\r\n"; $message = ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= ""; $message .= "
A Contact form was submitted on " . $date . "
Name: " . $name . "
Business: " . $business . "
Address: " . $address . "
City: " . $city . "
State: " . $state . "
Zip Code: " . $zip . "
Telephone: " . $phone . "
Email: " . $email . "
Area of Interest: " . $interest . "
Comments: " . $comments . "
From Site:".$_SERVER['SERVER_NAME'].$_SERVER['PHP_SELF']."
"; mail($to,$subject,$message,$headers); echo "

Thank you for contacting us!

"; } else { ?>

Contact Us

Name: *
Business:
Address:
City:
State:
Zip Code:
Telephone:
E-mail: *
Area of Interest:
Comments/Questions:

Call 1-866-264-7397
General questions - info@goldenshield.us
Sales inquiries - randythomas@goldenshield.us
Located at 2727 N. Plaza Dr., Rapid City, South Dakota 57702