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Selecting variable from form and posting to mysql

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I have and exisiting form and I want to take the email and name from the form and input it into mysql database of emaillist . I also only want to do this if the i wish to subscribe is selected.

 

 

Quotation Request For:

Date: #DateFormat( Now(), "MMMM DD, YYYY")#
Need By: #form.needby#
Company: #form.company#
Name #form.firstname# #form.lastname#
Title: #form.title#
Address:
#form.address#
#form.city#, #form.state#, #form.zip#
phone: #form.phone#
fax: #form.fax#
e-mail: #form.email#
Reference: #form.reference#

 

Description

Truck Mounted Tank Capacity: #form.capacity#
Fill Valve: Size: #form.fill_valve_size# Style: #form.fill_valve_style#
Discharge Valve: Size: #form.discharge_valve_size#
Vacuum Pump:
#form.vacuum_pump# : #form.other_vacuum_pump#
Aluminum Toolbox, Size: #form.toolbox_size#
Mounting: #form.mounted#
Misc. Custom Features:
#form.custom_features#

Service Units

#form.port_toilet_service#

Units

Material: #form.scu_material#
Number of Compartments:#form.compartment#
Vacuum Pump:#form.scu_vacuum#
Size:#form.scu_size#

 

Additional Notes For This Request:

#form.notes#

Email Subscirption

#form.subscribe#

 

 

 

 

 

 

 

 

 

 

 

 

 

Your request has been forwarded to I.. Thank you for your interest, we will be in contact with you shortly.

 

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