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form not being sent via email

jimlawrnc

By jimlawrnc
in PHP Coding Help

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jimlawrnc Member

jimlawrnc

Posted
Posted

I have a 2 page  setup that was given to me. 

 

1 is a form with a submit button

2 is the form printed to the page but also emailed. 

 

these pages were originally asp pages that someone converted to php 

 

i cannot get the page to print  and second get emailed

 

wof.php

<html>
<head>

<script language="javascript" src="choosedate.js"></script>
<link type="text/css" rel="stylesheet" href="calendar.css">

</head>
<title>Work Order Form</title>
<body>

<form name="frm" method="post" action="wof2.php">

<table border="0" cellpadding="2" cellspacing="0" style="BORDER-COLLAPSE: collapse" width="100%" height="557">
    <tr>

      <td width="100%" colspan="10" bgcolor="#c0c0c0" height="19" bordercolor="#000000">
      <b>Part 1: Client Information</b></td>
    </tr>
    <tr>
      <td width="100%" colspan="10" height="22">
      <font size="2" face="Times New Roman">Name: </font>

      <font face="Times New Roman">
      <input name="Client_Name" size="88" tabindex="1" ></font></td>

    </tr>
    <tr>
      <td width="100%" colspan="10" height="22">
      <font size="2" face="Times New Roman">Street Address: </font>
      <font face="Times New Roman">
      <input name="Street_address" size="80" tabindex="2" 
     ></font></td>

    </tr>
    <tr>

      <td width="24%" height="22"><font size="2" face="Times New Roman">City:
      </font><font face="Times New Roman">
      <input name="City" size="16" tabindex="3" ></font></td>
      <td width="9%" colspan="2" height="22">
      <font size="2" face="Times New Roman">State: </font>
      <font face="Times New Roman"><select size="1" name="State" tabindex="4">

      <option selected>NY</option>
      </select></font></td>

      <td width="16%" colspan="3" height="22">
      <font size="2" face="Times New Roman">Zip: </font>
      <font face="Times New Roman">
      <input name="Zip" size="9" tabindex="5" ></font></td>
      <td width="51%" colspan="4" height="22">

      <font size="2" face="Times New Roman">Email: </font>
      <font face="Times New Roman">
      <input name="Email" size="34" tabindex="6" ></font></td>

    </tr>
    <tr>
      <td width="39%" colspan="2" height="22">
      <font size="2" face="Times New Roman">Phone: </font>

      <font face="Times New Roman">
      <input name="Phone" tabindex="7" ></font></td>
      <td width="25%" colspan="5" height="22">
      <font size="2" face="Times New Roman">Fax: </font>

      <font face="Times New Roman">
      <input name="Fax" tabindex="8" ></font></td>
      <td width="36%" colspan="3" height="22">
      <font size="2" face="Times New Roman">Cell: </font>

      <font face="Times New Roman">
      <input name="Cell_Phone" tabindex="9" 
     ></font></td>
    </tr>
    <tr>

      <td width="100%" colspan="10" bgcolor="#c0c0c0" height="19" bordercolor="#000000">
      <b>Part 2: System Information</b></td>
    </tr>
    <tr>

      <td width="100%" height="22" colspan="10"><font size="2" face="Times New Roman">
      Operating System:</font><font face="Times New Roman">
      <select size="1" name="Operating_System" tabindex="10">
      <option>Windows 2003 Server</option>

      <option selected>- Choose One -</option>
      <option>Windows 2003 Small Business Server</option>

      <option>Windows 2000 Server</option>
      <option>Windows 2000 Small Business Server</option>
      <option>Windows 2000</option>
      <option>Windows XP Pro</option>

      <option>Windows XP Home</option>
      <option>Windows 98</option>

      <option>Windows ME</option>
      <option>Linux</option>
      <option>MAC OS 9</option>
      <option>MAC OS X</option>

      </select></font></td>
    </tr>

    <tr>
      <td width="60%" colspan="4" height="22">
      <font size="2" face="Times New Roman">Machine Name: </font>
      <font face="Times New Roman">
      <input name="Machine_Name" size="27" tabindex="11" 
     ></font></td>
      <td width="40%" colspan="6" height="22">

