Created
February 17, 2010 20:10
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<?php | |
if (isset($_POST['contact-email']) && isset($_POST['contact-message'])) | |
{ | |
$name = htmlspecialchars($_POST['contact-name']); | |
$email = htmlspecialchars($_POST['contact-email']); | |
$phone = htmlspecialchars($_POST['contact-phone']); | |
$fax = htmlspecialchars($_POST['contact-fax']); | |
$subject = htmlspecialchars($_POST['contact-subject']); | |
$message = htmlspecialchars($_POST['contact-message']); | |
$emailto = htmlspecialchars($_POST['contact-email-to']); | |
$msg .= "Name: $name\n\n"; | |
$msg .= "Email Address: $email\n\n"; | |
$msg .= "Phone: $phone\n\n"; | |
$msg .= "Fax: $fax\n\n"; | |
$msg .= "Subject: $subject\n\n"; | |
$msg .= "Message: $message\n\n"; | |
$subject = "Form Submission From AmpleLabels.com"; | |
$to = "[email protected]"; | |
$from = "[email protected]"; | |
$mailheaders = "From: $name <$from>\n"; | |
$mailheaders .= "Reply-To: $email\n\n"; | |
$success = mail($to, $subject, $msg, $mailheaders); | |
if ($success) { | |
echo "<p class='success'><strong>Success!</strong> Thank you for your submission. Your message has been sent successfully.</p>"; | |
} | |
else { | |
echo "<p class='error'><strong>Error!</strong> An error occurred when sending your message. Please try again.</p>"; | |
} | |
} | |
?> | |
<form id="contact-form" action="/media/scripts/sendmail.php" method="post"> | |
<fieldset> | |
<label>Name | |
<input type="text" name="contact-name" id="contact-name-input" /></label> | |
<label class="even">Email | |
<input type="text" name="contact-email" id="contact-email-input" /></label> | |
<label>Phone | |
<input type="text" name="contact-phone" id="contact-phone-input" /></label> | |
<label class="even">Fax | |
<input type="text" name="contact-fax" id="contact-fax-input" /></label> | |
<label>Subject | |
<select name="contact-subject" id="contact-subject-input"> | |
<option value="General Question">General Question</option> | |
</select> | |
</label> | |
<label>Message | |
<textarea name="contact-message" id="contact-message-input" cols="30" rows="10"></textarea> | |
</label> | |
</fieldset> | |
<button class="button" type="submit" value="Send">Send</button> | |
<input type="hidden" name="contact-email-to" value="info" /> | |
</form> |
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