<?
//*********************************************************************************
// Original Website By : Niadesain.com Di Jual melalui http://niadesain.com
// Please Call / SMS : 081384745483 (support@niadesain.com)
// Niadesain.com - Jasa Pembuatan Website Paling Murah dan Paling Lengkap
//*********************************************************************************
?>
<link href="responsiveform.css" rel="stylesheet">
<link href="responsiveform1.css" rel="stylesheet">
<link href="responsiveform2.css" rel="stylesheet">
<link href="responsiveform3.css" rel="stylesheet">
<link rel="stylesheet" href="select2.min.css" />
<style type="text/css">
<!--
.style1 {
    color: #F7C30D;
    font-weight: bold;
}
.select2-dropdown {top: 22px !important; left: 8px !important;}
}
.style3 {
	color: #000099;
	font-weight: bold;
}
.style5 {font-family: Verdana, Arial, Helvetica, sans-serif}
.style6 {font-size: 12px}
.style8 {font-size: 11px; font-family: Verdana, Arial, Helvetica, sans-serif; }
.style9 {
}
.style10 {font-size: 11px}
.style11 {font-size: 11px; font-family: Verdana, Arial, Helvetica, sans-serif; color: #000000; }
-->
</style>
<?
	$upli = spillover("random", $id);
	$posisi = spillover("pos", $id);
	$sponsore = $id;
	$by = explode("|", $db->config("biaya"));
	$biaya1 = $by[0];	
    if($harga == 10) {
	 $pakej="SILVER";
				} elseif ($harga == 1) {
					$pakej="GOLD";
				} elseif ($harga == 3) {
					$pakej="PLATINUM";
				} elseif ($harga == 5) {
					$pakej="Gold";
		        } elseif ($harga == 7) {
					$pakej="Diamond";
				} else {
					$pakej="fdghdfgh";
				}
?>
<form action="?m=join&amp;actions=submit" method="post" name="daftar" id="daftar">
  <table width="100%" border="0" align="center" cellpadding="1" cellspacing="1" class="formjoin">
    <tr> 
      <td height="45" align="center"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>FORM 
        PENDAFTARAN</strong> </font></td>
    </tr>
    <tr>
      <td><span class="style8 style5 style6 style9"><span class="style5 style10"><br> 
        <strong>
        
        </strong>
            <input name="serialcardpec" id="serialcardpec" type="hidden" class="form" value="<?= $serialcardpec; ?>" size="15" maxlength="10" />
        <strong>
            
        </strong>
            <input name="pincardpec" id="pincardpec" type="hidden" class="form" value="<?= $pincardpec; ?>" size="15" maxlength="10" />
            <?
// *********************************************** variabel untuk update tabel kartu **********************************************************************
?>
            <input name="idmlmcard" id="idmlmcard" type="hidden" class="form" value="<?= $idmlmcard; ?>" size="15" maxlength="10" />
            <input name="tanggalgeneratecard" id="tanggalgeneratecard" type="hidden" class="form" value="<?= $tanggalgeneratecard; ?>" size="15" maxlength="10" />
            <input name="dealercard" id="dealercard" type="hidden" class="form" value="<?= $dealercard; ?>" size="15" maxlength="10" />
            <input name="tanggal" id="tanggal" type="hidden" class="form" value="<?= $tanggal; ?>" size="15" maxlength="10" />
            <?
// *********************************************** End of variabel untuk update tabel kartu **************************************************************
?>
      </span></span></td>
    </tr>
    <tr> 

      <td height="35" background="images/actionbuttons.jpg"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><span class="style1">&nbsp;<span style="color: #F7C30D">DATA 

        SPONSOR</span></span></font></td>
    </tr>

    <tr> 

      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">&nbsp;Nama Sponsor :<br> 
        <strong> 

        <?= $db->dataku("nama", $sponsore); ?><input name="sponsore" type="hidden" id="sponsore" value="<?= $sponsore; ?>">
            <input name="upline" type="hidden" id="upline" value="<? echo $upli; ?>" />
		  <input name="upli" type="hidden" id="upli" value="<?= $upli; ?>" />
        <input name="level" type="hidden" id="level" value="<? echo $db->dataupline("level", $upli); ?>" />
        <input name="id" type="hidden" id="id" value="<?= $id; ?>" />
        <input name="off" type="hidden" id="off" value="<?= $off; ?>" />
		<input name="upli2" type="hidden" id="upli2" value="<?= $upli; ?>" />
          <input name="level2" type="hidden" id="level2" value="<? echo $db->dataupline("level", $upli); ?>" />
          <input name="id2" type="hidden" id="id2" value="<?= $id; ?>" />
          <input name="off2" type="hidden" id="off2" value="<?= $off; ?>" />
			<input name="posisi" type="hidden" id="posisi" value="<? echo $posisi; ?>" />
      
        </strong></font></td>
    </tr>

    <tr> 

      <td height="35" background="images/actionbuttons.jpg"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><span class="style1">&nbsp;USERNAME 

        &amp; PASSWORD</span></font></td>
    </tr>

    <tr> 

      <td width="61%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Username <span class="style9">:<br>
        <span class="style8"><strong>
        </strong></span></span><span class="style11"><strong style="color: #F7CB16"><?= $username; ?></strong>
        <input name="username" type="hidden" class="form" id="username" value="<?= $username; ?>" size="10" maxlength="10" />
        </span></font></td>
    </tr>
	  
    <tr> 

      <td width="61%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Password :<br> 
        <input name="password1" type="password" class="form" id="password1" size="15" maxlength="20" />
        <b>
        <input name="rpadmin" type="hidden" id="rpadmin" value="<?= $rpadmin; ?>" />
        </b></font></td>
    </tr>

    <tr> 

      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Ulangi Password :<br> 
        <input name="password2" type="password" class="form" size="15" maxlength="20" />
        <b>
        <input name="sprp" type="hidden" id="sprp" value="<?= $sprp; ?>" />
        </b> </font></td>
    </tr>

    <tr> 

      <td height="35" background="images/actionbuttons.jpg"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><span class="style1">&nbsp;DATA 

