I need this form in php mailer ASAP!
I need to be able to copy and paste it in a index.
I need it to look like [login to view URL] .com/maxconnect without the db error.
I need it to say:
Who Referred You:
Full Name:
Email:
Address: (white box)
Street Address:
State: (drop down with 50 states)
City:
Zip:
Phone Number:
INSTEAD OF A SUBMIT BOTTOM, I WANT IT TO SAY, NEXT. AFTER THEY HIT NEXT I WANT IT TO REDIRECT TO ANOTHER PAGET HAT I WANT PROBABLY MY HOMEPAGE.
I need it to have a subject and i want to be able to send it to multiple emails.
must submit demo!