#!/usr/bin/perl use strict; use warnings; use Authen::Captcha; # You MUST create the following directories yourself. FormMail will not work # without them, unless you are not using Captcha support. # Set this to a directory that is not accessible via the web. # Often something like /home/yourname/.captcha_data my $captcha_datadir = "/home/sites/aldinger.co.uk/.captcha_data"; # Set this to a directory that will store the captcha images. This should # be accessible via the web because it will be included on the page. # Often something like /home/yourname/public_html/fm/captcha_img my $captcha_outputdir = "/home/sites/aldinger.co.uk/public_html/prospectphysio.co.uk/webforms/img"; # This should be the same as the directory above, but using the web accessible # URL path. If you have /home/yourname/public_html/fm/captcha_img above then # you will need /fm/captcha_img here. my $image_dir = "/webforms/img"; # Use the following few settings to configure the form values. # This should be the location of the FormMail.cgi script. my $formmail = "/webforms/FormMail.cgi"; # This is where you want the email to go. my $recipient = 'info@prospectphysio.co.uk'; # This is where the user should be taken to after submitting the form. my $redirect = "http://www.prospectphysio.co.uk/thankyou.html"; my $captcha = Authen::Captcha->new( data_folder => $captcha_datadir, output_folder => $captcha_outputdir, ); my ($md5sum, $chars) = $captcha->generate_code(4); # Modify the HTML below to make your form how you like it. # Ensure that you read the instructions carefully. # Only edit outside the comment sections, unless you are sure # you know what you're doing. print <<"END"; Content-Type: text/html; charset=ISO-8859-1 Contact Prospect Physio

Prospect Physio

Neurological Physiotherapy & Rehabilitation

Contact Us

Mail:

Prospect Physio,
St. Johns Road,
Stourport-on-Severn,
Worcestershire,
DY13 9DS.

Work: 01299 826328

Mobile: 07930 305540

To make an appointment or if you require any additional information please call or use the contact form below:

Website created by COSU

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