Name: 

Email: 

Contact Details:

Queries:

"; echo "

Please complete the following field(s) then press submit.

"; } if ($Name == "") { echo "

Your Name

"; } else { echo ""; } if ($Email == "") { echo "

Your Email

"; } else { echo ""; } if ($Contact == "") { echo "

Your Contact Details

"; } else { echo ""; } if ($Queries == "") { echo "

Queries

"; } else { echo ""; } if (($Name == "") || ($Email == "") || ($Contact == "") || ($Queries == "")) { echo ""; echo ""; echo ""; } else { $message = "Name: $Name\nEmail: $Email\nContact: $Contact\nQueries: $Queries\n"; $extra = "From: $Name\r\nReply-To: $Email\r\n"; mail ("employment@cottonpicking.com.au", "Website Appointment Request", $message, $extra); echo "

Your details have been submitted.

"; echo "

 

"; echo "

 

"; echo "

 

"; echo "

 

"; echo "

 

"; echo "

 

"; } ?>