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Phpeasy Form

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PHPeasy Form

Form Send.php:


<!-- PHP easy-form -->
<?

//   Copyright (C) 2004 CentralFloridaVA.com. All rights reserved.

//     PHPeasy-form version 1.1
//   Released 2004-10-02

//   This file is part of PHPeasy-form.

//   PHPeasy-form is free software; you can redistribute it and/or modify
//   it under the terms of the GNU General Public License as published by
//   the Free Software Foundation; either version 2 of the License,  or
//   (at your option) any later version.

//   PHPeasy-form is distributed in the hope that it will be useful,
//   but WITHOUT ANY WARRANTY; without even the implied warranty of
//   MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
//   GNU General Public License for more details.

//   You should have received a copy of the GNU General Public License
//   along with PHPeasy-form; if not,  write to the Free Software
//   Foundation,  Inc.,  59 Temple Place,  Suite 330,  Boston,  MA  02111-1307  USA
    
//     Contact CentralFloridaVA.com at:
//     http://www.CentralFloridaVA.com
    
//    ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

$name $_POST["name"];
$address $_POST["address"];
$city $_POST["city"];
$state $_POST["state"];
$zip $_POST["zip"];
$phone $_POST["phone"];
$email $_POST["email"];
$comments $_POST["comments"];


$today date("M d,  Y");
$recipient "user <at> foo <dot> com";
$subject "Web Form Results";
$forminfo =
"Name: $name\n
Address: 
$address\n
City: 
$city\n
State: 
$state\n
Zip: 
$zip\n
Phone: 
$phone\n
Email: 
$email\n
Comments: 
$comments\n
Form Submitted: 
$today\n\n";

$formsend mail("$recipient",  "$subject",  "$forminfo",  "From: $email\r\nReply-to:$email");
?>
<!-- end PHP easy-form -->
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<title>Untitled Document</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
</head>

<body>
<table width="100%" border="0" cellspacing="0" cellpadding="5">
  <tr> 
    <td> <p align="left">Thank you. You have successfully submitted the following information:</p>
    <p><? echo nl2br($forminfo); ?></p>
  </tr>
</table>
    <p align="center"><font size="1">PHPeasy-form written by <a href="http://www.centralfloridava.com" target="_blank">CentralFloridaVA.com</a></font></p></td>
</body>
</html>


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