format file www/htdocs/secure/MediaSummitRegSecure.dat

$textfieldName
$textfieldTitle
$textfieldCompany
$textfieldAddress
$textfieldCity
$textfieldZip
$textfieldPhone
$textfieldE
$Pay
$day
$day
$day
$day
$Pay
$Pay
$payment
$card
$card
$card
$textfieldCreditCardName
$textfieldCardNumber
$textfieldExpDate
$textfieldFaxName
$textfieldFaxReceiptNo
.
$screen='https://digitalh.securesites.net/thankyou.html';