// Copyright (C) 2004 CentralFloridaVA.com. All rights reserved. // PHPeasy-form version 1.1 // Released 2004-10-02 // This file is part of PHPeasy-form. // PHPeasy-form is free software; you can redistribute it and/or modify // it under the terms of the GNU General Public License as published by // the Free Software Foundation; either version 2 of the License, or // (at your option) any later version. // PHPeasy-form is distributed in the hope that it will be useful, // but WITHOUT ANY WARRANTY; without even the implied warranty of // MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the // GNU General Public License for more details. // You should have received a copy of the GNU General Public License // along with PHPeasy-form; if not, write to the Free Software // Foundation, Inc., 59 Temple Place, Suite 330, Boston, MA 02111-1307 USA // Contact CentralFloridaVA.com at: // http://www.CentralFloridaVA.com // ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ $Name = $_POST["name"]; $Address = $_POST["address"]; $City = $_POST["city"]; $State = $_POST["state"]; $Zip = $_POST["zip"]; $Phone = $_POST["phone"]; $Email = $_POST["email"]; $casosi = $_POST["casosi"]; $casono = $_POST["casono"]; $visa = $_POST["visa"]; $comollego = $_POST["como"]; $comments = $_POST["comments"]; $today = date("M d, Y"); $recipient = "mlovo@immigrationlawyers.com, chrislucco@interworking.com"; $subject = "CONSULTA ONLINE IMMIGRATION LAWYERS.COM"; $forminfo = "Name: $name\n Address: $address\n City: $city\n State: $state\n Zip: $zip\n Phone: $phone\n Email: $email\n Caso Si: $casosi\n Caso No: $casono\n Tipo de Visa: $visa\n Como nos conocio: $como\n Comments: $comments\n Form Submitted: $today\n\n"; $formsend = mail("$recipient", "$subject", "$forminfo", "From: $email\r\nReply-to:$email"); ?>
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