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$v) { $$k = $v; } $errors = ''; $required = array("name","email","business","phone","call_time","call_place","business_type","business_desc","personal_credit","time_window","comments"); foreach($required as $a => $b) { if (!trim($_POST[$b])) { $b = ucwords(strtolower($b)); $errors .= "
  • $b
  • "; } } if (!trim($_POST['captcha'])) { $errors .= '
  • Complete the form field associated with the image at the form bottom.
  • '; } elseif (md5($_POST['captcha']) != $_SESSION['key']) { $errors .= '
  • Invalid text entry for associated image, please try again.
  • '; } if (!$errors) { //$to = "chris@profitgate.net"; $to = "prhodes2@tampabay.rr.com"; $subject = "Call Me Form"; $from = "From: Call Me Form"; $msg = "New Quote Request\n\n"; $msg .= "Name: $name\n"; $msg .= "Email: $email\n"; $msg .= "Phone: $phone\n"; if (!empty($phone2)) { $msg .= "Alt Phone: $phone2\n"; } $msg .= "Business Name: $business\n"; $msg .= "Time to Call: $call_time\n"; $msg .= "Personal Credit: $personal_credit\n"; $msg .= "Time Window: $time_window\n"; $msg .= "Business Type: $business_type\n"; $msg .= "Business Description: $business_desc\n"; $msg .= "Comments:\n"; $msg .= "$comments\n\n"; if (mail($to,$subject,$msg,$from)) { echo "
    Thank you for submitting your quote request.
    We will contact you as soon as possible.
    "; } } else { echo "

    Please complete the following required fields:

      $errors
    "; } } ?>

    Contact Name:

    Email Address:

    Business Name:

    Business Phone:

    Alternate Phone:

    Best Time to Call:

     

    Best Place to Call:

    Business Type:

    Business Type Desc:

    Personal Credit:

    Desire Merchant Account Within:

    Comments:

    Security Code :
    (insert the code from the image on the right)

     


     
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