You should be contact back shortly"; $to = "stevegerbitz@synertx.com"; $subject = "IT SERVICES REQUEST FOR NEW HIRE"; $message = "A New hire request has just been submitted by: $new_user_requestors_name The New Hires Information is the following: Name: $new_user_first_name $new_user_middle_name $new_user_last_name Applications Needed for this new hire are: $headers = "From: $new_user_requestors_email "; $ok = @mail($to, $subject, $message, $headers); if ($ok) { echo "";} }; ?> } else { ?>
This page is used, when you would request IT Services for a new hire. Please complete this page.
New User Information
Requestors Information:
| Requestors Name: | |
| Requestors Email: | |
| Requestors Phone Ext: |
Applications/Programs that the new user would need access to:
| Domain/Computer Login | |
| Spark/Jabber | Siebel |
| Google Calendar | synertx.projectpath.com login |
| my.synertx.com login | Phone: Ext: |
| Other, Please specify below: | Special Instructions, Please specify below: |
| Which users should this duplictate: | |
| What printers should this person need access to: |