Appointment Request

Your Name

Your Email

Patient Type

New Patient Old Patient

Email

Phone

Appointment Type

Eye Exam ICL/ LASIK Consultation

Appointment Date

Appointment Time

Morning Appointment Afternoon Appointment Evening Appointment

Questions & Comments

Schedule Appointment

SMTPDebug = SMTP::DEBUG_SERVER; // for detailed debug output $mail->isSMTP(); $mail->Host = 'smtp.gmail.com'; $mail->SMTPAuth = true; $mail->SMTPSecure = PHPMailer::ENCRYPTION_STARTTLS; $mail->Port = 587; $mail->Username = 'blanche@sunvisionpro.com'; // YOUR gmail email $mail->Password = 'pccxdhjttybyhxje'; // YOUR gmail password // Sender and recipient settings $mail->setFrom('blanche@sunvisionpro.com', 'Sun Visionpro'); $mail->addAddress($email, $name, $message); $mail->addReplyTo('blanche@sunvisionpro.com', 'Sun Visionpro'); // to set the reply to // Setting the email content $mail->IsHTML(true); $mail->Subject = "Contact Replay"; $mail->Body = "

Hi $name,

Thanks for Contact us.

We have received your message and would like to thank you for writing to us.
We will reply by email as soon as possible.

Sincerely,
Sun Visionpro

"; //$mail->AltBody = "This is the plain text version of the email content"; if(!$mail->send()) { echo "Success! check sometimes later."; } else { echo "Your submission has been submitted successfully."; } $mail2 = new PHPMailer(true); // Server settings //$mail2->SMTPDebug = SMTP::DEBUG_SERVER; // for detailed debug output $mail2->isSMTP(); $mail2->Host = 'smtp.gmail.com'; $mail2->SMTPAuth = true; $mail2->SMTPSecure = PHPMailer::ENCRYPTION_STARTTLS; $mail2->Port = 587; $mail2->Username = 'blanche@sunvisionpro.com'; // YOUR gmail email $mail2->Password = 'pccxdhjttybyhxje'; // YOUR gmail password // Sender and recipient settings $mail2->setFrom('blanche@sunvisionpro.com', 'Sun Visionpro'); $mail2->addAddress('blanche@sunvisionpro.com', 'Sun Visionpro'); //$mail->addReplyTo('blanche@sunvisionpro.com', 'Sun Visionpro'); // to set the reply to // Setting the email content $mail2->IsHTML(true); $mail2->Subject = "Contact Details"; $mail2->Body = "Following user has been submitted contact details on your website
Name : $name
Email : $email
Message : $message
"; //$mail->AltBody = "This is the plain text version of the email content"; $mail2->send(); } } ?>