DHG
235 W. Main Street
P.O. Box 2986
Somerton, AZ 85350
Thank you for your interest in our services. To request more information, please fill out the following form.
if ($_REQUEST['Submit']) {
if (preg_match(' /[\r\n,;\'"]/ ',$_REQUEST['email'])) {die("Please Don't do that again.");}
$recipient="DHG_Corp@adelphia.net";
$subject="Message From DHG Construction Contact Page";
$Comments1=stripslashes($_REQUEST['Comments1']);
$message='
Name: ' . $_REQUEST['realname'] . '
Address: ' . $_REQUEST['Address'] . '
City: ' . $_REQUEST['City'] . '
State: ' . $_REQUEST['State'] . '
Zip: ' . $_REQUEST['Zip'] . '
Phone: ' . $_REQUEST['Phone'] . '
Fax: ' . $_REQUEST['Fax'] . '
E-mail: ' . $_REQUEST['email'] . '
Comments:
' . $Comments1 . '
';
$from="From: " . $_REQUEST['email'] . "\r\n";
mail($recipient,$subject,$message,$from);
?>
Thank you for sending us your comments!
We will respond to your feedback shortly.
}
else {
?>
}?>
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