<%
if (isset($Source) and ($Source = "SampForm")) {
$Error = "";
if (trim($Requested_By) == "") {
$Error .= "Your name is required!
";
}
if (trim($Company) == "") {
$Error .= "Company name is required.
";
}
if (trim($Fax) == "") {
$Error .= "Fax number is required.
";
}
if (trim($Email) == "") {
$Error .= "Your email address is required!";
}
if ($Error != "") {
echo "";
echo "$Error
";
require("SampForm.php");
} else {
$msg = "Sample Request:\n\n";
$msg .= "Date Requested By: $Date_Requested\n";
$msg .= "Requested By: $Requested_By\n";
$msg .= "Company: $Company\n";
$msg .= "Shipping Address: $Shipping_Address\n";
$msg .= "City: $City\n";
$msg .= "State: $State\n";
$msg .= "Zip: $Zip\n";
$msg .= "Country: $Country\n";
$msg .= "Phone: $Phone\n";
$msg .= "Fax: $Fax\n\n";
$msg .= "Project: $Project\n\n";
$msg .= "Quantity: $Sample1_quantity\n";
$msg .= "Quantity: $Sample1_eau\n";
$msg .= "MLE Part: $Sample1_mle\n";
$msg .= "Competitor Part: $Sample1_competitive\n\n";
$msg .= "Quantity: $Sample2_quantity\n";
$msg .= "Quantity: $Sample2_2eau\n";
$msg .= "MLE Part: $Sample2_mle\n";
$msg .= "Competitor Part: $Sample2_competitive\n\n";
$msg .= "Quantity: $Sample3_quantity\n";
$msg .= "Quantity: $Sample3_eau\n";
$msg .= "MLE Part: $Sample3_mle\n";
$msg .= "Competitor Part: $Sample3_competitive\n\n";
$msg .= "Quantity: $Sample4_quantity\n";
$msg .= "Quantity: $Sample4_eau\n";
$msg .= "MLE Part: $Sample4_mle\n";
$msg .= "Competitor Part: $Sample4_competitive\n\n";
$msg .= "Quantity: $Sample5_quantity\n";
$msg .= "Quantity: $Sample5_eau\n";
$msg .= "MLE Part: $Sample5_mle\n";
$msg .= "Competitor Part: $Sample5_competitive\n\n";
$msg .= "Quantity: $Sample6_quantity\n";
$msg .= "Quantity: $Sample6_eau\n";
$msg .= "MLE Part: $Sample6_mle\n";
$msg .= "Competitor Part: $Sample6_competitive\n\n";
$msg .= "Quantity: $Sample7_quantity\n";
$msg .= "Quantity: $Sample7_eau\n";
$msg .= "MLE Part: $Sample7_mle\n";
$msg .= "Competitor Part: $Sample7_competitive\n\n";
$msg .= "Quantity: $Sample8_quantity\n";
$msg .= "Quantity: $Sample8_eau\n";
$msg .= "MLE Part: $Sample8_mle\n";
$msg .= "Competitor Part: $Sample8_competitive\n\n";
$msg .= "Quantity: $Sample9_quantity\n";
$msg .= "Quantity: $Sample9_eau\n";
$msg .= "MLE Part: $Sample9_mle\n";
$msg .= "Competitor Part: $Sample9_competitive\n\n";
$msg .= "Quantity: $Sample10_quantity\n";
$msg .= "Quantity: $Sample10_eau\n";
$msg .= "MLE Part: $Sample10_mle\n";
$msg .= "Competitor Part: $Sample10_competitive\n\n";
$msg .= "Quantity: $Sample11_quantity\n";
$msg .= "Quantity: $Sample11_eau\n";
$msg .= "MLE Part: $Sample11_mle\n";
$msg .= "Competitor Part: $Sample11_competitive\n\n";
$msg .= "Quantity: $Sample12_quantity\n";
$msg .= "Quantity: $Sample12_eau\n";
$msg .= "MLE Part: $Sample12_mle\n";
$msg .= "Competitor Part: $Sample12_competitive\n\n";
$msg .= "Quantity: $Sample13_quantity\n";
$msg .= "Quantity: $Sample13_eau\n";
$msg .= "MLE Part: $Sample13_mle\n";
$msg .= "Competitor Part: $Sample13_competitive\n\n";
$msg .= "Quantity: $Sample14_quantity\n";
$msg .= "Quantity: $Sample14_eau\n";
$msg .= "MLE Part: $Sample14_mle\n";
$msg .= "Competitor Part: $Sample14_competitive\n\n";
$msg .= "Quantity: $Sample15_quantity\n";
$msg .= "Quantity: $Sample15_eau\n";
$msg .= "MLE Part: $Sample15_mle\n";
$msg .= "Competitor Part: $Sample15_competitive\n\n";
$msg .= "Comments/Instructions:\n";
$msg .= "----------------------\n";
$msg .= "Preferred Carrier: $Carrier\n";
$msg .= "Shipping Account Number: $Account\n";
$msg .= $Comments_Instructions;
mail("sales@mlelectronics.com, mle@mlelectronics.com, gengland@MLElectronics.com", "MLESampleRequest", $msg, "From: \"$Requested_By\" <$Email>\nReply-To: $Email\n");
echo "
";
echo "Thank you for your submission. Please click here to return to our home page, or use the navigation buttons above.
";
}
} else {
require("SampForm.php");
}
%>