hi @boyfrom75
<?php $email = 'info@example.com'; ?>
<head>
<SCRIPT LANGUAGE="JavaScript">
function checkEmail(ccForm) {
if (/^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,3})+$/.test(ccForm.jemail.value)){
return (true)
}
alert("Invalid E-mail Address! Please re-enter.")
return (false)
}
// End -->
</script>
<script type="text/javascript">
function make_blank()
{
document.ccform.jname.value ="";
}
</script>
<script type="text/javascript">
function makes_blank()
{
document.ccform.jemail.value ="";
}
</script>
<script type="text/javascript">
function make_blanks()
{
document.ccform.jfeed.value ="";
}
</script>
<style type="text/css">
h4{font-family:"trebuchet ms";color:#555}
#formes{align:center;width:469px;padding-top:10px;padding-bottom:10px;border:1px dotted #ccc;background-color:#FAFAFA;font-family:"trebuchet ms";font-size:12px;margin:auto 0}
#dropdown{width:355px;border:#ccc solid 1px;padding-left:44px;font-family:"trebuchet ms";font-size:13px;color:#555}
#fname{width:355px;border:#ccc solid 1px;background:#fff url(images/user.png) no-repeat left;padding-left:44px;font-family:"trebuchet ms";font-size:13px;color:#555}
#femail{width:355px;border:#ccc solid 1px;background:#fff url(images/email.png) no-repeat left;padding-left:44px;font-family:"trebuchet ms";font-size:13px;color:#555}
#sfeed{width:355px;border:#ccc solid 1px;background:#fff url(images/text_signature.png) no-repeat top left;padding-left:44px;font-family:"trebuchet ms";font-size:13px;color:#555}
#sbutton{width:82px;height:25px;border:0;display:block;background-image:url(images/button.png);background-repeat:no-repeat;font-family:"trebuchet ms";font-size:13px;color:#555}
</style>
</head>
<body>
<div align="center">
<?php
if(isset($_POST['submit']))
{
$dropdown = $_POST['dropdown'];
$jname = $_POST['jname'];
$jemail = $_POST['jemail'];
$jfeed = $_POST['jfeed'];
////////
$time = date ("h:i A");
$date = date ("l, F jS, Y");
$urlh = getenv(HTTP_HOST);
$url = "http://$urlh";
$ip = $_SERVER['REMOTE_ADDR'];
$headers = 'From: System Admin';
$subject = "Info";
$body = $_POST['body'];
$bodys = "Message:\n$jfeed\n\nContact Us Form\n\n$date at $time.\n\nIP Address.$ip \n\nDropDown: $dropdown\n\nE Address: $jemail\n\nName: $jname \n\nUrl: $url ";
///////////////
$name=array($dropdown,$jname,$jemail,$jfeed);
foreach ($name as $name)
{
if (ereg("^\.",$name)) {
echo "<center><div id=\"formes\">Invalid Characters:<a href=\"javascript:history.go(-1)\">Go Back</a></div></center>";
Die();
}
if (ereg("\<", $name)) {
echo "<center><div id=\"formes\">Invalid Characters:<a href=\"javascript:history.go(-1)\">Go Back</a></div></center>";
Die();
}
if (ereg("\[", $name)) {
echo "<center><div id=\"formes\">Invalid Characters:<a href=\"javascript:history.go(-1)\">Go Back</a></div></center>";
Die();
}
if (ereg("\`", $name)) {
echo "<center><div id=\"formes\">Invalid Characters:<a href=\"javascript:history.go(-1)\">Go Back</a></div></center>";
Die();
}
if (strlen($name) > 250) {
echo "<center><div id=\"formes\">The field cannot contain more than 150 characters:
<a href=\"javascript:history.go(-1)\">Go Back</a></div></center>";
Die();
}
if (strlen($name) < 4) {
echo "<center><div id=\"formes\">Min 4 characters:
<a href=\"javascript:history.go(-1)\">Go Back</a></div></center>";
Die();
}
}
$body = $body . $bodys;
mail($email, $subject, $body, "From: $email");
echo "<center><div id=\"formes\">Thank You</div></center>";
}else{
?>
<h4>Contact Us</h4>
<form name=ccform id="formes" action="contact.php" method="post" onSubmit="return checkEmail(this)">
<p><select name="dropdown" id="dropdown">
<option value="Option1">Option 1</option>
<option value="Option2">Option 2</option>
<option value="Option3">Option 3</option>
</select></p>
<p><input name="jname" type="text" id="fname" value='Enter Your Name' onclick="make_blank();"></p>
<p><input name="jemail" type="text" id="femail" value='Enter Your Email' onclick="makes_blank();"></p>
<p><textarea name="jfeed" id="sfeed" value='Your Message' onclick="make_blanks();" rows="3" cols="25">Your Message</textarea></p>
<p><input id="sbutton" type="submit" name="submit" value="Submit"></p>
</form>
<?php
}
?>
</div>