physician-directory-listing-request.blade.php 574 B

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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4. <title>{{ $details['subject'] }}</title>
  5. </head>
  6. <body>
  7. <?php
  8. $data = $details['data'];
  9. ?>
  10. <div><b>First Name: </b>{{ $data->name_first }}</div>
  11. <div><b>Last Name: </b>{{ $data->name_last }}</div>
  12. <div><b>Title: </b>{{ $data->title }}</div>
  13. <div><b>Practice Name: </b>{{ $data->practice_name }}</div>
  14. <div><b>Email: </b>{{ $data->email }}</div>
  15. <div><b>Phone: </b>{{ $data->phone }}</div>
  16. <div><b>Zip: </b>{{ $data->zip }}</div>
  17. <div><b>Comment: </b>{{ $data->comment }}</div>
  18. </body>
  19. </html>