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Path: /data/17/1/18/11/1670011/user/1801231/htdocs/customtanningbed_dot_com/ [ Home ]
File: mail31.php
<?php
session_start();
include_once("config.php");
$sql="select * from `secure`";;
$rs=mysql_query($sql);
$row=mysql_fetch_array($rs);
if($row['key']!=$_REQUEST['capture'])
{
echo "<b>Enter the key value</b>";
include("Lease Application.php");
exit();
}
$a=$_REQUEST['requiredcompany_name'];
$b=$_REQUEST['requiredcompany_address'];
$c=$_REQUEST['requiredcompany_city'];
$d=$_REQUEST['company_country'];
$e=$_REQUEST['requiredcompany_state'];
$f=$_REQUEST['requiredcompany_zip'];
$g=$_REQUEST['requiredcompany_contact'];
$h=$_REQUEST['requiredcompany_phone'];
$i=$_REQUEST['company_fax'];
$j=$_REQUEST['requiredemail'];
$k=$_REQUEST['nature_of_business'];
$l=$_REQUEST['corp_other'];
$m=$_REQUEST['company_years'];
$n=$_REQUEST['equipment_location'];
$o=$_REQUEST['equipment_yrs_location'];
$p=$_REQUEST['estimated_delivery_date'];
$q=$_REQUEST['equipment_amount'];          
$r=$_REQUEST['quote_term'];
$s=$_REQUEST['equipment_payment'];
$t=$_REQUEST['advance_payments'];
$by=$_REQUEST['buy_out'];
$nw=$_REQUEST['new_used'];
$u=$_REQUEST['equipment_description'];
$v=$_REQUEST['personal_name'];
$w=$_REQUEST['personal_title'];
$x=$_REQUEST['personal_ssn'];
$y=$_REQUEST['personal_ownership'];
$z=$_REQUEST['personal_address'];
$aa=$_REQUEST['personal_phone'];
$ab=$_REQUEST['personal_name_2'];
$ac=$_REQUEST['personal_title_2'];
$ad=$_REQUEST['personal_ssn_2'];
$ae=$_REQUEST['personal_ownership_2'];
$af=$_REQUEST['personal_address_2'];
$ag=$_REQUEST['personal_phone_2'];
$ah=$_REQUEST['personal_name_3'];
$ai=$_REQUEST['personal_title_3'];
$aj=$_REQUEST['personal_ssn_3'];
$ak=$_REQUEST['personal_ownership_3'];
$al=$_REQUEST['requiredbank_name'];
$am=$_REQUEST['bank_years'];
$an=$_REQUEST['bank_acct_number'];
$ao=$_REQUEST['requiredbank_phone'];
$ap=$_REQUEST['bank_contact'];
$aq=$_REQUEST['previous_bank'];
$ar=$_REQUEST['previous_bank_years'];
$as=$_REQUEST['previous_bank_acct_number'];
$at=$_REQUEST['previous_bank_phone'];
$au=$_REQUEST['previous_bank_contact'];
$av=$_REQUEST['trade_main_supplier'];
$aw=$_REQUEST['trade_main_products'];
$ax=$_REQUEST['trade_main_acct_number'];
$ay=$_REQUEST['trade_main_phone'];
$az=$_REQUEST['trade_main_contact'];
$aab=$_REQUEST['trade_other_supplier'];
$aac=$_REQUEST['trade_other_products'];
$aad=$_REQUEST['trade_other_acct_number'];
$aae=$_REQUEST['trade_other_phone'];
$aaf=$_REQUEST['trade_other_contact'];
$aag=$_REQUEST['landlord_equip_location'];
$aah=$_REQUEST['landlord_years'];
$aai=$_REQUEST['landlord_city_state'];
$aaj=$_REQUEST['landlord_phone'];
$aak=$_REQUEST['landlord_contact'];
$aal=$_REQUEST['business_insurance_co'];
$aam=$_REQUEST['business_insurance_years'];
$aan=$_REQUEST['business_insurance_phone'];
$aao=$_REQUEST['business_insurance_contact'];
$aap=$_REQUEST['id1'];
$aaq=$_REQUEST['price'];
$aar=$_REQUEST['rate'];
/*echo "The data you selected are "."<br>";
echo $requiredcompany_name."<br>";
echo $requiredcompany_address."<br>";
echo $requiredcompany_city."<br>";
echo $company_country."<br>";
echo $requiredcompany_state."<br>";
echo $requiredcompany_zip."<br>";
echo $requiredcompany_contact."<br>";
echo $requiredcompany_phone."<br>";
echo $company_fax."<br>";
echo $requiredemail."<br>";
echo $nature_of_business."<br>";
echo $corp_other."<br>";
echo $company_years."<br>";
echo $equipment_location."<br>";
echo $equipment_yrs_location."<br>";
echo $estimated_delivery_date."<br>";
echo $equipment_amount."<br>";          
echo $quote_term."<br>";
echo $equipment_payment."<br>";
echo $advance_payments."<br>";
echo $equipment_description."<br>";
echo $personal_name."<br>";
echo $personal_title."<br>";
echo $personal_ssn."<br>";
echo $personal_ownership."<br>";
echo $personal_address."<br>";
echo $personal_phone."<br>";
echo $personal_name_2."<br>";
echo $personal_title_2."<br>";
echo $personal_ssn_2."<br>";
echo $personal_ownership_2."<br>";
