Code: Select all
<?php
$firstname = $_REQUEST['firstname'] ;
$lastname = $_REQUEST['lastname'] ;
$contactnumber = $_REQUEST['contactnumber'] ;
$email = $_REQUEST['email'] ;
$facilityname = $_REQUEST['facilityname'] ;
$moveindate = $_REQUEST['moveindate'] ;
$monthlyprice = $_REQUEST['monthlyprice'] ;
$facilityrating = $_REQUEST['facilityrating'] ;
mail( "marroz88@gmail.com", "Feedback Form Results",
$message, "From: $email" );
header( "Location: http://www.example.com/thankyou.html" );
?>
Code: Select all
<form method="post" action="sendmail.php">
<table width="722" height="274" border="0">
<tr>
<th width="187" scope="col"><div align="center" class="style1">First Name</div></th>
<th width="184" scope="col"><label>
<input name="firstname" type="text"/><br />
</label></th>
<th width="179" scope="col"><div align="center" class="style1">Facility Name</div></th>
<th width="190" scope="col"><div align="center">
<label>
<input name="facilityname" type="text" />
</label>
</div></th>
</tr>
<tr>
<td><div align="center" class="style1">Last Name</div></td>
<td><div align="center">
<label>
<input name="lastname" type="text" />
</label>
</div></td>
<td><div align="center" class="style1">Move in Date</div></td>
<td><div align="center">
<label>
<input name="moveindate" type="text"" />
</label>
</div></td>
</tr>
<tr>
<td><div align="center" class="style1">Contact Number</div></td>
<td><div align="center">
<label>
<input name="contactnumber" type="text" />
</label>
</div></td>
<td><div align="center" class="style1">Monthly Price</div></td>
<td><div align="center">
<label>
<input name="monthlyprice" type="text" />
</label>
</div></td>
</tr>
<tr>
<td height="24"><div align="center" class="style1">Email</div></td>
<td><div align="center">
<label>
<input name="email" type="text" />
</label>
</div></td>
<td><div align="center">
<p>Facility Rating </p>
</div></td>
<td><label>
<select name="select" id="select">
<option>1 poor</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5 excellent</option>
</select>
</label></td>
</tr>
<tr>
<td height="60"> </td>
<br />
</td>
<td colspan="2">
<label for="tswcomments">Comments on Facility</label><br />
<textarea rows="5" cols="45" name="comments" id="tswcomments" ></textarea></td>
</tr>
<tr>
<td height="60"> </td>
<td><label>
<input type="submit" name="submit" id="submit" value="Submit" />
</label></td>
</tr>
</table>
<p> </p>
</form>