      <font size="2" face="Times New Roman">IP Number: </font>

      <font face="Times New Roman">
      <input name="IP_Number" size="37" tabindex="12" ></font></td>
    </tr>
    <tr>
      <td width="100%" height="22" colspan="10"><font size="2" face="Times New Roman">Internet
      Access Type:</font><font face="Times New Roman">
      <select size="1" name="Internet_Type" tabindex="13">
      <option>Dial-Up</option>

      <option selected>- Choose One -</option>
      <option>Frontier DSL</option>
      <option>Time Warner Cable</option>
      <option>T1</option>
      <option>Other</option>
      </select></font><font size="2" face="Times New Roman">   

      </font><font face="Times New Roman">
      <input name="Internet_Other_Type" tabindex="14" 
     ></font></td>
    </tr>
    <tr>
      <td width="24%" height="22"><font size="2" face="Times New Roman">Ram:
      </font><font face="Times New Roman">
      <select size="1" name="Ram" tabindex="15">
      <option>128 Mb</option>

      <option selected>- Choose One -</option>

      <option>256 Mb</option>
      <option>512 Mb</option>
      <option>1.0 Gb</option>
      <option>2.0 Gb</option>
      </select></font></td>

      <td width="35%" colspan="5" height="22">
      <font size="2" face="Times New Roman">HD 1:</font><font face="Times New Roman"><select size="1" name="Hard_Drive_1" tabindex="16">

      <option>18.6Gb</option>
      <option selected>- Choose  -</option>
      <option>36.7 Gb</option>
      <option>40 Gb</option>

      <option>72.5 gb</option>
      <option>80 Gb</option>

      <option>100 Gb</option>
      <option>120 Gb</option>
      <option>160 Gb</option>
      <option>200 Gb</option>

      <option>250 Gb</option>
      <option>300 Gb</option>

      <option>400 Gb</option>
      </select></font></td>
      <td width="17%" colspan="2" height="22">
      <font size="2" face="Times New Roman">HD 2: </font>

      <font face="Times New Roman">
      <select size="1" name="Hard_Drive_2" tabindex="17">
      <option>18.6Gb</option>

      <option selected>- Choose -</option>
      <option>36.7 Gb</option>
      <option>40 Gb</option>

      <option>72.5 gb</option>
      <option>80 Gb</option>
      <option>100 Gb</option>

      <option>120 Gb</option>
      <option>160 Gb</option>
      <option>200 Gb</option>

      <option>250 Gb</option>
      <option>300 Gb</option>
      <option>400 Gb</option>

      </select></font></td>
      <td width="24%" colspan="2" height="22">
      <font size="2" face="Times New Roman">Raid: </font>

      <font face="Times New Roman"><select size="1" name="Raid" tabindex="18">
      <option>None</option>
      <option selected>- Choose One -</option>
      <option>Raid 0</option>

      <option>Raid 1</option>
      <option>Raid 5</option>

      </select></font></td>
    </tr>
    <tr>
      <td width="50%" height="19" colspan="5"><font face="Times New Roman" size="2">Network
      Type:</font><font face="Times New Roman">
      <select size="1" name="Network_Type" tabindex="19">

      <option>Novel</option>
      <option selected>- Choose One -</option>

      <option>Windows Domain</option>
      <option>Windows Peer-to-Peer</option>
      <option>None</option>
      </select></font></td>

      <td width="50%" height="19" colspan="5"><font size="2" face="Times New Roman">Backup:
      </font><font face="Times New Roman">
      <select size="1" name="Backup" tabindex="20">

      <option>Yes</option>
      <option selected>- Choose -</option>
      <option>No</option>
      </select></font></td>
    </tr>

    <tr>
      <td width="24%" height="17"><font size="2" face="Times New Roman">

      Firewall: </font><font face="Times New Roman">
      <select size="1" name="Firewall" tabindex="21">
      <option value="Yes">Yes</option>
      <option selected>- Choose -</option>
      <option>No</option>

