<html>
<head>
<title>Sending Email...</title>
<meta http-equiv="Refresh"content="3;url=http://deathpie.pcriot.com/Email Sent.html">
</head>
<h2>Sending Request...</h1>
<body>
<?php
$name=$_POST["NameTxt"];
$email=$_POST["Emailtxt"];
$hphone=$_POST["HousePhonetxt"];
$cphone=$_POST["CellPhonetxt"];
$service=$_POST["Requestedservicestxt"];
$to="
bion3d@aol.com";
$subject="PPL Form";
$from=$email;
$header="From: $from";
$message=" The PrePaid Legal Applicant is Requesting Approval" . "\n" .
"Name: " . $name . "\n" . "Email: " . $email . "\n" . "Home Phone: " . $hphone .
"\n" . "Cell Phone: " . $cphone . "\n" . "Service: " . $service;
mail("$to", "$subject", "$message", "$header");
echo "Mail Sent";
?>
</body>
</html>
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