echo $personal_address_2."<br>";
echo $personal_phone_2."<br>";
echo $personal_name_3."<br>";
echo $personal_title_3."<br>";
echo $personal_ssn_3."<br>";
 echo $personal_ownership_3."<br>";
echo $requiredbank_name."<br>";
echo $bank_years."<br>";
echo $bank_acct_number."<br>";
echo $requiredbank_phone."<br>";
echo $bank_contact."<br>";
echo $previous_bank."<br>";
echo $previous_bank_years."<br>";
echo $previous_bank_acct_number."<br>";
echo $previous_bank_phone."<br>";
echo $previous_bank_contact."<br>";
echo $trade_main_supplier."<br>";
echo $trade_main_products."<br>";
echo $trade_main_acct_number."<br>";
echo $trade_main_phone."<br>";
echo $trade_main_contact."<br>";
echo $trade_other_supplier."<br>";
echo $trade_other_products."<br>";
echo $trade_other_acct_number."<br>";
echo $trade_other_phone."<br>";
echo $trade_other_contact."<br>";
echo $landlord_equip_location."<br>";
echo $landlord_years."<br>";
echo $landlord_city_state."<br>";
echo $landlord_phone."<br>";
echo $landlord_contact."<br>";
echo $business_insurance_co."<br>";
echo $business_insurance_years."<br>";
echo $business_insurance_phone."<br>";
echo $business_insurance_contact."<br>";*/
//$sql1="SELECT * from `mail`";
//$rs1=mysql_query($sql1);
//$row=mysql_fetch_array($rs1);
//$mess="<table>"."<tr><td>".$row['name']."</td><td>".$row['email']."</td><td>".$row['phone']."</td><td>".$row['fax']."</td><td></tr><tr><td>".$row['street-add']."</td><td>";
//$mess.=$row['city']."</td><td>".$row['state']."</td><td>".$row['zip']."</td><td></tr><tr><td>".$row['salon_name']."</td><td>".$row['title']."</td><td>".$row['comment']."</td></tr>";
$imgpath="www.kolkatawebstudio.com/tanningonline/";
$to="info@kolkatawebstudio.com";
$sub="My first mail to you";
$headers  = "MIME-Version: 1.0\r\n";
$headers .= "Content-type: text/html; charset=iso-8859-1\r\n";
$headers.="From me";
$htm_mess="<center><b><font color='red'>Registration Form for your client $nm</font></b></center><br></center>";
$mess_inf1="<center><b><font color=red>Selected products are</font></b></center><div style='width:640px; height:auto; margin:auto; padding:10px; border:1px solid #d7d8da; font-size:14px; font-weight:bold; text-align:center;'><table><tr><td>";
if(isset($_REQUEST['checkbox']))
{
foreach($_REQUEST['checkbox'] as $key1)
{
 if(!empty($key1))
 {
$s2=strpos($key1,'#'); 
 $s3=strlen($key1);
 $s1=strpos($key1,'&');
 $mess_inf1.="<div style='float:left; width:150px; height:auto; margin:10px; padding:10px; border:1px solid #d7d8da; font-size:14px; font-weight:bold; text-align:center;'>".substr($key1,0,$s1)."<br>";
 $img1=strstr($key1,'images/');
//$img1mess_inf1.=strpos($key1,'&')."<br>";
$mess_inf1.="<img src='$imgpath$img1' width='100' height='50'><br>";
$mess_inf1.=substr($key1,$s2+1,$s3)."</div>";
}
}
}

if(isset($_REQUEST['checkboxsw']))
{
$keysw=$_REQUEST['checkboxsw'];
 if(!empty($keysw))
 {
$s2=strpos($keysw,'#'); 
 $s3=strlen($keysw);
 $s1=strpos($keysw,'&');
 $mess_inf1.="<div style='float:left; width:150px; height:auto; margin:10px; padding:10px; border:1px solid #d7d8da; font-size:14px; font-weight:bold; text-align:center;'>".substr($keysw,0,$s1)."<br>";
$img1=strstr($keysw,'images/');
//$img1mess_inf1.=strpos($key1,'&')."<br>";
$mess_inf1.="<img src='$imgpath$img1' width='100' height='50'><br>";
//$mess_inf1.="<img src='$imgpath.strstr($keysw,'images/')'width='100' height='50'><br>";
$mess_inf1.=substr($keysw,$s2+1,$s3)."</div>";
}
}
if(isset($_REQUEST['checkboxlp']))
{
$keylp=$_REQUEST['checkboxlp'];
 if(!empty($keylp))
 {
$s2=strpos($keylp,'#'); 
 $s3=strlen($keylp);
 $s1=strpos($keylp,'&');
 $mess_inf1.="<div style='float:left; width:150px; height:auto; margin:10px; padding:10px; border:1px solid #d7d8da; font-size:14px; font-weight:bold; text-align:center;'>".substr($keylp,0,$s1)."<br>";
//$mess_inf1.=strpos($key1,'&')."<br>";
$img1=strstr($key1p,'images/');
//$img1mess_inf1.=strpos($key1,'&')."<br>";
$mess_inf1.="<img src='$imgpath$img1' width='100' height='50'><br>";
