"; if (!$_POST["city"]) $error .= "*** Please enter your City ***
"; if ($_POST["state"] == "Choose") $error .= "*** Please enter your State ***
"; if (!$_POST["name"]) $error .= "*** Please enter the Contact Name ***
"; if (!$_POST["phone"]) $error .= "*** Please enter your Phone Number ***
"; if (!$_POST["amount"]) $error .= "*** Please enter your Pledge Amount ***
"; if (!$error) { // Create Success Message // Mail notification that a resume was submited $formInfo = $formInfo . "Company Name : " . $_POST['company'] . "\n\n"; $formInfo = $formInfo . "City : " . $_POST['city'] . "\n\n"; $formInfo = $formInfo . "State : " . $_POST['state'] . "\n\n"; $formInfo = $formInfo . "Contact Name:\t" . $_POST['name'] . "\n\n"; $formInfo = $formInfo . "Phone:\t" . $_POST['phone'] . "\n\n"; $formInfo = $formInfo . "Pledge Amount: " . $_POST['amount'] . "\n\n"; $formInfo = $formInfo . "Email: " . $_POST['email'] . "\n\n"; $formInfo = $formInfo . "Website: " . $_POST['website'] . "\n\n"; $to = "contact@peoplesstimulus.org"; $subject = "The People's Stimulus Package Pledge Form"; $headers = "From: " . $_POST['fname'] ." " .$_POST['lname'] . "\r\n" . "BCC: contact@peoplesstimulus.org"; $header = "Location: thanks.html"; mail($to,$subject,$formInfo,$headers); // Create Success Message header($header); } } ?> The People's Stimulus Package: Pledge

It's As Easy As 1, 2, 3.

Determine the amount you'd like to spend and complete the "Pledge to Participate" information. Don't forget to request your $2 bills from your local banks.
Communicate why you are participating and how you would like your employees to spend their $2 bills. Then, distribute the $2 bills to your employees along with the stimulus package promotional card or with the stimulus package stickers (formated to use with Avery 1"x2-5/8")
Share your story with neighbors, fellow business owners, at community events, on your Web site and even with local media outlets to get others involved. You and your employees can also post your stories here on the People's Stimulus Blog.

Questions? Email us at contact@peoplesstimulus.org.

Pledge to Participate

All Fields are required except as noted.

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Company Name*
City
State
Contact Name
Phone
Pledge Amount
Email (optional)
Website (optional)

Printable Pledge Form

*Only your Company Name and a link to your web site will be disclosed on the
People's Stimulus Package website. All other information will be kept
confidential.