        PENDAFTAR</span></font></td>
    </tr>
    <tr>
      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Nama Lengkap :<br>
        <input name="nama" type="text" class="form" value="<?= $nama; ?>" size="25" />
            <b> </b></font></td>
    </tr>
    <tr>
      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">eMail u/ Kontak :<br>
        <input name="email" type="text" class="form" value="<?= $email; ?>" size="25" maxlength="30" />
      </font></td>
    </tr>
    <tr>
      <td valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Alamat lengkap :<br>
        <input name="alamat" type="text" class="form" value="<?= $alamat; ?>" size="25">
      </font></td>
    </tr>
    <tr>
      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Kota/Kabupaten :<br>
        <span class="normal">
        <select id="kota" name="kota">
          <option value="">Ketik Nama Kota</option>
<option >Aceh Barat</option>
<option>Aceh Barat Daya</option>
<option>Aceh Besar</option>
<option>Aceh Jaya</option>
<option>Aceh Selatan</option>
<option>Aceh Singkil</option>
<option>Aceh Tamiang</option>
<option>Aceh Tengah</option>
<option>Aceh Tenggara</option>
<option>Aceh Timur</option>
<option>Aceh Utara</option>
<option>Bener Meriah</option>
<option>Bireuen</option>
<option>Gayo Lues</option>
<option>Nagan Raya</option>
<option>Pidie</option>
<option>Pidie Jaya</option>
<option>Simeulue</option>
<option>Kota Banda Aceh</option>
<option>Kota Langsa</option>
<option>Kota Lhokseumawe</option>
<option>Kota Sabang</option>
<option>Kota Subulussalam</option>
<option>--Bali--</option>
  <option>Badung</option>
  <option>Bangil</option>
  <option>Buleleng</option>
  <option>Gianyar</option>
  <option>Jembrana</option>
  <option>Karangasem</option>
  <option>Klungkung</option>
  <option>Tabanan</option>
  <option>Kota Denpasar</option>
  <option>--Banten--</option>
  <option>Lebak</option>
  <option>Pandeglang</option>
  <option>Serang</option>
  <option>Tangerang</option>
  <option>Kota Cilegon</option>
  <option>Kota Serang</option>
  <option>Kota Tangerang</option>
  <option>Kota Tangerang selatan</option>
  <option>--Bengkulu--</option>
  <option>Bengkulu Selatan</option>
  <option>Bemgkulu Tengah</option>
  <option>Bengkulu Utara</option>
  <option>Kaur</option>
  <option>kapahiang</option>
  <option>Lebong</option>
  <option>Mukomuko</option>
  <option>Rejang Lebong</option>
  <option>seluma</option>
  <option>Kota Bengkulu</option>
  <option>--D.I Yogyakarta--</option>
  <option>Bantul</option>
  <option>Gunung kildul</option>
  <option>Kulon Progo</option>
  <option>Sleman</option>
  <option>Kota Yogyakarta</option>
  <option>--D.K.I Jakarta--</option>
  <option>Kepulauan Seribu</option>
  <option>Kota Jakarta Barat</option>
  <option>Kota Jakarta Pusat</option>
  <option>Kota Jakarta Selatan</option>
  <option>Kota Jakarta Timur</option>
  <option>Kota Jakarta Utara</option>
  <option>--Gorontalo--</option>
  <option>Boalemo</option>
  <option>Bone Bolango</option>
  <option>Gorontalo</option>
  <option>gorontalo Utara</option>
  <option>Pahuwato</option>
  <option>Kota Gorontalo</option>
  <option>--Jambi--</option>
  <option>Batanghari</option>
  <option>Bungo</option>
  <option>Kerinci</option>
  <option>Merangin</option>
  <option>Muaro Jambi</option>
  <option>Sarolangun</option>
  <option>Tanjung Jabung Barat</option>
  <option>Tanjung Jabung Timur</option>
  <option>Tebo</option>
  <option>Kota Jambi</option>
  <option>Kota Sungai Penuh</option>
  <option>--Jawa Barat--</option>
  <option>Bandung</option>
  <option>Bandung Barat</option>
  <option>Bekasi</option>
  <option>Bogor</option>
  <option>Ciamis</option>
  <option>Cianjur</option>
  <option>Cirebon</option>
  <option>Garut</option>
  <option>Indramayu</option>
  <option>Karawang</option>
  <option>Kuningan</option>
  <option>Majalengka</option>
  <option>Pangandaran</option>
  <option>Purwakarta</option>
  <option>Subang</option>
  <option>Sukabumi</option>
  <option>Sumedang</option>
  <option>Tasikmalaya</option>
  <option>Kota Bandung</option>
  <option>Kota Banjar</option>
  <option>Kota Bekasi</option>
  <option>Kota Bogor</option>
  <option>Kota Cimahi</option>
  <option>Kota Cirebon</option>
  <option>Kota Depok</option>
  <option>Kota Sukabumi</option>
  <option>Kota Tasikmalaya</option>
  <option>--Jawa Tengah--</option>
  <option>Banjarnegara</option>
  <option>Banyumas</option>
  <option>Batang</option>
  <option>Blora</option>
  <option>Boyolali</option>
  <option>Brebes</option>
  <option>Cilacap</option>
  <option>Demak</option>
  <option>Grobogan</option>
  <option>Jepara</option>
  <option>Karanganyar</option>
  <option>Kebumen</option>
  <option>Kendal</option>
  <option>Klaten</option>
  <option>Kudus</option>
  <option>Magelang</option>
  <option>Pati</option>
  <option>Pekalongan</option>
  <option>Pemalang</option>
  <option>Purbalingga</option>
  <option>Purworejo</option>
  <option>Rembang</option>
  <option>Semarang</option>
  <option>Sragen</option>
  <option>Sukoharjo</option>
  <option>Tegal</option>
  <option>Temanggung</option>
  <option>Wonogiri</option>
  <option>Wonosobo</option>
  <option>Kota Magelang</option>
  <option>Kota Pekalongan</option>
  <option>Kota Salatiga</option>
  <option>Kota Semarang</option>
  <option>Kota Surakarta</option>
  <option>Kota Tegal</option>
  <option>--Jawa Timur--</option>
  <option>Bangkalan</option>
  <option>Banyuwangi</option>
  <option>Blitar</option>
  <option>Bojonegoro</option>
  <option>Bondowoso</option>
  <option>Gresik</option>
  <option>Jember</option>
  <option>Jombang</option>
  <option>Kediri</option>
  <option>Lamongan</option>
  <option>Lumajang</option>
  <option>Madiun</option>
  <option>Magetan</option>
  <option>Malang</option>
  <option>Mojokerto</option>
  <option>Nganjuk</option>
  <option>Ngawi</option>
  <option>Pacitan</option>
  <option>Pamekasan</option>
