Contact us Form
Written by 21 November 2012
You can create the contact us form for your site. It asks for the visitors name, website, email and inquire that they have; it will send it to the email that you set. Please edit your email on the top of the code and the form is ready!
Code Snippet:
<!-- this script is provided by https://www.phpfreecode.com coded by: Kerixa Inc. -->
<!-- This Script is from www.phpfreecpde.com, Coded by: Kerixa Inc-->
<?php
if(isset($_POST['submit_msg']))
{
$admin_email='admin@yourite.com';//// Change it to your site adimin email address
if (empty($_POST['name_msg'])){
die('<p><p><center><font face="Tahoma" color="#003399" style="font-size: 9pt"><h1><i>Error!</i></h1><font color="#ff0000"> <br>caution : please type your name in form</font><br><br><a href ONCLICK="window.history.go(-1);">Back to form</a><center></font>');
};
if (empty($_POST['email_msg'])){
die('<p><p><center><font face="Tahoma" color="#003399" style="font-size: 9pt"><h1><i>Error!</i></h1><font color="#ff0000"> <br>caution : please type your email</font><br><br><a href ONCLICK="window.history.go(-1);">Back to form</a><center></font>');
};
if (empty($_POST['msg_body'])){
die('<p><p><center><font face="Tahoma" color="#003399" style="font-size: 9pt"><h1><i>Error!</i></h1><font color="#ff0000"> <br>caution : please type your text</font><br><br><a href ONCLICK="window.history.go(-1);">Back to form</a><center></font>');
};
if(!strpos($_POST['email_msg'],"@"))
{
print('<p><p><center><font face="Tahoma" color="#003399" style="font-size: 9pt"><h1><i>Error!</i></h1><font color="#ff0000"> <br>caution : type your Emali correctly</font><br><br><center><font face="Tahoma" style="font-size: 9pt">example : info@phpfreecode.Com </center></font><br><a href ONCLICK="window.history.go(-1);">Back to form</a><center></font>');
die('');
};
$name_msg = htmlspecialchars($_POST['name_msg']);
$msg_body = htmlspecialchars($_POST['msg_body']);
$url_msg=$_POST['url_msg'];
$from = htmlspecialchars($_POST['email_msg']);
$url_msg = str_replace('http://','',$_POST['url_msg']);
if (!empty($url_msg)) $name_msg = "<a target=_blank href=http://".htmlspecialchars($url_msg).">".$name_msg."</a>";
$body = '<html>
<head>
<title>Send comment</title>
</head>
<body>
<table border="1" width="100%" text="#000000" style="font-family:tahoma;font-size:8pt;padding:7px;border-style: dashed; border-width: 3px" bgcolor="#D6DFF7" bordercolor="#D6DFF7" cellspacing="0" cellpadding="0">
<tr>
<td colspan="2" align="center" bgcolor="#D6DFF7" style="height: 25px; font-size:small">=> new comment <=</td>
</tr>
<tr>
<td width="15%" bgcolor="#D6DFF7" dir="rtl" style="height: 25px; font-size:small; text-align: left">Name & Web address</td>
<td width="85%" bgcolor="#FFFFFF" align="left" style="height:25px; font-size:small ">'.$name_msg.'</td>
</tr>
<tr>
<td width="15%" bgcolor="#D6DFF7" dir="rtl" style="height: 25px; font-size:small; text-align: left">Comment</td>
<td width="85%" bgcolor="#FFFFFF" align="left" style="height: 25px; font-size:small ">'.$msg_body.'</td>
</tr>
</table>
</body>
</html>';
if(!mail($admin_email,'New Contact us',$body,"From: <$from>\n"."MIME-Version: 1.0\n"."Content-type: text/html"))
{
die('<p><p><center><font face="Tahoma" color="#003399" style="font-size: 9pt"><h1><i>The Comment Could not be send!</i></h1>
<font size="5" color="#ff0000"> Please try later</font><br><br><a href ONCLICK="window.history.go(-1);">return to form</a><center></font>');
}else
{
print('<p><p><center><font face="Tahoma" color="#003399" style="font-size: 9pt"><h1><i>Thank You!</i></h1><font color="#ff0000"> <br>Your comment has been sent successfully</font><br>Thanks for your comment<br><br><span style="cursor:hand" ONCLICK="window.history.go(-1);"> return to comment </span>| <a href="http://www.phpfreecode.com" target="_blank">powered by phpfreecode.com</a><center></font>');
}
}
?>
<html>
<head>
<style type="text/css">