//$mess_inf1.="<img src='$imgpath.strstr($keylp,'images/')'width='100' height='50'><br>";
$mess_inf1.=substr($keylp,$s2+1,$s3)."</div>";
}
}
if(isset($_REQUEST['checkboxbk']))
{
$keybk=$_REQUEST['checkboxbk'];
 if(!empty($keybk))
 {
$s2=strpos($keybk,'#'); 
 $s3=strlen($keybk);
 $s1=strpos($keybk,'&');
 $mess_inf1.="<div style='float:left; width:150px; height:auto; margin:10px; padding:10px; border:1px solid #d7d8da; font-size:14px; font-weight:bold; text-align:center;'>".substr($keybk,0,$s1)."<br>";
//$mess_inf1.=strpos($key1,'&')."<br>";
$img1=strstr($keybk,'images/');
//$img1mess_inf1.=strpos($key1,'&')."<br>";
$mess_inf1.="<img src='$imgpath$img1' width='100' height='50'><br>";
//$mess_inf1.="<img src='$imgpath.strstr($keybk,'images/')'width='100' height='50'><br>";
$mess_inf1.=substr($keybk,$s2+1,$s3)."</div>";
}
}
if(!empty($aap))
{
$mess_inf1.="<table><tr><td>Product name</td><td>".$aap."</td></tr><tr><td>Price</td><td>".$aaq."</td></tr><tr><td>Rate</td><td>".$aar."</td></tr></table>";
}
$mess_inf1.="</td></tr></table>";
//echo $mess_inf1;
//if(isset($_REQUEST['checkbox']))
//foreach($_REQUEST['checkbox'] as $key1)
//echo $key1."<br>";

/*$htm_mess.=$mess_inf1."<table border='0' bgcolor='#CCCCCC' align='center' width='850px'><tr><td><b>Client Information</b></td></tr><tr><td>Company Full name</td><td>$a</td></tr><tr><td>Address</td><td>$b</td></tr>";
$htm_mess.="<tr><td>City</td><td>$c</td></tr>"."<tr><td>State</td><td>$d</td></tr><tr><td>Zip</td><td>$e</td></tr><tr><td>Contact person</td><td>$f</td></tr>";
//$htm_mess.="<tr><td>Telephone number</td><td>$g</td></tr><tr><td>Email Address</td><td>$h</td></tr><tr><td>Nature of business</td><td>$i</td></tr>";
$htm_mess.="<tr><td>Corp/Other</td><td>$j</td></tr><tr><td>Year in business</td><td>$k</td></tr><tr><td>Location of Equipment</td><td>$l</td></tr>";
$htm_mess.="<tr><td>Year at this location</td><td>$m</td></tr><tr><td>Est Equipment</td><td>$n</td></tr><tr><td><b>Equipment Descriptiont</b></td></tr>";
$htm_mess.="<tr><td>Amount</td><td>$m</td></tr><tr><td>Term<td><td>$n</td></tr><tr><td>Payment</td><td>$o</td></tr><tr><td>Adv Pmts</td><td>$p</td></tr>";
$htm_mess.="<tr><td>Buy_Out</td><td>$q</td></tr><tr><td>New/Used</td><td>$r</td></tr><tr><td>Equipment Description</td><td>$s</td></tr>";
$htm_mess.="<tr><td><b>Personal Information for all Owner</b></td></tr><tr><td>Name</td><td>$t</td></tr><tr><td>Title</td><td>$u</td></tr><tr><td>SSN</td><td>$v</td></tr><tr><td>OwnerShip</td><td>$w</td></tr>";
$htm_mess.="<tr><td>Home Address/City/State/Zip</td><td>$x</td></tr><tr><td>Home Phone number</td><td>$y</td></tr><tr><tr><td><b>Bank Reference</b></td></tr><tr><td>Name of Bank/td><td>$aj</td></tr><tr><td>No of Years</td><td>$ak</td></tr><tr><td>Bank Acct Number</td><td>$al</td></tr><tr><td>Phone</td><td>$am</td></tr>";
$htm_mess.="<tr><td>Contact number</td><td>$an</td></tr><tr><td>Previous Bank </td><td>$ao</td></tr><tr><td>No of Years</td><td>$ap</td></tr><tr><td>Bank Acct No</td><td>$aq</td></tr><tr><td>Phone No</td><td>$ar</td></tr><tr><td>Contact No</td><td>$as</td></tr>";
$htm_mess.="<tr><td><b>Trade Reference</b></td></tr><tr><td>Main Supplier</td><td>$at</td></tr><tr><td>Product Acct No </td><td>$au</td></tr><tr><td>Phone No</td><td>$av</td></tr><tr><td>Contact No</td><td>$aw</td></tr><tr><td>Other Supplier</td><td>$ax</td></tr><tr><td>Product Acct No</td><td>$ay</td></tr><tr><td>Phone No</td><td>$az</td></tr><tr><td>Contact No</td><td>$aab</td></tr>";
$htm_mess.="<tr><td><b>Land Lord And Insurance Information</b></td></tr><tr><td>Landlord for Euip.location</td><td>$aac</td></tr><tr><td>No of Yrs </td><td>$aad</td></tr><tr><td>City/State</td><td>$aae</td></tr><tr><td>Phone No</td><td>$aaf</td></tr><tr><td>Contact No</td><td>$aag</td></tr><tr><td>Business Insurance</td><td>$aah</td></tr><tr><td>No of Yrs</td><td>$aai</td></tr><tr><td>Prop Damage & Liab Information</td><td>$aaj</td></tr><tr><td>Phone No</td><td>$aak</td></tr><tr><td>Contact No</td><td>$aal</td></tr></table>";