  <option>Pasuruan</option>
  <option>Ponorogo</option>
  <option>Probolinggo</option>
  <option>Sampang</option>
  <option>Sidoarjo</option>
  <option>Situbondo</option>
  <option>Sumenep</option>
  <option>Trenggalek</option>
  <option>Tuban</option>
  <option>Tulungagung</option>
  <option>Kota Batu</option>
  <option>Kota Blitar</option>
  <option>Kota Kediri</option>
  <option>Kota Madiun</option>
  <option>Kota Malang</option>
  <option>Kota Mojokerto</option>
  <option>Kota Pasuruan</option>
  <option>Kota Probolinggo</option>
  <option>Kota Surabaya</option>
  <option>--Kalimantan Barat--</option>
  <option>Bengkayang</option>
  <option>Kapuas Hulu</option>
  <option>Kayong Utara</option>
  <option>Ketapang</option>
  <option>Kubu Raya</option>
  <option>Landak</option>
  <option>Melawi</option>
  <option>Pontianak</option>
  <option>Sambas</option>
  <option>Sanggau</option>
  <option>Sekadau</option>
  <option>Sintang</option>
  <option>Kota Pontianak</option>
  <option>Kota Singkawang</option>
  <option>--Kalimantan Selatan--</option>
  <option>Balangan</option>
  <option>Banjar</option>
  <option>Barito Kuala</option>
  <option>Hulu Sungai Selatan</option>
  <option>Hulu Sungai Tengah</option>
  <option>Hulu Sungai Utara</option>
  <option>Kotabaru</option>
  <option>Tabalong</option>
  <option>Tanah Bumbu</option>
  <option>Tanah Laut</option>
  <option>Tapin</option>
  <option>Kota Banjarbaru</option>
  <option>Kota Banjarmasin</option>
  <option>--Kalimantan Tengah--</option>
  <option>Barito Selatan</option>
  <option>Barito Timur</option>
  <option>Barito Utara</option>
  <option>Gunung Mas</option>
  <option>Kapuas</option>
  <option>Katingan</option>
  <option>Kotawaringin Barat</option>
  <option>Kotawaringin Timur</option>
  <option>Lamandau</option>
  <option>Murung Raya</option>
  <option>Pulang Pisau</option>
  <option>Sukamara</option>
  <option>Seruyan</option>
  <option>Kota Palangka Raya</option>
  <option>--Kalimantan Timur--</option>
  <option>Berau</option>
  <option>Kutai Barat</option>
  <option>Kutai Kartanegara</option>
  <option>Kutai Timur</option>
  <option>Paser</option>
  <option>Penajam Paser Utara</option>
  <option>Mahakam Ulu</option>
  <option>Kota Balikpapan</option>
  <option>Kota Bontang</option>
  <option>Kota Samarinda</option>
  <option>--Kalimantan Utara--</option>
  <option>Bulungan</option>
  <option>Malinau</option>
  <option>Nunukan</option>
  <option>Tana Tidung</option>
  <option>Kota Tarakan</option>
  <option>--Kepulauan Bangka Belitung--</option>
  <option>Bangka</option>
  <option>Bangka Barat</option>
  <option>Bangka Selatan</option>
  <option>Bangka Tengah</option>
  <option>Belitung</option>
  <option>Belitung Timur</option>
  <option>Kota Pangkal Pinang</option>
  <option>--Kepulauan Riau--</option>
  <option>Bintan</option>
  <option>Karimun</option>
  <option>Kepulauan Anambas</option>
  <option>Lingga</option>
  <option>Natuna</option>
  <option>Kota Batam</option>
  <option>Kota Tanjung Pinang</option>
  <option>--Lampung--</option>
  <option>Lampung Barat</option>
  <option>Lampung Selatan</option>
  <option>Lampung Tengah</option>
  <option>Lampung Timur</option>
  <option>Lampung Utara</option>
  <option>Mesuji</option>
  <option>Pesawaran</option>
  <option>Pringsewu</option>
  <option>Tanggamus</option>
  <option>Tulang Bawang</option>
  <option>Tulang Bawang Barat</option>
  <option>Way Kanan</option>
  <option>Pesisir Barat</option>
  <option>Kota Bandar Lampung</option>
  <option>Kota Kotabumi</option>
  <option>Kota Liwa</option>
  <option>Kota Metro</option>
  <option>--Maluku--</option>
  <option>Buru</option>
  <option>Buru Selatan</option>
  <option>Kepulauan Aru</option>
  <option>Maluku Barat Daya</option>
  <option>Maluku Tengah</option>
  <option>Maluku Tenggara</option>
  <option>Maluku Tenggara Barat</option>
  <option>Seram Bagian Barat</option>
  <option>Seram Bagian Timur</option>
  <option>Kota Ambon</option>
  <option>Kota Tual</option>
  <option>--Maluku Utara--</option>
  <option>Halmahera Barat</option>
  <option>Halmahera Tengah</option>
  <option>Halmahera Utara</option>
  <option>Halmahera Selatan</option>
  <option>Halmahera Timur</option>
  <option>Kepulauan Sula</option>
  <option>Pulau Morotai</option>
  <option>Pulau Taliabu</option>
  <option>Kota Ternate</option>
  <option>Kota Tidore Kepulauan</option>
  <option>--Nusa Tenggara Barat--</option>
  <option>Bima</option>
  <option>Dompu</option>
  <option>Lombok Barat</option>
  <option>Lombok Tengah</option>
  <option>Lombok Timur</option>
  <option>Lombok Utara</option>
  <option>Sumbawa</option>
  <option>Sumbawa Barat</option>
  <option>Kota Bima</option>
  <option>Kota Mataram</option>
  <option>--Nusa Tenggara Timur--</option>
  <option>Alor</option>
  <option>Belu</option>
  <option>Ende</option>
  <option>Flores Timur</option>
  <option>Kupang</option>
  <option>Lembata</option>
  <option>Manggarai</option>
  <option>Manggarai Barat</option>
  <option>Manggarai Timur</option>
  <option>Ngada</option>
  <option>Nagekeo</option>
  <option>Rote Ndao</option>
  <option>Sabu Raijua</option>
  <option>Sikka</option>
  <option>Sumba Barat</option>
  <option>Sumba Barat Daya</option>
  <option>Sumba Tengah</option>
  <option>Sumba Timur</option>
  <option>Timor Tengah Selatan</option>
  <option>Timor Tengah Utara</option>
  <option>Kota Kupang</option>
  <option>--Papua--</option>
  <option>Asmat</option>
  <option>Biak Numfor</option>
  <option>Boven Digoel</option>
  <option>Deiyai</option>
  <option>Dogiyai</option>
  <option>Intan Jaya</option>
  <option>Jayapura</option>
  <option>Jayawijaya</option>
  <option>Keerom</option>
  <option>Kepulauan Yapen</option>
  <option>Lanny Jaya</option>
  <option>Mamberamo Raya</option>
  <option>Mamberamo Tengah</option>
  <option>Mappi</option>
  <option>Merauke</option>
  <option>Mimika</option>
  <option>Nabire</option>
  <option>Nduga</option>
