Quicklister New Membership

9){ $uname = substr($uname, 0,9); } $pufd = mktime(); $query = "insert into members (puf,pufd,name,sname,address,city,state,zip,dphone,ephone,pphone,email,referred,lsite,lid,fromaddr,bought,uname,pass,referby,ebay,fax,found) values (1,'$pufd','$_POST[name]','$_POST[sname]','$_POST[address]','$_POST[city]','$_POST[state]','$_POST[zip]','$_POST[dphone]','$_POST[ephone]','$_POST[pphone]','$_POST[email]','$_POST[referred]','$_POST[lsite]','$_POST[lid]','$_POST[from_addr]','$bought','$uname','$stringa',$_POST[referid],'$_POST[ebay]','$_POST[fax]','$_POST[found]')"; include("$db"); $query = "select max(id) as mid from members where name = '$_POST[name]' and email = '$_POST[email]'"; include("$db"); $row = mysql_fetch_array($result); $mid = $row['mid']; ?>

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Full Name:
Spouse Name:	(optional)
Address:
City:
State:
Zip:
Fax:
Day Phone:
Evening Phone:

Phone number you want to have in your emails sent out to prospects to call you:

Email address you will use to send messages to prospects NOTE: This email must not be your Liberty League email address and is recommended that it is not a free email address like hotmail or msn.

Confirm Above Email:

Personal Email: (** This is where your login information will be sent.)

Confirm Personal Email:

Associates name who sent you invitation to this site, copy & paste is recommended

Your Liberty League website address

Your Liberty League associate ID [You can find this by logging in to your Liberty League website, then go to resources then to starter kit]:

Liberty League product(s) you purchased:
(Beyond Freedom)
(Just the Web Site, I did not purchase Beyond Freedom yet)

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