gistfile1.txt

<?php
	print_r($_POST);

	$headers = 'MIME-Version: 1.0' . "\r\n";
	$headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n";


	$message="";
	$message .= "  " . $_POST["Your_Name"]." ";
	$message .= " " . $_POST["Debt_Problem"]." ";
	$message .= " " . $_POST["Work_Phone"]." ";
	$message .= " " . $_POST["Home_Phone"]." ";
	$message .= " " . $_POST["Fax"]." ";
	$message .= " " . $_POST["Mobile"]." ";
	$message .= " " . $_POST["Email"]." ";
	$message .= " " . $_POST["Debt"]." ";
	$message .= " " . $_POST["Debtor_name"]." ";
	$message .= " " . $_POST["Debtor_current_address"]." ";
	$message .= " " . $_POST["Debt_outstanding_since:_"]." ";
	$message .= " " . $_POST["venue"]." ";

	$message = <<<EOF
<table style="background: #DADADA; box-shadow: 1px 0px 5px rgba(0, 0, 0, 0.6); margin: 60px 0; font-family: Arial;">
	<tr style="background: #E6E6E6;">
		<td style="padding: 10px 20px;">Name:</td>
		<td style="padding: 10px 20px;">{$_POST['Your_Name']}</td>
	</tr>
	<tr style="">
		<td style="padding: 10px 20px;">Problem</td>
		<td style="padding: 10px 20px;">{$_POST['Debt_Problem']}</td>
	</tr>
	<tr style="background: #E6E6E6;">
		<td style="padding: 10px 20px;">Work:</td>
		<td style="padding: 10px 20px;">{$_POST['Work_Phone']}</td>
	</tr>
	<tr style="">
		<td style="padding: 10px 20px;">Home:</td>
		<td style="padding: 10px 20px;">{$_POST['Home_Phone']}</td>
	</tr>
	<tr style="background: #E6E6E6;">
		<td style="padding: 10px 20px;">Fax:</td>
		<td style="padding: 10px 20px;">{$_POST['Fax']}</td>
	</tr>
	<tr style="">
		<td style="padding: 10px 20px;">Mobile:</td>
		<td style="padding: 10px 20px;">{$_POST['Mobile']}</td>
	</tr>
	<tr style="background: #E6E6E6;">
		<td style="padding: 10px 20px;">Email:</td>
		<td style="padding: 10px 20px;">{$_POST['Email']}</td>
	</tr>
	<tr style="">
		<td style="padding: 10px 20px;">Debt</td>
		<td style="padding: 10px 20px;">{$_POST['Debt']}</td>
	</tr>
	<tr style="background: #E6E6E6;">
		<td style="padding: 10px 20px;">Debtor's name:</td>
		<td style="padding: 10px 20px;">{$_POST['Debtor_name']}</td>
	</tr>
	<tr style="">
		<td style="padding: 10px 20px;">Debtor's current address:</td>
		<td style="padding: 10px 20px;">{$_POST['Debtor_current_address']}</td>
	</tr>
	<tr style="background: #E6E6E6;">
		<td style="padding: 10px 20px;">Debt outstanding since:</td>
		<td style="padding: 10px 20px;">{$_POST['Debt_outstanding_since:_']}</td>
	</tr>
	<tr style="">
		<td style="padding: 10px 20px;">Debt incurred for (job/services/goods):</td>
		<td style="padding: 10px 20px;">{$_POST['venue']}</td>
	</tr>
</table>
EOF;



	mail("mihail.sitnic@gmail.com","subject",$message, $headers);


	mail("mihail.sitnic@gmail.com", "subject", "message", "headers");
?>