      </select></font></td>

      <td width="58%" height="17" colspan="8">
      <font size="2" face="Times New Roman">Antivirus: </font>
      <font face="Times New Roman">
      <select size="1" name="Antivirus" tabindex="22">
      <option>Yes</option>
      <option selected>- Choose -</option>

      <option>No</option>

      </select></font><font size="2" face="Times New Roman">Version: </font>
      <font face="Times New Roman">
      <input name="Antivirus_Version" size="21" tabindex="23" ></font></td>
      <td width="18%" height="17"></td>
    </tr>
    <tr>
      <td width="33%" height="19" colspan="3">

      <font size="2" face="Times New Roman">System Performance: </font>

      <font face="Times New Roman">
      <select size="1" name="System_Performance" tabindex="24">
      <option>Very Slow</option>
      <option>Slow</option>
      <option>Average</option>
      <option selected>Fast</option>

      <option>Very Fast</option>
      </select></font></td>
      <td width="67%" height="19" colspan="7">
      <font size="2" face="Times New Roman">Hard drive Free Space: c:\ </font>
      <font face="Times New Roman">
      <input name="C_Drive_Free_Space" size="8" tabindex="25" ><select size="1" name="C_Freespace_Type" tabindex="26">
      <option selected>Mb</option>

      <option>Gb</option>
      </select></font><font size="2" face="Times New Roman"> d:\ </font>
      <font face="Times New Roman">
      <input name="D_Drive_Free_Space" size="8" tabindex="27" ><select size="1" name="D_Freespace_Type" tabindex="28">
      <option selected>Mb</option>
      <option>Gb</option>

      </select></font><font size="2" face="Times New Roman"> </font></td>
    </tr>
    <tr>
      <td width="100%" height="19" colspan="10" bgcolor="#c0c0c0" bordercolor="#000000">
      <b>Part 3: On-Site Support Description</b></td>
    </tr>
    <tr>

      <td width="690" height="19" colspan="10"><TEXTAREA tabIndex=29 name=Onsite_Work_Description rows=3 cols=82></TEXTAREA></td>
    </tr>
    <tr>
      <td width="100%" height="19" colspan="10" bgcolor="#c0c0c0" bordercolor="#000000">
      <b>Part 4: Parts to Invoice</b></td>
    </tr>
    <tr>
      <td width="100%" height="4" colspan="10"><TEXTAREA tabIndex=30 name=Parts_to_Invoice rows=3 cols=82></TEXTAREA></td>

    </tr>
    <tr>
      <td width="100%" height="19" colspan="10" bgcolor="#c0c0c0">
      <b>Part 5: Technician Suggestions</b></td>
    </tr>
    <tr>
      <td width="100%" height="19" colspan="10"><TEXTAREA tabIndex=31 name=Tech_Suggestions cols=82></TEXTAREA></td>
    </tr>

    <tr>
      <td width="100%" height="19" colspan="10" bgcolor="#c0c0c0">
      <b>Part 6: Follow Up / Sales Notes</b></td>
    </tr>
    <tr>
      <td width="100%" height="19" colspan="10"><TEXTAREA tabIndex=32 name=Followup_Sales cols=82></TEXTAREA></td>
    </tr>
    <tr>

      <td width="39%" height="19" colspan="2">Start Time:
      <input name="Start_Time" size="9" tabindex="33" ><select size="1" name="Start_Time_AP" tabindex="34">
      <option selected>AM</option>
      <option>PM</option>
      </select></td>

      <td width="25%" height="19" colspan="5">End Time:
      <input name="End_Time" size="9" tabindex="35" ><select size="1" name="End_Time_AP" tabindex="36">
      <option selected>AM</option>

      <option>PM</option>
      </select></td>
      <td width="36%" height="19" colspan="3">Total Time:
      <input name="Total_Time" size="10" tabindex="37" > Hours</td>
    </tr>

    <tr>
      <td width="100%" height="19" colspan="10">Billing Rate:
      <select size="1" name="Billing_Rate" tabindex="38">

      <option>Remote Support</option>
      <option>Bench Support - $55/hr</option>
      <option>Web Developement</option>
      <option>$80/hr + $65 Travel</option>
      <option>$115/hr + $65 Travel</option>
      <option>$150/hr</option>

