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Submit Form (Help Required)

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kamilkb

Established Member
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Hi there,

I want that the following submit form work and the user can send the information and the attached files to this email address [email protected]

http://www.transcriptiondynamics.com/Free.html

Would anyone help me that how this form will work accurately?

I will be really thankful for any help in this matter.
Regards
 
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Ask your host if they provide a form to email script.
 
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you need to use a form to post something into other page something like this:
Code:
<form action="uploaded.php" method="POST" enctype="multipart/form-data">

<table style="width: 50%">
	<tr>
		<td><font face="Verdana" size="2">Name:<br />
		</font><font face="Verdana" size="1">(Required)</font></td>
		<td><input name="Text1" type="text" style="width: 177px" /></td>
	</tr>
	<tr>
		<td><font face="Verdana" size="2">Email:<br />
		</font><font face="Verdana" size="1">(Required)</font></td>
		<td><input name="Text2" type="text" style="width: 177px" /></td>
	</tr>
	<tr>
		<td><font face="Verdana" size="2">Phone:<br />
		</font><font face="Verdana" size="1">(Required)</font></td>
		<td><input name="Text3" type="text" style="width: 177px" /></td>
	</tr>
	<tr>
		<td><font face="Verdana" size="2">Fax:</font></td>
		<td><input name="Text4" type="text" style="width: 177px" /></td>
	</tr>
	<tr>
		<td><font face="Verdana" size="2">Medical specialty</font></td>
		<td><input name="Text6" type="text" style="width: 177px" /></td>
	</tr>
	<tr>
		<td><font face="Verdana" size="2">No. of doctors in practice</font></td>
		<td><input name="Text7" type="text" style="width: 177px" /></td>
	</tr>
	<tr>
		<td><font face="Verdana" size="2">Medical specialty</font></td>
		<td><input name="File1" type="file" /></td>
	</tr>
</table>

</form>
 
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