Website contact Form Problems - html

Firstly I've searched current thread's and tried 99% of the working fixes provided by the community,
My problem is i am receiving no email's via
www.vapescotts.co.uk
This contact form is placed at the bottom, The odd thing is the website is an altered version of a working website. So I'm clueless to why this version don't work.
<form name="htmlform" method="post" action="html_form_send.php">
<table width="100%">
</tr>
<tr>
<td valign="top">
<label for="first_name"><p>First Name</p></label>
</td>
<td valign="top">
<input type="text" name="first_name" maxlength="50" size="50">
</td>
</tr>
<tr>
<td valign="top"">
<label for="last_name"><p>Last Name</p></label>
</td>
<td valign="top">
<input type="text" name="last_name" maxlength="50" size="50">
</td>
</tr>
<tr>
<td valign="top">
<label for="email"><p>Email Address</p></label>
</td>
<td valign="top">
<input type="text" name="email" maxlength="80" size="50">
</td>
</tr>
<tr>
<td valign="top">
<label for="telephone"><p>Telephone Number</p></label>
</td>
<td valign="top">
<input type="text" name="telephone" maxlength="30" size="50">
</td>
</tr>
<tr>
<td valign="top">
<label for="comments"><p>Your Comments</p></label>
</td>
<td valign="top">
<textarea name="comments" maxlength="1000" cols="38" rows="12"></textarea>
</td>
</tr>
<tr>
<td colspan="2" style="text-align:left">
<input type="image" src="submit.png" input type="submit" value="Submit" height: "251px"; width: "293px"></i>
</td> </td>
</tr></tr>
</table></table>
</form></form>
</div> </div>
And here is the html_form_send.php configuration
<?php
if(isset($_POST['email'])) {
// CHANGE THE TWO LINES BELOW
$email_to = "vapescotts#gmail.com";
$email_subject = "Scotts Custard Cream Enquiry";
function died($error) {
// your error code can go here
echo "We are very sorry, but there were error(s) found with the form you submitted. ";
echo "These errors appear below.<br /><br />";
echo $error."<br /><br />";
echo "Please go back and fix these errors.<br /><br />";
die();
}
// validation expected data exists
if(!isset($_POST['first_name']) ||
!isset($_POST['last_name']) ||
!isset($_POST['email']) ||
!isset($_POST['telephone']) ||
!isset($_POST['comments'])) {
died('We are sorry, but there appears to be a problem with the form you submitted.');
}
$first_name = $_POST['first_name']; // required
$last_name = $_POST['last_name']; // required
$email_from = $_POST['email']; // required
$telephone = $_POST['telephone']; // not required
$comments = $_POST['comments']; // required
$error_message = "";
$email_exp = '/^[A-Za-z0-9._%-]+#[A-Za-z0-9.-]+\.[A-Za-z]{2,4}$/';
if(!preg_match($email_exp,$email_from)) {
$error_message .= 'The Email Address you entered does not appear to be valid.<br />';
}
$string_exp = "/^[A-Za-z .'-]+$/";
if(!preg_match($string_exp,$first_name)) {
$error_message .= 'The First Name you entered does not appear to be valid.<br />';
}
if(!preg_match($string_exp,$last_name)) {
$error_message .= 'The Last Name you entered does not appear to be valid.<br />';
}
if(strlen($comments) < 2) {
$error_message .= 'The Comments you entered do not appear to be valid.<br />';
}
if(strlen($error_message) > 0) {
died($error_message);
}
$email_message = "Form details below.\n\n";
function clean_string($string) {
$bad = array("content-type","bcc:","to:","cc:","href");
return str_replace($bad,"",$string);
}
$email_message .= "First Name: ".clean_string($first_name)."\n";
$email_message .= "Last Name: ".clean_string($last_name)."\n";
$email_message .= "Email: ".clean_string($email_from)."\n";
$email_message .= "Telephone: ".clean_string($telephone)."\n";
$email_message .= "Comments: ".clean_string($comments)."\n";
// create email headers
$headers = 'From: '.$email_from."\r\n".
'Reply-To: '.$email_from."\r\n" .
'X-Mailer: PHP/' . phpversion();
#mail($email_to, $email_subject, $email_message, $headers);
?>
<!-- place your own success html below -->
Thank you for your enquiry, Redirecting back to Scott's Custard Cream.
<br />If you are not redirected automatically,<a href='http://www.vapescotts.co.uk'>Click Here</a>
<meta http-equiv="refresh" content="3;url=http://www.vapescotts.co.uk" />
<?php
}
die();
?>
Thank's again to the StackOverflow Community.