      <option>Contract</option>
  <option selected>- Choose One -</option>
  
      <option>Other</option>
      </select>  Other Notes:<input name="Billing_Rate_Other" size="47" tabindex="38" ></td>
    </tr>
    <tr>

      <td width="39%" height="19" colspan="2">Technician:<select size="1" name="Technician" tabindex="40">
      
  <option>Elixir - Designer</option>
  <option>Elixir - Developer</option>
  <option>Jim Lawrence</option>
  <option>Chris Smith</option>
  <option>Tim Conner</option>

  <option>Doug Merritt</option>
  <option>Scott Provvidenza</option>     
      <option selected>- Choose One -</option>
      </select></td>

      <td width="9%" height="19" colspan="4">Date:
      <input name="Date" size="14" tabindex="41" ><script language=javascript>
var basicCal = new calendar("FIELD:document.frm.Date");
basicCal.writeCalendar();
</script></td>
      <td width="52%" height="19" colspan="4">Additional work required: 

      <select size="1" name="Additional_Work_Needed" tabindex="42">
      <option selected>No</option>
      <option>Yes</option>
      </select></td>
    </tr>

    <tr>
      <td width="100%" height="19" colspan="10">

      <p class="MsoNormal"><span style="FONT-SIZE: 10pt" 
     >I have reviewed the
      statements regarding system operation and components and hereby agree to
      all the Terms and Conditions set forth by Point-N-Click.  I fully
      understand the time and materials pricing and confirm the total amount of
      time spent working on my system today as indicated by my signature below.<br>
 </span></p></td>
    </tr>
    <tr>
      <td width="64%" height="40" valign="bottom" colspan="7">Customer Signature:_________________________________</td>

      <td width="36%" height="40" valign="bottom" colspan="3">Date:__________________</td>

    </tr>
  </table>
  <p><input type="submit" value="Submit" name="B1"><input type="reset" value="Reset" name="B2"></p>
</form>

</body>

</html>

 

wof2.php


<?php
// Option $Explicit;





// $CDO is of type "CDONTS.NewMail"

mail(,$TestMode=false,$If$TestMode,"From: ".$Subject="Point-N-Click On-Site Work Order Form");

;

}

mail(,,,"From: ".$CC="") or die();

mail($msgBody="Client Name: ".EmailVal("Client_Name")."\r\n",$msgBody=$msgBody."Street Address:	".EmailVal("Street_address")."\r\n",$msgBody=$msgBody."City:	".EmailVal("City")."\r\n","From: ".="[email protected]");

mail($msgBody=$msgBody."State:	".EmailVal("State")."\r\n",$msgBody=$msgBody."Zip:	".EmailVal("Zip")."\r\n",$msgBody=$msgBody."Email:	".EmailVal("Email")."\r\n","From: ".$CC="[email protected]; [email protected]");

mail($msgBody=$msgBody."Phone:	".EmailVal("Phone")."\r\n",$msgBody=$msgBody."Fax:	".EmailVal("Fax")."\r\n",$msgBody=$msgBody."Cell Phone:	".EmailVal("Cell_Phone")."\r\n","From: ".="[email protected]");

mail($msgBody=$msgBody."Operationg System:	".EmailVal("Operating_System")."\r\n",$msgBody=$msgBody."Machine Name:	".EmailVal("Machine_Name")."\r\n",$msgBody=$msgBody."IP Number:	".EmailVal("IP_Number")."\r\n","From: ".$From="[email protected]");

$msgBody=$msgBody."Internet Type:	".EmailVal("Internet_Type")."\r\n";

$msgBody=$msgBody."Internet Other Type:	".EmailVal("Internet_Other_Type")."\r\n";

$msgBody=$msgBody."RAM:	".EmailVal("Ram")."\r\n";

$msgBody=$msgBody."HD1: ".EmailVal("Hard_Drive_1")."\r\n";

$msgBody=$msgBody."HD2: ".EmailVal("Hard_Drive_2")."\r\n";

$msgBody=$msgBody."RAID:	".EmailVal("Raid")."\r\n";

