<td>Date of Birth</td>
<td>
<select name="F1DOB1">
<option value="">Month</option>
<?php
for ($i=1; $i<=12; $i++)
{
echo "<option value='$i'";
if ($fields["F1DOB1"] == $i)
echo " selected";
echo ">$i</option>";
}
?>
</select> /
<select name="F1DOB2">
<option value="">Day</option>
<?php
for ($i=1; $i<=31; $i++)
{
echo "<option value='$i'";
if ($fields["F1DOB2"] == $i)
echo " selected";
echo ">$i</option>";
}
?>
</select> /
<select name="F1DOB3">
<option value="">Year</option>
<?php
for ($i=date('Y'); $i>=1900; $i--)
{
echo "<option value='$i'";
if ($fields["F1DOB3"] == $i)
echo " selected";
echo ">$i</option>";
}
?>
</select>
</td>
</tr>
<tr>
<td>Address: </td>
<td><input type="text" name="F1Address" value="<?php echo $fields['F1Address']; ?>" /></td>
</tr>
<tr>
<td>City: </td>
<td><input type="text" name="F1City" value="<?php echo $fields['F1City']; ?>" /></td>
</tr>
<tr>
<td>State: </td>
<td><select name="F1State"><option value="">Choose a State</option><?php showOptionsDrop($states_arr, null, true); ?></select></td>
</tr>
<tr>
<td>Zip Code: </td>
<td><input type="text" name="F1Zip" size="6" maxlength="5" value="<?php echo $fields['F1Zip']; ?>" /></td>
</tr>
<tr>
<td>Contact Telephone No: </td>
<td>( <input type="text" name="F1Phone1" size="3" maxlength="3" value="<?php echo $fields['F1Phone1']; ?>" /> )
<input type="text" name="F1Phone2" size="3" maxlength="3" value="<?php echo $fields['F1Phone2']; ?>" /> -
<input type="text" name="F1Phone3" size="4" maxlength="4" value="<?php echo $fields['F1Phone3']; ?>" />
</td>
</tr>
<tr>
<td>Email:</td>
<td><input type="text" name="F1Email" value="<?php echo $fields['F1Email']; ?>" /></td>
</tr>
</table>
<br />
<?php } $i++; endwhile; ?>
<div align="right"><input class="enrbutton" type="submit" name="submit" value="Continue" /></div>
</form>
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