<form method="post" action="<?php echo $_SERVER['PHP_SELF']; ?>">
<b>Navn:</b><br>
<input name="navn"><br>
<b>Adresse:</b><br>
<input name="adresse"><br>
<b>Email:</b><br>
<input name="email"><br>
<b>Telefon:</b><br>
<input name="telefon"><br>
<b>Er du glad i dag?</b><br>
<input type="radio" name="spm" value="Ja"> Ja <input type="radio" name="spm" value="Nej"> Nej<br>
<b>Andet</b><br>
<textarea name="andet"></textarea><br><br>
<input type="submit" name="send" value="Send">
<?php
if(isset($_POST['send'])) {
if (isset($_POST['navn'],$_POST['adresse'],$_POST['email'],$_POST['telefon'],$_POST['spm'],$_POST['andet'])) {
// Mailen til dig
mail("din@email.dk","Emne","Navn: $_POST[navn]\nAdresse: $_POST[adresse]\nEmail: $_POST[email]\nTelefon: $_POST[telefon]\nSpørgsmål: $_POST[spm]\nAndet: $_POST[andet]\n\nBrugerens ip: $_SERVER[REMOTE ADDR]","From: $_POST[navn] <$_POST[email]>");
// Mailen til brugeren
mail("$_POST[email]","Du har sendt en mail","Mailen er afsendt til ham der du ved nok","From: Dig <din@email.dk>");
} else {
echo "Du har ikke udfyldt alle felter";
}
}
?>
<html>
<head>
<title>Untitled Document</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<link href="anbefal.css" rel="stylesheet" type="text/css">
<script language="JavaScript" type="text/JavaScript">
<!--
function MM_findObj(n, d) { //v4.01
var p,i,x; if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
if(!x && d.getElementById) x=d.getElementById(n); return x;
}
function MM_setTextOfTextfield(objName,x,newText) { //v3.0
var obj = MM_findObj(objName); if (obj) obj.value = newText;
}
function MM_jumpMenu(targ,selObj,restore){ //v3.0
eval(targ+".location='"+selObj.options[selObj.selectedIndex].value+"'");
if (restore) selObj.selectedIndex=0;
}
//-->
</script>
</head>
<body>
<br>
<font color="#FF0000" size="1" face="Verdana, Arial, Helvetica, sans-serif"><strong>
<? if($email == "")
{
print ("Udfyld venligst alle felterne");
}
else
{
mail ("$mail","Bestilling","
Kundenavn: $navn
E-mail: $email
Tlf: $tlf
Stripper: $kon
Arrangement: $type
Ydeligere beskrivelse: $beskrivelse
Skal foregå i: $landsdel
Dato: $dato
Andet: $beskrivelse2",
"From: $email\n". "Reply-To: $email\n");
print("Tak for bestillingen vi vender hurtigst muligt tilbage!");
}
?>
</strong> </font>
<form name="form1" method="post" action="">
<p><font color="#FF0000" size="1" face="Verdana, Arial, Helvetica, sans-serif"><strong>
</strong></font><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Jeg
ønsker til mit arrangement en:
<select name="kon" onChange="MM_jumpMenu('parent','','')">
<option>Mand</option>
<option>Dame</option>
</select>
</strong></font></p>
<p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Arrangementet
er:
<select name="type" onClick="MM_jumpMenu('parent','','')">
<option>Fødselsdag</option>
<option>Polterabend</option>
<option>Fest</option>
<option>Andet</option>
</select>
</font></strong></p>
<p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Yderligere
beskrivelse:
<input name="beskrivelse" type="text" class="form" id="navn" onclick="MM_setTextOfTextfield('navn','','')">
</font></strong></p>
<p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Arrangementet
skal foregå i:
<select name="landsdel" onChange="MM_jumpMenu('parent','','')">
<option>København</option>
<option>Storkøbenhavn</option>
<option>Nordsjælland</option>
<option>Sydsjælland</option>
<option>Vestsjælland</option>
<option>Lolland/Falster</option>
<option>Odense</option>
<option>Øvrige Fyn</option>
<option>Sønderjylland</option>
<option>Nordjylland</option>
<option>Midtjylland</option>
</select>
</font></strong></p>
<p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Dato
og tidspunkt:
<input name="dato" type="text" class="form" id="navn2" onclick="MM_setTextOfTextfield('dato','','')">
</font></strong></p>
<p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Eventuel
yderligere kommentar/beskrivelse:</font></strong></p>
<p> <strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<textarea name="beskrivelse2" cols="40" rows="10"></textarea>
</font></strong></p>
<p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> Jeg
kan kontaktes vha følgede oplysninger: </font></strong></p>
<p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> Navn
<input name="navn" type="text" class="form" id="dig" onclick="MM_setTextOfTextfield('navn','','')">
</font></strong></p>
<p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> E-mail
<input name="email" type="text" class="form" onClick="MM_setTextOfTextfield('email','','')">
</font></strong></p>
<p><strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Tlf
<input name="tlf" type="text" class="form" onClick="MM_setTextOfTextfield('tlf','','')">
</font></strong></p>
<p> <strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input name="mail" type="hidden" class="form" onClick="MM_setTextOfTextfield('mail','','')" value="din@email.dk">
</font></strong></p>
<p> <strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input name="Submit" type="submit" value="Afsend" >
</font></strong></p>
</form>
<strong><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
</font> </strong>
</body>
</html>