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Name (First, Last): * *
Address:
 
City, State ZIP: ,
 
Email: *
Email Confirm: *
 
Home Phone: Preferred Phone
Work Phone: Preferred Phone
Cell Phone: Preferred Phone
Best time to call: Day Evening
 
Comments:
* required fields
{*** delete ***

You may customize this form any way you like. You must at the very least set the value of the hidden field "recipient" to the email you would like the contact information to go to. Hot tip: To inhibit robots from harvesting your recipient email address, replace the " @ " sign with " +++++ " (5 plus signs). You may also change the other hidden fields "subject" and "from" to customize the email being sent, and "email_required" and "required_fields" to determine which fields are required.

You will also want to create a page named "contact_return" for display after the form is successfully submitted. (You may change the name of the return page by changing the value of the hidden field "redirect" if you want to have different return pages for different contact forms.)

If you want to send a message back to the inquirer, create a page named "contact_return_message" and embed " [FIRST_NAME] [LAST_NAME] " into your page where you want their first and last names to go, i.e. "Dear Joe,". (Note: If you want to show only first name, simply leave out " [LAST_NAME] ".) (You may change the name of the return message page by changing the value of the hidden field "html_message_page" if you want to have different return messages for different contact forms.)

The contact form will also store data into a table called "contact_form". If you want to change the name of this table (i.e. you have more than one contact forms for different purposes), change the value for the hidden field "table_name". (The form mailer creates the table automatically upon first use based upon the fields you have in the form.)

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