some servers block mail function better to try SMTP PHP Mailer.
Here we go send email using Gmail SMTP server through PHP Mailer

Try this code, might help you out. Edit this code as per your convenience.
$to = "webmaster#example.com";
$subj = "Contact Form Request";
$body = "There is a new contact form report, Kindly check it out.";
$body .= "<table border='1' cellpadding='5'>";
$body .= "<tr><td>Name:</td><td>".$name."</td></tr>";
$body .= "<tr><td>Email:</td><td>".$email."</td></tr>";
$body .= "<tr><td>Subject:</td><td>".$subject."</td></tr>";
$body .= "<tr><td>Message:</td><td>".$msg."</td></tr>";
$body .= "</table>";
$headers = "From: $email" . "\r\n";
$headers .= "Reply-To: " . strip_tags($email) . "\r\n";
$headers .= "MIME-Version: 1.0\r\n";
$headers .= "Content-Type: text/html; charset=ISO-8859-1\r\n";
$succ = mail( $to, $subj, $body, $headers );
if ( $succ || $succ != '' ) {
echo "Mail Sent";
} else {
echo "Failed";
}

Related

how to get the following link to work in phpmailer

I have the following phpmailer and have displayed the date by using php echo but the problem is that, if the user were to delete the date, then the date won't work. What is the best way to prevent an user from deleting information displayed in the placeholder?
<?php
ob_start();
include_once __DIR__.'/header2.php';
if(!isset($_SESSION['u_uid'])) {
echo "<meta http-equiv='refresh' content='0;url=index.php?subscribed=notlogin'>";
exit();
} else {
if($_SESSION['u_permission'] == 0) {
echo "<meta http-equiv='refresh' content='0;url=header2.php?subscribed=nopermission'>";
exit();
} else {
$date = strip_tags(date('Y-m-d H:i:s'));
echo '<form action="subscribed_form.php" method="POST"><table class="subscribed">
<tr>
<th colspan="3" class="update_title">Welcome to the Administrator\'s Display Subscribed Newsletter Members\s Section</th>
</tr>';
echo '
<tr>
<th>Newsletter\'s name:</th><td><input type="text" name="name" value="Enter Newsletter\'s Name"></td>
</tr>
<tr>
<th>Newsletter\'s Description:</th><td><textarea name="description" value="Enter Newsletter\'s Description"></textarea></td>
</tr>
<tr>
<th>Newsletter\'s Date:</th><td><input type="text" name="date" value="'.htmlspecialchars($date).'"></td>
</tr>
<tr><th></th><td><input type="submit" name="submit" value="Send Newsletters"></td></tr></table></form>';
}
}

