Stuff

<?php
if(isset($_GET)) {
  if ($_GET['err'] == '357') {
    $errmsg = "Blank fields are not permitted.";
  }
}
?>
<!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>Jackal Wireless - Additional Connection Time Purchase</title>
    <link rel="stylesheet" type="text/css" href="style.css">
  </head>
  <body bgcolor="#000000" text="white" link="silver" vlink="silver" marginwidth=0 marginheight=0 leftmargin=0 topmargin=0 background="images/bg.gif">
    <img src="logo.png" alt="Jackal Wireless"><br /><br />
    <p>Internet Access Service Unit Purchase</p>
    <p>Please be aware that the Service Unit is $150 and this will be charged to your credit card.</p>
    <?php
    if (isset($errmsg)) {
      echo "<p><font color=\"#FF0000\"><h3>" . $errmsg . "</h3></font></p>";
    }
    ?>
    <div class="container">
    <form action="addtime-proc.php" name="purchaseForm" method="post">
      <input type="hidden" name="validated" value="validated">
      <table class="formTable">
        <tr>
          <td>First name:</td>
          <td><input type="text" name="firstname" id="firstname" /></td>
        </tr>
        <tr>
          <td>Last name:</td>
          <td><input type="text" name="lastname"></td>
        </tr>
        <tr>
          <td>Username:</td>
          <td><input type="text" name="username"></td>
        </tr>
        <tr>
          <td>Email Address:</td> 
          <td><input type="text" name="email"></td>
        </tr>
        <tr>
          <td>Add Time:</td>
          <td>
            <select name="desc" class="subscription">
              <option value="1 Month ($75)">One Month - $75</option>
              <option value="1 Week ($25)">One Week - $25</option>
            </select>
          </td>
        </tr>
      </table>
      <input class="submit1" type="submit" value="Add Time">
    </form>
    <br><center><a href="contact.php" target="_blank">Refund Policy and Contact Information</a><br></center>
    </div>
  </body>
</html>


?>