FAIL (the browser should render some flash content, not this).
Information Request Form
"; } if($_POST[txtcompany]==""){ $error.="Please enter your Company
"; } if($_POST[txtposition]==""){ $error.="Please enter your Position
"; } if($_POST[txtaddress]==""){ $error.="Please enter your Address
"; } if($_POST[txtcity]==""){ $error.="Please enter your City/State
"; } if($_POST[txtpostalcode]==""){ $error.="Please enter your Postal Code
"; } if($_POST[txttelephone]==""){ $error.="Please enter your Telephone Number
"; } if($_POST[txtemail]==""){ $error.="Please enter your Email Address
"; } if(!empty($error)){ echo "

$error
"; }else{ echo "
Message Sent!
Thank you for continues support!

"; for($i=1;$i<=13;$i++){ if($_POST['chk_'.$i]){ $txtchk.=(!isset($txtchk))?$_POST['chk_'.$i]:','.$_POST['chk_'.$i]; } } $to ="Request Information "; $header ="To: $to \r\n"; $header.='From: CorpTrade \r\n'; $header.='Reply-To: webmaster@example.com' . "\r\n"; $header.='X-Mailer: PHP/' . phpversion(); $subject="Corp Trade Information Inquiry Form"; $msg=" ------------------------------------------------------------- Corptrade Environmental Services Ltd ------------------------------------------------------------- You have a received a Request Inquiry Information coming from CorpTrade. Request for Information the Following: $txtchk; if Others Specify: $_POST[others] ------------------------------------------------------------- The Contact Information ------------------------------------------------------------- Name: $_POST[txtname] Position: $_POST[txtposition] Company: $_POST[txtcompany] Address: $_POST[txtaddress] City/State: $_POST[txtcity] Postal Code: $_POST[txtpostalcode] Telephone: $_POST[txttelephone] Fax: $_POST[txtfax] Email Address: $_POST[txtemail] Type of Business: $_POST[txtbusiness] ------------------------------------------------------------- "; mail($to,$subject,$msg,$header); } } ?>
If you would like to receive any of the following information please tick the relevant boxes and fill out your details.
Asbestos Surveys Legionella Management
Asbestos Removal Legionella Rectification
Asbestos Sampling Gas Inspection/Servicing
Energy Conservation Water Treatment
Energy Surveys Tank Cleaning
Thermal Insulation Heating Maintenance and Servicing
Legionella Risk Assessments  
If Others Please Specify:
Your Contact Information
Name: *
Position: *
Company: *
Address: *
City/State: *
Postal Code: *
Telephone: *
Fax:
Email: *
Type of Business:

 We offer energy management surveys and  solutions and  provide 
  thermal insulation contracting services to the HVAC industry.

For further information contact our Commercial Department:
Telephone (0114) 243 1239 or Email:

                     david.challenger@cordtapeenvironmental.co.uk

Copyright © 2006, Cordtape Environmental Services Ltd