theinventor/rs_post.php

## rs_post.php
<?php
  if( $_POST["name"] )
  {
    $ch = curl_init();
    curl_setopt($ch, CURLOPT_URL,"https://YOUR_SUBDOMAIN.host.com/api/v1/leads?api_key=YOUR_API_KEY");
    curl_setopt($ch, CURLOPT_POST, 1);

    // example splitting a name field into first and last name bits
    $pieces = explode(" ", $_POST['name']);
    $last_name_parts = array_slice($pieces, 1);   //each word
    $last_name = implode(" ", $last_name_parts);  //combined words, with space separators

    // build up the lead post data here, you can combine fields into the data you are sending
    // see subject for an example
    curl_setopt($ch, CURLOPT_POSTFIELDS,
              http_build_query(array('first_name' => $pieces[0],
               'last_name' => $last_name,
               'email' => $_POST['email'],
               'phone' => $_POST['phone'],
               'ticket_problem_type' => $_POST['problem'],
               'city' => $_POST['city'],
               'ticket_subject' => $_POST['device'] . " Pri: " . $_POST['priority'],
               )));


    curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);

    $server_output = curl_exec ($ch);

    curl_close ($ch);

    //redirect to thanks page
    header("Location: /thanks.html");

    exit();
  }
?>

<html>
<body>
  <form action="<?php $_PHP_SELF ?>" method="POST">

      Name: <input type="text" name="name" /> <br>
      Email: <input type="text" name="email" /><br>
      Phone: <input type="text" name="phone" /><br>
      Problem: <input type="text" name="problem" /><br>
      City: <input type="text" name="city" /><br>
      Device Type: <select name='device'>
                     <option value="volvo">Volvo</option>
                     <option value="saab">Saab</option>
                     <option value="mercedes">Mercedes</option>
                     <option value="audi">Audi</option>
                   </select>
                   <br>
      Priority: <select name='priority'>
                     <option value="p3">Low</option>
                     <option value="p2">Medium</option>
                     <option value="p1">High</option>
                   </select>
                       <br>
      <input type="submit" />
  </form>
</body>
</html>
	<?php
	if( $_POST["name"] )
	{
	$ch = curl_init();
	curl_setopt($ch, CURLOPT_URL,"https://YOUR_SUBDOMAIN.host.com/api/v1/leads?api_key=YOUR_API_KEY");
	curl_setopt($ch, CURLOPT_POST, 1);

	// example splitting a name field into first and last name bits
	$pieces = explode(" ", $_POST['name']);
	$last_name_parts = array_slice($pieces, 1); //each word
	$last_name = implode(" ", $last_name_parts); //combined words, with space separators

	// build up the lead post data here, you can combine fields into the data you are sending
	// see subject for an example
	curl_setopt($ch, CURLOPT_POSTFIELDS,
	http_build_query(array('first_name' => $pieces[0],
	'last_name' => $last_name,
	'email' => $_POST['email'],
	'phone' => $_POST['phone'],
	'ticket_problem_type' => $_POST['problem'],
	'city' => $_POST['city'],
	'ticket_subject' => $_POST['device'] . " Pri: " . $_POST['priority'],
	)));


	curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);

	$server_output = curl_exec ($ch);

	curl_close ($ch);

	//redirect to thanks page
	header("Location: /thanks.html");

	exit();
	}
	?>

	<html>
	<body>
	<form action="<?php $_PHP_SELF ?>" method="POST">

	Name: <input type="text" name="name" /> <br>
	Email: <input type="text" name="email" /><br>
	Phone: <input type="text" name="phone" /><br>
	Problem: <input type="text" name="problem" /><br>
	City: <input type="text" name="city" /><br>
	Device Type: <select name='device'>
	<option value="volvo">Volvo</option>
	<option value="saab">Saab</option>
	<option value="mercedes">Mercedes</option>
	<option value="audi">Audi</option>
	</select>
	<br>
	Priority: <select name='priority'>
	<option value="p3">Low</option>
	<option value="p2">Medium</option>
	<option value="p1">High</option>
	</select>
	<br>
	<input type="submit" />
	</form>
	</body>
	</html>