  <option>Paniai</option>
  <option>Pegunungan Bintang</option>
  <option>Puncak</option>
  <option>Puncak Jaya</option>
  <option>Sarmi</option>
  <option>Supiori</option>
  <option>Tolikara</option>
  <option>Waropen</option>
  <option>Yahukimo</option>
  <option>Yalimo</option>
  <option>Kota Jayapura</option>
  <option>--Papua Barat--</option>
  <option>Fakfak</option>
  <option>Kaimana</option>
  <option>Manokwari</option>
  <option>Manokwari Selatan</option>
  <option>Maybrat</option>
  <option>Pegunungan Arfak</option>
  <option>Raja Ampat</option>
  <option>Sorong</option>
  <option>Sorong Selatan</option>
  <option>Tambrauw</option>
  <option>Teluk Bintuni</option>
  <option>Teluk Wondama</option>
  <option>Kota Sorong</option>
  <option>--Riau--</option>
  <option>Bengkalis</option>
  <option>Indragiri Hilir</option>
  <option>Indragiri Hulu</option>
  <option>Kampar</option>
  <option>Kuantan Singingi</option>
  <option>Pelalawan</option>
  <option>Rokan Hilir</option>
  <option>Rokan Hulu</option>
  <option>Siak</option>
  <option>Kepulauan Meranti</option>
  <option>Kota Dumai</option>
  <option>Kota Pekanbaru</option>
  <option>--Sulawesi Barat--</option>
  <option>Majene</option>
  <option>Mamasa</option>
  <option>Mamuju</option>
  <option>Mamuju Utara</option>
  <option>Polewali Mandar</option>
  <option>Mamuju Tengah</option>
  <option>--Sulawesi Selatan--</option>
  <option>Bantaeng</option>
  <option>Barru</option>
  <option>Bone Watampone</option>
  <option>Bulukumba</option>
  <option>Enrekang</option>
  <option>Gowa</option>
  <option>Jeneponto</option>
  <option>Kepulauan Selayar</option>
  <option>Luwu</option>
  <option>Luwu Timur</option>
  <option>Luwu Utara</option>
  <option>Maros</option>
  <option>Pangkajene dan Kepulauan</option>
  <option>Pinrang</option>
  <option>Sidenreng Rappang</option>
  <option>Sinjai</option>
  <option>Soppeng</option>
  <option>Takalar</option>
  <option>Tana Toraja</option>
  <option>Toraja Utara</option>
  <option>Wajo</option>
  <option>Kota Makassar</option>
  <option>Kota Palopo</option>
  <option>Kota Parepare</option>
  <option>--Sulawesi Tengah--</option>
  <option>Banggai</option>
  <option>Banggai Kepulauan</option>
  <option>Banggai Laut</option>
  <option>Buol</option>
  <option>Donggala</option>
  <option>Morowali</option>
  <option>Parigi Moutong</option>
  <option>Poso</option>
  <option>Sigi</option>
  <option>Tojo Una-Una</option>
  <option>Tolitoli</option>
  <option>Kota Palu</option>
  <option>--Sulawesi Tenggara--</option>
  <option>Bombana</option>
  <option>Buton</option>
  <option>Buton Utara</option>
  <option>Kolaka</option>
  <option>Kolaka Timur</option>
  <option>Kolaka Utara</option>
  <option>Konawe</option>
  <option>Konawe Selatan</option>
  <option>Konawe Utara</option>
  <option>Konawe Kepulauan</option>
  <option>Muna</option>
  <option>Wakatobi</option>
  <option>Kota Bau-Bau</option>
  <option>Kota Kendari</option>
  <option>--Sulawesi Utara--</option>
  <option>Bolaang Mongondow</option>
  <option>Bolaang Mongondow Selatan</option>
  <option>Bolaang Mongondow Timur</option>
  <option>Bolaang Mongondow Utara</option>
  <option>Kepulauan Sangihe</option>
  <option>Kepulauan Siau Tagulandang Biaro</option>
  <option>Kepulauan Talaud</option>
  <option>Minahasa</option>
  <option>Minahasa Selatan</option>
  <option>Minahasa Tenggara</option>
  <option>Minahasa Utara</option>
  <option>Kota Bitung</option>
  <option>Kota Kotamobagu</option>
  <option>Kota Manado</option>
  <option>Kota Tomohon</option>
  <option>--Sumatera Barat--</option>
  <option>Agam</option>
  <option>Dharmasraya</option>
  <option>Kepulauan Mentawai</option>
  <option>Lima Puluh Kota</option>
  <option>Padang Pariaman</option>
  <option>Pasaman</option>
  <option>Pasaman Barat</option>
  <option>Pesisir Selatan</option>
  <option>Sijunjung</option>
  <option>Solok</option>
  <option>Solok Selatan</option>
  <option>Tanah Datar</option>
  <option>Kota Bukittinggi</option>
  <option>Kota Padang</option>
  <option>Kota Padangpanjang</option>
  <option>Kota Pariaman</option>
  <option>Kota Payakumbuh</option>
  <option>Kota Sawahlunto</option>
  <option>Kota Solok</option>
  <option>--Sumatera Selatan--</option>
  <option>Banyuasin</option>
  <option>Empat Lawang</option>
  <option>Lahat</option>
  <option>Muara Enim</option>
  <option>Musi Banyuasin</option>
  <option>Musi Rawas</option>
  <option>Ogan Ilir</option>
  <option>Ogan Komering Ilir</option>
  <option>Ogan Komering Ulu</option>
  <option>Ogan Komering Ulu Selatan</option>
  <option>Penukal Abab Lematang Ilir</option>
  <option>Ogan Komering Ulu Timur</option>
  <option>Kota Lubuklinggau</option>
  <option>Kota Pagar Alam</option>
  <option>Kota Palembang</option>
  <option>Kota Prabumulih</option>
  <option>--Sumatera Utara--</option>
  <option>Asahan</option>
  <option>Batubara</option>
  <option>Dairi</option>
  <option>Deli Serdang</option>
  <option>Humbang Hasundutan</option>
  <option>Karo Kabanjahe</option>
  <option>Labuhanbatu</option>
  <option>Labuhanbatu Selatan</option>
  <option>Labuhanbatu Utara</option>
  <option>Langkat</option>
  <option>Mandailing Natal</option>
  <option>Nias</option>
  <option>Nias Barat</option>
  <option>Nias Selatan</option>
  <option>Nias Utara</option>
  <option>Padang Lawas</option>
  <option>Padang Lawas Utara</option>
  <option>Pakpak Bharat</option>
  <option>Samosir</option>
  <option>Serdang Bedagai</option>
  <option>Simalungun</option>
  <option>Tapanuli Selatan</option>
  <option>Tapanuli Tengah</option>
  <option>Tapanuli Utara</option>
  <option>Toba Samosir</option>
  <option>Kota Binjai</option>
  <option>Kota Gunungsitoli</option>
  <option>Kota Medan</option>
  <option>Kota Padangsidempuan</option>
  <option>Kota Pematangsiantar</option>
  <option>Kota Sibolga</option>
  <option>Kota Tanjungbalai</option>
  <option>Kota Tebing Tinggi</option>

