Corporate Office
144 N Glendale Ave. Suite 333
Glendale, CA 91206
Tel: 818-242-0998
Fax: 888-215-1236
Nevada Office:
Coming soon
144 N Glendale Ave. Suite 333
Glendale, CA 91206
Tel: 818-242-0998
Fax: 888-215-1236
Nevada Office:
Coming soon
Contact Form
Please fill out the contact form bellow and one of our representative will get back to you promptly.
check($_POST['captcha_code']) == false) { // the code was incorrect // you should handle the error so that the form processor doesn't continue // or you can use the following code if there is no validation or you do not know how echo "";
foreach($_POST as $key => $value)
{
if($key != "hidden" && $key != "captcha_code")
{
$body .= "
";
$to = "claims@publicassist.org";
$from = "publicassist.com";
$subject = "Publicassist Contact Form";
$headers = "MIME-Version: 1.0\r\n".
"Content-type: text/html; charset=iso-8859-1\r\n".
//"From: \"$_POST[name]\" <".$_POST[email].">\r\n".
"To: \"publicassist.com\" <".$to.">\r\n".
"Date: ".date("r")."\r\n".
"Subject: ".$subject."\r\n";
if(mail($to,$subject,$body,$headers))
{
echo "
Please fill out the contact form bellow and one of our representative will get back to you promptly.
check($_POST['captcha_code']) == false) { // the code was incorrect // you should handle the error so that the form processor doesn't continue // or you can use the following code if there is no validation or you do not know how echo "
The security code entered was incorrect.
"; //echo "Please go back and try again."; //exit; }else{ if($_POST[email] && $_POST[name] && $_POST[phone]) { $body .= "| $key"; $body .= " | "; $body .= "$value"; $body .= " | "; $body .= "