.style1 {
text-align: center;
}
.style2 {
font-size: 40pt;
color: #0000FF;
font-family: "Times New Roman", Times, serif;
}
.style3 {
font-size: medium;
color: #0000FF;
font-family: "Times New Roman", Times, serif;
}
.style5 {
font-family: "Times New Roman", Times, serif;
border-right-style: solid;
border-right-width: 0px;
border-top-style: solid;
border-top-width: 0px;
background-color: #CCFFFF;
}
.style6 {
text-align: center;
border-left-style: solid;
border-left-width: 0px;
border-right-style: solid;
border-right-width: 0px;
border-top-style: solid;
border-top-width: 0px;
background-color: #CCCCFF;
}
.style8 {
border: 3px dashed #0000CC;
}
.style9 {
font-family: "Times New Roman", Times, serif;
border-right-style: solid;
border-right-width: 0px;
background-color: #CCFFFF;
}
.style11 {
font-family: "Times New Roman", Times, serif;
border-right-style: solid;
border-right-width: 0px;
border-bottom-style: solid;
border-bottom-width: 0px;
}
.style12 {
font-family: "Times New Roman", Times, serif;
padding-left: 10px;
background-color: #CCFFFF;
}
.style13 {
font-family: "Times New Roman", Times, serif;
border-right-style: solid;
border-right-width: 0px;
background-color: #D5F1FF;
}
.style15 {
font-family: "Times New Roman", Times, serif;
border-right-style: solid;
border-right-width: 0px;
border-bottom-style: solid;
border-bottom-width: 0px;
background-color: #D5F1FF;
}
.style17 {
font-family: "Times New Roman", Times, serif;
padding-left: 10px;
background-color: #D5F1FF;
}
.style18 {
font-family: "Times New Roman", Times, serif;
border-left-style: solid;
border-left-width: 0px;
padding-left: 10px;
background-color: #CCFFFF;
text-align: center;
}
.style19 {
font-size: xx-small;
}
</style>
</head>
<body>
<form method="post" action="">
<table align="center" class="style8" style="width: 551">
<tr>
<td class="style6" colspan="2" style="height: 136px"><span class="style2">
<strong class="style11">Contact us</strong></span><br class="style3">
<span class="style3">Tell us what is in your mind</span></td>
</tr>
<tr>
<td class="style12" style="width: 268px; height: 40;"><strong>Your Name:</strong></td>
<td class="style5" style="width: 421px; height: 40;"><span dir="ltr">
<input name="name_msg" size="33" id="fa" dir="ltr" tabindex="1" maxlength="30" lang="fa" style="float: left; width: 204px; height: 25px;" value="" onclick="this.value=''"><div class="style1">
</div>
</span> </td>
</tr>
<tr>
<td class="style17" style="width: 268px; height: 40;"><strong>Your Email:</strong></td>
<td class="style13" style="width: 421px; height: 40;"><span dir="ltr">
<input name="email_msg" size="33" dir="ltr" tabindex="3" maxlength="30" id="fa1" style="float: left; width:204px; height: 25px;" value="" onclick="this.value=''"></span></td>
</tr>
<tr>
<td class="style12" style="width: 268px; height: 40;"><strong>Your website:</strong></td>
<td class="style9" style="width: 421px; height: 40;"><span dir="ltr">
<input name="url_msg" size="21" dir="ltr" tabindex="2" maxlength="30" id="fa0" style="float: left; width: 204px; height: 25px;" value="" onclick="this.value=''"></span></td>
</tr>
<tr>
<td class="style17" style="width: 268px; height: 123px;"><strong>Comment:</strong></td>
<td class="style15" style="width: 421px; height: 123;"><span dir="ltr">
<textarea rows="6" name="msg_body" dir="ltr" id="fa2" tabindex="4" lang="fa" onclick="this.value=''" style="width: 400px"></textarea></span></td>
</tr>
<tr>
<td class="style18" style="height: 78px;" colspan="2">
<span dir="ltr">
<input type="submit" value="Submit" name="submit_msg" tabindex="5" id="fa3" style="float:center; width: 114px; height: 35px;" ><br></span>
<br class="style19"><font face="Tahoma"><a target="_blank" href="http://www.phpfreecode.com/"><span style="font-size: 8pt; text-decoration: none">PHP Free Code</span></a></font>
</td>
</tr>
</table>
</form>
</body>
</html>
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