Created
March 25, 2016 10:11
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<!DOCTYPE html> | |
<html lang="en"> | |
<head> | |
<meta charset="UTF-8"> | |
<meta name="viewport" content="width=device-width, initial-scale=1"> | |
<title>First International Debt Collection</title> | |
<link rel="stylesheet" href="css/normalize.css"> | |
<link rel="stylesheet" href="css/style.css"> | |
<script src="http://code.jquery.com/jquery-1.11.3.min.js"></script> | |
</head> | |
<body class="submit"> | |
<!-- Container --> | |
<section id="container"> | |
<!-- Header --> | |
<div class="wrap"> | |
<header></header> | |
</div> | |
<!-- Nav --> | |
<div class="wrap"> | |
<nav> | |
<ul> | |
<li><a href="index.html">Home</a></li> | |
<li><a href="faq.html">Faq</a></li> | |
<li><a href="submit.html">Obtain a quote</a></li> | |
<li><a href="contact.html">Contact us</a></li> | |
<li><a href="overseas.html">Overseas</a></li> | |
</ul> | |
</nav> | |
</div> | |
<!-- Content --> | |
<div class="wrap"> | |
<section class="content"> | |
<div class="banner-submit"></div> | |
<!-- Info --> | |
<div class="info cf"> | |
<div class="info-wrap"> | |
<div class="black"> | |
<a href="submit.html">Request a quote now to collect your debt. We'll reply without delay.</a> | |
</div> | |
<form action="http://localhost:8888/action_page.php" method="post" name="theform" class="form"> | |
<div class="item"> | |
<p>*Your name:</p> | |
<input type="text" name="name" value=""> | |
</div> | |
<div class="item"> | |
<p>*Debt problem:</p> | |
<input type="text" name="problem" value="" class="width"> | |
</div> | |
<div class="item"> | |
<p>Your contact details</p> | |
</div> | |
<div class="item"> | |
<p>*Work:</p> | |
<input type="text" name="work" value=""> | |
</div> | |
<div class="item"> | |
<p>*Home:</p> | |
<input type="text" name="home" value=""> | |
</div> | |
<div class="item"> | |
<p>Fax:</p> | |
<input type="text" name="fax" value=""> | |
</div> | |
<div class="item"> | |
<p>*Mobile:</p> | |
<input type="text" name="name" value=""> | |
</div> | |
<div class="item"> | |
<p>*Your email:</p> | |
<input type="mail" name="mail" value="" class="width"> | |
</div> | |
<div class="item"> | |
<p>*Debt $</p> | |
<input type="text" name="debt" value=""> | |
</div> | |
<div class="item"> | |
<p>*Debtor's name:</p> | |
<input type="text" name="deb_name" value=""> | |
</div> | |
<div class="item"> | |
<p>*Debtor's current address:</p> | |
<input type="text" name="deb_adress" value=""> | |
</div> | |
<div class="item"> | |
<p>*Debt outstanding since:</p> | |
<input type="text" name="deb_since" value=""> | |
</div> | |
<div class="item"> | |
<p>* Debt incurred for (job/services/goods):</p> | |
<br> | |
<input type="text" name="incurred" value="" class="width"> | |
</div> | |
<div class="item"> | |
<br> | |
<span class="required">*Required Fields</span> | |
</div> | |
<div class="captsha"> | |
<p>Enter the code shown in the image:</p> | |
<br> | |
<input type="text"> | |
<br><br> | |
</div> | |
<img src="img/captsha.gif" alt=""> | |
<div class="col-12 cf form-buttons"> | |
<button class="reset">Reset</button> | |
<input type="submit" value="Submit"> | |
</div> | |
</form> | |
<img src="img/stamp.png" alt="" class="submit-stamp"> | |
</div> | |
</div> | |
<small>© First International Collection</small> | |
</section> | |
</div> | |
</section> | |
<script src="js/scripts.js"></script> | |
</body> | |
</html> |
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<?php | |
print_r($_POST); | |
/*Array ( [name] => 93745873645 [problem] => mihail [work] => mihail [home] => mihail [fax] => mihail [mail] => mihail.sitnic@gmail.com [debt] => mihail [deb_name] => mihail [deb_adress] => mihail [deb_since] => mihail [incurred] => mihail )*/ | |
$message=""; | |
$message .= " " . $_POST["name"]." "; | |
$message .= " " . $_POST["problem"]." "; | |
$message .= " " . $_POST["work"]." "; | |
$message .= " " . $_POST["home"]." "; | |
$message .= " " . $_POST["fax"]." "; | |
$message .= " " . $_POST["mail"]." "; | |
$message .= " " . $_POST["debt"]." "; | |
$message .= " " . $_POST["deb_name"]." "; | |
$message .= " " . $_POST["deb_adress"]." "; | |
$message .= " " . $_POST["deb_since"]." "; | |
$message .= " " . $_POST["incurred"]." "; | |
mail("mihail.sitnic@gmail.com","subject",$message); | |
?> |
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