Honor Guard Request

"; $subject.="


Your Honor Guard request has been sent.

"; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=""; $subject.=" "; $subject.=" "; $subject.=" "; $subject.=" "; $subject.="

Event Requested	" . $_POST['event'] . "
Name of the Deceased Individual	" . $_POST['deceased'] . "
Event Date	" . $_POST['eventdate'] . "
Event Time	" . $_POST['eventtime'] . "
Location	" . $_POST['location'] . "
Address	" . $_POST['address'] . "
City	" . $_POST['city'] . "
State	" . $_POST['state'] . "
Zip	" . $_POST['zip'] . "
"; $subject.=" Requestor's Information
"; $subject.=" Sender's Name	" . $_POST['sender'] . "
"; $subject.=" Address	" . $_POST['senderaddress'] . "
"; $subject.=" City	" . $_POST['sendercity'] . "
"; $subject.=" State	" . $_POST['senderstate'] . "
"; $subject.=" Zip	" . $_POST['senderzip'] . "
Phone	" . $_POST['senderphone'] . "
E-mail Address	" . $_POST['senderemail'] . "
Special Instructions:	" . $_POST['instructions'] . "

"; $subject.=" "; $headers = 'MIME-Version: 1.0' . "\r\n"; $headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n"; mail('carlosmvaldezlv@gmail.com', 'Email From Barrett Assembly Website', $subject, $headers); } } } else { ?>

Please submit your Honor Guard Request here.

Please include the following information.

Honor Guard Event Requested Name of the Deceased Individual for a wake Event Date Event Time Honor Guard Location Address City State Zip

Requestor's Information is Required