1))); $content = $data['Page Content']['singleData']; $recipients = $data['Recipients']['additionalRows']; $required_icon = "*"; ?>
".$content['Page Title'].""; if( $_REQUEST['thanks'] ) { print $content['Thank You Text']; } else { print $content['Page Text']; } ?>
\n"; foreach( getStateList() as $code => $state ) { print "\n"; } print "\n"; ?>
\n"; print "\n"; print "\n"; print "
\n"; ?>