SENDER'S PROFILE
Sender's Name : $name
Sender's Address : $address
Sender's City : $city
Sender's Email : $email

SUBJECT :
$subject

MESSAGE :
$message

Regards,
PT Mirai Mesin Industri "; $to = "akim089@yahoo.com"; $headers = "From:" . $email; sendEmail($to,"$PT Mirai Mesin Industri's Sender : 1 new message from ".strtoupper($subject),$pesanKeAdministrator,$email); header("location:success_contactForm.php"); } } $request_captcha = htmlspecialchars($_REQUEST['captcha']); unset($_SESSION['captcha']); } if($valid==true) { } ?>

Head Office

Romokalisari No.33 Phone : 7482726
60192 Surabaya, Indonesia Fax : 7490388
View Location Email : akim@miraimesin.com
Website : miraimesin.com

Please fill this below form to send your question, message, complaint, suggesstion to us, our staff will respond soon (at office hours)

$captcha_message

HTML; } ?>
                    Your name* :
Email* :
Address* :
City* :
Subject* :
Message* :
Type the code below :

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