'; print_r($_POST);echo ''; exit; */ extract($_POST); $dd=$year."-".$month."-".$day; $devpdate=strtotime($dd); $expire_date = mktime(0, 0, 0, date("m"), date("d"), date("Y")+2); /*$insql=$db->query("insert into customer set title='".$title."',fname='".$fname."',lname='".$lname."',company='".$company."',street='".$street."',zip='".$zip."',city='".$_REQUEST['city']."',state='".$state."',country='".$country."',phone='".$phone."',fax='".$fax."',email='".$email."',password='".$password."'"); $lastid=mysql_insert_id();*/ $lastid=$_SESSION['userid']; $time=time(); $insql2=$db->query("insert into product_replacement (name,cname,pnumber,email,tnumber,lnumber,raddress,lcontact,lpnumber,lfax,pproblem,pserial,pdesp,panything,urgent,contactuser,emailconf,ptime) VALUES('$F01_Name','$F02_Company','$F03_Phone','$F04_Email','$F05_Ticket_Number','$F06_Site_Num','$F07_Ship_To_Addr','$F08_Local_Contact','$F09_Local_Phone','$F10_Local_Fax','$F11_Part_Number','$F12_Serial_Number','$F13_Problem_Description','$F14_Anything_To_Tell','$F15_Urgency','$F16_Tech_Contact_Enduser','$F17_Email_Confirmation','$time') "); // $adminemail=mysql_fetch_array(mysql_query("select email from admin")); //$to =$adminemail['email']; //$to =$adminemail['email']; $to = 'support@computerlab.com'; // subject $subject = 'Product Replacement Request'; // message $message = ' Product Replacement Request
Dear IT and Support Team,
A RMA Request is submitted via the web form:
:::::::::::::::::::::::::::::::: Product Replacement Request Details :::::::::::::::::::::::::::::::
Name:'.$F01_Name.'
Company Name:'.$F02_Company.'
Phone Number:'.$F03_Phone.'
Email:'.$F04_Email.'
Ticket No:'.$F05_Ticket_Number.'
Ticket No:'.$F06_Site_Num.'
Address:'.$F07_Ship_To_Addr.'
Local Contact:'.$F08_Local_Contact.'
Local Phone Numbe:'.$F09_Local_Phone.'
Local Fax:'.$F10_Local_Fax.'
CLI Product Part Number :'.$F11_Part_Number.'
CLI Product Serial Number:'.$F12_Serial_Number.'
Problem Description:'.$F13_Problem_Description.'
Additional Info:'.$F14_Anything_To_Tell.'
Problem Urgency:'.$F15_Urgency.'
Technical Contact:'.$F16_Tech_Contact_Enduser.'
Need Email Confirmation:'.$F17_Email_Confirmation.'
Thanks,
CLI Web RMA Request '.$time.'
'; // To send HTML mail, the Content-type header must be set $headers = 'MIME-Version: 1.0' . "\r\n"; $headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n"; // Additional headers /*$headers .= 'To: Mary , Kelly ' . "\r\n";*/ $headers .= 'From: ComputerLab Inc. '. "\r\n"; //$headers .= 'Cc: cshsieh@example.com' . "\r\n"; $headers .= 'Bcc: cshsieh@gmail.com' . "\r\n"; //echo $message; //die; // Mail it $mm=mail($to, $subject, $message, $headers); header("location:thankyou.php"); exit; } ///////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////// ?> ComputerLab International - CLI Inc.
 
Home >   Support >   Product Replacement Request Form
 
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Product Replacement Request Form
Use this form if you are certain the product being reported is defective.

Who are you?
Your Name:  (required)

Your Company Name:  (required)

Your Phone Number:  (required)

Your Email Address:

Your Internal Problem/Ticket Number:

Where Is The Product?
Your Internal Site/Location Number:

Complete address replacement product is to be shipped to:  (required)

Local Contact (End User):  (required)

Local Phone Number:  (required)

Local Fax Number:  (required)

What Is The Product and Problem?
CLI Product Part Number (If you don't know, just give a description):  (required)

CLI Product Serial Number (No way around this one; this is a must-have.):  (required)

Problem Description:  (required)

Anything Else You Want To Tell Us?

Check Some Boxes For Us:
Urgency: 
Would you like CLI Tech Support to contact the end user?
Would you like email confirmation of this request?

E-Mail

Place the request
Reset to initial values

All requests received by 12:00 p.m. PST are normally shipped the same day.  If CLI Tech Support determines more information is required before products is replaced, you or your end user will be contacted.  This form does not constitute a commitment by CLI to replace the product specified.  It is only a request for replacement.