<form name=”contactform” method=”post” action=”send_form_email.php”>
<table width=”450px”>
<tr>
<td valign=”top”>
<label for=”first_name”>First Name *</label>
</td>
<td valign=”top”>
<input type=”text” name=”first_name” maxlength=”50″ size=”30″>
</td>
</tr>
<tr>
<td valign=”top””>
<label for=”last_name”>Last Name *</label>
</td>
<td valign=”top”>
<input type=”text” name=”last_name” maxlength=”50″ size=”30″>
</td>
</tr>
<tr>
<td valign=”top”>
<label for=”email”>Email Address *</label>
</td>
<td valign=”top”>
<input type=”text” name=”email” maxlength=”80″ size=”30″>
</td>
</tr>
<tr>
<td valign=”top”>
<label for=”telephone”>Telephone Number</label>
</td>
<td valign=”top”>
<input type=”text” name=”telephone” maxlength=”30″ size=”30″>
</td>
</tr>
<tr>
<td valign=”top”>
<label for=”comments”>Comments *</label>
</td>
<td valign=”top”>
<textarea name=”comments” maxlength=”1000″ cols=”25″ rows=”6″></textarea>
</td>
</tr>
<tr>
<td colspan=”2″ style=”text-align:center”>
<input type=”submit” value=”Submit”> <a href=”http://www.freecontactform.com/email_form.php”>Email Form</a>
</td>
</tr>
</table>
</form>
<?php
if(isset($_POST['email'])) {
// EDIT THE 2 LINES BELOW AS REQUIRED
$email_to = “you@yourdomain.com”;
$email_subject = “Your email subject line”;
function died($error) {
// your error code can go here
echo “We are very sorry, but there were error(s) found with the form you submitted. “;
echo “These errors appear below.<br /><br />”;
echo $error.”<br /><br />”;
echo “Please go back and fix these errors.<br /><br />”;
die();
}
// validation expected data exists
if(!isset($_POST[‘first_name']) ||
!isset($_POST[‘last_name']) ||
!isset($_POST['email']) ||
!isset($_POST[‘telephone']) ||
!isset($_POST[‘comments'])) {
died(‘We are sorry, but there appears to be a problem with the form you submitted.');
}
$first_name = $_POST[‘first_name']; // required
$last_name = $_POST[‘last_name']; // required
$email_from = $_POST['email']; // required
$telephone = $_POST[‘telephone']; // not required
$comments = $_POST[‘comments']; // required
$error_message = “”;
$email_exp = ‘/^[A-Za-z0-9._%-]+@[A-Za-z0-9.-]+.[A-Za-z]{2,4}$/';
if(!preg_match($email_exp,$email_from)) {
$error_message .= ‘The Email Address you entered does not appear to be valid.<br />';
}
$string_exp = “/^[A-Za-z .'-]+$/”;
if(!preg_match($string_exp,$first_name)) {
$error_message .= ‘The First Name you entered does not appear to be valid.<br />';
}
if(!preg_match($string_exp,$last_name)) {
$error_message .= ‘The Last Name you entered does not appear to be valid.<br />';
}
if(strlen($comments) < 2) {
$error_message .= ‘The Comments you entered do not appear to be valid.<br />';
}
if(strlen($error_message) > 0) {
died($error_message);
}
$email_message = “Form details below.nn”;
function clean_string($string) {
$bad = array(“content-type”,”bcc:”,”to:”,”cc:”,”href”);
return str_replace($bad,””,$string);
}
$email_message .= “First Name: “.clean_string($first_name).”n”;
$email_message .= “Last Name: “.clean_string($last_name).”n”;
$email_message .= “Email: “.clean_string($email_from).”n”;
$email_message .= “Telephone: “.clean_string($telephone).”n”;
$email_message .= “Comments: “.clean_string($comments).”n”;
// create email headers
$headers = ‘From: ‘.$email_from.”rn”.
‘Reply-To: ‘.$email_from.”rn” .
‘X-Mailer: PHP/' . phpversion();
@mail($email_to, $email_subject, $email_message, $headers);
?>
<!– include your own success html here –>
Thank you for contacting us. We will be in touch with you very soon.
<?php
}
?>
