-
-
Save james0r/d9fc2568f4738960dde9ac96053b587b to your computer and use it in GitHub Desktop.
This file contains bidirectional Unicode text that may be interpreted or compiled differently than what appears below. To review, open the file in an editor that reveals hidden Unicode characters.
Learn more about bidirectional Unicode characters
<!DOCTYPE html> | |
<html lang="en"> | |
<head> | |
<meta charset="UTF-8"> | |
<meta name="viewport" content="width=device-width, initial-scale=1.0"> | |
<title>Simple PHP Form Demo</title> | |
</head> | |
<body> | |
<form name="contactform" method="post" action=""> | |
<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" name='submit'> | |
</td> | |
</tr> | |
</table> | |
</form> | |
</body> | |
</html> | |
<?php | |
if(isset($_POST['email'])) { | |
// EDIT THE 2 LINES BELOW AS REQUIRED | |
$email_to = "email-to@email.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); | |
} | |
$email_message = "Form details below.\n\n"; | |
function clean_string($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."\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 | |
} | |
?> |
Sign up for free
to join this conversation on GitHub.
Already have an account?
Sign in to comment