        </select>
        </span>        <br>
      </font></td>
    </tr>
    <tr>
      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Propinsi :<br> 
        <span class="normal">
        <select name="propinsi" class="form">
          <option value="0" selected="selected">--Pilih Provinsi-- </option>
          <option>Bali </option>
          <option>Bangka </option>
          <option>Banten </option>
          <option>Bengkulu </option>
          <option>DI Yogyakarta </option>
          <option>DKI Jakarta </option>
          <option>Gorontalo </option>
          <option>Irian Jaya </option>
          <option>Jambi </option>
          <option>Jawa Barat </option>
          <option>Jawa Tengah </option>
          <option>Jawa Timur </option>
          <option>Kalimantan Barat </option>
          <option>Kalimantan Selatan </option>
          <option>Kalimantan Tengah </option>
          <option>Kalimantan Timur </option>
          <option>Lampung </option>
          <option>LUAR INDONESIA </option>
          <option>Maluku </option>
          <option>Maluku Utara </option>
          <option>Nangro Aceh Darussalam </option>
          <option>Nusa Tenggara Barat </option>
          <option>Nusa Tenggara Timur </option>
          <option>Riau </option>
          <option>Sulawesi Selatan </option>
          <option>Sulawesi Tengah </option>
          <option>Sulawesi Tenggara </option>
          <option>Sulawesi Utara </option>
          <option>Sumatera Barat </option>
          <option>Sumatera Selatan </option>
          <option>Sumatera Utara </option>
        </select>
      </span></font></td>
    </tr>
    <tr>
      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Kode Pos :<br>
        <input name="kodepos" type="text" class="form" id="kodepos" value="<?= $kodepos; ?>" size="6" maxlength="6" />
		  <input name="pakej" type="hidden" class="form" id="pakej" value="<?= $pakej; ?>" size="6" maxlength="6" />
		  <input name="harga" type="hidden" class="form" id="harga" value="<?= $harga; ?>" size="6" maxlength="6" />
      </font></td>
    </tr>
    <tr>
      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">No. &nbsp;HP :<br>
        <input name="hp" type="text" class="form" id="hp" value="<?= $hp; ?>" size="15" maxlength="15" />
      </font></td>
    </tr>
	<tr>
      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">No. &nbsp;WhatsApp (62):<br>
        <input name="ym" type="text" class="form" id="ym" value="<?= $ym; ?>" size="15" maxlength="15" />
      </font></td>
    </tr>
    <tr>
      <td height="35" valign="middle" background="images/actionbuttons.jpg"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><span class="style1">&nbsp;DATA BANK</span></font></td>
    </tr>
    <tr>
      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Data Bank : <br>
        &nbsp;
            <textarea name="bank" cols="25" rows="3" class="form" id="bank"><?= $bank; ?></textarea>
      </font></td>
    </tr>
    <tr> 
      <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
        <input name="upline0" type="hidden" id="upline0" value="<? echo $db->dataupline("upline0", spillover("random", $sponsore)); ?>" />
        <input name="upline1" type="hidden" id="upline1" value="<? echo $db->dataupline("upline1", spillover("random", $sponsore)); ?>" />
        <input name="upline2" type="hidden" id="upline2" value="<? echo $db->dataupline("upline2", spillover("random", $sponsore)); ?>" />
        <input name="upline3" type="hidden" id="upline3" value="<? echo $db->dataupline("upline3", spillover("random", $sponsore)); ?>" />
        <input name="upline4" type="hidden" id="upline4" value="<? echo $db->dataupline("upline4", spillover("random", $sponsore)); ?>" />
        <input name="upline5" type="hidden" id="upline5" value="<? echo $db->dataupline("upline5", spillover("random", $sponsore)); ?>" />
        <input name="upline6" type="hidden" id="upline6" value="<? echo $db->dataupline("upline6", spillover("random", $sponsore)); ?>" />
        <input name="upline7" type="hidden" id="upline7" value="<? echo $db->dataupline("upline7", spillover("random", $sponsore)); ?>" />
        <input name="upline8" type="hidden" id="upline8" value="<? echo $db->dataupline("upline8", spillover("random", $sponsore)); ?>" />
        <input name="upline9" type="hidden" id="upline9" value="<? echo $db->dataupline("upline9", spillover("random", $sponsore)); ?>" />
        <input name="upline10" type="hidden" id="upline10" value="<? echo $db->dataupline("upline10", spillover("random", $sponsore)); ?>" />
        <input name="upline11" type="hidden" id="upline11" value="<? echo $db->dataupline("upline11", spillover("random", $sponsore)); ?>" />
        <input name="upline12" type="hidden" id="upline12" value="<? echo $db->dataupline("upline12", spillover("random", $sponsore)); ?>" />
        <input name="upline13" type="hidden" id="upline13" value="<? echo $db->dataupline("upline13", spillover("random", $sponsore)); ?>" />
        <input name="upline14" type="hidden" id="upline14" value="<? echo $db->dataupline("upline14", spillover("random", $sponsore)); ?>" />
        <input name="upline15" type="hidden" id="upline15" value="<? echo $db->dataupline("upline15", spillover("random", $sponsore)); ?>" />
        <input name="upline16" type="hidden" id="upline16" value="<? echo $db->dataupline("upline16", spillover("random", $sponsore)); ?>" />
        <input name="upline17" type="hidden" id="upline17" value="<? echo $db->dataupline("upline17", spillover("random", $sponsore)); ?>" />
        <input name="upline18" type="hidden" id="upline18" value="<? echo $db->dataupline("upline18", spillover("random", $sponsore)); ?>" />