PHP is executing even though I don't want it to

So i need to create a email form my filename currently is test12.php and the script for emailing the form to my inbox is executing even though i have not pressed the submit button ! here is my code:
<?php
if(isset($_POST['email'])) {
// EDIT THE 2 LINES BELOW AS REQUIRED
$email_to = "you#yourdomain.com";
$email_subject = "Your email subject line";
function died($error) {
// your error code can go here
echo "We are very sorry, but there were error(s) found with the form you submitted. ";
echo "These errors appear below.<br /><br />";
echo $error."<br /><br />";
echo "Please go back and fix these errors.<br /><br />";
die();
}
// validation expected data exists
if(!isset($_POST['first_name']) ||
!isset($_POST['last_name']) ||
!isset($_POST['email']) ||
!isset($_POST['telephone']) ||
!isset($_POST['comments'])) {
died('We are sorry, but there appears to be a problem with the form you submitted.');
}
$first_name = $_POST['first_name']; // required
$last_name = $_POST['last_name']; // required
$email_from = $_POST['email']; // required
$telephone = $_POST['telephone']; // not required
$comments = $_POST['comments']; // required
$error_message = "";
$email_exp = '/^[A-Za-z0-9._%-]+#[A-Za-z0-9.-]+\.[A-Za-z]{2,4}$/';
if(!preg_match($email_exp,$email_from)) {
$error_message .= 'The Email Address you entered does not appear to be valid.<br />';
}
$string_exp = "/^[A-Za-z .'-]+$/";
if(!preg_match($string_exp,$first_name)) {
$error_message .= 'The First Name you entered does not appear to be valid.<br />';
}
if(!preg_match($string_exp,$last_name)) {
$error_message .= 'The Last Name you entered does not appear to be valid.<br />';
}
if(strlen($comments) < 2) {
$error_message .= 'The Comments you entered do not appear to be valid.<br />';
}
if(strlen($error_message) > 0) {
died($error_message);
}
$email_message = "Form details below.\n\n";
function clean_string($string) {
$bad = array("content-type","bcc:","to:","cc:","href");
return str_replace($bad,"",$string);
}
$email_message .= "First Name: ".clean_string($first_name)."\n";
$email_message .= "Last Name: ".clean_string($last_name)."\n";
$email_message .= "Email: ".clean_string($email_from)."\n";
$email_message .= "Telephone: ".clean_string($telephone)."\n";
$email_message .= "Comments: ".clean_string($comments)."\n";
// create email headers
$headers = 'From: '.$email_from."\r\n".
'Reply-To: '.$email_from."\r\n" .
'X-Mailer: PHP/' . phpversion();
#mail($email_to, $email_subject, $email_message, $headers);
if (!isset($_POST['Submit'])) {
}
?>
<form name="contactform" method="post" action="test12.php" target="success" id="CmForm">
<tr>
<td valign="top">
<input class="text-area w-input" type="text" name="first_name" maxlength="50" size="30" placeholder="Enter your first name" required="required">
</td>
</tr>
<tr>
<td valign="top">
<input class="text-area w-input" type="text" name="last_name" maxlength="50" size="30" placeholder="Enter your last name" required="required">
</td>
</tr>
<tr>
<td valign="top">
<input class="text-area w-input" type="text" name="email" maxlength="80" size="30" placeholder="Enter your email adress" required="required">
</td>
</tr>
<tr>
<td valign="top">
<input class="text-area w-input" type="text" name="telephone" maxlength="30" size="30" placeholder="Enter your subject" required="required">
</td>
</tr>
<tr>
<td valign="top">
<textarea class="text-area w-input" name="comments" maxlength="5000" cols="25" rows="6" placeholder="Write message" required="required"></textarea>
</td>
</tr>
<tr>
<input class="submit-button w-button" data-wait="Please wait..." type="submit" value="Submit" onclick='$("#success").show()' onclick='$("#CmForm").hide()'>
</td>
</tr>
</form>
<?php
}
else {
// form engine
echo "<div>Thank you! Your submission has been received!</div>";
}
?>
Also i would like it to display the thank you message after i click submit and make the form itself dissapear! And also how can i make the text boxes smaller? They currently are huge!
Your submit button is not named correctly and thus the check for it fails. Better like this:
<input class="submit-button w-button" data-wait="Please wait..." type="submit" name="Submit" value="Submit" onclick='$("#success").show()' onclick='$("#CmForm").hide()'>
You also might want to move the check if (!isset($_POST['Submit'])) { in a way that the code for form submission is inside the else case of this condition, because otherwise you always get a "died" error message.
Use css to set the width of the textareas.
<style>
.text-area{width: 300px;}
</style>
The reorganized code looks like the following; however there is still room for improvement when handling errors which lead to the "died();" function.
if (!isset($_POST['Submit'])) {
?>
<form name="contactform" method="post" action="test12.php" target="success" id="CmForm">
<tr>
<td valign="top">
<input class="text-area w-input" type="text" name="first_name" maxlength="50" size="30" placeholder="Enter your first name" required="required">
</td>
</tr>
<tr>
<td valign="top">
<input class="text-area w-input" type="text" name="last_name" maxlength="50" size="30" placeholder="Enter your last name" required="required">
</td>
</tr>
<tr>
<td valign="top">
<input class="text-area w-input" type="text" name="email" maxlength="80" size="30" placeholder="Enter your email adress" required="required">
</td>
</tr>
<tr>
<td valign="top">
<input class="text-area w-input" type="text" name="telephone" maxlength="30" size="30" placeholder="Enter your subject" required="required">
</td>
</tr>
<tr>
<td valign="top">
<textarea class="text-area w-input" name="comments" maxlength="5000" cols="25" rows="6" placeholder="Write message" required="required"></textarea>
</td>
</tr>
<tr>
<input class="submit-button w-button" data-wait="Please wait..." type="submit" name="Submit" value="Submit" onclick='$("#success").show()' onclick='$("#CmForm").hide()'>
</td>
</tr>
</form>
<?php
} else {
// EDIT THE 2 LINES BELOW AS REQUIRED
$email_to = "you#yourdomain.com";
$email_subject = "Your email subject line";
function died($error) {
// your error code can go here
echo "We are very sorry, but there were error(s) found with the form you submitted. ";
echo "These errors appear below.<br /><br />";
echo $error."<br /><br />";
echo "Please go back and fix these errors.<br /><br />";
die();
}
// validation expected data exists
if(!isset($_POST['first_name']) ||
!isset($_POST['last_name']) ||
!isset($_POST['email']) ||
!isset($_POST['telephone']) ||
!isset($_POST['comments'])) {
died('We are sorry, but there appears to be a problem with the form you submitted.');
}
$first_name = $_POST['first_name']; // required
$last_name = $_POST['last_name']; // required
$email_from = $_POST['email']; // required
$telephone = $_POST['telephone']; // not required
$comments = $_POST['comments']; // required
$error_message = "";
$email_exp = '/^[A-Za-z0-9._%-]+#[A-Za-z0-9.-]+\.[A-Za-z]{2,4}$/';
if(!preg_match($email_exp,$email_from)) {
$error_message .= 'The Email Address you entered does not appear to be valid.<br />';
}
$string_exp = "/^[A-Za-z .'-]+$/";
if(!preg_match($string_exp,$first_name)) {
$error_message .= 'The First Name you entered does not appear to be valid.<br />';
}
if(!preg_match($string_exp,$last_name)) {
$error_message .= 'The Last Name you entered does not appear to be valid.<br />';
}
if(strlen($comments) < 2) {
$error_message .= 'The Comments you entered do not appear to be valid.<br />';
}
if(strlen($error_message) > 0) {
died($error_message);
}
$email_message = "Form details below.\n\n";
function clean_string($string) {
$bad = array("content-type","bcc:","to:","cc:","href");
return str_replace($bad,"",$string);
}
$email_message .= "First Name: ".clean_string($first_name)."\n";
$email_message .= "Last Name: ".clean_string($last_name)."\n";
$email_message .= "Email: ".clean_string($email_from)."\n";
$email_message .= "Telephone: ".clean_string($telephone)."\n";
$email_message .= "Comments: ".clean_string($comments)."\n";
// create email headers
$headers = 'From: '.$email_from."\r\n".
'Reply-To: '.$email_from."\r\n" .
'X-Mailer: PHP/' . phpversion();
#mail($email_to, $email_subject, $email_message, $headers);
// form engine
echo "<div>Thank you! Your submission has been received!</div>";
}
?>
Further improvements to the code would be: Instead of die-ing in "died", show the form with prefilled fields from the submission.

