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Thread: Contact Form

  1. #1

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    Jul 2004
    Posts
    1,202

    Contact Form

    Can anyone help me code this i need the php end of it.

    PHP Code:
    <form method="post" action ="" onsubmit="MM_validateForm('first','','R','second','','R','location','','R','email','','RisEmail','telephone','','RisNum');return document.MM_returnValue">
        <
    table border="0" cellspacing="10">
          <
    tr>
            <
    td colspan="2" bgcolor="#003333"><b><span class="style33 style2"><b>About you </b></span></b></td>
            </
    tr>
          <
    tr>
            <
    td>First Name</td>
            <
    td><input name="first" type="text" id="first" size="15" /></td>
          </
    tr>
          <
    tr>
            <
    td>Last Name </td>
            <
    td><input name="second" type="text" id="second" size="15" /></td>
          </
    tr>
          <
    tr>
            <
    td>Location (City) </td>
            <
    td><input name="location" type="text" id="location" size="15" /></td>
          </
    tr>
          <
    tr>
            <
    td>Business/Organisation</td>
            <
    td><input name="company" type="text" id="company" size="15" /></td>
          </
    tr>
          <
    tr>
            <
    td>Email</td>
            <
    td><input name="email" type="text" id="email" size="15" /></td>
          </
    tr>
          <
    tr>
            <
    td>Telephone</td>
            <
    td><input name="telephone" type="text" id="telephone" size="15"/></td>
          </
    tr>
          <
    tr>
            <
    td valign="top">Preferred contact method </td>
            <
    td><p>
              <
    label>
                <
    input type="radio" name="conpref" value="email" />
                
    Email</label>
              <
    br />
              <
    label>
                <
    input name="conpref" type="radio" value="telephone" checked="checked" />
                
    telephone</label>
              <
    br />
            </
    p></td>
          </
    tr>
          <
    tr>
            <
    td height="5" colspan="2" bgcolor="#006699"><span class="style1 style32">Services</span></td>
            </
    tr>
          <
    tr>
            <
    td>Service needs </td>
            <
    td><select name="serneed" id="serneed">
              <
    option value="5 page package">5 page package</option>
              <
    option value="shopping system">Shopping system</option>
              <
    option value="real estate package">Real Estate</option>
              <
    option>----</option>
              <
    option value="web site design">web site design</option>
              <
    option value="web site re-design">site redesign</option>
              <
    option value="site optimisation">site optimisation</option>
              <
    option value="site validation">site validation</option>
              <
    option value="web site consultation">advice</option>
              <
    option value="other">other</option>
            </
    select>        </td>
          </
    tr>
          <
    tr>
            <
    td valign="top">Comments</td>
            <
    td><textarea name="comments" cols="15" rows="6" id="comments"></textarea></td>
          </
    tr>
          <
    tr>
            <
    td>For our records please let us know how you found our services </td>
            <
    td><select name="findus" id="findus">
              <
    option value="newspaper">newspaper</option>
              <
    option value="Google">Google</option>
              <
    option value="Yahoo">Yahoo</option>
              <
    option value="MSN">MSN</option>
              <
    option value="Client">Recomended</option>
              <
    option value="other">other</option>
            </
    select>
              <
    br />
              If 
    other please state<br />
              <
    input name="other" type="text" id="other" size="15" /></td>
          </
    tr>
          <
    tr>
            <
    td colspan="2"><img src="securimage_show.php" alt="Please enter the text from the image into the form field" /><br />
              
    Please enter the letters in the field below </td>
            </
    tr>
          <
    tr>
            <
    td>&nbsp;</td>
            <
    td><input type="text" name="code" /></td>
          </
    tr>
          <
    tr>
            <
    td>&nbsp;</td>
            <
    td><input name="submit" type="submit" value="Submit Form" /></td>
          </
    tr>
        </
    table>

    <
    br />
    <
    br />
    </
    form

  2. #2
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    Re: Contact Form


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