TZELL Travel Group (444) -- TZELL Travel Group OptIn (285)

travel - TZELL Travel Request Form

FormID: 768 AccountID: 285

LEGACY Contents for config-travel.php file: <?php $AccountID = 285; $formid = 768; $pageTitle = 'Travel Request Form | Tzell Travel Northwest'; $pageHeader = 'Travel Request Form '; $introText = '<h2>Traveler Information</h2>'; $template = $Root.'/Templates/page2.dwt'; $contactblock = "<tr><td colspan=4><table width=100%><tr><td align=right class=label>First Name:</td><td width=85%><input type='text' name='FirstName' value='".(($_POST['FirstName'] <> "") ? htmlentities(stripslashes($_POST['FirstName']), ENT_QUOTES) : "")."' size=24 maxlength=24 />$reqsymbol</td></tr> <tr><td align=right class=label>Last Name:</td><td width=85%><input type='text' name='LastName' value='".(($_POST['LastName'] <> "") ? htmlentities(stripslashes($_POST['LastName']), ENT_QUOTES) : "")."' size=32 maxlength=32 />$reqsymbol</td></tr> <tr><td align=right class=label>Email:</td><td width=85%><input type='text' name='Email' value='".(($_POST['Email'] <> "") ? htmlentities(stripslashes($_POST['Email']), ENT_QUOTES) : "")."' size=32 maxlength=64 />$reqsymbol</td></tr> </table></td></tr>"; $questionblock = "<tr><td class=label><b>Department Cost Center Number: </b></td><td><input type='text' class='item' name='TEXT:0000004603' value='".(($_POST['TEXT:0000004603'] <> "") ? htmlentities($_POST['TEXT:0000004603'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Company Name:</b></td><td><input type='text' class='item' name='TEXT:0000004604' value='".(($_POST['TEXT:0000004604'] <> "") ? htmlentities($_POST['TEXT:0000004604'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>CC email address 1:</b></td><td><input type='text' class='item' name='TEXT:0000004605' value='".(($_POST['TEXT:0000004605'] <> "") ? htmlentities($_POST['TEXT:0000004605'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>CC email address 2:</b></td><td><input type='text' class='item' name='TEXT:0000004606' value='".(($_POST['TEXT:0000004606'] <> "") ? htmlentities($_POST['TEXT:0000004606'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>CC email address 3:</b></td><td><input type='text' class='item' name='TEXT:0000004607' value='".(($_POST['TEXT:0000004607'] <> "") ? htmlentities($_POST['TEXT:0000004607'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 1 Depart from:</b></td><td><input type='text' class='item' name='TEXT:0000004608' value='".(($_POST['TEXT:0000004608'] <> "") ? htmlentities($_POST['TEXT:0000004608'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 1 Arriving to:</b></td><td><input type='text' class='item' name='TEXT:0000004609' value='".(($_POST['TEXT:0000004609'] <> "") ? htmlentities($_POST['TEXT:0000004609'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 1 Depart date:</b></td><td><input type='text' class='item' name='TEXT:0000004610' value='".(($_POST['TEXT:0000004610'] <> "") ? htmlentities($_POST['TEXT:0000004610'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 1 Depart time:</b></td><td><input type='text' class='item' name='TEXT:0000004611' value='".(($_POST['TEXT:0000004611'] <> "") ? htmlentities($_POST['TEXT:0000004611'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 2 Depart from: </b></td><td><input type='text' class='item' name='TEXT:0000004616' value='".(($_POST['TEXT:0000004616'] <> "") ? htmlentities($_POST['TEXT:0000004616'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 2 Arriving to:</b></td><td><input type='text' class='item' name='TEXT:0000004617' value='".(($_POST['TEXT:0000004617'] <> "") ? htmlentities($_POST['TEXT:0000004617'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 2 Depart date:</b></td><td><input type='text' class='item' name='TEXT:0000004618' value='".(($_POST['TEXT:0000004618'] <> "") ? htmlentities($_POST['TEXT:0000004618'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 2 Depart time:</b></td><td><input type='text' class='item' name='TEXT:0000004619' value='".(($_POST['TEXT:0000004619'] <> "") ? htmlentities($_POST['TEXT:0000004619'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 3 Depart from:</b></td><td><input type='text' class='item' name='TEXT:0000004623' value='".(($_POST['TEXT:0000004623'] <> "") ? htmlentities($_POST['TEXT:0000004623'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 3 Arriving to:</b></td><td><input type='text' class='item' name='TEXT:0000004622' value='".(($_POST['TEXT:0000004622'] <> "") ? htmlentities($_POST['TEXT:0000004622'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 3 Depart date:</b></td><td><input type='text' class='item' name='TEXT:0000004621' value='".(($_POST['TEXT:0000004621'] <> "") ? htmlentities($_POST['TEXT:0000004621'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Leg 3 Depart time:</b></td><td><input type='text' class='item' name='TEXT:0000004620' value='".(($_POST['TEXT:0000004620'] <> "") ? htmlentities($_POST['TEXT:0000004620'], ENT_QUOTES) : "")."' /></td></tr> <tr><td colspan=2><b>Please enter any additional flight requirements below.</b></td></tr><tr><td colspan=2><textarea cols=60 rows=5 name='TEXT:0000004612'>".(($_POST['TEXT:0000004612'] <> "") ? htmlentities(stripslashes($_POST['TEXT:0000004612']), ENT_QUOTES) : htmlentities(stripslashes(""), ENT_QUOTES))."</textarea></td></tr> <tr><td colspan=2><b>Please enter your car requirements below.</b></td></tr><tr><td colspan=2><textarea cols=60 rows=5 name='TEXT:0000004613'>".(($_POST['TEXT:0000004613'] <> "") ? htmlentities(stripslashes($_POST['TEXT:0000004613']), ENT_QUOTES) : htmlentities(stripslashes(""), ENT_QUOTES))."</textarea></td></tr> <tr><td colspan=2><b>Please enter your hotel requirements below.</b></td></tr><tr><td colspan=2><textarea cols=60 rows=5 name='TEXT:0000004614'>".(($_POST['TEXT:0000004614'] <> "") ? htmlentities(stripslashes($_POST['TEXT:0000004614']), ENT_QUOTES) : htmlentities(stripslashes(""), ENT_QUOTES))."</textarea></td></tr> <tr><td colspan=2><b>Please enter any additional requirements below.</b></td></tr><tr><td colspan=2><textarea cols=60 rows=5 name='TEXT:0000004615'>".(($_POST['TEXT:0000004615'] <> "") ? htmlentities(stripslashes($_POST['TEXT:0000004615']), ENT_QUOTES) : htmlentities(stripslashes(""), ENT_QUOTES))."</textarea></td></tr> "; $thanksTitle = 'Thank You for Your Travel Request Form Submission'; $thanksHeader = 'Thanks for your time!'; $thanksText = '<P>Many thanks for contacting us. A representative will be responding to your on-line request shortly. We appreciate your business and will do our best to serve your needs! </p>';

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