Please complete the form below with as much information as possible.
"; $content .= "
Name: $name
"; $content .= "Email: $email
"; $content .= "Telephone: $phone
"; $content .= "Year: $year1
"; $content .= "Make: $make
"; $content .= "Model: $model
"; $content .= "Appt Type: $type
"; $content .= "Date Requested 1: $month-$date-$year
"; $content .= "Date Requested 2: $month2-$date2-$year2
"; $content .= "How did you find us: $howdid
"; $content .= "Referral: $referral
"; $content .= "Please Contact me: $contact
"; $content .= "Service Needed: $service
"; $content .= "