$msgBody=$msgBody."Network Type:	".EmailVal("Network_Type")."\r\n";

$msgBody=$msgBody."Backup:	".EmailVal("Backup")."\r\n";

$msgBody=$msgBody."Firewall:	".EmailVal("Firewall")."\r\n";

$msgBody=$msgBody."Antivirus:	".EmailVal("Antivirus")."\r\n";

$msgBody=$msgBody."Antivirus Version:	".EmailVal("Antivirus_Version")."\r\n";

$msgBody=$msgBody."System Performance:	".EmailVal("System_Performance")."\r\n";

$msgBody=$msgBody."C Drive Free Space:	".EmailVal("C_Drive_Free_Space")." ".EmailVal("C_Freespace_Type")."\r\n";

$msgBody=$msgBody."D Drive Free Space:	".EmailVal("D_Drive_Free_Space")." ".EmailVal("D_Freespace_Type")."\r\n"."\r\n";

$msgBody=$msgBody."Onsite Work Description:"."\r\n";

$msgBody=$msgBody."------------------------"."\r\n";

$msgBody=$msgBody.EmailVal("Onsite_Work_Description")."\r\n"."\r\n";

$msgBody=$msgBody."Parts to Invoice:"."\r\n";

$msgBody=$msgBody."-----------------"."\r\n";

$msgBody=$msgBody.EmailVal("Parts_to_Invoice")."\r\n"."\r\n";

$msgBody=$msgBody."Technician Suggestions:"."\r\n";

$msgBody=$msgBody."-----------------------"."\r\n";

$msgBody=$msgBody.EmailVal("Tech_Suggestions")."\r\n"."\r\n";

$msgBody=$msgBody."Follow Up / Sales:"."\r\n";

$msgBody=$msgBody."------------------"."\r\n";

$msgBody=$msgBody.EmailVal("Followup_Sales")."\r\n"."\r\n";

$msgBody=$msgBody."Start Time:	".EmailVal("Start_Time")." ".EmailVal("Start_Time_AP")."\r\n";

$msgBody=$msgBody."End Time: ".EmailVal("End_Time")." ".EmailVal("End_Time_AP")."\r\n";

$msgBody=$msgBody."Total Time:	".EmailVal("Total_Time")." Hours"."\r\n";

$msgBody=$msgBody."Billing Rate:	".EmailVal("Billing_Rate")."\r\n";

$msgBody=$msgBody."Billing Rate Other:	".EmailVal("Billing_Rate_Other")."\r\n";

$msgBody=$msgBody."Technician:	".EmailVal("Technician")."\r\n";

$msgBody=$msgBody."Date:	".EmailVal("Date")."\r\n";

$msgBody=$msgBody."Additional Work Needed:	".EmailVal("Additional_Work_Needed")."\r\n";



mail(,$FunctionEmailVal($Key),$Dim$Val,"From: ".$Send);

mail($Val=$_POST[$Key],$If$Val="- Choose One -"|$Val="- Choose -",$Val=" ","From: ".$Body=$msgBody);



EmailVal = Val

End Function



Function FormVal(Key)

Dim Val

Val = Request.Form(key)

If Val = "- Choose One -" Or Val = "- Choose -" Then

	Val = ""

End If

FormVal = Server.HTMLEncode(Val)

End Function



?>

<html>

<head>

<title>Title here</title>

</head>

<body>



<table border="0" cellpadding="2" cellspacing="0" style="border-collapse: collapse" width="680">

<tr>



      <td colspan="2" bordercolor="#000000">

      <b>Point-N-Click<br>

        320 North Washington Street<br>

        Rochester, NY 14625<br>

        (585) 248-3820</b></td>

	<td colspan="2" bordercolor="#000000" align="right" valign="top"><b><font size="5">On-Site Work Order Form</font></b></td>

    </tr>

    <tr>



      <td width="690" colspan="4" bgcolor="#C0C0C0" height="19" bordercolor="#000000">

      <b>Part 1: Client Information</b></td>

    </tr>

    <tr>

      <td width="690" colspan="4" height="22">

      <font size="2" face="Times New Roman">Name: </font>

      <font face="Times New Roman">

      <? if ()

