"; echo "Please enter a vaild email address. Hit the BACK button above."; exit; } $date_today = date("Y-m-d"); $date_today_fixed=date("m/d/y"); $headers = "MIME-Version: 1.0 \n"; $headers .= "Content-type: text/html \n"; $headers .= "From:$email \n"; $outputhtml = "$vendor Charter Request"; $outputhtml .= ""; $outputhtml .= "
"; $outputhtml .= "

$vendor Charter Request

"; $outputhtml .= "
Date: $date_today_fixed
"; $outputhtml .= "$firstname $mi $lastname
$company
$address
$city, $st $zip
Phone: $phone
Fax: $fax
"; $outputhtml .= "Email: $email
"; $comments=stripslashes($comments); $outputhtml .= "
Comments: $comments
"; $outputhtml .= "

Website form ©2005 Thomas Wright Consuling (www.twright.com).

"; $outputhtml .=""; mail("charter@horizonhelicopters.com", "New Charter Request",$outputhtml,$headers); echo "Thank you! Charter request entered, please wait ...."; printf(''); printf(''); printf(''); printf(''); } else{ // display form ?>

 

 

 

 

 

 

 

 

 

 

 

 

 

 


CHARTER REQUEST FORM

Name:   *
Company:  
Address:  
City, St, Zip:   ,
Phone:  
Fax:  
Email:   *
Details:  
   
    * Denotes required field.


 


\"$quote\"

"; echo "- " . $author; ?>