PHP mail () function sending email

Here is the trouble I'm having I have a page called contacts.html on this page I have a contact form with the following code
` <h2 class="top-1 p3">Contact form</h2>
<form id="form" method="post" action="html_form_send.php" >
<fieldset>
<label for="first_name"><strong>First Name:</strong><input type="text" name="first_name" value=""></label>
<label for="last_name"><strong>Last Name:</strong><input type="text" name="last_name" value=""></label>
<label for="email"><strong>Email:</strong><input type="text" name="email" value=""></label>
<label for="telephone"><strong>Phone:</strong><input type="text" name="telephone" value=""></label>
<label for="comments"><strong>Your Message:</strong><textarea></textarea></label>
<br> <div class="btns">ClearSend</div>`
This isn't the whole code just the part containing the form. I'm using GoDaddy to host and it doesn't support X-mailer. I have to use the PHP's mail( ) function. So I've been looking at [http://php.net/manual/en/function.mail.php][1]. Below is the code I have in the html_form_send.php file. The form sends this is just a template I'm not sure how to get the values (ex: first_name, last_name, comments) and write it into the php file. I tried doing $to = $_POST['first_name']; and then using .$data['first_name'] but that didn't work. Please discard the random table info
$message = '
<html>
<head>
<title>Birthday Reminders for August</title>
</head>
<body>
<p>Here are the birthdays upcoming in August!</p>
<table>
<tr>
<th>Person</th><th>Day</th><th>Month</th><th>Year</th>
</tr>
<tr>
<td>Joe</td><td>3rd</td><td>August</td><td>1970</td>
</tr>
<tr>
<td>Sally</td><td>17th</td><td>August</td><td>1973</td>
</tr>
</table>
</body>
</html>
';
// To send HTML mail, the Content-type header must be set
$headers = 'MIME-Version: 1.0' . "\r\n";
$headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n";
// Additional headers
$headers .= 'To: Mary <mary#example.com>, Kelly <kelly#example.com>' . "\r\n";
$headers .= 'From: Birthday Reminder <birthday#example.com>' . "\r\n";
$headers .= 'Cc: birthdayarchive#example.com' . "\r\n";
$headers .= 'Bcc: birthdaycheck#example.com' . "\r\n";
// Mail it
mail($to, $subject, $message, $headers);
?>
[1]: http://us2.php.net/manual/en/function.mail.php
Thanks!

