All-In-One Feedback Form
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<HTML>
<HEAD>
<TITLE>All-In-One Feedback Form</TITLE>
</HEAD>
<BODY>
<?
$form_block = "
<FORM METHOD="POST" ACTION="$PHP_SELF">
<P><strong>Your Name:</strong><br>
<INPUT type="text" NAME="sender_name" SIZE=30></P>
<P><strong>Your E-Mail Address:</strong><br>
<INPUT type="text" NAME="sender_email" SIZE=30></P>
<P><strong>Message:</strong><br>
<TEXTAREA NAME="message" COLS=30 ROWS=5 WRAP=virtual></TEXTAREA></P>
<INPUT type="hidden" name="op" value="ds">
<P><INPUT TYPE="submit" NAME="submit" VALUE="Send This Form"></p>
</FORM>";
if ($_POST[op] != "ds") {
echo "$form_block";
} else if ($_POST[op] == "ds") {
if ($_POST[sender_name] == "") {
$name_err = "<font color=red>Please enter your name!</font><br>";
$send = "no";
}
if ($_POST[sender_email] == "") {
$email_err = "<font color=red>Please enter your
e-mail address!</font><br>";
$send = "no";
}
if ($_POST[message]== "") {
$message_err = "<font color=red>Please enter a message!</font><br>";
$send = "no";
}
if ($send != "no") {
$msg = "E-MAIL SENT FROM navioo.comn";
$msg .= "Sender's Name: $_POST[sender_name]n";
$msg .= "Sender's E-Mail: $_POST[sender_email]n";
$msg .= "Message: $_POST[message]nn";
$to = "you@yourdomain.com";
$subject = "All-in-One Web Site Feedback";
$mailheaders = "From: My Web Site
<genericaddress@yourdomain.com>n";
$mailheaders .= "Reply-To: $_POST[sender_email]n";
mail($to, $subject, $msg, $mailheaders);
echo "<P>Mail has been sent!</p>";
} else if ($send == "no") {
echo "$name_err";
echo "$email_err";
echo "$message_err";
echo "$form_block";
}
}
?>
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HTML code for linking to this page:
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