/* align='left'><br>".$a."<br>".$b."<br>".$c."<br>".$d."<br>".$e."<br>".$f."<br>".$g."<br>".$h."<br>".$i."<br>".$j."<br>".$k."<br>".$l."<br>".$m."<br>".$n."<br>".$o."<br>".$p."<br>".$q."<br>".$r."<br>".$s."<br>".$t."<br>".$u."<br>".$v."<br>".$w."<br>".$x."<br>".$y."<br>";*/
//$mailsent=mail($to,$sub,$htm_mess,$headers);*/
$htm_mess.=$mess_inf1."<table width='635' border='0' cellspacing='0' cellpadding='0'  >
  <tr>
    <td width='315' valign='top'><table width='95%' border='0' align='center' cellpadding='2' cellspacing='2' style='border:1px solid #999999;'>
      <tr>";
	  
   $htm_mess.="<td   width='95%' colspan='2' align='left' valign='top' bgcolor='#FFFFCC'><font color='#FF0000' face='Arial, Helvetica, sans-serif'><strong>Company Information</strong></font></td>
        </tr>";
     $htm_mess.="<tr>
        <td width='49%' align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Full Legal Company Name:</font></td>";
  $htm_mess.="<td width='51%' align='left' valign='top'>$a</td>
      </tr>
      <tr>";
        $htm_mess.=" <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Address</font></td>
        <td align='left' valign='top'>$b</td>
      </tr>";
       $htm_mess.="<tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>City</font></td>
        <td align='left' valign='top'>$c</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Country</font></td>
        <td align='left' valign='top'>$d</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>State</font></td>";
         $htm_mess.="<td align='left' valign='top'>$e</td>
      </tr>
      <tr>";
         $htm_mess.="<td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Zip</font></td>
        <td align='left' valign='top'>$f</td>
      </tr>
      <tr>";
         $htm_mess.="<td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Contact Person</font></td>
        <td align='left' valign='top'>$g</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Telephone</font></td>
        <td align='left' valign='top'>$h</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Fax</font></td>
        <td align='left' valign='top'>$i</td>
      </tr>";
       $htm_mess.="<tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Email Address</font></td>
        <td align='left' valign='top'>$j</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Nature of Business</font></td>
        <td align='left' valign='top'>$k</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Corp/Other</font></td>
        <td align='left' valign='top'>$l</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Years in Business</font></td>
        <td align='left' valign='top'>$m</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Location of Equipment (if different than above)</font></td>";
         $htm_mess.="<td align='left' valign='top'>$n</td>
      </tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Years at this Location</font></td>";
         $htm_mess.="<td align='left' valign='top'>$o</td>
      </tr>
      <tr>
        <td align='left' valign='top'><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>Est. Equipment Delivery Date</font></td>";
         $htm_mess.="<td align='left' valign='top'>$p</td>
      </tr>
    </table></td>
    <td width='320'><table width='95%' border='0' align='center' cellpadding='2' cellspacing='2'  style='border:1px solid #999999;'>";
       $htm_mess.="<tr>
        <td colspan='2' align='left' valign='top' bgcolor='#FFFFCC'><font color='#FF0000' face='Arial, Helvetica, sans-serif'><strong>Equipment Quote</strong></font></td>";
       $htm_mess.="</tr>
      <tr>
        <td width='49%' align='left' valign='top'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Amount</font><font color='#0000FF' size='-1' face='Arial, Helvetica, sans-serif'>:</font></td>";
         $htm_mess.="<td width='51%' align='left' valign='top'>$q</td>
      </tr>
      <tr>
        <td align='left' valign='top'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Term</font></td>
