Building Name

Daffodil Blooms
 
Name * " size="30">
Company " size="30">
Designation " size="30">

Contact Details:

E-Mail * " size="30">
Phone

"> (Office)
"> (Residence)
"> (Mobile)
Fax ">
 

Addresses :
Residence *
City " size="20"> Country " size="20"> Pin " size="20">
Office
City " size="20"> Country " size="20"> Pin " size="20">


If financing option is required, furnish following details:

Occupation
Annual Income ">

For outstation enquiries, if possible, please provide Kolkata contact:

Name " size="30">
Phone "> (Office)
  "> (Residence)
  "> (Mobile)
 


Remarks:
Please use this to provide information about your preference of Blocks, Floors, Flat etc. or any other specific requirements that you are looking for

 
Security Code Verification
 
Enter the Security Code as they are shown in the image above.
 
 
"); // The client mail part ends here...! //mail to 2 addresses mail("rgoenka@jayasoftwares.com,sansaraf@daffodilgroup.com,harsh@daffodilgroup.com,marketing@daffodilgroup.com,yash@daffodilgroup.com", "Daffodil Blooms - Enquiry Detail", "Sir, We have received one Enquiry Form with following details: Building : $bname Name : $name Company : $company Designation : $designation Email : $email Office Phone : $officephone Residence Phone : $residencephone Mobile : $mobile Fax : $fax ....................................................... Residence Address : $residence City : $city Country : $country Pin : $pin ....................................................... Office Address : $office City : $city2 Country : $country2 Pin : $pin2 Occupation : $occupation Annual Income : $annualincome ...................................................... For Outstation Enquiries Name : $name2 Office Phone : $officephone2 Residence Phone : $residencephone2 Mobile : $mobile2 Remaks : $remarks", "From: $name <$email>"); //mail part ends here // now display confirmation to visitor ?>

THANKS FOR SUBMITTING THE ENQUIRY FORM.
OUR SALES TEAM WILL BE CONTACTING YOU SHORTLY.

You have submitted the following details:

  Building Name :
  Name :
  Company :
  Designation :
  E-Mail :
  Office Phone :
  Residence Phone :
  Mobile :
  Fax :
  Residence :
  City :
  Country :
  Pin :
  Office Address :
  City :
  Country :
  Pin :
  Occupation :
  Annual Income :
  Name :
  Office Phone :
  Residence Phone :
  Mobile :
  Remarks :