Error: no code submited!!'; //} //else if(!checkCaptchaCode($p)){ //$MESSAGE = '
Error: Invalid code submited!!
YOUR CODE : "'.htmlentities(stripslashes($p)).'"
Code: "'.htmlentities(stripslashes($text)).'"
' ; //} //else{ //$MESSAGE = 'Correct!!!
CODE: "'.stripslashes($_POST['code']).'"'; $foo = array(1 => "firstname","email","subject","comments"); $val = array(1 => $firstname,$email,$subject,$comments); // if (($Name == "") && ($Email == "")) //{ // echo "Please enter your name to submit your information
"; // echo "Please enter your Email id to submit your information
"; //} //if (($Name == "") && ($Email != "")) //{ // echo "Please enter your Name to submit your information
"; //} //if (($Name !="") && ($Email == "")) //{ // echo "Please enter your Email id to submit your information
"; //} if(isset($_POST['captcha'])){ if(base64_decode($_POST['captcha_id']) == $_POST['captcha']){ if (($firstname != "") && ($email != "")) { $to = "pharmacyproductinfo@gmail.com,martin@pharmacyproductinfo.com"; //$to = "kristinarekha@gmail.com"; $subject="Inquiry from Pharmacyproductinfo.com"; $mailbody= "Contact us form information\n"; for ($i=1;$i<=count($foo);$i++) { //echo $item, "\n"; //echo $HTTP_POST_VARS[$i]; $mailbody .= '
'; $mailbody .= $foo[$i]; $mailbody .= " : ".$val[$i]; //$i++; } //echo $mailbody; /* To send HTML mail, you can set the Content-type header. */ $headers = "MIME-Version: 1.0\r\n"; $headers .= "Content-type: text/html; charset=iso-8859-1\r\n"; /* additional headers */ //$headers .= "To: SITEOWNER\r\n"; //$headers .= "To: SITEOWNER\r\n"; $headers .= "From:" . $email; /* and now mail it */ mail($to,$subject,$mailbody,$headers); $MESS = '
Thank you for entering your information
'; } } else echo ''; } ?> Pharmacy product info
;

Pharmacy Products » Contact us

Contact us

Ron Victor
Bellingham,
WA 98225.
mailto: pharmacyproductinfo@gmail.com


"; ?>
Name:
Email:
Subject:
Comments:
 captcha
Verification Code:
Please enter the text from the image: