Your contact and incident information have been forwarded to the attorneys at Van Wagner & Wood. You can expect a reply shortly. If you are not contacted within one business day, or if your matter is more pressing, please call the office at 608-284-1200.
If this is an emergency, please call (608-284-1200 or toll free, 866-262-4599) right away. If you call after hours, please ask to have an attorney paged.
Please note: Your e-mail or any messages that you may leave for an attorney cannot form an attorney-client relationship. To form an attorney-client relationship, an attorney must agree to accept your case and you must retain the attorney. When an attorney is retained, the attorney notifies the clerk of courts.
Kindest regards,
Van Wagner & Wood, S.C.
10 East Doty St., Ste. 701
PO Box 88
Madison, WI 53701-0088
http://www.vanwagnerwood.com
attorneys@vanwagnerandwood.com
(608) 284-1200
(866) 262-4599
";
// ################################################
// END OF NECESSARY MODIFICATIONS
// ################################################
?>
Shelter Bay ChartersReservation FormFor more information,
please feel free to browse our site,
|
FROM:
$Name $MI $NameLast
ADDRESS:
$DefRes
$DefCity $DefState $DefZip
CONTACT INFORMATION:
Home #: $DefTelHome
Work #: $DefTelWork
Cell #: $DefTelCell
Other #: $DefTelOther
Email: $Email
DOB: $DOB
ARREST INFORMATION:
Arrest Date: $DateArrest
Court Date Written On Ticket: $CourtDate
Next Court Date: $DateCourtNext
Arresting Agency: $ArrestedBy $ArrestedByOther
City: $ArrestCity State: $ArrestState
County: $ArrestCounty
Accident? $Accident
Was anyone hurt? $AccidentHurt
TESTS:
Refused? $Refused
Field Sobriety Tests?
$AlphaFull $AlphaPart $Counting $FingerDex $Horizontal $Vertical $WalkTurn
Blood Alcohol Tests?
$Test1 $Test2 $Test3 $Test4 $Test5
Blood Alcohol Test Results
$BACResults
Other Tests?
$OtherTests
PRIOR CONVICTIONS:
Prior conviction or refusal? $Prior
Represented in prior conviction or refusal? $PriorRep
LICENSE:
Wisconsin license? $License $DLState
SERVICES REQUESTED:
Needs Attorney? $NeedAtty
Wants second opinion? $SecondOp
Wants to fight charges? $Fight
Contact Via? $ContactVia
Reason given by officer for stop: $StopReason
Real story about the stop: $StopRealStory
Other information: $OtherInfo
";
return $attorney_data;
};
// -----------------------------------------------------------------------
// -- Sending email
// -----------------------------------------------------------------------
function sendEmailNotification($ToEmail, $ToName, $Subject, $Body) {
$rc = false;
$mail = new PHPMailer();
$mail->IsSMTP(); // telling the class to use SMTP
// $mail->Mailer = "smtp";
$mail->Host = "mail.shelterbaycharters.com";
$mail->SMTPAuth = true; // turn on SMTP authentication
$mail->Username = "reservations"; // SMTP username
$mail->Password = "NICK-MELISSA-PASSWORD-GOES-HERE-FOR-EMAIL-ACCOUNT"; // SMTP password
$mail->From = "reservations@vanwagnerandwood.com";
$mail->FromName = "Shelter Bay Charter's Reservation Request";
$mail->AddAddress("$ToEmail");
$mail->Subject = "$Subject";
$mail->AltBody = "$Body";
$mail->Body = "$Body";
if(!$mail->Send())
{
echo "Message was not sent.
";
echo "Mailer Error: " . $mail->ErrorInfo . "
";
}
else
{
//echo "Message has been sent
";
$rc = true;
}
return $rc;
};
// ####################################
//phpinfo();
?>