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PLEASE NOTE: By completing and submitting this form the user HAS NOT entered into a Listing or Buyer Agency agreement with RealtyRI.com and/or it's agents. This form is for informational purposes only. Any discounts, rebates, or credits offered on this web site or other advertising are subject to RealtyRI.com approval and must be in writing and signed by all parties. Contract agreements are not currently available on-line and can be emailed, mailed or faxed upon request. Thank you.

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<%init> use Customer::RealtyRI; use Leads; use MLS; my $l = new Leads(); my $e = new Customer::RealtyRI(); my $error = ""; if($action eq "go") { if($name eq "") { $error = "Please enter your name"; } if($type eq "") { $error = "Please choose a topic"; } if($email eq "") { $error = "Please enter your email address"; } if($error eq "") { $l->{'lname'} = $name; $l->{'email'} = $email; $l->{'phone'} = $phone; $l->{'address'} = $address; $l->{'city'} = $city; $l->{'state'} = $state; $l->{'zip'} = $zip; $l->{'comments'} = qq(Topic: $type Lead: $lead Comments: $comments); my $message = qq( Topic: $type Name: $name Email: $email Address: $address, $city, $state, $zip Phone: $phone Lead: $lead Comments: $comments ); $e->sendEmail("Realty RI <" . $m->session->{'site'}->{'email'} . ">",$EmailFrom,$message,$EmailSubject); my $id = $l->checkDup($r->dir_config('site_id'),$email); if($id > 0) { $l->insertComment($id,"Contact us form:
" . $message); } else { $id = $l->insert($r->dir_config('login_id'),$m->session->{'site'}->{'site_id'}); $l->insertComment($id,$message); } $m->redirect("/contact_thankyou.html"); } } <%args> $EmailTo=>'' $EmailFrom=>'' $EmailSubject=>'' $comments=>'' $name=>'' $email=>'' $phone=>'' $lead=>'' $type=>'' $address=>'' $city=>'' $state=>'' $zip=>'' $action=>'' <%method title> Contact Us