<?
// ------------- CONFIGURABLE SECTION ------------------------
// $mailto - set to the email address you want the form
// sent to, eg
//$mailto = "[EMAIL="youremailaddress@example.com"]youremailaddress@example.com[/EMAIL]" ;
$mailto = [EMAIL="'youemailaddress@server.com'"]'youemailaddress@server.com'[/EMAIL] ;
// $subject - set to the Subject line of the email, eg
//$subject = "Feedback Form" ;
$subject = "Feedback Form" ;
// the pages to be displayed, eg
//$formurl = "[URL="http://www.example.com/feedback.html"]http://www.example.com/feedback.html[/URL]" ;
//$errorurl = "[URL="http://www.example.com/error.html"]http://www.example.com/error.html[/URL]" ;
//$thankyouurl = "[URL="http://www.example.com/thankyou.html"]http://www.example.com/thankyou.html[/URL]" ;
$formurl = "[URL="http://yourwebsite.com"]http://yourwebsite.com[/URL]" ;
$errorurl = "[URL="http://yourerrorpage.com"]http://yourerrorpage.com[/URL]" ;
$thankyouurl = "[URL="http://youtThankyoupage.com"]http://youtThankyoupage.com[/URL]" ;
$uself = 1;
// -------------------- END OF CONFIGURABLE SECTION ---------------
$headersep = (!isset( $uself ) || ($uself == 0)) ? "\r\n" : "\n" ;
$name = $_POST['name'] ;
$email = $_POST['email'] ;
$comments = $_POST['comments'] ;
$http_referrer = getenv( "HTTP_REFERER" );
if (!isset($_POST['email'])) {
header( "Location: $formurl" );
exit ;
}
if (empty($name) || empty($email) || empty($comments)) {
header( "Location: $errorurl" );
exit ;
}
if ( ereg( "[\r\n]", $name ) || ereg( "[\r\n]", $email ) ) {
header( "Location: $errorurl" );
exit ;
}
if (get_magic_quotes_gpc()) {
$comments = stripslashes( $comments );
}
$messageproper =
"This message was sent from:\n" .
"$http_referrer\n" .
"------------------------------------------------------------\n" .
"Name of sender: $name\n" .
"Email of sender: $email\n" .
"------------------------- COMMENTS -------------------------\n\n" .
$comments .
"\n\n------------------------------------------------------------\n" ;
mail($mailto, $subject, $messageproper,
"From: \"$name\" <$email>" . $headersep . "Reply-To: \"$name\" <$email>" . $headersep . "X-Mailer: chfeedback.php 2.07" );
header( "Location: $thankyouurl" );
exit ;
?>
<form action="feedback.php" method="post">
<table border="0" cellpadding="8" cellspacing="8" summary="feedback form">
<tr><td>Name:</td><td><input type="text" name="name" size="25" /></td></tr>
<tr><td>Email address:</td><td><input type="text" name="email" size="25" /></td></tr>
<tr>
<td colspan="2">
Comments<br />
<textarea rows="15" cols="45" name="comments"></textarea>
</td>
</tr>
<tr>
<td align="center" colspan="2">
<input type="submit" value="Send Feedback" /><br />
</td>
</tr>
</table>
</form>