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Posted by Krustov on 11/28/06 21:22
<comp.lang.php>
<liamo>
<28 Nov 2006 06:09:43 -0800>
<1164722983.022356.161810@j72g2000cwa.googlegroups.com>
> Ok, so I have little if any knowledge with the programming language php
> - only having created small enquiry forms. Now I have a client that
> needs a job order form with a little more function than having solely
> contact details and a big enquiry text area.
>
> The form I created in HTML is located at
> http://www.ebesign.co.nz/projects/justfixit/job_order_form.html
>
Ahhh what the hell i wrote the form for you as there isnt a lot on tv
tonight and because writing the full thing really annoys some people on
this newsgroup - so its your lucky day dude .
$ewho="webmaster@yourdomain.com";
The email address on the 2nd page is the only thing you need to edit in
order to test the form / script .
<html>
<head>
<title>aform.php</title>
</head>
<body>
<table border="0" cellspacing="0" cellpadding="0" align="center">
<form action="aform_submit.php" method="post">
<tr valign="top">
<td>Your Full Name :</td>
</tr>
<tr valign="top">
<td><input type="text" name="krusty_01" size="65"></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Your Email Address :</td>
</tr>
<tr valign="top">
<td><input type="text" name="krusty_02" size="65"></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Your Contact Number :</td>
</tr>
<tr valign="top">
<td><input type="text" name="krusty_03" size="65"></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Your Full Address : (job location)</td>
</tr>
<tr valign="top">
<td><textarea cols="50" rows="5" name="krusty_04"></textarea></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Job Type :</td>
</tr>
<tr valign="top">
<td>
<input type="checkbox" name="krusty_05" value="checked"> Interior
<input type="checkbox" name="krusty_06" value="checked"> Exterior
<input type="checkbox" name="krusty_07" value="checked"> Both
<input type="checkbox" name="krusty_08" value="checked"> Dont Know
</td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Interior Job :</td>
</tr>
<tr valign="top">
<td>
<select name="krusty_09">
<option value="Please Select ....." selected>Please Select .....
</option>
<option value="Leaking taps">Leaking taps</option>
<option value="Broken window catches">Broken window catches</option>
<option value="Jamming doors">Jamming doors</option>
<option value="Security stays">Security stays</option>
<option value="Door handles">Door handles</option>
<option value="Install door stops">Install door stops</option>
<option value="Interior house painting">Interior house painting</option>
<option value="Gib board repairs">Gib board repairs</option>
<option value="Gib board repairs">Gib board repairs</option>
<option value="Install curtain rails">Install curtain rails</option>
<option value="Tiling">Tiling</option>
<option value="Ranch slider bearings">Ranch slider bearings</option>
<option value="Replace hinges doors/cabinets">Replace hinges
doors/cabinets</option>
<option value="Wardrobe rails">Wardrobe rails</option>
<option value="Heated towel rail bracket replacement">Heated towel rail
bracket replacement</option>
<option value="Hand rail, toilet roll holder installation">Hand rail,
toilet roll holder installation</option>
<option value="Internal door installation">Internal door installation
</option>
<option value="Replace bathroom vanity">Replace bathroom vanity</option>
<option value="Remove broken light bulbs from sockets">Remove broken
light bulbs from sockets</option>
<option value="Shower door seals">Shower door seals</option>
<option value="Shower head replacement">Shower head replacement</option>
<option value="Dont Know">Dont Know</option>
<option value="None">None</option>
<option value="Other">Other</option>
</select>
</td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Exterior Job :</td>
</tr>
<tr valign="top">
<td>
<select name="krusty_10">
<option value="Please Select ....." selected>Please Select .....