emailing the contents of a form

How would I create a form in HTML that would email the content of the form to an email? Here is what I have.
<form action="mailto:email#example.com" enctype="text/plain" method="post">
<input name = "subject" placeholder = "Your Name"></input>
<br>
<textarea name = "message" placeholder = "Email Us." style = "height:100px;"></textarea>
<input type="submit" value="Submit" placeholder = "Submit"></input>
</form>
could I do this solely in HTML with the mailto: action? or would i need some php like
mail('email#example.com', $_POST['subject'], $_POST['message']);
Any suggestions?
Please try to use header as well to sending a email.
<?php
$to = 'connormemail#gmail.com';
$subject = $_POST['subject'];
$message = $_POST['message'];
$headers = 'From: connormemail#gmail.com' . "\r\n";
$retval = mail($to, $subject, $message, $headers);
if( $retval == true )
{
echo "Message sent successfully...";
}
else
{
echo "Message could not be sent...";
}
?>
So there is all kind of wrong in what I'm about to post. Such as don't use tables to style your forms, etc. But I'm taking this off another site so it'll be simple. What you need is a mix of html for the form and php for the mailing.
<form name="contactform" method="post" action="send_form_email.php">
<table width="450px">
<tr>
<td valign="top">
<label for="first_name">First Name *</label>
</td>
<td valign="top">
<input type="text" name="first_name" maxlength="50" size="30">
</td>
</tr>
<tr>
<td valign="top"">
<label for="last_name">Last Name *</label>
</td>
<td valign="top">
<input type="text" name="last_name" maxlength="50" size="30">
</td>
</tr>
<tr>
<td valign="top">
<label for="email">Email Address *</label>
</td>
<td valign="top">
<input type="text" name="email" maxlength="80" size="30">
</td>
</tr>
<tr>
<td valign="top">
<label for="telephone">Telephone Number</label>
</td>
<td valign="top">
<input type="text" name="telephone" maxlength="30" size="30">
</td>
</tr>
<tr>
<td valign="top">
<label for="comments">Comments *</label>
</td>
<td valign="top">
<textarea name="comments" maxlength="1000" cols="25" rows="6"></textarea>
</td>
</tr>
<tr>
<td colspan="2" style="text-align:center">
<input type="submit" value="Submit">
Email Form
</td>
</tr>
</table>
So there is your basic form.
Here is your basic php. Place it in the same directory as your .html file: send_form_email.php (you must use this filename exactly)
Make sure to edit the parts indicated with your email and subject line.
<?php
if(isset($_POST['email'])) {
// EDIT THE 2 LINES BELOW AS REQUIRED
$email_to = "you#yourdomain.com";
$email_subject = "Your email subject line";
function died($error) {
// your error code can go here
echo "We are very sorry, but there were error(s) found with the form you submitted. ";
echo "These errors appear below.<br /><br />";
echo $error."<br /><br />";
echo "Please go back and fix these errors.<br /><br />";
die();
}
// validation expected data exists
if(!isset($_POST['first_name']) ||
!isset($_POST['last_name']) ||
!isset($_POST['email']) ||
!isset($_POST['telephone']) ||
!isset($_POST['comments'])) {
died('We are sorry, but there appears to be a problem with the form you submitted.');
}
$first_name = $_POST['first_name']; // required
$last_name = $_POST['last_name']; // required
$email_from = $_POST['email']; // required
$telephone = $_POST['telephone']; // not required
$comments = $_POST['comments']; // required
$error_message = "";
$email_exp = '/^[A-Za-z0-9._%-]+#[A-Za-z0-9.-]+\.[A-Za-z]{2,4}$/';
if(!preg_match($email_exp,$email_from)) {
$error_message .= 'The Email Address you entered does not appear to be valid.<br />';
}
$string_exp = "/^[A-Za-z .'-]+$/";
if(!preg_match($string_exp,$first_name)) {
$error_message .= 'The First Name you entered does not appear to be valid.<br />';
}
if(!preg_match($string_exp,$last_name)) {
$error_message .= 'The Last Name you entered does not appear to be valid.<br />';
}
if(strlen($comments) < 2) {
$error_message .= 'The Comments you entered do not appear to be valid.<br />';
}
if(strlen($error_message) > 0) {
died($error_message);
}
$email_message = "Form details below.\n\n";
function clean_string($string) {
$bad = array("content-type","bcc:","to:","cc:","href");
return str_replace($bad,"",$string);
}
$email_message .= "First Name: ".clean_string($first_name)."\n";
$email_message .= "Last Name: ".clean_string($last_name)."\n";
$email_message .= "Email: ".clean_string($email_from)."\n";
$email_message .= "Telephone: ".clean_string($telephone)."\n";
$email_message .= "Comments: ".clean_string($comments)."\n";
// create email headers
$headers = 'From: '.$email_from."\r\n".
'Reply-To: '.$email_from."\r\n" .
'X-Mailer: PHP/' . phpversion();
#mail($email_to, $email_subject, $email_message, $headers);
?>
<!-- include your own success html here -->
Thank you for contacting us. We will be in touch with you very soon.
<?php
}
?>
If you need to see this tutorial in it's entirety, it's located here:http://www.freecontactform.com/email_form.php
In order to make a custom form it is pretty easy to edit the html and related php elements, but if you don't know any php, etc. I'd just stick to the premade forms.

