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Need Additional Information? if ($submit != "Submit Form") { ?> Thank you for visiting Transformational Security. Please fill out the form below to receive information or to request that a sales representative contact you. } else { $receiver = "sales@powerfulsecurity.com"; $inf = $inf."I have an immediate requirement:\t$ImmediateRequirement\n"; $inf = $inf."I need a quote:\t$NeedQuote\n"; $inf = $inf."I need product information:\t$NeedProductInfo\n"; $inf = $inf."I need information for reference only:\t$NeedReferenceInfo\n\n"; $inf = $inf."I am interested in the following:\n"; $inf = $inf."Antennas or Antenna Kits:\t$Antennas\n"; $inf = $inf."Audio Clean-up and Amplification:\t$Audio\n"; $inf = $inf."CCTV Camera and Equipment:\t$CCTV\n"; $inf = $inf."Covert CCTV Systems and Technology:\t$Covert\n"; $inf = $inf."Electronic Window Treatment for Privacy Applications:\t$Electronic\n"; $inf = $inf."Heads-up Displays:\t$HeadsUp\n"; $inf = $inf."In-place Monitoring Systems (IPMS):\t$InPlace\n"; $inf = $inf."Microwave Cable Assemblies:\t$Microwave\n"; $inf = $inf."Mobile RF Search Platforms:\t$Mobile\n"; $inf = $inf."Micro Wire for audio & video Applications:\t$Micro\n"; $inf = $inf."Noise Control Solutions:\t$Noise\n"; $inf = $inf."Optical Lenses:\t$Optical\n"; $inf = $inf."RF Components:\t$RF\n"; $inf = $inf."Sound Masking Systems and Components:\t$Sound\n"; $inf = $inf."Other:\t$Other\n"; $inf = $inf."Please Specify:\t$OtherProduct\n\n"; $inf = $inf."Please have someone:\n"; $inf = $inf."Someone send me documentation:\t$Documentation\n"; $inf = $inf."Someone send me a quotation:\t$Quotation\n"; $inf = $inf."A sales representative call me:\t$SalesCall\n\n"; $inf = $inf."CONTACT INFORMATION:"; $inf = $inf."First Name:\t$FirstName\n"; $inf = $inf."Last Name:\t$LastName\n"; $inf = $inf."Company:\t$Company\n"; $inf = $inf."Street Address:\t$Street\n"; $inf = $inf."City:\t$City\n"; $inf = $inf."State:\t$State\n"; $inf = $inf."Zip Code:\t$Zip \t$PlusFour\n"; $inf = $inf."Country:\t$Country\n"; $inf = $inf."Telephone Number:\t$PhoneArea-\t$PhoneExchange-\t$PhoneNumber\n"; $inf = $inf."Extension:\t$Extension\n"; $inf = $inf."Fax Number:\t$FaxArea-\t$FaxExchange-\t$FaxNumber\n"; $inf = $inf."Email Address:\t$Email\n\n"; $inf = $inf."ADDITIONAL COMMENTS:"; $inf = $inf."\t$Comments\n"; mail($receiver, "Transformational Security Request Form", $inf); ?> Thank you for your interest! We will process your request shortly. } ?>
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