"Alabama", "Alaska" => "Alaska", "Arizona" => "Arizona", "Arkansas" => "Arkansas", "California" => "California", "Colorado" => "Colorado", "Connecticut" => "Connecticut", "Washington D.C." => "Washington D.C.", "Delaware" => "Delaware", "Florida" => "Florida", "Georgia" => "Georgia", "Hawaii" => "Hawaii", "Idaho" => "Idaho", "Illinois" => "Illinois", "Indiana" => "Indiana", "Iowa" => "Iowa", "Kansas" => "Kansas", "Kentucky" => "Kentucky", "Louisiana" => "Louisiana", "Maine" => "Maine", "Maryland" => "Maryland", "Massachusetts" => "Massachusetts", "Michigan" => "Michigan", "Minnesota" => "Minnesota", "Mississippi" => "Mississippi", "Missouri" => "Missouri", "Montana" => "Montana", "Nebraska" => "Nebraska", "Nevada" => "Nevada", "New Hampshire" => "New Hampshire", "New Jersey" => "New Jersey", "New Mexico" => "New Mexico", "New York" => "New York", "North Carolina" => "North Carolina", "North Dakota" => "North Dakota", "Ohio" => "Ohio", "Oklahoma" => "Oklahoma", "Oregon" => "Oregon", "Pennsylvania" => "Pennsylvania", "Puerto Rico" => "Puerto Rico", "Rhode Island" => "Rhode Island", "South Carolina" => "South Carolina", "South Dakota" => "South Dakota", "Tennessee" => "Tennessee", "Texas" => "Texas", "Utah" => "Utah", "Vermont" => "Vermont", "Virginia" => "Virginia", "Washington" => "Washington", "West Virginia" => "West Virginia", "Wisconsin" => "Wisconsin", "Wyoming" => "Wyoming"); $error_array = array(); $ADMIN_EMAIL_ADDRESS = "mdibattista@all-starsecurity.com"; $FIELDS = array( "first_from" => array( "printable" => "First Name", "required" => 1), "last_from" => array( "printable" => "Last Name", "required" => 0), "address" => array( "printable" => "Last Name", "required" => 0), "city" => array( "printable" => "City", "required" => 0), "state" => array( "printable" => "State", "required" => 1), "zip" => array( "printable" => "Zip", "required" => 0), "phone_from" => array( "printable" => "Phone Number", "required" => 0), "email" => array( "printable" => "Email Address", "required" => 1), "referral1" => array( "printable" => "Name (Referral 1)", "required" => 1), "phone1" => array( "printable" => "Phone (Referral 1)", "required" => 1), "referral2" => array( "printable" => "Name (Referral 2)", "required" => 1), "phone2" => array( "printable" => "Phone (Referral 2)", "required" => 1), "referral3" => array( "printable" => "Name (Referral 3)", "required" => 1), "phone3" => array( "printable" => "Phone (Referral 3)", "required" => 1), "comments" => array( "printable" => "Comments/Questions", "required" => 0)); // If someone submitted the form, // review the data, flag any errors, and form the email. if($_POST['referral_form_submit'] || $_POST['referral_form_submit_x']) { // echo '
';
//		print_r($_POST);
//		echo '
'; // Form the email $referral_email = "The following referral submission just came in:\n\n"; foreach($_POST['referral_contact'] as $rkey => $rval) { if($FIELDS[$rkey]['required'] && !$_POST['referral_contact'][$rkey]) $error_array[] = $FIELDS[$rkey]['printable']. ' is a required field.'; $referral_email_body .= $FIELDS[$rkey]['printable']. ": $rval\n"; } $referral_email .= $referral_email_body; } ?> All Star Security: Security and Communications Services
Who We Are|24-hour Monitoring|Referral Program|Contact Us|Home
Home Security Small Business Commercial Affiliates Contactor Program
24 hour Monitoring

Thank you for your submission:

'; echo nl2br($referral_email_body) ."
"; mail($ADMIN_EMAIL_ADDRESS, "Referral Program Submission", $referral_email, "From: submissions@all-starsecurity.com"); } else { ?>

Here at All-Star Security & Communications getting and keeping your business is our #1 Priority, growing our business is also important. That is why we created the All-Star Customer Referral Program. It is simple to accomplish, submit there information below, when they a system installed by us, you will receive 3 months of monitoring service FREE! ($100.00) VALUE

By the way there is no limit to the amount of certificates you can receive.

Please fill in the submission form below to get started!

We look forward to being of service to you, your family and friends!

Regards,

Michael DiBattista
President/Owner
All-Star Security & Communcaitons


Referral Form:

$error) echo ''. $error .'
'; } ?>
First Name: *
Last Name:
Address:
City:
State: *
 Zip:
Phone Number:
Email Address: *
Referrals:
Name: *
Phone: *
 
Name: *
Phone: *
 
Name: *
Phone: *

Questions/Comments?

 


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