formHandler($_POST); if ($_SESSION['form']->validate()) { $_SESSION['form']->emailForm('localhost', 'info@jpd.co.za', '', 'info@jpd.co.za', 'Contact Form', 'Contact', 'http://www.jpd.co.za/thanks.html'); unset($_SESSION['form']); } else { $error_msg = $_SESSION['form']->get_error_msg(); $_SESSION['form']->clearForm(); } } else { $_SESSION['form'] = new formHandler($_POST); } ?>

Contact Person	Contact No.		Postal Address
	Tel:	+27 (0) 11 781-0800	P.O. Box 828
	Fax:	+27 (0) 11 886-4998	Pinegowrie 2193
			South Africa
	email:	info@jpd.co.za
After Hours
Richard Raymond	Cell:	083 226 6022
Cary Varney	Cell:	082 440 0788

First Name:		input_text(array( 'name' => 'First_name', 'text' => 'First name', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Last Name:		input_text(array( 'name' => 'Last_name', 'text' => 'Last name', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Email address:		input_text(array( 'name' => 'Email', 'text' => 'Email', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Contact number:		input_text(array( 'name' => 'Contact_number', 'text' => 'Contact number', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Reservation date: dd mm yyyy		input_text(array( 'name' => 'Reservation_date', 'text' => 'Reservation date', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Function type:		input_text(array( 'name' => 'Function_type', 'text' => 'Function type', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
no. of Passangers:		input_text(array( 'name' => 'Number_of_Passangers', 'text' => 'Number of Passangers', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Vehicle model:		input_text(array( 'name' => 'Vehicle_model', 'text' => 'Vehicle model', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Vehicle type:		'Economy Sedan', 'Standard Sedan' => 'Standard Sedan', 'Executive Sedan' => 'Executive Sedan', 'Luxury Sedan' => 'Luxury Sedan', 'Mercedes S Class Sedan' => 'Mercedes S Class Sedan', 'Chrystler 300C' => 'Chrystler 300C', 'Mini Vans' => 'Mini Vans', ); $_SESSION['form']->input_select(array( 'name' => "Vehicle_type", 'text' => "Vehicle type", 'value' => $array, 'type' => "text", 'required' => 'y', 'length' => '')); ?>
City service required:		'Cape Town', 'Johannesburg' => 'Johannesburg', 'Pretoria' => 'Pretoria', 'Klerksdorp' => 'Klerksdorp', 'Durban' => 'Durban', 'East London' => 'East London', 'Upington' => 'Upington', 'Port Elizabeth' => 'Port Elizabeth', 'Nelspruit' => 'Nelspruit', 'Bloemfontein' => 'Bloemfontein', 'Other' => 'Other', ); $_SESSION['form']->input_select(array( 'name' => "City_service_required", 'text' => "City service required", 'value' => $array, 'type' => "text", 'required' => 'y', 'length' => '')); ?>
Start time:		input_text(array( 'name' => 'Start_time', 'text' => 'Start time', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Finish time:		input_text(array( 'name' => 'Finish_time', 'text' => 'Finish time', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Routing information		input_textarea(array( 'name' => 'Routing_information', 'text' => 'Routing information', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
Comments		input_textarea(array( 'name' => 'Comments', 'text' => 'Comments', 'type' => 'text', 'class' => 'long', 'required' => 'y')); ?>
		captcha_image(); ?> Please enter the Anti spam Code from the image above. (Case Sensitive) captcha_input('Incorrect Validation code filled in.', 'captcha'); ?>