0)
{
if (strlen($ClientID)>0)
{
$apptdate=date("Y-m-d H:i:s");
mssql_query( "insert into client_appts (login,apptdate,url,industry,apptname,apptemail) values ('$ClientID','$apptdate','{$HTTP_HOST}','$Industry','$txtName','$txtEmail')");
}
mssql_close( $link );
$txtComments=ereg_replace("\"","'",$txtComments);
$body="Name: $txtName\nEmail: $txtEmail\nPhone: ($txtPh1) $txtPh2-$txtPh3\n\nLocation: $OfficeLoc\n\nDesired Date:$zMONTH $zDAY $zYEAR\n\nDesired Day/Time: $selectDay @ $selectTime\n\nIs more flexible regarding $selectFlexible\n\nComments:\n$txtComments";
$headers .= "From: $txtName <$txtEmail>\n";
$headers .= "X-Sender: <$txtEmail>\n";
mail($Email, "Appointment Request from Web site", $body,$headers);
}
?>
Florissant and St. Louis Dentist:Cosmetic, Orthodontic, Family Dentistry @ Florissant Dental Services, Dr. John Landgraf
To request appointment availability, please fill out the form below. Our scheduling coordinator will
contact you to confirm your appointment.
Thanks, your appointment request has been submitted. Please not that this is not a yet a scheduled
appointment, you must contact our office by phone to confirm this request.
