[ Avaa Bypassed ]

<?php

$to			=	"hcc@hcclondon.ca";
$toname		=	"Admin";
$from		=	"hcc@hcclondon.ca";
$fromname	=	"noreply";

$smtp_secure	=	'ssl';
$smtp_host	=	"dprhcp157.doteasy.com";
$smtp_port	= 	'465';
$smtp_username	=	'hcc@hcclondon.ca';
$smtp_password	=	'Temple62';


$membershipSubject	=	"New Membership";

$membershipArray	=	array();
$membershipArray['fname']['title']	=	'First Name';
$membershipArray['fname']['ftype']	=	'text';
$membershipArray['fname']['mandatory']	=	'true';
$membershipArray['lname']['title']	=	'Last Name';
$membershipArray['lname']['ftype']	=	'text';
$membershipArray['lname']['mandatory']	=	'true';
$membershipArray['minit']['title']	=	'Middle Initial';
$membershipArray['minit']['ftype']	=	'text';
$membershipArray['minit']['mandatory']	=	'true';
$membershipArray['ptitle']['title']	=	'Title/Salutation';
$membershipArray['ptitle']['ftype']	=	'text';
$membershipArray['ptitle']['mandatory']	=	'true';
$membershipArray['pccoup']['title']	=	'Occupation';
$membershipArray['pccoup']['ftype']	=	'text';
$membershipArray['pccoup']['mandatory']	=	'true';
$membershipArray['sadd']['title']	=	'Street Address';
$membershipArray['sadd']['ftype']	=	'text';
$membershipArray['sadd']['mandatory']	=	'true';
$membershipArray['cadd']['title']	=	'Address (Cont)';
$membershipArray['cadd']['ftype']	=	'text';
$membershipArray['cadd']['mandatory']	=	'false';
$membershipArray['city']['title']	=	'City';
$membershipArray['city']['ftype']	=	'text';
$membershipArray['city']['mandatory']	=	'true';
$membershipArray['pstate']['title']	=	'Province/State';
$membershipArray['pstate']['ftype']	=	'text';
$membershipArray['pstate']['mandatory']	=	'true';
$membershipArray['pcode']['title']	=	'Postal Code/Zip';
$membershipArray['pcode']['ftype']	=	'text';
$membershipArray['pcode']['mandatory']	=	'true';
$membershipArray['country']['title']	=	'Country';
$membershipArray['country']['ftype']	=	'text';
$membershipArray['country']['mandatory']	=	'true';
$membershipArray['wphone']['title']	=	'Work Phone';
$membershipArray['wphone']['ftype']	=	'text';
$membershipArray['wphone']['mandatory']	=	'true';
$membershipArray['hphone']['title']	=	'Home Phone';
$membershipArray['hphone']['ftype']	=	'text';
$membershipArray['hphone']['mandatory']	=	'true';
$membershipArray['fax']['title']	=	'FAX';
$membershipArray['fax']['ftype']	=	'text';
$membershipArray['fax']['mandatory']	=	'true';
$membershipArray['pemail']['title']	=	'E-mail';
$membershipArray['pemail']['ftype']	=	'text';
$membershipArray['pemail']['mandatory']	=	'true';
$membershipArray['purl']['title']	=	'URL';
$membershipArray['purl']['ftype']	=	'text';
$membershipArray['purl']['mandatory']	=	'false';
$membershipArray['psex']['title']	=	'Sex';
$membershipArray['psex']['ftype']	=	'radio';
$membershipArray['psex']['mandatory']	=	'false';
$membershipArray['purl1']['title']	=	'URL';
$membershipArray['purl1']['ftype']	=	'text';
$membershipArray['purl1']['mandatory']	=	'false';
$membershipArray['bcountry']['title']	=	'Country Of Birth';
$membershipArray['bcountry']['ftype']	=	'text';
$membershipArray['bcountry']['mandatory']	=	'false';
$membershipArray['dob']['title']	=	'Date of Birth';
$membershipArray['dob']['ftype']	=	'text';
$membershipArray['dob']['mandatory']	=	'false';
$membershipArray['mstatus']['title']	=	'Marital Status';
$membershipArray['mstatus']['ftype']	=	'select';
$membershipArray['mstatus']['mandatory']	=	'false';
$membershipArray['sname']['title']	=	'Spouce Name';
$membershipArray['sname']['ftype']	=	'text';
$membershipArray['sname']['mandatory']	=	'false';
$membershipArray['nchilderen']['title']	=	'Spouce Name';
$membershipArray['nchilderen']['ftype']	=	'select';
$membershipArray['nchilderen']['mandatory']	=	'false';
$membershipArray['cdescription']['title']	=	'Spouce Name';
$membershipArray['cdescription']['ftype']	=	'textarea';
$membershipArray['cdescription']['mandatory']	=	'false';
$membershipArray['Application_SkillsTalents']['title']	=	'Spouce Name';
$membershipArray['Application_SkillsTalents']['ftype']	=	'select';
$membershipArray['Application_SkillsTalents']['mandatory']	=	'false';
$membershipArray['sothers']['title']	=	'Please Specify Other Skills /Talents';
$membershipArray['sothers']['ftype']	=	'textarea';
$membershipArray['sothers']['mandatory']	=	'false';
$membershipArray['sname1']['title']	=	'1st Sponsor Name';
$membershipArray['sname1']['ftype']	=	'text';
$membershipArray['sname1']['mandatory']	=	'true';
$membershipArray['sphone1']['title']	=	'1st Sponsor Phone';
$membershipArray['sphone1']['ftype']	=	'text';
$membershipArray['sphone1']['mandatory']	=	'true';
$membershipArray['sname2']['title']	=	'2nd Sponsor Name';
$membershipArray['sname2']['ftype']	=	'text';
$membershipArray['sname2']['mandatory']	=	'true';
$membershipArray['sphone2']['title']	=	'2nd Sponsor Phone';
$membershipArray['sphone2']['ftype']	=	'text';
$membershipArray['sphone2']['mandatory']	=	'true';

$feedArray	=	array();
$feedArray['suggestion']['title'] = "Suggestion Type";
$feedArray['suggestion']['type'] = "radio";
$feedArray['suggestion']['mandatory'] = "true";
$feedArray['subject']['title']	=	'Subject';
$feedArray['subject']['type']	=	'select';
$feedArray['subject']['mandatory']	=	'true';
$feedArray['comments']['title']	=	'Comments';
$feedArray['comments']['type']	=	'textarea';
$feedArray['comments']['mandatory']	=	'true';
$feedArray['feedName']['title']	=	'Name';
$feedArray['feedName']['type']	=	'text';
$feedArray['feedName']['mandatory']	=	'true';
$feedArray['femail']['title']	=	'Email';
$feedArray['femail']['type']	=	'text';
$feedArray['femail']['mandatory']	=	'true';
$feedArray['ftel']['title']	=	'Telephone';
$feedArray['ftel']['type']	=	'text';
$feedArray['ftel']['mandatory']	=	'true';
$feedArray['ffax']['title']	=	'Fax';
$feedArray['ffax']['type']	=	'text';
$feedArray['ffax']['mandatory']	=	'true';
$feedArray['check1']['title']	=	'Contact Soon';
$feedArray['check1']['type']	=	'checkbox';
$feedArray['check1']['mandatory']	=	'true';




?>