$address2";} $mail = new PHPMailer(); $mail->IsMail(); $mail->IsHTML(true); $mail->From = $email; $mail->FromName = "$company $contact"; $mail->AddAddress("logos@logosgroup.com"); $mail->Subject = "Request for information"; $mail->Body = " Expedited service requested: $expedited
Company: $company
Contact person: $contact
Street address: $address $address2
City: $city
State: $state
Country: $country
Zip code: $zip $zip2
E-mail: $email
Phone: $phone
Fax: $fax
Text:
$text
"; $mail->WordWrap = 50; $mail->Send(); $sysmes="Thank you for you interest.
Our customer service representative will contact you shortly."; } ?> Request for information
 
     DOING BUSINESS OVERSEAS?
     Request for information
 
(Rev.12/12/04)
Expedited service requested
Company :
Contact person :
Street address :
 
City :
State :
Country :
Zip code : -
E-mail:
Phone:
Fax :

Print your request for information in the box below or fax it to 212-267-4324.



 


40 Rector Street, Suite 1504 New York, NY 10006
tel: (212) 233-7061 fax: (212) 233-7167