How to Export data to sign order form

[ecomercio]

Hello everybody!

I have a registration form and must turn in an application to register in WHMCS.

This Form will also put option for 3 payment plans.

 

Below is how the form:

 

th>Create Account for  <?= $shopname;?></th>

<th> </th>

<th> </th>

<th> </th>

</tr>

</thead>

 

<tbody>

<tr>

<td><input type="text" name="firstname" id="firstname" placeholder="Firstname" class="mscr-input-1-2"/></td>

<td><img id="tick_n1" src="images/tick.png" width="16" height="16"/>

<img id="cross_n1" src="images/cross.png" width="16" height="16"/></td>

 

 

<td><input type="text" name="lastname" id="lastname" placeholder="Lastname" class="mscr-input-1-2"/></td>

<td><img id="tick_n2" src="images/tick.png" width="16" height="16"/>

<img id="cross_n2" src="images/cross.png" width="16" height="16"/></td>

 

</tr>

 

<tr>

<td><input type="text" name="email" id="email" placeholder="Email" class="mscr-input-1-2"/></td>

<td><img id="tick_e1" src="images/tick.png" width="16" height="16"/>

<img id="cross_e1" src="images/cross.png" width="16" height="16"/></td>

 

 

<td><input type="text" name="email2" id="email2" placeholder="Confirm email" class="mscr-input-1-2"/></td>

<td><img id="tick_e2" src="images/tick.png" width="16" height="16"/>

<img id="cross_e2" src="images/cross.png" width="16" height="16"/></td>

 

</tr>

 

<tr>

<td><input type="password" name="passwd" id="passwd" placeholder="Password" class="mscr-input-1-2"/> </td>

<td><img id="tick_p1" src="images/tick.png" width="16" height="16"/>

<img id="cross_p1" src="images/cross.png" width="16" height="16"/></td>

 

<td><input type="password" name="passwd2" id="passwd2" placeholder="Confirm Password" class="mscr-input-1-2"/> </td>

<td><img id="tick_p2" src="images/tick.png" width="16" height="16"/>

<img id="cross_p2" src="images/cross.png" width="16" height="16"/></td>

 

</tr>

<tr>

<td colspan="4">

<input type="hidden" name="shop_id" id="shop_id" value="<?= $shop_id;?>">

<input type="submit" name="Create" id="create" value="Creat Account" class="mscr-button button-secondary" />

</td></tr>

 

 

Could someone explain me how to do this?

 

thank you

ALan