"; } if (!empty($error)) { $errorcode = file_get_contents($error_url); $replace = "##error##"; $errorcode = str_replace($replace, $error, $errorcode); echo $errorcode; exit; } $internalfields = array ("submit", "reset", "send", "filesize", "formid", "captcha_code", "recaptcha_challenge_field", "recaptcha_response_field", "g-recaptcha-response"); $message .= $eol; $message .= "IP Address : "; $message .= $_SERVER['REMOTE_ADDR']; $message .= $eol; $logdata = ''; foreach ($_POST as $key => $value) { if (!in_array(strtolower($key), $internalfields)) { if (!is_array($value)) { $message .= ucwords(str_replace("_", " ", $key)) . " : " . $value . $eol; } else { $message .= ucwords(str_replace("_", " ", $key)) . " : " . implode(",", $value) . $eol; } } } $body = 'This is a multi-part message in MIME format.'.$eol.$eol; $body .= '--'.$boundary.$eol; $body .= 'Content-Type: text/plain; charset=ISO-8859-1'.$eol; $body .= 'Content-Transfer-Encoding: 8bit'.$eol; $body .= $eol.stripslashes($message).$eol; if (!empty($_FILES)) { foreach ($_FILES as $key => $value) { if ($_FILES[$key]['error'] == 0) { $body .= '--'.$boundary.$eol; $body .= 'Content-Type: '.$_FILES[$key]['type'].'; name='.$_FILES[$key]['name'].$eol; $body .= 'Content-Transfer-Encoding: base64'.$eol; $body .= 'Content-Disposition: attachment; filename='.$_FILES[$key]['name'].$eol; $body .= $eol.chunk_split(base64_encode(file_get_contents($_FILES[$key]['tmp_name']))).$eol; } } } $body .= '--'.$boundary.'--'.$eol; if ($mailto != '') { mail($mailto, $subject, $body, $header); } header('Location: '.$success_url); exit; } ?> Untitled Page
2018 Dues Renewal
Name
Membership dues are due by January 31, 2018.
Please complete the following form and mail to:
Susan Wilson, 24 Hillington Dr., North Easton, MA 02356
Che
cks or money orders should be made payable to ISCNE.

Please
note any changes in address or other contact information.
Address
Date
City
State
Zip
Please renew my membership for 2018     Check one below
Individual $15.00
Junior 10 - 18 yr  $5.00
Household $20.00
***************************************************************************************************************************************************************************************************
Areas of interest
          Conformation                            Rally

          Obedience                                Field

          Agility                                       Other (please specify
I would be willing to help with:
Specialty Shows
Obedience Competition

Trophies
          Kitchen

          Program Planning

          Other (please specify)
If you have special talents you would like to share
********************************************************************************************************************************************************************************************************
Please accept my donation for:
          Rescue     $

          Trophies    $
Single $15.00

Household $20.00

Junior 10-18 years old  $5.00