Simple Form

iLogan · 03-12-2010, 05:36 PM

Hey,

Real nooby question... but, I need to make a simple competition page, where a user can type their answer and email address and it gets stored into a database or emailed to me,

really don't want to use an online form builder, so something own server please

Thanks!

iLogan · 04-12-2010, 10:32 PM

Any ideas?

Calvin · 04-12-2010, 11:00 PM

Customize this to your needs, should be pretty easy. Thanks to Moh for releasing this.

PHP Code:


<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> 
<html xmlns="http://www.w3.org/1999/xhtml"> 
<head> 
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> 
<title>Contact Form</title> 

<style type="text/css" media="screen"> 
fieldset { 
    margin-bottom: 3px; 
} 

legend { 
    font-weight: bold;     
} 

.good, .bad { 
    padding: 5px;     
    margin-bottom: 5px; 
    border: 1px solid; 
} 

.good { 
    background-color: #d9ffcf; 
    border-color: #ade5a3; 
    color: #1b801b; 
} 

.bad { 
    background-color: #ffcfcf; 
    border-color: #e5a3a3; 
    color: #801b1b; 
} 
</style> 
</head> 

<body> 

<h1>Contact Form</h1> 

<?php 

    $to_email = "removed"; 
    $subjects  = array( "Question", "Complaint", "Spotted an Error", "Idea" ); 
    $hide_form = false; 
     
    if( isset( $_POST['submit'] ) ) { 
         
        $name        = stripslashes( $_POST['name'] ); 
        $subject    = stripslashes( $_POST['subject'] ); 
        $email        = stripslashes( $_POST['email'] ); 
        $message    = stripslashes( $_POST['message'] ); 
        $ip            = $_SERVER['REMOTE_ADDR']; 
        $error        = 0; 
        $error_body    = ""; 
         
         
        if( !$name ) { 
            $error_body .= "<li>You did not enter your name.</il>\n"; 
            $error++; 
        } 
        if( !in_array( $subject, $subjects ) ) { 
            $error_body .= "<li>Invalid Subject.</il>\n"; 
            $error++; 
        } 
        if( !$email ) { 
            $error_body .= "<li>You did not enter an email address.</il>\n"; 
            $error++; 
        } 
        if( !preg_match("^[a-zA-Z0-9_]+@[a-zA-Z0-9\-]+\.[a-zA-Z0-9\-\.]+$^", $email ) and $email ) { 
            $error_body .= "<li>You entered an invalid email address.</il>\n"; 
            $error++; 
        } 
        if( !$message ) { 
            $error_body .= "<li>You did not enter a message.</il>\n"; 
            $error++; 
        } 
         
        if( $error ) { 
             
            echo "<div class=\"bad\">\n"; 
            echo "<strong>The following " . ( ( $error > 1 ) ? "errors" : "error" ) . " occurred</strong>:\n"; 
            echo "<ul>\n"; 
            echo $error_body; 
            echo "</ul>\n"; 
            echo "</div>\n"; 
             
        } else { 
             
            echo "<div class=\"good\">\n"; 
            echo "Thank you {$name} for your message.\n"; 
            echo "</div>\n"; 
             
            $message = nl2br( $message ); 
                     
            $body .= "----------------------------------\n"; 
            $body .= "<p>\n"; 
            $body .= "<strong>Name</strong>: {$name}<br />\n"; 
            $body .= "<strong>Subject</strong>: {$subject}<br />\n"; 
            $body .= "<strong>Email Address</strong>: {$email}<br />\n"; 
            $body .= "<strong>Message</strong>: {$message}<br />\n"; 
            $body .= "<strong>IP Address</strong>: {$ip}<br />\n";             
            $body .= "</p>\n"; 
            $body .= "----------------------------------\n"; 

            $headers  = "MIME-Version: 1.0" . "\r\n"; 
            $headers .= "Content-type: text/html; charset=iso-8859-1" . "\r\n"; 
            $headers .= "From: {$name} <{$email}>" . "\r\n"; 
             
            mail( $to_email, "Contact Form: {$subject}", $body, $headers );     
             
            $hide_form = true; 
                         
        } 
         
    } 

?> 
 
<?php 
    if( !$hide_form ) { 
?> 
<form method="post"> 

    <fieldset> 
        <legend>Name</legend> 
        <input type="text" name="name" value="<?php echo $name; ?>" /> 
    </fieldset> 
     
    <fieldset> 
        <legend>Email Address</legend> 
        <input type="text" name="email" value="<?php echo $email; ?>" /> 
    </fieldset> 
     
    <fieldset> 
        <legend>Subject</legend> 
        <select name="subject"> 
            <?php 
             
                foreach( $subjects as $i ) { 
                    if( $i == $subject ) { 
                        echo "<option selected=\"selected\">{$i}</option>\n"; 
                    } else { 
                        echo "<option>{$i}</option>\n"; 
                    } 
                } 
             
            ?> 
        </select> 
    </fieldset> 

    <fieldset> 
        <legend>Message</legend> 
        <textarea name="message" rows="10" cols="50"><?php echo $message; ?></textarea> 
    </fieldset> 
     
    <input type="submit" name="submit" value="Send" /> 
     
</form> 
<?php 
    } 
?> 
 

</body> 
</html>

iLogan · 04-12-2010, 11:24 PM

tysm!!! xox

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