diff --git a/wp/ForbesHealth.php b/wp/ForbesHealth.php
new file mode 100644
index 00000000..3766d3e5
--- /dev/null
+++ b/wp/ForbesHealth.php
@@ -0,0 +1,101 @@
+<?php
+function postFiveNine()
+{
+$Campaign_ID = '701Ho000001GIKJ';
+	date_default_timezone_set('America/New_York');
+	$F9Date = date("Y-m-d")."-". date("H:i");
+	$F9domain = "connect america";
+	$FORM_ID = ($_POST['form_ID']);
+
+	if($FORM_ID == 'ForbesHealth') {
+		$F9list = "Web Form Submissions H";
+	} else {
+		$F9list = "";
+	}
+
+	$newphone = preg_replace('/^1|\D/', '', $_POST['phone']);
+
+	$cleanPOST = array(
+		'first_name' => ($_POST['first-name']),
+		'last_name' => ($_POST['last-name']),
+		'number1' => $newphone,
+		'F9domain' => $F9domain,
+		'F9list' => $F9list,
+		'salesforce_id' => $Campaign_ID,
+		'Device_6' => $title,
+		'WebDialer_Key' => $F9Date,
+		'F9key' => WebDialer_Key,
+		'F9CallASAP' => true
+		);
+
+	foreach ($cleanPOST as $key=>$value){
+ 		$cleanPOST[stripslashes($key)] = stripslashes($value);
+	}
+
+	$ch = curl_init();
+
+	// DEBUG - this should return a message to the user it failed
+	if (curl_error($ch) != "") {
+		echo "Error: $error\n";
+	}
+
+	curl_setopt($ch, CURLOPT_URL, "https://api.five9.com/web2campaign/AddToList");
+	curl_setopt($ch, CURLOPT_POST, 1);
+	curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);
+	curl_setopt($ch, CURLOPT_POSTFIELDS, http_build_query($cleanPOST));
+	curl_exec($ch);
+	curl_close($ch);
+}
+
+function postSalesforce()
+
+{
+	$oid = "00D1I000000mJ0Q";
+	$member_status = "Web response";
+	$lead_source = "Web";
+	$FORM_ID = ($_POST['form_ID']);
+
+	if($FORM_ID == 'ForbesHealth') {
+		$Campaign_ID = "701Ho000001GIKJ";
+	} else {
+		$Campaign_ID = "";
+	}
+
+
+	$cleanPOST = array(
+		'first_name' => ($_POST['first-name']),
+		'last_name' => ($_POST['last-name']),
+		'phone' => ($_POST['phone']),
+		'email' => ($_POST['your-email']),
+		//'street' => ($_POST['street']),
+		//'city' => ($_POST['city']),
+		//'state' => ($_POST['state']),
+		'zip' => ($_POST['zip']),
+		'Campaign_ID' => $Campaign_ID,
+		'oid' => $oid,
+		'lead_source' => $lead_source,
+		'Custom_Field_1__c' => ($_POST['subid1']),
+		'Custom_Field_2__c' => ($_POST['subid2']),
+		'Custom_Field_3__c' => ($_POST['subid3']),
+		'Custom_Field_4__c' => ($_POST['subid4'])
+		);
+
+	foreach ($cleanPOST as $key=>$value){
+	 $cleanPOST[stripslashes($key)] = stripslashes($value);
+	}
+
+	$ch = curl_init();
+
+	if (curl_error($ch) != "") {
+		exit( "Error: $error\n");
+	}
+
+	curl_setopt($ch, CURLOPT_URL, "https://webto.salesforce.com/servlet/servlet.WebToLead");
+	curl_setopt($ch, CURLOPT_POST, 1);
+	curl_setopt($ch, CURLOPT_POSTFIELDS, http_build_query($cleanPOST));
+	curl_exec($ch);
+	curl_close($ch);
+}
+
+postSalesforce();
+//postFiveNine();
\ No newline at end of file