Exhibition Info

Information Request

Ankiros Info Request form

Name
Surname
E-Mail
Job Title
Company
Phone
Fax
Address
City
County
Zip
Country
I would like further information on: Exhibiting
Visiting the Exhibitions
Attending The Conferences
Other:

"); } else { $name = htmlspecialchars($_POST[name]); $surname = htmlspecialchars($_POST[surname]); $email = htmlspecialchars($_POST[email]); $job_title = htmlspecialchars($_POST[job_title]); $company = htmlspecialchars($_POST[company]); $phone = htmlspecialchars($_POST[phone]); $fax = htmlspecialchars($_POST[fax]); $address = htmlspecialchars($_POST[address]); $city = htmlspecialchars($_POST[city]); $county = htmlspecialchars($_POST[county]); $zip = htmlspecialchars($_POST[zip]); $country = htmlspecialchars($_POST[country]); $other = htmlspecialchars($_POST[other]); $ch = $_POST[ch]; if (!$ch == '') { $update = mysql_query("INSERT INTO form (name,surname,email,job_title,company,phone,fax,address,city,county,zip,country,other,ch) VALUES ('$name', '$surname', '$email', '$job_title', '$company', '$phone', '$phone', '$fax', '$address', '$city', '$county', '$zip','$country', '$other', '". mysql_escape_string(implode(", ",$ch)) ."') "); } else { $ch = ' '; $update = mysql_query("INSERT INTO form (name,surname,email,job_title,company,phone,fax,address,city,county,zip,country,other,ch) VALUES ('$name', '$surname', '$email', '$job_title', '$company', '$phone', '$phone', '$fax', '$address', '$city', '$county', '$zip','$country', '$other','$ch') "); } echo "thank you.."; } ?>