"; $contextstr = $contextstr ."=========================================
"; $contextstr = $contextstr ."Customer Information
"; $contextstr = $contextstr ."=========================================
"; $contextstr = $contextstr ."Name: ". $username ."
"; $contextstr = $contextstr ."Sex: ". $SexRb ."
"; $contextstr = $contextstr ."Country: ". $countryslt ."
"; $contextstr = $contextstr ."Email: ". $emailTxt ."
"; $contextstr = $contextstr ."=========================================
"; $contextstr = $contextstr ."Product Information
"; $contextstr = $contextstr ."=========================================
"; $contextstr = $contextstr ."Serial Number:". $SNTxt ."
"; $contextstr = $contextstr ."Dealer Name:". $DNameTxt ."
"; $contextstr = $contextstr ."Purchase Date:". $PMTxt ."/". $PDTxt ."/". $PYTxt ."
"; $contextstr = $contextstr ."=========================================
"; $contextstr = $contextstr ."Fill DateTime:". date("Y-m-d H:i:s") ."
"; $contextstr = $contextstr ."=========================================
"; $contextstr = $contextstr ."Submit Form AltusLumen product's Website."; if ($submitok == "fillok") { $to = "sales@altuslumen.com"; $subject = $username ."'s Warranty Registration Mail"; $msg = $contextstr; $headers = "From: " . $emailTxt ."\r\n" . "Reply-To: " . $emailTxt ."\r\n" . "X-Mailer: PHP/" . phpversion() . "\r\n" . "MIME-Version: 1.0\r\n" . "Content-type: text/html; charset=gb2312\r\n"; if(mail("$to", "$subject", "$msg", "$headers")) { echo "Your Warranty Registration has been sent. Thanks."; } else { echo "Your Warranty Registration can not send mail.
Please check your email."; } } ?>

Warranty Registration

Thank you for your purchase of AltusLumen product. Please pay attention on following issues:

  • Please fill in the form in English.
  • Please take a moment to complete and submit this online warranty registration.
  • Simply fill in the form below and click on Sumbit button.
Customer Information
*Name: Dr    Mr    Mrs    Ms
*Country:  
*Email:  
*Re-confirm Email:  
Product Information
*Serial Number:  
Dealer Name: (Optional)
*Purchase Date: / / (dd/mm/yyyy)
I declare : I have read and understood the the privacy statement, and agree to be bound by the same.