{

  echo FormVal("Client_Name");

} ?></font></td>



    </tr>

    <tr>

      <td width="690" colspan="4" height="22">

      <font size="2" face="Times New Roman">Street Address: </font>

      <font face="Times New Roman">

      <? echo FormVal("Street_address");?></font></td>

    </tr>

    <tr>



      <td width="24%" height="22"><font size="2" face="Times New Roman">City:

      </font><font face="Times New Roman">

      <? echo FormVal("City");?></font></td>

      <td width="9%" height="22">

      <font size="2" face="Times New Roman">State: </font>

      <font face="Times New Roman"><? echo FormVal("State");?></font></td>



      <td width="16%" height="22">

      <font size="2" face="Times New Roman">Zip: </font>

      <font face="Times New Roman">

      <? echo FormVal("Zip");?></font></td>

      <td width="51%" height="22">

      <font size="2" face="Times New Roman">Email: </font>

      <font face="Times New Roman">

      <? echo FormVal("Email");?></font></td>



    </tr>

    <tr>

      <td width="39%" height="22">

      <font size="2" face="Times New Roman">Phone: </font>

      <font face="Times New Roman">

      <? echo FormVal("Phone");?></font></td>

      <td width="25%" colspan="2" height="22">

      <font size="2" face="Times New Roman">Fax: </font>



      <font face="Times New Roman">

      <? echo FormVal("Fax");?></font></td>

      <td width="36%" height="22">

      <font size="2" face="Times New Roman">Cell: </font>

      <font face="Times New Roman">

      <? echo FormVal("Cell_phone");?></font></td>

    </tr>

    <tr>



      <td width="690" colspan="4" bgcolor="#C0C0C0" height="19" bordercolor="#000000">

      <b>Part 2: System Information</b></td>

    </tr>

    <tr>

      <td width="690" height="22"><font size="2" face="Times New Roman">

      Operating System:</font><font face="Times New Roman">

      <? echo FormVal("Operating_System");?></font></td>

    </tr>

    <tr>

      <td width="60%" colspan="2" height="22">

      <font size="2" face="Times New Roman">Machine Name: </font>

      <font face="Times New Roman">

      <? echo FormVal("Machine_Name");?></font></td>

      <td width="40%" colspan="2" height="22">



      <font size="2" face="Times New Roman">IP Number: </font>

      <font face="Times New Roman">

      <? echo FormVal("IP_Number");?></font></td>

    </tr>

    <tr>

      <td width="690" height="22"><font size="2" face="Times New Roman">Internet

      Access Type:</font><font face="Times New Roman">

      <? echo FormVal("Internet_Type");?></font><font size="2" face="Times New Roman">   



      </font><font face="Times New Roman">

      <? echo FormVal("Internet_Other_Type");?>

      </font></td>

    </tr>

    <tr>

      <td width="24%" height="22"><font size="2" face="Times New Roman">Ram:

