if(!$_POST) { ?>
Submit Online Form
* Organization/Company Name :
* Name :
* E-Mail :
*
Phone :(Include Country/Area Code )
* Mobile No :
Fax :(Include Country/ Area Code)
* Street Address :
* City/State :
Zip/Postal Code :
* Country :
* DD/Cheque Details :
} else { foreach($_POST as $k=>$v) $mailbody .=$k." = ".$v."\n
"; // $to = "secretary@syndicate-group.com"; // $to2 = "hea.association@gmail.com"; $subject = "HEA Membership Form"; $from = $_POST[email]; $message="A Visitor at your website had submitted this form .
$mailbody"; $header = "From: $_POST[name]<$from>\n"; $header .="Content-type: text/html; charset=iso-8859-1\n"; $header .= "Reply-To: <$from>\n"; $header .= "X-Sender: <$from>\n"; $header .= "X-Mailer: PHP4\n"; $header .= "X-Priority: 3\n"; $header .= "Return-Path: <$from>\n"; mail("gm@syndicate-group.com,hea.association@gmail.com",$subject,$message,$header); echo "
Your Form have been submitted. We will contact you shortly.
"; } ?>
You Can Also Email Scaned Copy of Duly Signed form
Download Member Ship Form
Email
:
hea.association@gmail.com
RECOGNISED BY GOVT. OF INDIA
2017, Bank Street, Naiwala, Karol Bagh, New Delhi-110005
Ph.: +91-11-28752191, 28758520, Fax: +91-11-28758520
E-mail:
hea.association@gmail.com
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