"; } $title = $_POST['title']; $practice = $_POST['practice']; $email = $_POST['email']; $address = $_POST['address']; $address2 = $_POST['address2']; $city = $_POST['city']; $state = $_POST['state']; $zipcode = $_POST['zipcode']; $phone = $_POST['phone']; $ext = $_POST['ext']; $fax = $_POST['fax']; if(!empty($_POST['question'])){ $question = $_POST['question']; }else{ $errs .= "Your Question
"; } if(empty($errs)){//looks good //$header = "Reply-To: info@cghealthcaresolutions.com\r\n"."From: CGHealthcare Ask Form\r\n"; $aop_replyto = $aop_from = "info@cghealthcaresolutions.com"; $header = 'From: ' . $aop_from . "\r\n" . 'Reply-To: ' . $aop_replyto . "\r\n" . 'X-Mailer: PHP/' . phpversion(); $to .= ", info@cowangunteski.com"; $su = "$aop_subject $fullname"; $bo = "FULLNAME: $fullname\n TITLE: $title\n PRACTICE: $practice\n EMAIL: $email\n ADDRESS1: $address\n ADDRESS2: $address2\n CITY: $city\n STATE: $state\n ZIP CODE: $zipcode\n PHONE: $phone\n EXT: $ext\n FAX: $fax\n QUESTION: $question"; //send mail $sent = mail($to, $su, $bo, $header, '-f' . $aop_from); if($sent){$successful = "Thank You for your contacting our Professionals.";} echo ""; } } ?> CG Healthcare Solutions, LLC - Ask Our Professionals
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$errs

";} ?> $successful";}?>
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