Submitting Form Not Displaying Variables

When I submit my form an email is sent to my email address with details entered in the form but when I recieve the email the data is blank here is my code
<?php
$form = '<form action="test2.php" method="POST">
<table width="300" style="border: 1px solid black;">
<tr>
<td>Name <td><input type="text" id="name">
<tr>
<td>Phone Number <td><input type="text" id="telephone">
<tr>
<td colspan="2">
<input type="submit" name="submit" value="submit"/></div>
</tr>
</table>';
echo $form;
$to = 'redacted#redacted.redacted';
$name = $_POST['name'];
$telephone = $_POST['telephone'];
$body = "<div>Name: $name <br>Telephone Number: $telephone<br></div>";
// subject
$subject = 'Call Back Requested';
// message
$message = $body;
// To send HTML mail, the Content-type header must be set
$headers = 'MIME-Version: 1.0' . "\r\n";
$headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n";
// Additional headers
$headers .= 'To:' . "\r\n";
$headers .= 'From: Call Back Request <contact-us-form#yellowgrid.co.uk>' . "\r\n";
if(isset($_POST['submit'])){
mail($to, $subject, $message, $headers);
}
?>
The problem is when I submit the form the I recieve an email that says
Name (Nothing)
Phone Number (Nothing)
Can anyone tell me where I am going wrong
Thanks In Advance
Adam
You have to specify the name attribute for your inputs:
<input type="text" id="name" name="name">
<input type="text" id="telephone" name="telephone">
instead of
<input type="text" id="name">
<input type="text" id="telephone">
Just after a quick look you should swap your $body to read
$body = '<div>Name: ' . $name . '<br>Telephone Number: ' . $telephone . '<br></div>';
Try that out and see if it works
you have alot of mistakes in closing tags .. and its bad practice to display a whole html form using echo .. check out this code:
<?php
extract($_POST);
if ( isset($submit) )
{
$to = 'adam.albison#yellowgrid.co.uk';
$body = "<div>Name: $name <br>Telephone Number: $telephone<br></div>";
$subject = 'Call Back Requested';
$message = $body;
$headers = 'MIME-Version: 1.0' . "\r\n";
$headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n";
$headers .= 'To:' . "\r\n";
$headers .= 'From: Call Back Request <contact-us-form#yellowgrid.co.uk>' . "\r\n";
mail($to, $subject, $message, $headers);
}
?>
<html>
<form action="test2.php" method="POST">
<table width="300" style="border: 1px solid black;">
<tr>
<td>Name </td>
<td> <input type="text" id="name" name="name" /> </td>
</tr>
<tr>
<td>Phone Number </td>
<td> <input type="text" id="telephone" name="telephone" /> </td>
</tr>
<tr>
<td colspan="2"> <input type="submit" name="submit" value="submit"/> </td>
</tr>
</form>
</html>