Created
March 22, 2016 10:17
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<?php include "process.php"; ?> | |
<!DOCTYPE html> | |
<html lang="en"> | |
<head> | |
<meta charset="utf-8" /> | |
<title>Form Sample</title> | |
<link rel="stylesheet" href="normalize.css" /> | |
<link rel="stylesheet" href="mystyle.css" /> | |
<script src="http://code.jquery.com/jquery-1.9.1.min.js"></script> | |
</head> | |
<body> | |
<?php | |
if (isset($msg)) : | |
echo '<div id="formmessage"><p>', $msg , '</p></div>'; | |
else : | |
?> | |
<form id="myform" name="theform" class="group" action="<?php echo $_SERVER['PHP_SELF'] ?>" method="POST"> | |
<span id="formerror" class="error"></span> | |
<ol> | |
<li> | |
<label for="myname">Name *</label> | |
<input type="text" name="myname" id="myname" required pattern="[A-Za-z ]+, [A-Za-z ]+" title="Please enter your name" autofocus placeholder="Last, First" value="<?php if (isset($myname)) { echo $myname; } ?>" /> | |
<?php if (isset($err_myname)) { echo $err_myname; } ?> | |
<?php if (isset($err_patternmatch)) { echo $err_patternmatch; } ?> | |
</li> | |
<li> | |
<label for="mypassword">Password</label> | |
<input type="password" name="mypassword" id="mypassword" value="<?php if (isset($mypassword)) { echo $mypassword; } ?>" /> | |
<?php if (isset($err_passlength)) { echo $err_passlength; } ?> | |
</li> | |
<li> | |
<label for="mypasswordconf">Password (confirm)</label> | |
<input type="password" name="mypasswordconf" id="mypasswordconf" value="<?php if (isset($mypasswordconf)) { echo $mypasswordconf; } ?>" /> | |
<?php if (isset($err_mypassconf)) { echo $err_mypassconf; } ?> | |
</li> | |
<li> | |
<div class="grouphead">Favorite Music</div> | |
<ol> | |
<li> | |
<input type="checkbox" name="favoritemusic[]" value="rock" id="rockitem" | |
<?php if ((isset($favoritemusic)) && (in_array("rock", $favoritemusic))) { echo "checked"; } ?> /> | |
<label for="rockitem">Rock</label> | |
</li> | |
<li> | |
<input type="checkbox" name="favoritemusic[]" value="classical" id="classicalitem" | |
<?php if ((isset($favoritemusic)) && (in_array("classical", $favoritemusic))) { echo "checked"; } ?> /> | |
<label for="classicalitem">Classical</label> | |
</li> | |
<li> | |
<input type="checkbox" name="favoritemusic[]" value="reggaeton" id="reggaetonitem" | |
<?php if ((isset($favoritemusic)) && (in_array("reggaeton", $favoritemusic))) { echo "checked"; } ?> /> | |
<label for="reggaetonitem">Reggaeton</label> | |
</li> | |
</ol> | |
</li> | |
<li> | |
<label for="reference">How did you hear about us?</label> | |
<select name="reference" id="reference"> | |
<option value="">Choose...</option> | |
<option value="friend" | |
<?php if ((isset($reference)) && ($reference === 'friend')) { echo "selected"; } ?>>A friend</option> | |
<option value="facebook" | |
<?php if ((isset($reference)) && ($reference === 'facebook')) { echo "selected"; } ?>>Facebook</option> | |
<option value="twitter" | |
<?php if ((isset($reference)) && ($reference === 'twitter')) { echo "selected"; } ?>>Twitter</option> | |
</select> | |
</li> | |
<li> | |
<div class="grouphead">Request Type</div> | |
<ol> | |
<li> | |
<input type="radio" name="requesttype" value="question" id="questionitem" <?php if ((isset($requesttype)) && ($requesttype==='question')) { echo "checked"; } ?>/> | |
<label for="questionitem">Question</label> | |
</li> | |
<li> | |
<input type="radio" name="requesttype" value="comment" id="commentitem" <?php if ((isset($requesttype)) && ($requesttype === 'comment')) { echo "checked"; } ?> /> | |
<label for="commentitem">Comment</label> | |
</li> | |
<li> | |
<input type="radio" name="requesttype" value="suggestion" id="suggestionitem" <?php if ((isset($requesttype)) && ($requesttype === 'suggestion')) { echo "checked"; } ?> /> | |
<label for="suggestiontem">Suggestion</label> | |
</li> | |
</ol> | |
</li> | |
<li> | |
<label for="mycomments">Comment: (html is not allowed)</label> | |
<textarea name="mycomments" id="mycomments"><?php if (isset($mycomments)) { echo $mycomments; } ?></textarea> | |
</li> | |
</ol> | |
<button type="submit" name="action" value="submit">send</button> | |
</form> | |
<?php endif; // output form ?> | |
<script src="myscript.js"></script> | |
</body> | |
</html> |
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