        <td align='left' valign='top'>$r</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Payment</font></td>
        <td align='left' valign='top'>$s</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Adv Pmts</font></td>
        <td align='left' valign='top'>$t</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Buy-Out</font></td>
        <td align='left' valign='top'>$by</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>New/Used</font></td>
        <td align='left' valign='top'>$nw</td>";
       $htm_mess.="</tr>
      <tr>
        <td align='left' valign='top'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'><strong>Equipment Description</strong></font></td>";
         
       $htm_mess.="</tr>
    </table></td>
  </tr>
  <tr>";
     $htm_mess.="<td><table width='100%' border='0' cellspacing='0' cellpadding='0'  style='border:1px solid #999999; valign='top'>
      <tr>
        <td   width='95%' colspan='2' align='left' valign='top' bgcolor='#FFFFCC'><font color='#FF0000' face='Arial, Helvetica, sans-serif'><strong>Personal Information</strong></font></td>
        <td width='1%'>&nbsp;</td>";
       $htm_mess.="</tr>
      <tr>
        <td width='61%'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Name</font></td>
        <td width='38%'>$v</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Title</font></td>
        <td>$w</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>SSN</font></td>
        <td>$x</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>%Ownership</font></td>
        <td>$y</td>
      </tr>
      <tr>";
         $htm_mess.="<td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Home Address / City / State / Zip</font></td>
        <td>$z</td>
      </tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Home Phone Number</font></td>";
         $htm_mess.="<td>$aa</td>
      </tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Name</font></td>
        <td>$ab</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Title</font></td>
        <td>$ac</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>SSN</font></td>
        <td>$ad</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>%Ownership</font></td>
        <td>$ae</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Home Address / City / State / Zip</font></td>
        <td>$af</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Home Phone Number</font></td>
        <td>$ag</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Name Other Owners</font></td>
        <td>$ah</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Title</font></td>
        <td>$ai</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>SSN</font></td>
        <td>$aj</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>%Ownership</font></td>
        <td>$ak</td>";
       $htm_mess.="</tr>
    </table></td>
    <td valign='top'><table width='95%' border='0' cellspacing='0' cellpadding='0'  style='border:1px solid #999999;' valign='top'>
      <tr><td   width='95%' colspan='2' align='left' valign='top' bgcolor='#FFFFCC'><font color='#FF0000' face='Arial, Helvetica, sans-serif'><strong>Bank Reference:2</strong></font></td>";
         $htm_mess.="</tr>
      <tr>
        <td width='61%'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Name of Bank</font></td>
        <td width='37%'>$al</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>No. of Yrs</font></td>
        <td>$am</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Bus. Acct. Number(s)</font></td>
        <td>$an</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Phone</font></td>
        <td>$ao</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Contact</font></td>
        <td>$ap</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Previous Bank</font></td>
        <td>$aq</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>No. of Yrs</font></td>
        <td>$ar</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Bus. Acct. Number(s)</font></td>
