gistfile1.php

<?php
  // A value of 'true' will enable the form. Anything else will prevent mail delivery.
  $form_active = true;

  $name = $_POST['name'];
  $email = $_POST['email'];
  $company = $_POST['company'];
  $phone = $_POST['phone'];
  $fax = $_POST['fax'];
  $source = $_POST['source'];
  $comments = $_POST['comments'];

  // $name = "My Name";
  // $email = "[email protected]";
  // $company = "My Company, Inc";
  // $phone = "(719) 555-1212";
  // $fax = "(719) 555-1212";
  // $source = "Referral";
  // $comments = "My comments";

  $introduction = (!empty($name) ? $name : "Someone") . (!empty($company) ? " with " . $company : "");

  $subject = "Contact Form Submission";
  $message = $introduction . " has submitted the contact form.\n\n".
    "Name: ".$name."\n".
    "Company: ".$company."\n".
    "Phone: ".$phone."\n".
    "Fax: ".$fax."\n".
    "Referred by: ".$source.
    (!empty($comments) ? "\n\nComments\n".$comments."\n" : "");

  // Return to contact form if $name or $email is blank
  if ((empty($name) || $name == "") || (empty($email) || $email == "")) {
    header('Location: contact.php?error=true');
  }

  if ($form_active == true) {
    mail(
      "[email protected]",
      $subject,
      $message,
      "From: [email protected]\r\n" .
      "Reply-To: " . $email
    );
  }

  header('Location: contact.php?sent=true');
?>