NULL,"Email:"=>NULL,);error_reporting(E_ERROR);global $PHP_SELF,$POST_VARS,$COOKIE_VARS,$SERVER_VARS;if(!$_POST){$POST_VARS=$POST_VARS;}else{$POST_VARS=$_POST;}$POST_VARS = array_merge ($addreq, $POST_VARS);if(!$_SERVER){$SERVER_VARS=$SERVER_VARS;}else{$SERVER_VARS=$_SERVER;}if(!$_COOKIE){$COOKIE_VARS=$COOKIE_VARS;}else{$COOKIE_VARS=$_COOKIE;}if($breakoff=="true"){$breaktype="";}else{$breaktype="\n";}if(!isset($POST_VARS["email"])){$email=NULL;}if(!isset($POST_VARS["subject"])){$subject=NULL;}if(!isset($POST_VARS["firstname"])){$firstname=NULL;}if(!isset($POST_VARS["lastname"])){$lastname=NULL;}$form=NULL;$reqck=NULL;$PHP_SELF=$SERVER_VARS["PHP_SELF"];if(isset($POST_VARS["submit"])){foreach($POST_VARS as $Name=>$Value){if(strtolower($Name)=="emailcc"){$emailcc=trim($Value);}$ucName=strtoupper($Name);if($Name==$ucName&& (is_null($Value) || !$Value)){$reqck="fail";}if($reqck=="fail"){if(!$requrl){echo"

Required Field Missing

Please use your browsers back button to return to the form and complete the required field $Name.

";}else{header("Location: $requrl?reason=$Name");}exit();}if(strtolower($Name)=="email"){$email=trim($Value);}if(strtolower($Name)=="subject"){$subject=trim($Value);}if(strtolower($Name)=="firstname"){$firstname=trim($Value);}if(strtolower($Name)=="lastname"){$lastname=trim($Value);}}if(is_null($email) || !$email){$email=$delemail;}if (!ereg('^[-!#$%&\'*+\\./0-9=?A-Z^_`a-z{|}~]+'.'@'.'[-!#$%&\'*+\\/0-9=?A-Z^_`a-z{|}~]+\.'.'[-!#$%&\'*+\\./0-9=?A-Z^_`a-z{|};~]+$',$email)){if(!$ckurl){echo"

Email Address Not Valid

Your Email Address $email does not appear to be valid. Please use your browsers back button to return to the form and input a valid email address.

";}else{header("Location: $ckurl?reason=$email");}exit();}else{if(!$firstname&&!$lastname){$from_email=$email;}elseif(!$lastname){$from_email="$firstname<$email>";}elseif(!$firstname){$from_email="$lastname<$email>";}else{$from_email="$firstname $lastname<$email>";}foreach($POST_VARS as $Name=>$Value){if(ucfirst($Name)==$Name || strtoupper($Name)==$Name){if(is_array($Value)){$form .="$Name :$breaktype";foreach($Value as $formName=>$formValue){$form .="$formValue, ";}$form .="\n\n";}else{$form .="$Name :$breaktype$Value\n\n";}}}$timepro="Form Processed: ".gmdate("D, d M Y H:i:s",time())." GMT/UTC\n\n";$form .=$timepro;if($usehttpvars=="true"&&$SERVER_VARS){$httpvars=array("HTTP_REFERER"=>"User File","HTTP_USER_AGENT"=>"User Browser","REMOTE_ADDR"=>"User IP Address","SERVER_ADDR"=>"Form Server IP","SERVER_NAME"=>"Form Server Name","REQUEST_URI"=>"Requested URL");$form .="Variables -\n";foreach($httpvars as $httpvar=>$httpdesc){$form .="$httpdesc ($httpvar) : $SERVER_VARS[$httpvar]\n";}$form .="\n";}if($usecookvars=="true"&&$COOKIE_VARS){$form .="Cookies -\n";foreach($COOKIE_VARS as $Name=>$Value){$Value=urlencode($Value);$form .="$Name : $Value\n";}}$from_email=trim(stripslashes($from_email));$form=trim(stripslashes($form));$subject=trim(stripslashes($subject));$curs=time();$regst="on10295273001";if(is_numeric($regst)){if($regst<$curs){header("Location: http://www.softswot.com/FormBuildExp.php");exit();}else{$evalr = round(($regst - $curs)/(24*60*60), 2);$form .="\n\n\npowered by Form1 software, available free for evaluation from www.softSWOT.com.";$form .="\nEvaluation period expires in $evalr days.\n";}}$xheaders ="Content-Type: text/plain;charset='iso-8859-1'\r\n";$arxheaders = $xheaders;$xheaders .="From:$from_email\r\n";if(isset($emailcc)){$xheaders.="Cc:$email\r\n";}$xheaders.="Reply-To:$from_email\r\nReturn-path:$email\r\nX-Mailer: PHP/" . phpversion();if(@mail($delemail,$subject,$form,$xheaders)){if(isset($autoresponse)){$autoresponse=trim(stripslashes($autoresponse));if($autoresponse!=""){$arxheaders .="From:$delemail\r\nReply-To:$delemail\r\nReturn-path:$delemail\r\nX-Mailer: PHP/" . phpversion();@mail($email,$subject,$autoresponse,$arxheaders);}}if(!$thankurl){$thankurl=$PHP_SELF;echo"

Thank you

Your form has been delivered.

Click here to continue.

";}else{header("Location: $thankurl?reason=$PHP_SELF");}exit();}else{if(!$errurl){echo"

Form Delivery Error

Your form has not been delivered. Please use your browsers back button to return to the form and resubmit.

";}else{header("Location: $errurl");}exit();}}$submit = NULL;$autoresponse = NULL;$ccsend = NULL;} /* #### Below here is standard html. You can adjust the html as required. You can also copy the code from here up (including the ?> following this comment) and paste it at the top (above the html tag and any document type tags) of any html form page. All forms must be valid html and follow the guidelines provided in the help file. */?> Adventist Home for the Elders
 
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