Order Contact form program for only $19.99.

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Order Contact form program for only $19.99.

Contact Form Perl program order form.
After submitting this form we will verify all data and build your custom program.
You will need to provide us with some of your Web Server settings in order to make your contact form functional.
You can build your form and if required - come back to change and re-build it during 30 days after the date of purchase. So, if you miss anything the first time - you can always change it later.

This program will not work without sendmail program.

Your Name:

Your Email:

Form used for:

Private use
Company use
This field tells the program how to configure destinations, by names or departments.

Information required to build you program.

Sendmail program location:

Custom program settings.

Verify sender name:

Yes
No

Verify sender email:

Yes
No

Minimum comments length:

If nothing entered - length is not checked

Send "Thank you" email to the client:

Yes
No

Name of your Web Site:

Used in page title and header as well as in "Thank you" letter to the client.

Email, Name(s) and Departments: (limited to 20 entries)

##	Email	Name	Department
1.
2.
3.
4.

Each department can have more than one name. If one field is missing, the whole row is skipped.
If you need to enter more departments and names, please select here:
If need more names/departments, how many:

Your custom "Thank you" message:

Sent to the sender in "Thank you" letter and shown on thank you page after submission of the form (required).

Your HTML template page:

This page will be used as a template to build all form pages. If omitted - plain looking HTML template will be used.

VERY IMPORTANT!
Your HTML code in your HTML file or source below should include this string
!CODEINSERT!
exactly as it is shown with exclamation marks, so our program would know where to insert the form code. If string is missing - we can not process this form!

Also, if you are using relative links and images in your source code, please make sure they are valid for your page location.

HTML template code if you prefer to provide it here instead of uploading the file.

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