Electronic Statment Delivery

You now have the ability to have your statements electronically delivered to your email account. You may choose to go totally paperless or may choose to have both an electronic bill as well as a paperless bill. Please enter the information below to enroll in our electronic billing system. Fields indicated with an asterisk are required fields. (*) Thank You.

* Email Address:
* Verify Email Address:
* Social:
* Delivery Type:	-Preference- $cliententnum "; ?>

OOPS! You forgot to enter your email address! Please use the back space to enter your email or close the window if you do not want this option. Thank You! $emailchk ) { ?> OOPS! You email addresses do not match! Please use the back space to enter your email or close the window if you do not want this option. Thank You! Your request has been processed. Should you wish to change your options at a later date, please click on the Go Paperless link on the account screen. Thank You!

Mail will be delivered to in the form of an .

".$company." - E-Bill Dear ".$person." Thank you for choosing ".$company." for your health care needs. We appreciate you subscribing to our electronic biling format. It helps the enviroment and control healthcare costs. . Please click My Bill to view your bill. From here you can View Your Bill, Pay Your Bill, or Send Secure Inquiries or Questions concerning your bill. To gain access, you will be asked for your Social. Sincerely, ".$company." Customer Service billing@weeksmedical.org 1.603.234.8907

"; $headers = "From: $from"."\n"; $headers = "From: "."customerservice@weeksmedical.org"."\n" ; $headers .= "Content-type: text/html; charset=iso-8859-1"."\r\n" ."X-Mailer: php"."\n"; $Name = "Customer Service at Weeks Medical Center"; //senders name $email = "customerservice@credit-services.com"; //senders e-mail adress $recipient = $to; //recipient $mail_body = $body; //mail body $subject = "E-Bill"; //subject $header = "From: ". $Name . " <" . $email . ">\r\n"; //optional headerfields $header .= "cc: bpike@bpltd.net\r\n"; $header .= "Content-type: text/html; charset=iso-8859-1"."\r\n" ."X-Mailer: php "."\n"; require_once('ses.php'); $ses = new SimpleEmailService('AKIAJQQ5ATRMO2M3DJAQ', 'GKG0mn5MYkiCumPcyUsK0XZHrtfPHS+BQ4dem5Wm'); $returnpath = "bpike@credit-services.com"; $m = new SimpleEmailServiceMessage(); $m->addTo($recipient); $m->addBCC('bpike@credit-services.com'); $m->setFrom('"Customer Service at Weeks Medical Center" '); $m->setSubject($subject); $m->setMessageFromString($text, $html); $m->setMessageCharset('ISO-8859-1'); $m->setReturnPath($returnpath); print_r($ses->sendEmail($m)); ?>

An Test E-Bill Notification will be delivered to your email address.
Please check your spam filters to allow mail from customerservices@firstpaytoday.com
THANK YOU!