        <td>$as</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Phone</font></td>
        <td>$at</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Contact</font></td>
        <td>$au</td>";
       $htm_mess.="</tr>
      <tr>
        <td>&nbsp;</td>
        <td>&nbsp;</td>";
       $htm_mess.="</tr>

    </table></td>";
   $htm_mess.="</tr>
  <tr>
    <td><table width='95%' border='0' cellspacing='0' cellpadding='0'  style='border:1px solid #999999;' valign='top'>
        <td colspan='2' align='left' valign='top' bgcolor='#FFFFCC'><font color='#FF0000' face='Arial, Helvetica, sans-serif'><strong>Trade Reference</strong></font></td>";
           $htm_mess.="<td width='1%'>&nbsp;</td>
      <tr>
        <td width='39%'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Main Supplier</font></td>
        <td width='60%'>$av</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Products</font></td>
        <td>$aw</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Account Number</font></td>
        <td>$ax</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Phone</font></td>
        <td>$ay</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Contact</font></td>
        <td>$az</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Other Supplier</font></td>
        <td>$aab</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Products</font></td>
        <td>$aac</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Account Number</font></td>
        <td>$aad</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Phone</font></td>
        <td>$aae</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Contact</font></td>
        <td>$aaf</td>";
       $htm_mess.="</tr>
    </table></td>
    <td valign='top'><table width='100%' border='0' cellspacing='0' cellpadding='0'  color='#0000FF'  style='border:1px solid #999999;' valign='top'>
      <tr>";
         $htm_mess.="<td  width='95%'  colspan='2' align='left' valign='top' bgcolor='#FFFFCC'><strong><font color='#ffffff' size='-1' face='Arial, Helvetica, sans-serif'>l</font><font color='#FF0000' face='Arial, Helvetica, sans-serif'><strong>Land lord and reference information</strong></font></strong></td>";
         $htm_mess.="<td width='1%'>&nbsp;</td>
      </tr>
      <tr>
        <td width='53%'><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Landlord for Equip. Location</font></td>
        <td width='46%'>$aag</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>No. of Yrs</font></td>
        <td>$aah</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>City/State</font></td>
        <td>$aai</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Phone</font></td>
        <td>$aaj</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Contact</font></td>
        <td>$aak</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'   color='#0000FF'>Business Insurance Co.</font></td>
        <td>$aal</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>No. of Yrs</font></td>
        <td>$aam</td>
      </tr>";
       $htm_mess.="<tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Prop Damage &amp; Liab?</font></td>
        <td>$aan</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Phone</font></td>
        <td>$aao</td>";
       $htm_mess.="</tr>
      <tr>
        <td><font face='Arial, Helvetica, sans-serif' size='-1'  color='#0000FF'>Contactt</font></td>
        <td>&nbsp;</td>
      </tr>
    </table></td>";
   $htm_mess.="</tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
</table></div>";
//$htm_mess.=$aap."<br>".$aaq."<br>".$aar;
echo $htm_mess; 
//$mailsent=mail($to,$sub,$htm_mess,$headers);
if($mailsent)
{
$mess="<center><font color='#FF0000' face='Arial, Helvetica, sans-serif'><strong>Congratulation!$nm<br>";
$mess.="Your mail has been sucessfully sent<br>";
$mes=base64_encode($mess);
header("Location:mailConfirm.php?msg=$mes");
//echo $htm_mess;
//$sql="truncate table `secure`";
//mysql_query($sql);*/
//$sql="truncate table `secure`";
//mysql_query($sql);
}
?>