        <input name="upline19" type="hidden" id="upline19" value="<? echo $db->dataupline("upline19", spillover("random", $sponsore)); ?>" />
        <input name="upline20" type="hidden" id="upline20" value="<? echo $db->dataupline("upline20", spillover("random", $sponsore)); ?>" />
        <input name="upline21" type="hidden" id="upline21" value="<? echo $db->dataupline("upline21", spillover("random", $sponsore)); ?>" />
        <input name="upline22" type="hidden" id="upline22" value="<? echo $db->dataupline("upline22", spillover("random", $sponsore)); ?>" />
        <input name="upline23" type="hidden" id="upline23" value="<? echo $db->dataupline("upline23", spillover("random", $sponsore)); ?>" />
        <input name="upline24" type="hidden" id="upline24" value="<? echo $db->dataupline("upline24", spillover("random", $sponsore)); ?>" />
        <input name="upline25" type="hidden" id="upline25" value="<? echo $db->dataupline("upline25", spillover("random", $sponsore)); ?>" />
        <input name="upline26" type="hidden" id="upline26" value="<? echo $db->dataupline("upline26", spillover("random", $sponsore)); ?>" />
        <input name="upline27" type="hidden" id="upline27" value="<? echo $db->dataupline("upline27", spillover("random", $sponsore)); ?>" />
        <input name="upline28" type="hidden" id="upline28" value="<? echo $db->dataupline("upline28", spillover("random", $sponsore)); ?>" />
        <input name="upline29" type="hidden" id="upline29" value="<? echo $db->dataupline("upline29", spillover("random", $sponsore)); ?>" />
        <input name="upline30" type="hidden" id="upline20" value="<? echo $db->dataupline("upline30", spillover("random", $sponsore)); ?>" />
        <input name="upline31" type="hidden" id="upline31" value="<? echo $db->dataupline("upline31", spillover("random", $sponsore)); ?>" />
        <input name="upline32" type="hidden" id="upline32" value="<? echo $db->dataupline("upline32", spillover("random", $sponsore)); ?>" />
        <input name="upline33" type="hidden" id="upline33" value="<? echo $db->dataupline("upline33", spillover("random", $sponsore)); ?>" />
        <input name="upline34" type="hidden" id="upline34" value="<? echo $db->dataupline("upline34", spillover("random", $sponsore)); ?>" />
        <input name="upline35" type="hidden" id="upline35" value="<? echo $db->dataupline("upline35", spillover("random", $sponsore)); ?>" />
        <input name="upline36" type="hidden" id="upline36" value="<? echo $db->dataupline("upline36", spillover("random", $sponsore)); ?>" />
        <input name="upline37" type="hidden" id="upline37" value="<? echo $db->dataupline("upline37", spillover("random", $sponsore)); ?>" />
        <input name="upline38" type="hidden" id="upline38" value="<? echo $db->dataupline("upline38", spillover("random", $sponsore)); ?>" />
        <input name="upline39" type="hidden" id="upline39" value="<? echo $db->dataupline("upline39", spillover("random", $sponsore)); ?>" />
        <input name="upline40" type="hidden" id="upline30" value="<? echo $db->dataupline("upline40", spillover("random", $sponsore)); ?>" />
        <input name="upline41" type="hidden" id="upline41" value="<? echo $db->dataupline("upline41", spillover("random", $sponsore)); ?>" />
        <input name="upline42" type="hidden" id="upline42" value="<? echo $db->dataupline("upline42", spillover("random", $sponsore)); ?>" />
        <input name="upline43" type="hidden" id="upline43" value="<? echo $db->dataupline("upline43", spillover("random", $sponsore)); ?>" />
        <input name="upline44" type="hidden" id="upline44" value="<? echo $db->dataupline("upline44", spillover("random", $sponsore)); ?>" />
        <input name="upline45" type="hidden" id="upline45" value="<? echo $db->dataupline("upline45", spillover("random", $sponsore)); ?>" />
        <input name="upline46" type="hidden" id="upline46" value="<? echo $db->dataupline("upline46", spillover("random", $sponsore)); ?>" />
        <input name="upline47" type="hidden" id="upline47" value="<? echo $db->dataupline("upline47", spillover("random", $sponsore)); ?>" />
        <input name="upline48" type="hidden" id="upline48" value="<? echo $db->dataupline("upline48", spillover("random", $sponsore)); ?>" />
        <input name="upline49" type="hidden" id="upline49" value="<? echo $db->dataupline("upline49", spillover("random", $sponsore)); ?>" />
        <input name="upline50" type="hidden" id="upline50" value="<? echo $db->dataupline("upline50", spillover("random", $sponsore)); ?>" />
        <input name="upline51" type="hidden" id="upline51" value="<? echo $db->dataupline("upline51", spillover("random", $sponsore)); ?>" />
        <input name="upline52" type="hidden" id="upline52" value="<? echo $db->dataupline("upline52", spillover("random", $sponsore)); ?>" />
        <input name="upline53" type="hidden" id="upline53" value="<? echo $db->dataupline("upline53", spillover("random", $sponsore)); ?>" />
        <input name="upline54" type="hidden" id="upline54" value="<? echo $db->dataupline("upline54", spillover("random", $sponsore)); ?>" />
        <input name="upline55" type="hidden" id="upline55" value="<? echo $db->dataupline("upline55", spillover("random", $sponsore)); ?>" />
        <input name="upline56" type="hidden" id="upline56" value="<? echo $db->dataupline("upline56", spillover("random", $sponsore)); ?>" />
        <input name="upline57" type="hidden" id="upline57" value="<? echo $db->dataupline("upline57", spillover("random", $sponsore)); ?>" />
        <input name="upline58" type="hidden" id="upline58" value="<? echo $db->dataupline("upline58", spillover("random", $sponsore)); ?>" />
