is_valid) { die ("The reCAPTCHA wasn't entered correctly. Go back and try it again." . "(reCAPTCHA said: " . $response->error . ")"); } } ?> "; } if (!empty($error)) { $errorcode = file_get_contents($error_url); $replace = "##error##"; $errorcode = str_replace($replace, $error, $errorcode); echo $errorcode; exit; } $internalfields = array ("submit", "reset", "send", "captcha_code"); $message .= $eol; $message .= "IP Address : "; $message .= $_SERVER['REMOTE_ADDR']; $message .= $eol; foreach ($_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 && $_FILES[$key]['size'] <= $max_filesize) { $body .= '--'.$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.'--'.$eol; mail($mailto, $subject, $body, $header); $autoresponder_header = 'From: '.$autoresponder_from.$eol; $autoresponder_header .= 'Reply-To: '.$autoresponder_from.$eol; $autoresponder_header .= 'MIME-Version: 1.0'.$eol; $autoresponder_header .= 'Content-Type: text/plain; charset=ISO-8859-1'.$eol; $autoresponder_header .= 'Content-Transfer-Encoding: 8bit'.$eol; $autoresponder_header .= 'X-Mailer: PHP v'.phpversion().$eol; foreach ($_POST as $key => $value) { if (!in_array(strtolower($key), $internalfields)) { if (!is_array($value)) { $autoresponder_message .= ucwords(str_replace("_", " ", $key)) . " : " . $value . $eol; } else { $autoresponder_message .= ucwords(str_replace("_", " ", $key)) . " : " . implode(",", $value) . $eol; } } } mail($mailfrom, $autoresponder_subject, $autoresponder_message, $autoresponder_header); $search = array("ä", "Ä", "ö", "Ö", "ü", "Ü", "ß", "!", "§", "$", "%", "&", "/", "\x00", "^", "°", "\x1a", "-", "\"", " ", "\\", "\0", "\x0B", "\t", "\n", "\r", "(", ")", "=", "?", "`", "*", "'", ":", ";", ">", "<", "{", "}", "[", "]", "~", "²", "³", "~", "µ", "@", "|", "<", "+", "#", ".", "´", "+", ","); $replace = array("ae", "Ae", "oe", "Oe", "ue", "Ue", "ss"); foreach($_POST as $name=>$value) { $name = str_replace($search, $replace, $name); $name = strtoupper($name); $form_data[$name] = $value; } mysql_connect($mysql_server, $mysql_username, $mysql_password) or die('Failed to connect to database server!
'.mysql_error()); mysql_query("CREATE DATABASE IF NOT EXISTS $mysql_database"); mysql_select_db($mysql_database) or die('Failed to select database
'.mysql_error()); mysql_query("CREATE TABLE IF NOT EXISTS $mysql_table (ID int(9) NOT NULL auto_increment, DATESTAMP DATE, TIME VARCHAR(8), IP VARCHAR(15), BROWSER TINYTEXT, PRIMARY KEY (id)) TYPE=MyISAM"); foreach($form_data as $name=>$value) { mysql_query("ALTER TABLE $mysql_table ADD $name VARCHAR(255)"); } mysql_query("INSERT INTO $mysql_table (DATESTAMP, TIME, IP, BROWSER) VALUES ('".date("Y-m-d")."', '".date("G:i:s")."', '".$_SERVER['REMOTE_ADDR']."', '".$_SERVER['HTTP_USER_AGENT']."')")or die('Failed to insert data into table!
'.mysql_error()); $id = mysql_insert_id(); foreach($form_data as $name=>$value) { mysql_query("UPDATE $mysql_table SET $name='".mysql_real_escape_string($value)."' WHERE ID=$id") or die('Failed to update table!
'.mysql_error()); } mysql_close(); header('Location: '.$success_url); exit; } ?> Masterfix Call Booking Form

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Masterfix Domestic Appliance Repairs Limited, Transition House, Unit 15 Ireland Close, Staveley, Chesterfield, S43 3PE. Telephone: 0845 125 9219
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Title*
First Name*
Last Name*
House Name &/Or Number*
Street Name*
Postcode*
Email Address*
Preferred Contact Number*
Manufacturer*
Machine Type*
Model Number*
Fault Description*
Our pricing is simple..........
We make one, Fixed Labour charge for an Engineer to visit your property, diagnose the problem and rectify the fault, to bring the machine back to working order.

If parts are required to complete the Repair of your appliance, you would only pay for the part. Payment for special order parts is Non-Refundable and is due at time of order. There is NO extra Labour Charge when we return to fit the part(s) ordered.

All parts are guaranteed in accordance with the Manufacturer's terms and if the part should fail within this period, the part will be replaced free of charge and there will be no charge for calling out or for the Labour.

All Fields must be filled in to ensure that your information is processed correctly.
Book a Repair Online or talk to us on:
01143 840000 or 0845 125 9219
Monday - Friday 9.30am - 5pm