"POST") die("You can only reach this page by posting from the html form"); $email="enquiry@chokseychem.com"; $topic = $_REQUEST['cboTopic']; $profession = $_REQUEST['cboProfession']; $other = $_REQUEST['other']; $comments = $_REQUEST['comments']; $name = $_REQUEST['name']; $company = $_REQUEST['company']; $subject = $_REQUEST['subject']; $address = $_REQUEST['address']; $city = $_REQUEST['city']; $state= $_REQUEST['state']; $country= $_REQUEST['country']; $pincode = $_REQUEST['pincode']; $telephone = $_REQUEST['telephone']; $emailid = $_REQUEST['emailid']; $mobile = $_REQUEST['mobile']; $fax= $_REQUEST['fax']; $Body= "Dear Administrator,"."\r"."The following Enquiry/Feedback/Complaint was received on : " .gmdate(DATE_RFC822)."\r"."\r"; $Body= $Body."Enquiry Topic - ".$topic."\r\n"; $Body= $Body."Profession - ".$profession."\r\n"; if ($other != "") { $Body= $Body."Other - ".$other."\r\n"; } $Body= $Body."Comments - ".$comments."\r\n\n"; $Body= $Body."Personal Details\r\n\n"; $Body= $Body."Name - ".$name."\r\n"; $Body= $Body."Company - ".$company."\r\n"; $Body= $Body."Subject - ".$subject."\r\n"; $Body= $Body."Address - ".$address."\r\n"; $Body= $Body."City - ".$city."\r\n"; $Body= $Body."State - ".$state."\r\n"; $Body= $Body."Country - ".$country."\r\n"; $Body= $Body."Pincode - ".$pincode."\r\n"; $Body= $Body."Telephone - ".$telephone."\r\n"; $Body= $Body."Email Id - ".$emailid."\r\n"; if ($mobile != "") { $Body= $Body."Mobile - ".$mobile."\r\n"; } if ($fax != "") { $Body= $Body."Fax - ".$fax."\r\n"; } $Body = $Body."\r\n"."Kind Regards,"."\r\n"; $Body = $Body."ChokseyChem.com"; $mailcc3="contact@chokseychem.com,contact@chokseychem.com" ; $headers .= 'From:'.$email. "\r\n"; mail($mailcc3, "Enquiry/Feedback on Chokseychem.com",$Body,$headers); $GLOBALS['strContactMessage']="Enquiry/Feedback/Complaint sent successfully. You will be contacted shortly."; } ?>
  CUSTOMER SERVICE  
 

My Enquiry /Feedback/Complaint is
 

SELECT YOUR TOPIC *

SELECT YOUR PROFESSION *

 
PLEASE SPECIFY IF OTHERS
YOUR COMMENTS *
 
PERSONAL DETAILS
 
YOUR NAME *   YOUR COMPANY NAME *
 
SUBJECT *    
YOUR ADDRESS *    
YOUR CITY *   YOUR STATE *
 
YOUR COUNTRY *   YOUR PINCODE *
 
YOUR TELEPHONE *   YOUR EMAIL ID *
 
YOUR MOBILE NO   YOUR FAX NO
 
 
Please don’t forget to fill in your address if you wish to receive information via mail.
 
 
*Please fill all these fields to help us to process your enquiry.
All address –data submitted will only be used for this purpose.
 
 
 
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