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CID > Submit or Change a Listing

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Your message could not be sent. Please go back and try again."; } else { // BOF sanitize input $_POST['email'] = preg_replace( "/\n/", " ", $_POST['email'] ); $_POST['name'] = preg_replace( "/\n/", " ", $_POST['name'] ); $_POST['email'] = preg_replace( "/\r/", " ", $_POST['email'] ); $_POST['name'] = preg_replace( "/\r/", " ", $_POST['name'] ); $_POST['email'] = str_replace("Content-Type:","",$_POST['email']); $_POST['name'] = str_replace("Content-Type:","",$_POST['name']); // EOF sanitize input $email = $_POST['email']; $name = $_POST['name']; $message = $_POST['message']; $today = date("M d, Y"); ////////////////////////////////////////////// // Insert your email address for recipient $recipient = "churchsearch@canadianchristianity.com"; ///////////////////////////////////////////// // Insert message you wish to show in subject of the email $subject = "CID Submission Form"; $forminfo = "Status: $Status\n Organization Name: $Organization\n Category: $Category\n Ministry type: $BusMin\n School Grades: $Grades\n Camp location: $Camp\n Address: $Address\n City: $City\n Province: $Province\n Zip: $Zip\n Phone #: $Phone\n Fax #: $Fax\n Toll Free #: $Toll\n Province: $Province\n Email: $email\n Website: $Website\n Affiliation: $Affiliation\n Comments: $Comments\n Form Submitted: $today\n\n"; $formsend = mail("$recipient", "$subject", "$forminfo", "From: $email\r\nReply-to:$email"); } } if(isset($_POST['Submit'])) { if(!empty($error_message)) { ?>

Submission Form

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Submission Form

Thank you for your submission. The listing has been forwarded to an administrator and will be added to the directory once approved.

Please fill out the form and click submit. All fields are required.

Is this a new submission or a change to a current listing?

The name of your organization:

Which of our categories would best suit your organization?

If you chose 'Ministries,' please tell us the type:

If you chose 'Schools,' let us know what grades it hosts:

If you chose 'Camps,' tell us where it is located:

Street Address:

City:

Province / State:

Postal Code / Zip:

Phone:

Fax:

Toll Free #:

Email:

Website:

Affiliation:

Further Comments:

Please enter the string shown in the image in the form.
The possible characters are letters from A to Z in capitalized form and the numbers from 0 to 9.
   

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