MAILING LIST REQUEST

Comprehensive Conservation Plan for Charles M. Russell and UL Bend National Wildlife Refuges

Please be aware that an individual can request the entire mailing list through the Freedom of Information Act (FOIA). If the requesting individual meets the FOIA requirements, we would release only your name.

Required Fields*

*Name:
*Mailing address:
*City:
*State:
*ZIP code:
*Country:

*Organization:

"; if ($_POST[op] != "ds") { // they need to see the form echo "$form_block"; } else if ($_POST[op] == "ds") { if ($_POST[checkbox1] == "") if ($_POST[checkbox2] == "") if ($_POST[checkbox3] == "") { $checkbox_err = "Please select a document!
"; $send = "no"; } if ($_POST[name] == "") { $name_err = "Please enter your Name!
"; $send = "no"; } if ($_POST[addr] == "") { $addr_err = "Please enter your Address!
"; $send = "no"; } if ($_POST[city] == "") { $city_err = "Please enter your City!
"; $send = "no"; } if ($_POST[state] == "") { $state_err = "Please enter your State!
"; $send = "no"; } if ($_POST[zip] == "") { $zip_err = "Please enter your Zip!
"; $send = "no"; } if ($_POST[country] == "") { $country_err = "Please enter your Country!
"; $send = "no"; } if ($_POST[organizationNone] == "") if ($_POST[organization] == "") if ($_POST[org_nametxt] == "") { $organization_err = "Please select if you belong to an Organization!
"; $send = "no"; } if ($_POST[organization] == "Organization Name") if ($_POST[org_nametxt] == "") { $organization_err = "Please enter your Organization Name!
"; $send = "no"; } if ($send != "no") { // it's ok to send! $msg = "Mailing List Request\n"; $msg .= "Requested documents: \t$_POST[checkbox1] \t$_POST[checkbox2] \t$_POST[checkbox3]\n"; $msg .= "Name: \t$_POST[name]\n"; $msg .= "Mailing address: \t $_POST[addr]\n"; $msg .= "City: \t $_POST[city]\n"; $msg .= "State: \t$_POST[state]\n"; $msg .= "Zip code: \t$_POST[zip]\n"; $msg .= "Country: \t$_POST[country]\n"; $msg .= "Organization: \t$_POST[organizationNone] \t$_POST[org_nametxt]\n"; $to = "cmrplanning@fws.gov"; $subject = "Mailing List Request - Comprehensive Conservation Plan for Charles M. Russell and UL Bend National Wildlife Refuges"; $mailheader = "From: U.S. Fish and Wildlife Service \n"; $mailheader .= "Reply-To: $_POST[name]\n"; // send the mail mail($to, $subject, $msg, $mailheaders); // disply confirmation to user echo "

Thank you, we will add you to our mailing list!

"; ?>

Requested documents:

Name:

Mailing address:

City:

State:

ZIP code:

Country:

Organization: