Do you or does a member of your family need, or foresee the need for, services of one or more of our providers?
"; } elseif ($partnerForm == true) { $inquiry_form = "Partner/Provider Inquiry"; echo "Does your business offer services or products that can be used by Services4Life Partners or their customers and clients?
"; } elseif ($correspondentForm == true) { $inquiry_form = "Services4Life Correspondent Inquiry"; echo "Does your business have customers or clients that need Services4Life Partner services?
"; echo "Services4Life offers generous referral commissions to Services4Life correspondents.
"; } else { $inquiry_form = "General Inquiry"; echo "Is there anything on this website you'd like us to tell you more about?
"; } ?>Please fill out the following inquiry form for more information.
Note: All * fields are required.