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@mihailsitnic
Created March 25, 2016 10:11
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submit php
<!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 $</p>
<input type="text" name="debt" value="">
</div>
<div class="item">
<p>*Debtor's name:</p>
<input type="text" name="deb_name" value="">
</div>
<div class="item">
<p>*Debtor's current address:</p>
<input type="text" name="deb_adress" value="">
</div>
<div class="item">
<p>*Debt outstanding since:</p>
<input type="text" name="deb_since" value="">
</div>
<div class="item">
<p>* Debt incurred for (job/services/goods):</p>
<br>
<input type="text" name="incurred" value="" class="width">
</div>
<div class="item">
<br>
<span class="required">*Required Fields</span>
</div>
<div class="captsha">
<p>Enter the code shown in the image:</p>
<br>
<input type="text">
<br><br>
</div>
<img src="img/captsha.gif" alt="">
<div class="col-12 cf form-buttons">
<button class="reset">Reset</button>
<input type="submit" value="Submit">
</div>
</form>
<img src="img/stamp.png" alt="" class="submit-stamp">
</div>
</div>
<small>&copy; First International Collection</small>
</section>
</div>
</section>
<script src="js/scripts.js"></script>
</body>
</html>
<?php
print_r($_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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