|
Contact Dr. Mackler
$error = false;
if ($sent) {
if (!$name || !$email || !$phone || !$howhelp) {
$error = true;
?>
To contact Dr. Mackler, please fill in all items below.
} else {
$date = date("Y-m-d H:i:s");
mail("DrMackler@Flourishnow.com","Web Form Submitted", "Name: $name\n\nPhone number: $phone\n\nEmail address: $email\n\nWhere do you live? $live\n\nHow can I help you?\n\n$howhelp","From:$name <$email>");
?>
Thank you - your message has been sent.
}
}
?>
Dr. Jaymie Mackler ND, MSOM, LAc
Flourish LLC
At Rising Health
1409 Franklin Street, Suite 103
Vancouver, WA 98660
Phone 360- 718-7603
Fax 360- 852-8043
if (!$sent || $error) {
?>
}
?>
|
|