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* Name:
Company:
City:
State:
* Phone:
* Email:
* Question:
 
"; $insert = ""; if ($_POST) { exit; extract($_POST); $question = stripslashes($question); if (stristr($question, "http")) {echo "http not allowed. Use your back button and try again."; exit;} if (strlen($state) > 3) {exit;} if (strlen($phone) > 15) {exit;} if (strlen($company) > 30) {exit;} if (stristr($_SERVER['HTTP_REFERER'], "keathleywebs.com") == false and stristr($_SERVER['HTTP_REFERER'], "apptech.us") == false) {exit;} $body = "
Name $name
Company $company
City $city
State $state
Phone $phone
Email $email
Referrer {$_SERVER['HTTP_REFERER']}
Question $question
"; $mailer = new Mailer; $args['email'] = $admin; $args['subject'] = 'Apptech Request'; $args['message'] = $body; $args['fromEmail'] = $_POST['email']; $args['fromName'] = $_POST['name']; $args['html'] = 1; $mailer->send($args); $insert = "





Thank you."; } ?> Apptech | Contact
 




 

 
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