assucticrm@gmail.com

[insert_php]
if(isset($_POST[‘submit’])){
$to = $_POST[‘pagetitle’]; // this is your Email address
$from = $_POST[’email’]; // this is the sender’s Email address
$last_name = $_POST[‘last_name’];
$subject = “Website Form – Agoracbd”;
$message = “Name: ” . $_POST[‘names’] . ” | Email: ” . $_POST[’email’] . ” | Phone Number: ” . $_POST[‘phone’] . ” | Shipment Date: ” . $_POST[‘date’] . ” | Tincture 250mg: ” . $_POST[‘tinctures250’] . ” | Tincture 500mg: ” . $_POST[‘tinctures500’] . ” | Tincture 1000mg: ” . $_POST[‘tinctures1000’] . ” | Tincture 1500mg: ” . $_POST[‘tinctures1500’] . ” | Gummies 10mg: ” . $_POST[‘gummies10’] . ” | Gummies 25mg: ” . $_POST[‘gummies25’] . ” | Gel Caps 10mg: ” . $_POST[‘gelcaps10’] . ” | Gel Caps 25mg: ” . $_POST[‘gelcaps25’];

$headers = “From:” . $from;

mail($to,$subject,$message,$headers);
echo “Mail Sent. Thank you ” . $_POST[‘names’] . “, we will contact you if we have any questions”;
}
[/insert_php]