JC Web Concepts

Custom Web Developments

PHP Contact Form

| Comments

I would like to take an opportunity to show you an example of how to developer a simple php contact page. I will not use css or anything like that for this tutorial. Just quick and dirty using the php mail function. Lets watch a video, explaining the process

Here is the code

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<html>
    <head>
        <title>Contact Us</title>
    </head>
    <body>
        <?php
            if($_SERVER['REQUEST_METHOD'] != 'POST') {
                $self = $_SERVER['PHP_SELF'];
        ?>
            <form method="post" name="contactForm" action="<?php echo $self; ?>">
                <table>
                    <tr>
                        <td>Name: </td>
                        <td><input type="text" name="cusName" id="cusName" /></td>
                    </tr>
                    <tr>
                        <td>Email: </td>
                        <td><input type="text" name="cusEmail" id="cusEmail" /></td>
                    </tr>
                    <tr>
                        <td>What can I do for you? </td>
                        <td><textarea id="reason" name="reason" rows="8" cols="40"></textarea></td>
                    </tr>
                    <tr>
                        <td><input type="submit" value="Submit" /></td>
                        <td><input type="reset" value="Reset" /></td>
                    </tr>
                </table>
            </form>
        <?php
            } else {
                $name = $_POST['cusName'];
                $emailFrom = $_POST['cusEmail'];
                $reason = $_POST['reason'];
                $emailTo = "john@jcwebconcepts.net";
                $subject = "Filled in form from website";

                $header = "From: $name <$emailFrom>\r\nReply-To: $emailFrom\r\n";
                $header .= "MIME-Version: 1.0\r\n";
                $header .= "Content-type:text/html;charset=iso-8859-1\r\n";

                $message = "From: #name, Email: $emailFrom<br /><hr />$reason";

                mail($emailTo, $subject, $message, $header);

                echo "Thank you for contacting us. Someone will get back to you as soon as we can. Thank you.";
            }
        ?>
    </body>
</html>