</option>
<option value="Fencing">Fencing</option>
<option value="Retaining">Retaining</option>
<option value="Gardening">Gardening</option>
<option value="Clean out gutters & repairs">Clean out gutters & repairs
</option>
<option value="Exterior house painting">Exterior house painting</option>
<option value="Letterbox replacement">Letterbox replacement</option>
<option value="Replace washing lines">Replace washing lines</option>
<option value="Waterblasting path/decks">Waterblasting path/decks
</option>
<option value="Repair decking & steps">Repair decking & steps</option>
<option value="Lawn mowing">Lawn mowing</option>
<option value="Rubbish removal">Rubbish removal</option>
<option value="Weather board repairs">Weather board repairs</option>
<option value="Weed Spraying">Weed Spraying</option>
<option value="Dont Know">Dont Know</option>
<option value="None">None</option>
<option value="Other">Other</option>
</select>
</td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Job Description :</td>
</tr>
<tr valign="top">
<td><textarea cols="50" rows="9" name="krusty_11"></textarea></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td><input type="submit" name="Submit" value="SUBMIT"></td>
</tr>
</form>
</table>
</body>
</html>
<html>
<head>
<title>aform_submit.php</title>
</head>
<body>
<?php
$homer01=$_POST['krusty_01'];
$homer02=$_POST['krusty_02'];
$homer03=$_POST['krusty_03'];
$homer04=$_POST['krusty_04'];
$homer05=$_POST['krusty_05'];
$homer06=$_POST['krusty_06'];
$homer07=$_POST['krusty_07'];
$homer08=$_POST['krusty_08'];
$homer09=$_POST['krusty_09'];
$homer10=$_POST['krusty_10'];
$homer11=$_POST['krusty_11'];
?>
<?php
$marge5="Not Selected";
if ($homer05=="checked") {$marge5="TICKED AND SELECTED";}
$marge6="Not Selected";
if ($homer06=="checked") {$marge6="TICKED AND SELECTED";}
$marge7="Not Selected";
if ($homer07=="checked") {$marge7="TICKED AND SELECTED";}
$marge8="Not Selected";
if ($homer08=="checked") {$marge8="TICKED AND SELECTED";}
?>
<table border="0" cellspacing="0" cellpadding="0" align="center">
<tr valign="top">
<td>Your Full Name :</td>
</tr>
<tr valign="top">
<td><?php print $homer01; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Your Email Address :</td>
</tr>
<tr valign="top">
<td><?php print $homer02; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Your Contact Number :</td>
</tr>
<tr valign="top">
<td><?php print $homer03; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Your Full Address : (job location)</td>
</tr>
<tr valign="top">
<td><?php print $homer04; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Interior</td>
</tr>
<tr valign="top">
<td><?php print $marge5; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Exterior</td>
</tr>
<tr valign="top">
<td><?php print $marge6; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Both</td>
</tr>
<tr valign="top">
<td><?php print $marge7; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Dont Know</td>
</tr>
<tr valign="top">
<td><?php print $marge8; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Interior Job :</td>
</tr>
<tr valign="top">
<td><?php print $homer09; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Exterior Job :</td>
</tr>
<tr valign="top">
<td><?php print $homer10; ?></td>
</tr>
<tr><td><br></td></tr>
<tr valign="top">
<td>Job Description :</td>
</tr>
<tr valign="top">
<td><?php print $homer11; ?></td>
</tr>
</table>
<?php
$ewho="webmaster@yourdomain.com";
$datesent=date("l dS of F Y h:i A");
$ip=$_SERVER['REMOTE_ADDR'];
$subject="FROM THE WEBSITE FORM";
$mailhead="From: $ewho \n";
$mailbody ="This email was sent via the website form" . "\n\n";
$mailbody .="DATE: " . "$datesent" . "\n\n";
$mailbody .="IP: " . "$ip" . "\n\n";
$mailbody .="Full Name: " . "$krusty_01" . "\n\n";
$mailbody .="Email Address: " . "$krusty_02" . "\n\n";
$mailbody .="Contact Number: " . "$krusty_03" . "\n\n";
$mailbody .="Full Address (job location) : " . "$krusty_04" . "\n\n";
$mailbody .="Interior {box): " . "$marge5" . "\n\n";
$mailbody .="Exterior {box): " . "$marge6" . "\n\n";
$mailbody .="Both {box): " . "$marge7" . "\n\n";
$mailbody .="Dont Know {box): " . "$marge8" . "\n\n";
$mailbody .="Interior Job: " . "$krusty_09" . "\n\n";
$mailbody .="Exterior Job: " . "$krusty_10" . "\n\n";
$mailbody .="Job Description: " . "$krusty_11" . "\n\n";
$body .=stripslashes($mailbody);
mail($ewho,$subject,$body,$mailhead);
?>
</body>
</html>
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