        <input name="upline59" type="hidden" id="upline59" value="<? echo $db->dataupline("upline59", spillover("random", $sponsore)); ?>" />
        <input name="upline60" type="hidden" id="upline60" value="<? echo $db->dataupline("upline60", spillover("random", $sponsore)); ?>" />
        <input name="upline61" type="hidden" id="upline61" value="<? echo $db->dataupline("upline61", spillover("random", $sponsore)); ?>" />
        <input name="upline62" type="hidden" id="upline62" value="<? echo $db->dataupline("upline62", spillover("random", $sponsore)); ?>" />
        <input name="upline63" type="hidden" id="upline63" value="<? echo $db->dataupline("upline63", spillover("random", $sponsore)); ?>" />
        <input name="upline64" type="hidden" id="upline64" value="<? echo $db->dataupline("upline64", spillover("random", $sponsore)); ?>" />
        <input name="upline65" type="hidden" id="upline65" value="<? echo $db->dataupline("upline65", spillover("random", $sponsore)); ?>" />
        <input name="upline66" type="hidden" id="upline66" value="<? echo $db->dataupline("upline66", spillover("random", $sponsore)); ?>" />
        <input name="upline67" type="hidden" id="upline67" value="<? echo $db->dataupline("upline67", spillover("random", $sponsore)); ?>" />
        <input name="upline68" type="hidden" id="upline68" value="<? echo $db->dataupline("upline68", spillover("random", $sponsore)); ?>" />
        <input name="upline69" type="hidden" id="upline69" value="<? echo $db->dataupline("upline69", spillover("random", $sponsore)); ?>" />
        <input name="upline70" type="hidden" id="upline70" value="<? echo $db->dataupline("upline70", spillover("random", $sponsore)); ?>" />
        <input name="upline71" type="hidden" id="upline71" value="<? echo $db->dataupline("upline71", spillover("random", $sponsore)); ?>" />
        <input name="upline72" type="hidden" id="upline72" value="<? echo $db->dataupline("upline72", spillover("random", $sponsore)); ?>" />
        <input name="upline73" type="hidden" id="upline73" value="<? echo $db->dataupline("upline73", spillover("random", $sponsore)); ?>" />
        <input name="upline74" type="hidden" id="upline74" value="<? echo $db->dataupline("upline74", spillover("random", $sponsore)); ?>" />
        <input name="upline75" type="hidden" id="upline75" value="<? echo $db->dataupline("upline75", spillover("random", $sponsore)); ?>" />
        <input name="upline76" type="hidden" id="upline76" value="<? echo $db->dataupline("upline76", spillover("random", $sponsore)); ?>" />
        <input name="upline77" type="hidden" id="upline77" value="<? echo $db->dataupline("upline77", spillover("random", $sponsore)); ?>" />
        <input name="upline78" type="hidden" id="upline78" value="<? echo $db->dataupline("upline78", spillover("random", $sponsore)); ?>" />
        <input name="upline79" type="hidden" id="upline79" value="<? echo $db->dataupline("upline79", spillover("random", $sponsore)); ?>" />
        <input name="upline80" type="hidden" id="upline80" value="<? echo $db->dataupline("upline80", spillover("random", $sponsore)); ?>" />
        <input name="upline81" type="hidden" id="upline81" value="<? echo $db->dataupline("upline81", spillover("random", $sponsore)); ?>" />
        <input name="upline82" type="hidden" id="upline82" value="<? echo $db->dataupline("upline82", spillover("random", $sponsore)); ?>" />
        <input name="upline83" type="hidden" id="upline83" value="<? echo $db->dataupline("upline83", spillover("random", $sponsore)); ?>" />
        <input name="upline84" type="hidden" id="upline84" value="<? echo $db->dataupline("upline84", spillover("random", $sponsore)); ?>" />
        <input name="upline85" type="hidden" id="upline85" value="<? echo $db->dataupline("upline85", spillover("random", $sponsore)); ?>" />
        <input name="upline86" type="hidden" id="upline86" value="<? echo $db->dataupline("upline86", spillover("random", $sponsore)); ?>" />
        <input name="upline87" type="hidden" id="upline87" value="<? echo $db->dataupline("upline87", spillover("random", $sponsore)); ?>" />
        <input name="upline88" type="hidden" id="upline88" value="<? echo $db->dataupline("upline88", spillover("random", $sponsore)); ?>" />
        <input name="upline89" type="hidden" id="upline89" value="<? echo $db->dataupline("upline89", spillover("random", $sponsore)); ?>" />
        <input name="upline90" type="hidden" id="upline90" value="<? echo $db->dataupline("upline90", spillover("random", $sponsore)); ?>" />
        <input name="upline91" type="hidden" id="upline91" value="<? echo $db->dataupline("upline91", spillover("random", $sponsore)); ?>" />
        <input name="upline92" type="hidden" id="upline92" value="<? echo $db->dataupline("upline92", spillover("random", $sponsore)); ?>" />
        <input name="upline93" type="hidden" id="upline93" value="<? echo $db->dataupline("upline93", spillover("random", $sponsore)); ?>" />
        <input name="upline94" type="hidden" id="upline94" value="<? echo $db->dataupline("upline94", spillover("random", $sponsore)); ?>" />
        <input name="upline95" type="hidden" id="upline95" value="<? echo $db->dataupline("upline95", spillover("random", $sponsore)); ?>" />
        <input name="upline96" type="hidden" id="upline96" value="<? echo $db->dataupline("upline96", spillover("random", $sponsore)); ?>" />
        <input name="upline97" type="hidden" id="upline97" value="<? echo $db->dataupline("upline97", spillover("random", $sponsore)); ?>" />
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        <input name="upline123" type="hidden" id="upline123" value="<? echo $db->dataupline("upline123", spillover("random", $sponsore)); ?>" />
