', $porukaa); //START OF THANKS MESSAGE //you may edit $thanks message. this is a message which displays when user sends mail from your site $thanks = "


Your message has sucessfuly been sent!
 #### MESSAGE TEXT ####

$poruka

#### END OF MESSAGE ####

You will receive a copy of the message at your email address ($mail).
We will reply you soon as possible

"; //do not edit nothing below this line until comment (ME) say so if you don't have skills with PHP //END OF THANKS MESSAGE if($_POST['submitform']) { $Name = $_POST['Name']; $Email = $_POST['Email']; $Message = $_POST['Message']; $require = $_POST['require']; $browser = $HTTP_USER_AGENT; $ip = $_SERVER['REMOTE_ADDR']; $dcheck = explode(",",$require); while(list($check) = each($dcheck)) { if(!$$dcheck[$check]) { $error .= "You have not filled this filed(s): $dcheck[$check].
"; } } if ((!ereg(".+\@.+\..+", $Email)) || (!ereg("^[a-zA-Z0-9_@.-]+$", $Email))){ $error .= "Wrong e-mail.
This e-mail address $Email - is not valid. Please enter correct e-mail address."; } if($error) { echo $error; echo '
Please try again.'; } else { //START OF INCOMING MESSAGE (this message goes to your inbox) $message = " Name: $Name: E-mail: $Email Message: $Message ----------------------------- Browser: $browser IP: $ip "; //END OF INCOMING MESSAGE (this message goes to your inbox) $subject = "Message from your site.com - Message was sent by $Name"; //subject OF YOUR INBOX MESSAGE sent to you $subject2 = "You have succesfully sent message from yoursite.com!"; //subject of OUTGOING MESSAGE - edit this //OUTGOING MESSAGE TEXT $message2 = "You have sent a message to site admin of a yourdomain.com: ----------------------------- From: $Name: E-mail: $Email Message: $Message ----------------------------- "; //END OF outgoing MESSAGE

Financing Application

First Name: Middle Initial: Last Name: Date Of Birth: Social Security Number: Marital Status: Drivers License No: Province Issued:

Contact
Home Phone:
Work Phone:
Cell Phone:
Email:

Residence
Address:
City:
Province:
Postal Code:
Living at current residence for:
Own or Rent:
Monthly Rent / Mortgage:
Landlord or Mortgage Company:
Landlord or Mortgage Company Phone:
If you have been living at your current place of residence for less than 2 years - please complete your previous residence history in the form below.
Address:
City:
Province:
Postal Code:
Living at previous residence for:


Employment History
Current Employer:
Employer Telephone:
Position / Occupation:
Address:
City:
Province:
Postal Code:
Employment type:
Gross Monthly Income:
Job Length:
If you have been working for less than 2 years for your current employer - please complete your previous employment history in the form below.
Previous Employer:
Employer Telephone:
Position / Occupation:
Address:
City:
Province:
Postal Code:
Gross Monthly Income:
Job Length:


Co-Applicant
Select this checkbox if there is a co-applicant


Co-Applicant Identification
Title:
First Name:
Middle Initial:
Last Name:
Date Of Birth:
Social Security Number:
Marital Status:
Drivers License No:
Province Issued:


Co-Applicant Contact
Home Phone:
Work Phone:
Cell Phone:
Email:

Co-Applicant Residence
Address:
City:
Province:
Postal Code:
Living at current residence for:
Own or Rent:
Monthly Rent / Mortgage:
Landlord or Mortgage Company:
Landlord or Mortgage Company Phone:
If you have been living at your current place of residence for less than 2 years - please complete your previous residence history in the form below.
Address:
City:
Province:
Postal Code:
Living at previous residence for:

Employment History
Current Employer:
Employer Telephone:
Position / Occupation:
Address:
City:
Province:
Postal Code:
Employment type:
Gross Monthly Income:
Job Length:
If you have been working for less than 2 years for your current employer - please complete your previous employment history in the form below.
Previous Employer:
Employer Telephone:
Position / Occupation:
Address:
City:
Province:
Postal Code:
Gross Monthly Income:
Job Length:

Vehicle Information
Year:
Make:
Model:
Trim:
Mileage:
Color:
VIN #:
Purchase Price (before taxes):
Desired monthly payments:
Desired Term of loan in years:
Is this vehicle currently at a dealership?
If Yes Please provide Dealer name:


Notes from Applicant