<html>
<head>
<title>contact form</title>
<style type='text/css'>
input{
background:#FEFEF0;
color:#ff0000;
border: 1px dashed #ff0000;
font-weight:bold;
}
select{
background:#FEFEF0;
color:#ff0000;
border: 1px dashed #ff0000;
font-weight:bold;
}
textarea{
background:#FEFEF0;
color:#ff0000;
border: 1px dashed #ff0000;
font-weight:bold;
}
#form{
margin: 0 auto;
padding: 10px;
border: 1px solid #ff0000;
background:#FFFFCC;
width: 400px;
}
</style>
<head>
<body>
<?php
if(isset($_POST['submit'])) {
// EDIT THE 2 LINES BELOW AS REQUIRED
$email_to = "youremail@yourdomain.com";//add your email address
$email_subject = "Your email subject line";//whatever subject you want
function died($error) {
// your error code can go here
echo "We are very sorry, but there were error(s) found with the form your submitted. ";
echo "These errors appear below.<br /><br />";
echo $error."<br /><br />";
echo "Please go back and fix these errors.<br /><br />";
die();
}
// validation expected data exists
if(!isset($_POST['first_name']) ||
!isset($_POST['last_name']) ||
!isset($_POST['email']) ||
!isset($_POST['telephone']) ||
!isset($_POST['comments'])) {
died('We are sorry, but there appears to be a problem with the form your submitted.');
}
$first_name = $_POST['first_name']; // required
$last_name = $_POST['last_name']; // required
$email_from = $_POST['email']; // required
$telephone = $_POST['telephone']; // not required
$comments = $_POST['comments']; // required
$error_message = "";
$email_exp = "^[A-Z0-9._%-]+@[A-Z0-9.-]+\.[A-Z]{2,4}$";
if(!eregi($email_exp,$email_from)) {
$error_message .= 'The Email Address you entered does not appear to be valid.<br />';
}
$string_exp = "^[a-z .'-]+$";
if(!eregi($string_exp,$first_name)) {
$error_message .= 'The First Name you entered does not appear to be valid.<br />';
}
if(!eregi($string_exp,$last_name)) {
$error_message .= 'The Last Name you entered does not appear to be valid.<br />';
}
if(strlen($comments) < 2) {
$error_message .= 'The Comments you entered do not appear to be valid.<br />';
}
$string_exp = "^[0-9 .-]+$";
if(!eregi($string_exp,$telephone)) {
$error_message .= 'The Telphone Number you entered does not appear to be valid.<br />';
}
if(strlen($error_message) > 0) {
died($error_message);
}
$email_message = "Form details below.\n\n";
function clean_string($string) {
$bad = array("content-type","bcc:","to:","cc:","href");
return str_replace($bad,"",$string);
}
$email_message .= "First Name: ".clean_string($first_name)."\n";
$email_message .= "Last Name: ".clean_string($last_name)."\n";
$email_message .= "Email: ".clean_string($email_from)."\n";
$email_message .= "Telephone: ".clean_string($telephone)."\n";
$email_message .= "Comments: ".clean_string($comments)."\n";
// create email headers
$headers = 'From: '.$email_from."\r\n".
'Reply-To: '.$email_from."\r\n" .
'X-Mailer: PHP/' . phpversion();
@mail($email_to, $email_subject, $email_message, $headers);
?>
<form name="contactform" method="post" action="email.php">
<table width="450px">
</tr>
<tr>
<td valign="top">
<label for="first_name">First Name *</label>
</td>
<td valign="top">
<input type="text" name="first_name" maxlength="50" size="30">
</td>
</tr>
<tr>
<td valign="top"">
<label for="last_name">Last Name *</label>
</td>
<td valign="top">
<input type="text" name="last_name" maxlength="50" size="30">
</td>
</tr>
<tr>
<td valign="top">
<label for="email">Email Address *</label>
</td>
<td valign="top">
<input type="text" name="email" maxlength="80" size="30">
</td>
</tr>
<tr>
<td valign="top">
<label for="telephone">Telephone Number</label>
</td>
<td valign="top">
<input type="text" name="telephone" maxlength="30" size="30">
</td>
</tr>
<tr>
<td valign="top">
<label for="comments">Comments *</label>
</td>
<td valign="top">
<textarea name="comments" maxlength="1000" cols="25" rows="6"></textarea>
</td>
</tr>
<tr>
<td colspan="2" style="text-align:center">
<input type="submit" name="submit" value="Submit">
</td>
</tr>
</table>
<!-- include your own success html here -->
Thank you for contacting us. We will be in touch with you very soon.
<?
}
?>
</body>
</html>
if solved mark this topic as solved and close it.
