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@mrchrisadams
Created March 26, 2009 15:10
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<div id="contact_form">
<form method="post" action="php/sendmail.php">
<fieldset>
<legend>Name</legend>
<div class="form_line">
<label>First Name</label> <input type="text" name="firstname" value="" id="first_name" />
</div>
<div class="form_line">
<label>Surname</label> <input type="text" name="surname" value="" id="surname" />
</div>
</fieldset>
<fieldset>
<legend>Contact details</legend>
<div class="form_line">
<label>Phone number</label><input type="text" name="tel_no" value="" id="phone_number" />
</div>
<div class="form_line">
<label>Mobile phone number</label><input type="text" name="mobile_no" value="" id="mobile_number" />
</div>
<div class="form_line">
<label>Email:</label> <input type="text" name="email" />
</div>
<div class="form_line">
<label>Website:</label> <input type="text" name="website" />
</div>
</fieldset>
<fieldset>
<div class="form_line">
<label>Message</label>
<textarea name="message" rows="15" cols="40">
</textarea>
</div>
<br />
<p><input type="submit" value="Send Message" /></p>
</fieldset>
</form>
<?
$firstname = $_REQUEST['firstname'] ;
$surname = $_REQUEST['surname'] ;
$tel_no = $_REQUEST['tel_no'] ;
$mobile_no = $_REQUEST['mobile_no'] ;
$email = $_REQUEST['email'] ;
$website = $_REQUEST['website'] ;
$message = $_REQUEST['message'] ;
if (!isset($_REQUEST['email'])) {
header( "Location: http://www.domain.com/feedback.html" );
}
elseif (empty($email) || empty($message)) {
header( "Location: http://www.domain.com/feedback.html" );
}
else {
mail( "[email protected]", "Feedback Form Results",
$message, "From: $firstname$surname from $email\n Phone number: $tel_no\nMobile number: $mobile_no\nWebsite:$web\nWebsiteMessage:\n$message" );
header( "Location: http://www.domain.com/thankyou.html" );
}
?>
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