>0){$zone=3600*$countryzone;} else {$zone=0;} } $date=gmdate($layout, time() + $zone); return $date; } $Firstname = ''; $Lastname = ''; $cEmail = ''; $aptdate = ''; $Place = ''; $domail = ''; $oksendmail = false; //$csc_email = 'al@ivrtours.com'; //$csc_email = 'Mugur.Padure@pwc.ca'; //$csc_email = 'mugur.padure@sympatico.ca'; $csc_email = 'mugur.mircea.padure@gmail.com'; if ((isset($_POST["Firstname"])) && ($_POST["Firstname"] != "") ) { $Firstname = ($_POST["Firstname"]); } if ((isset($_POST["Lastname"])) && ($_POST["Lastname"] != "") ) { $Lastname = ($_POST["Lastname"]); } if ((isset($_POST["cEmail"])) && ($_POST["cEmail"] != "") ) { $cEmail = ($_POST["cEmail"]); } if ((isset($_POST["Place"])) && ($_POST["Place"] != "") ) { $Place = ($_POST["Place"]); } if ((isset($_POST["aptdate"])) && ($_POST["aptdate"] != "") ) { $aptdate = ($_POST["aptdate"]); } if ((isset($_POST["domail"])) && ($_POST["domail"] != "") ) { $domail = ($_POST["domail"]); } if(isset($_POST["captcha"])) { if($_SESSION["captcha"]==$_POST["captcha"]) { //CAPTHCA is valid; proceed the message: save to database, send by e-mail ... $domail = 'true'; } else { $domail = ''; } } else { $domail = ''; } if ($Place != '' ) { $search = array ("']*?>.*?'si", // Strip out javascript "'<[\/\!]*?[^<>]*?>'si", // Strip out HTML tags "'([\r\n])[\s]+'", // Strip out white space "'&(quot|#34);'i", // Replace HTML entities "'&(amp|#38);'i", "'&(lt|#60);'i", "'&(gt|#62);'i", "'&(nbsp|#160);'i", "'&(iexcl|#161);'i", "'&(cent|#162);'i", "'&(pound|#163);'i", "'&(copy|#169);'i", "'&#(\d+);'e"); // evaluate as php $replace = array ("", "", "\\1", "\"", "&", "<", ">", " ", chr(161), chr(162), chr(163), chr(169), "chr(\\1)"); $Place = preg_replace($search, $replace, $Place); //$message = nl2br($message); //$message = str_replace('\r\n','
', $message); } if ( ($Firstname != '') && ($Lastname != '') && ($cEmail != '') && ($aptdate != '') && ($Place != '') && ($domail == 'true') ) { $mime_boundary = "--PGL265." . md5(uniqid(time())); $design1 = "--$mime_boundary\n"; $design1 .= "Content-Type: text/plain; charset=UTF-8\n"; $design1 .= "Content-Transfer-Encoding: 8bit\n\n"; $message .= ' From: '.$Firstname.' '.$Lastname.' Email: '.$cEmail; if ($Place != '') { $message .= ' Donation Place: '.$Place; } if ($aptdate != '') { $message .= ' Donation Date: '.$aptdate; } $mycurtime = zonedate("l dS \of F Y h:i:s A", -5, true); //$mycurtime = date("l dS \of F Y h:i:s A"); $body = ' Patterson Grey Lodge 265 Messaging Service says: A blood donor submission was sent from '.$Firstname.' '.$Lastname.' on '.$mycurtime.'. Here is the message: ______________________________________________________ '.str_replace('\r\n','
', $message).' ______________________________________________________ '; $design1 .= $body; $design1 .= "--$mime_boundary\n"; $design1 .= "Content-Type: text/html; charset=UTF-8\n"; $design1 .= "Content-Transfer-Encoding: 8bit\n\n"; $design1 .= ''.nl2br($body).' '; $design1 .= "--$mime_boundary--\n\n"; $messagesubject = "PattersonGrey.org - Blood Donor Submission Notice"; $headers = "From: $Firstname $Lastname<$cEmail>\n"; $headers .= "MIME-Version: 1.0\n"; $headers .= 'X-Priority: 3'."\n"; $headers .= 'X-MSMail-Priority: Normal'."\n"; $headers .= 'Reply-To: <'.$cEmail.'>'."\n"; $headers .= 'Return-Path: <$csc_email>'."\n"; $headers .= "Content-Type: multipart/alternative; boundary=\"$mime_boundary\"\n"; //$headers .= "Content-Type: text/plain; charset=ISO-8859-1"; mail($csc_email,$messagesubject,$design1,$headers); $oksendmail = true; } else { $oksendmail = false; } ?> Patterson-Grey Lodge 265 G.R.C. - Ancient Free and Accepted Masons
Blood Donor Submissions*

Thank you, your donor submission was sent


To send another submissioin, click here.

 



 



 



 



$value) { if (($key !== 'continue_btn_y')&&($key !== 'continue_btn_x')) { $mydataN .= $key.' , '; $mydataV .= '"'.$value.'",'; $mydataInsert .= "'.$".$key.".',"; $mydataVARs .= "$".$key." = '".$value."';
"; $mydataIFs .= 'if ( (isset($_POST["'.$key.'"])) && ($_POST["'.$key.'"] != "") ) { $'.$key.' = ucwords(strtolower($_POST["'.$key.'"])); }
'; } } echo '

'.$mydataVARs.'

'.$mydataIFs.'
'; } // xxxxxxxxxxx DEBUG ?>

Are you a Patterson Grey lodge member and have recently made blood donation?

Complete the form below to let your brethren know.

First NameLast Name
 
Your Email Address 
 
Location donation was made 
 
Date donation was made  
 
captcha image
What 3 characters above are black?		 

* To be completed by Patterson Grey Lodge 265 Memebers only.