        <input name="upline124" type="hidden" id="upline124" value="<? echo $db->dataupline("upline124", spillover("random", $sponsore)); ?>" />
        <input name="upline125" type="hidden" id="upline125" value="<? echo $db->dataupline("upline125", spillover("random", $sponsore)); ?>" />
        <input name="upline126" type="hidden" id="upline126" value="<? echo $db->dataupline("upline126", spillover("random", $sponsore)); ?>" />
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        <input name="upline153" type="hidden" id="upline153" value="<? echo $db->dataupline("upline153", spillover("random", $sponsore)); ?>" />
        <input name="upline154" type="hidden" id="upline154" value="<? echo $db->dataupline("upline154", spillover("random", $sponsore)); ?>" />
        <input name="upline155" type="hidden" id="upline155" value="<? echo $db->dataupline("upline155", spillover("random", $sponsore)); ?>" />
        <input name="upline156" type="hidden" id="upline156" value="<? echo $db->dataupline("upline156", spillover("random", $sponsore)); ?>" />
        <input name="upline157" type="hidden" id="upline157" value="<? echo $db->dataupline("upline157", spillover("random", $sponsore)); ?>" />
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        <input name="upline164" type="hidden" id="upline164" value="<? echo $db->dataupline("upline164", spillover("random", $sponsore)); ?>" />
        <input name="upline165" type="hidden" id="upline165" value="<? echo $db->dataupline("upline165", spillover("random", $sponsore)); ?>" />
        <input name="upline166" type="hidden" id="upline166" value="<? echo $db->dataupline("upline166", spillover("random", $sponsore)); ?>" />
        <input name="upline167" type="hidden" id="upline167" value="<? echo $db->dataupline("upline167", spillover("random", $sponsore)); ?>" />
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        <input name="upline169" type="hidden" id="upline169" value="<? echo $db->dataupline("upline169", spillover("random", $sponsore)); ?>" />
        <input name="upline170" type="hidden" id="upline160" value="<? echo $db->dataupline("upline170", spillover("random", $sponsore)); ?>" />
        <input name="upline171" type="hidden" id="upline171" value="<? echo $db->dataupline("upline171", spillover("random", $sponsore)); ?>" />
        <input name="upline172" type="hidden" id="upline172" value="<? echo $db->dataupline("upline172", spillover("random", $sponsore)); ?>" />
        <input name="upline173" type="hidden" id="upline173" value="<? echo $db->dataupline("upline173", spillover("random", $sponsore)); ?>" />
        <input name="upline174" type="hidden" id="upline174" value="<? echo $db->dataupline("upline174", spillover("random", $sponsore)); ?>" />
        <input name="upline175" type="hidden" id="upline175" value="<? echo $db->dataupline("upline175", spillover("random", $sponsore)); ?>" />
        <input name="upline176" type="hidden" id="upline176" value="<? echo $db->dataupline("upline176", spillover("random", $sponsore)); ?>" />
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        <input name="upline186" type="hidden" id="upline186" value="<? echo $db->dataupline("upline186", spillover("random", $sponsore)); ?>" />
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        <input name="upline198" type="hidden" id="upline198" value="<? echo $db->dataupline("upline198", spillover("random", $sponsore)); ?>" />
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        <input name="upline200" type="hidden" id="upline200" value="<? echo $db->dataupline("upline200", spillover("random", $sponsore)); ?>" />
        <input name="upline201" type="hidden" id="upline201" value="<? echo $db->dataupline("upline201", spillover("random", $sponsore)); ?>" />
        <input name="upline202" type="hidden" id="upline202" value="<? echo $db->dataupline("upline202", spillover("random", $sponsore)); ?>" />
        <input name="upline203" type="hidden" id="upline203" value="<? echo $db->dataupline("upline203", spillover("random", $sponsore)); ?>" />
        <input name="upline204" type="hidden" id="upline204" value="<? echo $db->dataupline("upline204", spillover("random", $sponsore)); ?>" />
        <input name="upline205" type="hidden" id="upline205" value="<? echo $db->dataupline("upline205", spillover("random", $sponsore)); ?>" />
        <input name="upline206" type="hidden" id="upline206" value="<? echo $db->dataupline("upline206", spillover("random", $sponsore)); ?>" />
        <input name="upline207" type="hidden" id="upline207" value="<? echo $db->dataupline("upline207", spillover("random", $sponsore)); ?>" />
        <input name="upline208" type="hidden" id="upline208" value="<? echo $db->dataupline("upline208", spillover("random", $sponsore)); ?>" />
        <input name="upline209" type="hidden" id="upline209" value="<? echo $db->dataupline("upline209", spillover("random", $sponsore)); ?>" />
        <input name="upline210" type="hidden" id="upline210" value="<? echo $db->dataupline("upline210", spillover("random", $sponsore)); ?>" />
      </font></td>
    </tr>
    <tr> 
      <td align="center">
<p align="center"> <font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
          <input type="submit" name="Submit" value="CEK DATA PENDAFTARAN" class="tombol" />
          </font></td>
    </tr>
    <tr> 
      <td> <font size="2" face="Verdana, Arial, Helvetica, sans-serif">&nbsp; 
        </font></td>
    </tr>
  </table>
</form>


<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script>
<script src="select2.min.js"></script>
<script>
$("#kota").select2( {
	placeholder: "Ketik Nama Kota",
	allowClear: true
	} );
</script>
                 