Loougle

That would work, basically I have a contract and this contact form is like an online verification/online submittal of the contract. What we want is the Print Name and Title to auto-populate on a pdf in those fields. Storing the values on a database and using a pdf generator would work perfectly actually. Do I need a program or where should I start for that?

I have read around and can't seem to find the right coding for what I need on this forum and some other other forums. I have a contact form (as listed below) and I need 2 locations (Print Name and Title) fields to auto-populate on a separate form (can be a doc, pdf, etc. any form of document which is easiest) and this form can be totally back end and the individual using the form never is going to see the form. It's going on a contract form, that we would like to auto-populate. Also is there a simple attachment code so individuals can attach documents to the code? <p style: align="center"><form action="mailtest.php" method="POST"> <?php $ipi = getenv("REMOTE_ADDR"); $httprefi = getenv ("HTTP_REFERER"); $httpagenti = getenv ("HTTP_USER_AGENT"); ?> <input type="hidden" name="ip" value="<?php echo $ipi ?>" /> <input type="hidden" name="httpref" value="<?php echo $httprefi ?>" /> <input type="hidden" name="httpagent" value="<?php echo $httpagenti ?>" /> <div align="center"> <p class="style1">Name</p> <input type="text" name="name"> <p class="style1">Address</p> <input type="text" name="address"> <p class="style1">Email</p> <input type="text" name="email"> <p class="style1">Phone</p> <input type="text" name="phone"> <p class="style1">Debtor</p> <input type="text" name="debtor"> <p class="style1">Debtor Address</p> <input type="text" name="debtora"> <br /> <br /> <a href="authoforms.php" target="_blank" style="color:#ffcb00" vlink="#ffcb00">Click here to view Assignment Agreement and Contract Agreement</a> <p class="style1"><input type='checkbox' name='chk' value='I Have read and Agree to the terms.'> I have read and agree to the Assignment and Contract Agreement <br></p> <p class="style1">Print Name</p> <input type="text" name="pname"> <p class="style1">Title</p> <input type="text" name="title"> <p class="style1">I hear by agree that the information I have provided is true, accurate and the information I am submitting is <br /> not fraudulent. Please click the agree button that you adhere to Commercial Recovery Authority Inc.'s terms:</p> <select name="agree" size="1"> <option value="Agree">Agree</option> <option value="Disagree">Disagree</option> </select> <br /> <br /> <p class="style1">Employee ID:</p> <input type="text" name="employee"> <br /> <input type="submit" value="Send"><input type="reset" value="Clear"> </div> </form> </p> The mailtest php is this ?php $ip = $_POST['ip']; $httpref = $_POST['httpref']; $httpagent = $_POST['httpagent']; $name = $_POST['name']; $address = $_POST['address']; $email = $_POST['email']; $phone = $_POST['phone']; $debtor = $_POST['debtor']; $debtora = $_POST['debtora']; $value = $_POST['chk']; $pname = $_POST['pname']; $title = $_POST['title']; $agree = $_POST['agree']; $employee = $_POST['employee']; $formcontent=" From: $name \n Address: $address \n Email: $email \n Phone: $phone \n Debtor: $debtor \n Debtor's Address: $debtora \n 'Client' has read Assignment and Contract Agreement: $value \n Print Name: $pname \n Title: $title \n I hear by agree that the information I have provided is true, accurate and the information I am submitting is not fraudulent. Please click the agree button that you adhere to Commercial Recovery Authority Inc.'s terms: $agree \n \n Employee ID: $employee \n IP: $ip"; $recipient = "[email protected]"; $subject = "Online Authorization Form 33.3%"; $mailheader = "From: $email \r\n"; mail($recipient, $subject, $formcontent, $mailheader) or die("Error!"); echo "Thank You!" . " -" . "<a href='index.php' style='text-decoration:none;color:#ffcb00;'> Return Home</a>"; $ip = $_POST['visitoraddress'] ?>

Worked like a charm thank you very much.

I have been reading all day on this, and yet I still am not getting it correct. I have read a handful of posts on here and other places and i'm about to pull my hair out, I finally made everything and it's working I just need the IP address to display when they submit their contact information. <p style: align="center"><form action="mail.php" method="POST"> <?php $ipi = getenv("REMOTE_ADDR"); $httprefi = getenv ("HTTP_REFERER"); $httpagenti = getenv ("HTTP_USER_AGENT"); ?> <input type="hidden" name="ip" value="<?php echo $ipi ?>" /> <input type="hidden" name="httpref" value="<?php echo $httprefi ?>" /> <input type="hidden" name="httpagent" value="<?php echo $httpagenti ?>" /> <div align="center"> <p class="style1">Name</p> <input type="text" name="name"> <p class="style1">Email</p> <input type="text" name="email"> <p class="style1">Phone</p> <input type="text" name="phone"> <p class="style1">Debtor</p> <input type="text" name="debtor"> <br /> <br /> <p class="style1">I hear by agree that the information I have provided is true, accurate and the information I am submitting is <br /> not fraudulent. Please click the agree button that you adhere to Commercial Recovery Authority Inc.'s terms:</p> <select name="agree" size="1"> <option value="Agree">Agree</option> <option value="Disagree">Disagree</option> </select> <br /> <br /> <p class="style1">Employee ID:</p> <input type="text" name="employee"> <br /> <input type="submit" value="Send"><input type="reset" value="Clear"> </div> </form> and then the mail.php form is <?php $ip = $_POST['ip']; $httpref = $_POST['httpref']; $httpagent = $_POST['httpagent']; $name = $_POST['name']; $email = $_POST['email']; $phone = $_POST['phone']; $debtor = $_POST['debtor']; $agree = $_POST['agree']; $employee = $_POST['employee']; $formcontent=" From: $name \n Email: $email \n Phone: $phone \n Debtor: $debtor \n I hear by agree that the information I have provided is true, accurate and the information I am submitting is not fraudulent. Please click the agree button that you adhere to Commercial Recovery Authority Inc.'s terms: $agree \n Employee ID: $employee \n IP: $ip"; $recipient = "[email protected]"; $subject = "Online Authorization Form"; $mailheader = "From: $email \r\n"; mail($recipient, $subject, $formcontent, $mailheader) or die("Error!"); echo "Thank You!" . " -" . "<a href='index.php' style='text-decoration:none;color:#ffcb00;'> Return Home</a>"; $ip = $_POST['visitoraddress'] ?> I need help