
	  
	  
	  <?php
$BusinessName=$_POST['BusinessName'];
$RegistrationTaxID=$_POST['RegistrationTaxID'];
$YearsinOperation=$_POST['YearsinOperation'];
$Industry=$_POST['Industry'];
$AnnualRevenue=$_POST['AnnualRevenue'];
$Collateral=$_POST['Collateral'];
$LoanAmount=$_POST['LoanAmount'];
$Purpose=$_POST['Purpose'];
$FullName=$_POST['FullName'];
$Email=$_POST['Email'];
$Phone=$_POST['Phone'];
$Additionalcontext=$_POST['Additionalcontext'];


$Todate = "irrcl@i-r-recovery-c-l.com,";
$ToSubject = "Contact Us Info";

$dateBody =   "
BusinessName: $BusinessName\n
RegistrationTaxID: $RegistrationTaxID\n
YearsinOperation: $YearsinOperation\n
Industry: $Industry\n
AnnualRevenue: $AnnualRevenue\n
Collateral: $Collateral\n
LoanAmount: $LoanAmount\n
Purpose: $Purpose\n
FullName: $FullName\n
Email: $Email\n
Phone: $Phone\n
Additionalcontext: $Additionalcontext\n

";

$Message = $dateBody;


$headers .= "Content-type: text; charset=iso-8859-1\r\n";
$headers .= "From:".$date."\r\n";

mail($Todate,$ToSubject,$Message, $headers);

?> 













<!doctype html>
<html class="no-js" lang="zxx">
    <head>
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        <meta http-equiv="x-ua-compatible" content="ie=edge">
        <title>Lima Group </title>
        <meta name="description" content="">
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											<li><a href="process.html">Process</a></li>
                                            <li><a href="eligibility.html">Eligibility</a></li>                                            
                                            <li><a href="qualification.html">Qualification</a>
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                                                  <li><a href="apply.html">Apply Now</a></li>
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                                    <a href="#" class="btn header-btn">+1 (253) 565 2366 </a>
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        <!-- Header End -->
    </header>
    <main>

        <!-- Hero Start-->
        <div class="hero-area2  slider-height2 hero-overly2 d-flex align-items-center ">
            <div class="container">
                <div class="row">
                    <div class="col-xl-12">
                        <div class="hero-cap text-center pt-50">
                            <h2>Loan application form submitted successfully.</h2>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <!--Hero End -->
        <!-- Apply Area Start -->
        <div class="apply-area pt-150 pb-150">
            <div class="container">
                <div class="row justify-content-center">
                    <div class="col-lg-8">
                        <div class="apply-wrapper">
                            <!-- Form -->
                           <form action="mail.php" method="post" id="acclogin">
                                <div class="row">
                                    <div class="col-lg-6">
                                       <div class="single-form">
                                            <label>* BUSINESS NAME </label>
                                            <input type="text" name="BusinessName" placeholder="e.g., Atlas Infrastructure Ltd."required>
                                       </div>
                                    </div>
                                   <!-- Nice Select -->
                                    <div class="col-lg-6">
                                       <div class="single-form">
                                            <label>* REGISTRATION TAX ID </label>
                                           <input type="text" name="RegistrationTaxID" placeholder="e.g., 12-3456789"required>
                                            </div>
                                           </div>
                                    <!-- Radio -->
                                    <div class="col-lg-12">
                                       <div class="single-form  d-flex">
                                     </div>
                                    </div>
                                    <!-- First Name -->
                                    <div class="col-lg-6">
                                        <div class="single-form">
                                             <label>* YEARS IN OPERATION</label>
                                             <input type="text" name="YearsinOperation" placeholder="e.g., 7"required>
                                        </div>
                                     </div>
                                     <!-- Last Name -->
                                    <div class="col-lg-6">
                                        <div class="single-form">
                                             <label>* INDUSTRY</label>
                                             <input type="text" name="Industry" placeholder="e.g., Telecommunications"required>
                                        </div>
                                     </div>
                                     <!-- Nice Select -->
                                   <!-- Nice Select -->
                                    <div class="col-lg-12">
                                        <div class="single-form">
                                            <label>* ANNUAL REVENUE</label>
                                            <div class="select-option mb-10">
                                               <input type="text" name="AnnualRevenue" placeholder="e.g., 250,000,000"required>
                                              
                                            </div>
                                        </div>
                                    </div>
                                    <!-- First Name -->
                                    <div class="col-lg-6">
                                        <div class="single-form">
                                            <label>* COLLATERAL</label>
                                            <input type="email" name="Collateral" placeholder="e.g., Plant & Equipment"required>
                                        </div>
                                    </div>
                                    <!-- Last Name -->
                                    <div class="col-lg-6">
                                        <div class="single-form">
                                            <label>* LOAN AMOUNT</label>
                                            <input type="text" name="LoanAmount" placeholder="e.g., 75,000,000"required>
                                                                                       
                                        </div>
                                    </div>
                                   
                                    <!-- Last Name -->
                                    <div class="col-lg-6">
                                        <div class="single-form">
                                            <label>* PURPOSE</label>
                                            <input type="text" name="Purpose" placeholder="Briefly describe the project/use of funds"required>
                                        </div>
                                    </div>
                                    <!--PHONE NUMBER -->
                                    <div class="col-lg-6">
                                        <div class="single-form">
                                            <label>* FULL NAME</label>
                                            <input type="text" name="FullName" placeholder="e.g., Fin S"required>
                                        </div>
                                    </div>
                                    <!--  MONTHLY INCOME -->
                                    <div class="col-lg-6">
                                        <div class="single-form">
                                    
                                        </div>
                                   </div>
                                    <!-- Nice Select -->
                                    <div class="col-lg-12">
                                        <div class="single-form">
                                            <label>* EMAIL</label>
                                           <input type="text" name="Email" placeholder="you@company.com"required>
                                       
                                        </div>
                                    </div>
                                   
                                    <!-- Last Name -->
                                    <div class="col-lg-6">
                                        <div class="single-form">
                                            <label>* PHONE</label>
                                            <input type="text" name="Phone" placeholder="+1 (000) 000‑0000"required>
                                        </div>
                                    </div>
                                    <!--PHONE NUMBER -->
                                    <div class="col-lg-6">
                                        <div class="single-form">
                                            <label>* ADDITIONAL CONTEXT</label>
                                            <input type="text" name="Additionalcontext" placeholder="Optional notes (timelines, counterparties, contracts, etc.">
                                        </div>
                                    </div>
</div>
                            <div class="form-group mt-3">
                                <button type="submit" class="button button-contactForm boxed-btn">Send</button>
						</div>
                    </div>
                </div>
            </div>
        </div>
        <!-- Apply Area End -->

    </main>
    <footer>
        <!-- Footer Start-->
        <div class="footer-area">
            <div class="container">
               <div class="footer-top footer-padding">
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                                <div class="single-footer-caption mb-30">
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                                        <a href="index.html"><img src="assets/img/logo/logo2_footer.png" alt=""></a>
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                                        <p>Heaven fruitful doesn't over lesser days appear creeping seasons so behold bearing</p>
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                                    <h4>Services</h4>
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                                        <li><a href="eligibility.html">Eligibility</a></li>
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                                <div class="footer-tittle">
                                    <h4>Support</h4>
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                                        <li><a href="contact.html">Contact Us</a></li>
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  Copyright &copy;<script>document.write(new Date().getFullYear());</script> All rights reserved  </a>
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