      </font><font face="Times New Roman">

     <? echo FormVal("Ram");?></font></td>

      <td width="35%" height="22">

      <font size="2" face="Times New Roman">HD 1:</font><font face="Times New Roman">

      <? echo FormVal("Hard_Drive_1");?>

      </select></font></td>

      <td width="17%" height="22">

      <font size="2" face="Times New Roman">HD 2: </font>

      <font face="Times New Roman">

      <? echo FormVal("Hard_Drive_2");?>

      </font></td>

      <td width="24%" height="22">

      <font size="2" face="Times New Roman">Raid: </font>

      <font face="Times New Roman">

      <? echo FormVal("Raid");?>

      </font></td>

    </tr>

    <tr>

      <td width="50%" height="19"><font face="Times New Roman" size="2">Network

      Type:</font><font face="Times New Roman">

      <? echo FormVal("Network_Type");?>

      </font></td>

    </tr>



    <tr>

      <td width="24%" height="17" colspan="2"><font size="2" face="Times New Roman">

      Firewall: </font><font face="Times New Roman">

      <? echo FormVal("Firewall");?>

      </font></td>

      <td width="58%" height="17" colspan="2">

      <font size="2" face="Times New Roman">Antivirus: </font>

      <font face="Times New Roman">

      <? echo FormVal("Antivirus");?>

      </font><font size="2" face="Times New Roman">Version: </font>

      <font face="Times New Roman">

      <? echo FormVal("Antivirus_Version");?>

      </font></td>

      <td width="18%" height="17"></td>

    </tr>

    <tr>

      <td width="33%" height="19" colspan="2">



      <font size="2" face="Times New Roman">System Performance: </font>

      <font face="Times New Roman">

      <? echo FormVal("System_Performance");?>

      </font></td>

      <td width="67%" height="19" colspan="2">

      <font size="2" face="Times New Roman">Hard drive Free Space: c:\ </font>

      <font face="Times New Roman">

      <? echo FormVal("C_Drive_Free_Space");?>

      </font><font size="2" face="Times New Roman"> d:\ </font>

      <font face="Times New Roman">

      <? echo FormVal("D_Drive_Free_Space");?>

      </font><font size="2" face="Times New Roman"> </font></td>

    </tr>

    <tr>

      <td  colspan="4" height="19" bgcolor="#C0C0C0" bordercolor="#000000">

      <b>Part 3: On-Site Support Description</b></td>

    </tr>

    <tr>

      <td width="690" height="19" colspan="4">

  <? echo FormVal("Onsite_Work_Description");?>

</td>

    </tr>

    <tr>

      <td width="690"  height="19" colspan="10" bgcolor="#C0C0C0" bordercolor="#000000">

      <b>Part 4: Parts to Invoice</b></td>

    </tr>

    <tr>

      <td height="4" colspan="4">

 <? echo FormVal("Parts_to_Invoice");?>

      </td>

    </tr>

    <tr>

      <td width="690" height="19" colspan="4" bgcolor="#C0C0C0">

      <b>Part 5: Technician Suggestions</b></td>

    </tr>

    <tr>

      <td width="690" height="19" colspan="4">

  <? echo FormVal("Tech_Suggestions");?>

      </td>

    </tr>

    <tr>

      <td width="690" height="19" colspan="4" bgcolor="#C0C0C0">

      <b>Part 6: Follow Up / Sales Notes</b></td>

    </tr>

    <tr>

      <td width="690" height="19" colspan="4">

  <? echo FormVal("Followup_Sales");?>

      </td>

    </tr>

    <tr>

      <td width="39%" height="19">Start Time:

      	<? echo FormVal("Start_Time");?> <? echo FormVal("Start_Time_AP");?>

      </td>



      <td width="25%" height="19">End Time:

      	<? echo FormVal("End_Time");?> <? echo FormVal("End_Time_AP");?>

      </td>

      <td width="36%" height="19" colspan="2">Total Time:

      	<? echo FormVal("Total_Time");?> Hours</td>

    </tr>



    <tr>

      <td width="690" height="19" colspan="4">Billing Rate:

      	<? echo FormVal("Billing_Rate");?>

        Other Notes: <? echo FormVal("Billing_Rate_Other");?>

      </td>

    </tr>

    <tr>

      <td width="39%" height="19" colspan="2">Technician:



      	<? echo FormVal("Technician");?>

      </td>



      <td width="9%" height="19">Date:

      	<? echo FormVal("Date");?></td>

      <td width="52%" height="19">Additional work required: 

      <? echo FormVal("Additional_Work_Needed");?>

      </td>

    </tr>



    <tr>

      <td width="690" height="19" colspan="4">

      <p class="MsoNormal"><span style="font-size:10.0pt">I have reviewed the

      statements regarding system operation and components and hereby agree to

      all the Terms and Conditions set forth by Point-N-Click.  I fully

      understand the time and materials pricing and confirm the total amount of

      time spent working on my system today as indicated by my signature below.<br>

 </span></td>

    </tr>

    <tr>

      <td width="64%" height="40" valign="bottom" colspan="2">Customer Signature:_________________________________</td>



      <td width="36%" height="40" valign="bottom" colspan="2">Date:__________________</td>

    </tr>

  </table>

</body>

</html>

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