Fill Out the New Website Information 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", "Website Information Form", "Below is the information that was submitted from the Xray Sierra website:\n\n Name: $Name\n\n E-mail: $email\n\n Business: $Business\n\n Business Type: $BusinessType\n\n Phone: ($Phone) $Phone2-$Phone3\n\n Website: $Website\n\n Address: $Address\n\n Address cont: $Address2\n\n City: $City\n\n Province: $Province\n\n Postal Code: $Zip\n\n Country: $Country\n\n Message: $Message\n", "From: $Name <$email>" ); echo( "

Thank you! Your information has been received.

You will be contacted shortly.

Name:	$Name
Email:	$email
Business:	$Buiness
Business Type:	$BusinessType
Phone:	($Phone) $Phone2-$Phone3
Address:	$Address
City:	$City
Province:	$Province
Postal Code:	$Zip
Country:	$Country
Message:	$Message