
| XRAY SIERRA INC. P.O. Box 144 Stn B Sudbury, ON P3E 4N5 Canada |
| Monday - Friday: | 8am - 6pm EST |
| Saturday & Sunday: | 11am - 4pm EST |
| Phone: | 1-800-913-5014 ext.102 |
|---|---|
| Email: |
| Phone: | 1-800-913-5014 ext.101 |
|---|---|
| Email: |
| Phone: | 1-800-913-5014 ext.103 |
|---|---|
| Email: |
Contact Us Through Our Contact Form
"; } if (!$email) { $err.= "Please provide your email address"; } if ($email) { if (!eregi("^[_a-z0-9-]+(\.[_a-z0-9-]+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,3})$", $email)) { $err.= $email. " is not a valid email address.
"; } } if ($err=="") { // success - input passed all tests mail( "shaneblackwell@me.com", "Information Request", "Below is the information that was submitted from the Xray Sierra website:\n\nName: $Name\n\nE-mail: $email\n\nPhone: ($Phone) $Phone2-$Phone3\n\nAddress: $Address\n\nAddress cont: $Address2\n\nCity: $City\n\nProvince: $Province\n\nPostal Code: $Zip\n\nCountry: $Country\n\nMessage: $Message\n", "From: $Name <$email>" ); echo( "
Thank you! Your information has been received.
You will be contacted shortly.
| Name: | $Name |
|---|---|
| Email: | |
| Phone: | ($Phone) $Phone2-$Phone3 |
| Address: | $Address |
| City: | $City |
| Province: | $Province |
| Postal Code: | $Zip |
| Country: | $Country |
| Message: | $Message |
* Denotes a required field
Form Error(s)"; echo "". nl2br($err). "
"; } ?>

