<div class="container">
<form action="action_page.php">
<label for="fname">First Name</label>
<input type="text" id="fname" name="firstname" placeholder="Your name..">
<label for="lname">Last Name</label>
<input type="text" id="lname" name="lastname" placeholder="Your last name..">
<label for="country">Country</label>
<select id="country" name="country">
<option value="australia">Australia</option>
<option value="canada">Canada</option>
<option value="usa">USA</option>
</select>
<label for="subject">Subject</label>
<textarea id="subject" name="subject" placeholder="Write something.." style="height:200px"></textarea>
<input type="submit" value="Submit">
</form>
</div>
<style>
/* Style inputs with type="text", select elements and textareas */
input[type=text], select, textarea {
width: 100%; /* Full width */
padding: 12px; /* Some padding */
border: 1px solid #ccc; /* Gray border */
border-radius: 4px; /* Rounded borders */
box-sizing: border-box; /* Make sure that padding and width stays in place */
margin-top: 6px; /* Add a top margin */
margin-bottom: 16px; /* Bottom margin */
resize: vertical /* Allow the user to vertically resize the textarea (not horizontally) */
}
/* Style the submit button with a specific background color etc */
input[type=submit] {
background-color: #04AA6D;
color: white;
padding: 12px 20px;
border: none;
border-radius: 4px;
cursor: pointer;
}
/* When moving the mouse over the submit button, add a darker green color */
input[type=submit]:hover {
background-color: #45a049;
}
/* Add a background color and some padding around the form */
.container {
border-radius: 5px;
background-color: #f2f2f2;
padding: 20px;
}
</style>
<?php
if (isset($_POST['Email'])) {
// EDIT THE FOLLOWING TWO LINES:
$email_to = "you@yourdomain.com";
$email_subject = "New form submissions";
function problem($error)
{
echo "We're sorry, but there were error(s) found with the form you submitted. ";
echo "These errors appear below.<br><br>";
echo $error . "<br><br>";
echo "Please go back and fix these errors.<br><br>";
die();
}
// validation expected data exists
if (
!isset($_POST['Name']) ||
!isset($_POST['Email']) ||
!isset($_POST['Message'])
) {
problem('We're sorry, but there appears to be a problem with the form you submitted.');
}
$name = $_POST['Name']; // required
$email = $_POST['Email']; // required
$message = $_POST['Message']; // required
$error_message = "";
$email_exp = '/^[A-Za-z0-9._%-]+@[A-Za-z0-9.-]+.[A-Za-z]{2,4}$/';
if (!preg_match($email_exp, $email)) {
$error_message .= 'The Email address you entered does not appear to be valid.<br>';
}
$string_exp = "/^[A-Za-z .'-]+$/";
if (!preg_match($string_exp, $name)) {
$error_message .= 'The Name you entered does not appear to be valid.<br>';
}
if (strlen($message) < 2) {
$error_message .= 'The Message you entered do not appear to be valid.<br>';
}
if (strlen($error_message) > 0) {
problem($error_message);
}
$email_message = "Form details below.
";
function clean_string($string)
{
$bad = array("content-type", "bcc:", "to:", "cc:", "href");
return str_replace($bad, "", $string);
}
$email_message .= "Name: " . clean_string($name) . "
";
$email_message .= "Email: " . clean_string($email) . "
";
$email_message .= "Message: " . clean_string($message) . "
";
// create email headers
$headers = 'From: ' . $email . "
" .
'Reply-To: ' . $email . "
" .
'X-Mailer: PHP/' . phpversion();
@mail($email_to, $email_subject, $email_message, $headers);
?>
<!-- INCLUDE YOUR SUCCESS MESSAGE BELOW -->
Thanks for getting in touch. We'll get back to you soon.
<?php
}
?>