Email Submission Form

 <?
/*
    CHFEEDBACK.PHP Feedback Form PHP Script Ver 2.01.


    $Id: phpscript.txt 1.1 2003/04/17 11:53:45 chris Exp $


*/

// ------------- CONFIGURABLE SECTION ------------------------


$mailto = 'your@address.com' ;

$subject = "THE SUBJECT YOU WANT IN YOUR EMAIL" ;


$formurl = "http://yourURL.com/contact.php" ;
$errorurl = "http://YourURL.com/error.php" ;
$thankyouurl = "http://YourURL.com/thankyou.php" ;

// -------------------- END OF CONFIGURABLE SECTION ---------------

$name = $_POST['name'] ;
$email = $_POST['email'] ;
$comments = $_POST['comments'] ;
$http_referrer = getenv( "HTTP_REFERER" );

if (!isset($_POST['email'])) {
	header( "Location: $formurl" );
	exit ;
}
if (empty($name) || empty($email) || empty($comments)) {
   header( "Location: $errorurl" );
   exit ;
}

$messageproper =

	"This message was sent from:\n" .
	"$http_referrer\n" .
	"------------------------- COMMENTS -------------------------\n\n" .
	$comments .
	"\n\n------------------------------------------------------------\n" ;

mail($mailto, $subject, $messageproper, "From: \"$name\" <$email>\nReply-To: \"$name\" <$email>\nX-Mailer: chfeedback.php 2.01" );
header( "Location: $thankyouurl" );
exit ;

?>

 <form action="feedback.php" method="post">
          <table width="209" border="0" align="center" cellpadding="0" cellspacing="0">
            <tr> 
              <td width="88">Name:</td>
              <td width="121"><input type="text" name="name" size="34" /></td>
            </tr>
            <tr> 
              <td>Email:</td>
              <td><input type="text" name="email" size="34" /></td>
            </tr>
            <tr> 
              <td>comments:</td>
              <td><textarea cols="36" name="comments"></textarea></td>
            </tr>
            <tr> 
              <td colspan="2"><div align="center"> 
                  <input type="submit" value="Send" />
                  
                </div></td>
            </tr>
          </table>
        </form>