Okay, the following php form is "somewhat" working. .I am not receiving all of the variables to my inbox.
This is the current form that i'm working on.
http://www.rodriguezstudios.com/pcr/schedule.php
The following fields are the ones are not passing through.
The Drop Down Menu: am, pm, the all day
Video
Case Option:
Additional Requests:
Firm Physical Address:
Fax No:
Here is the code
<?php
function displayRequired($fieldName) {
echo " \".$fieldName\"is required.<br />n";
}
function validateInput($data, $fieldName){
global $errorCount;
if (empty($data)){
displayRequired($fieldName);
++$errorCount;
$retval = "";
} else {
$retval = trim($data);
$retval = stripslashes($retval);
}
return ($retval);
}
$Deposition = validateInput(safe($_POST['deposition']), "Deposition");
$Time = validateInput(safe($_POST['time']), "Time");
$Delivery = validateInput(safe($_POST['delivery']), "Delivery");
$Witness = validateInput(safe($_POST['witness']), "Witness");
$Location = validateInput(safe($_POST['location']), "Location");
$Attorney = validateInput(safe($_POST['attorney']), "Attorney");
$Name = validateInput(safe($_POST['name']), "First Name");
$Firm = validateInput(safe($_POST['firm']), "Firm Name");
$Phone = validateInput(safe($_POST['phone']), "Phone");
$Email = validateInput(safe($_POST['email']), "Email");
if ($errorCount>0){
echo "Please re-enter the information below.<br />\n";
redisplayForm($Deposition, $Time , $Ampm, $Timeday, $Delivery, $Video, $Co1, $Co2, $Witness, $Location, $Additional, $Attorney, $Name, $Firm, $Address, $Phone, $Fax, $Email);
}
else
{
$To = "
[email protected]";
$Subject = "The test";
$From = "Schedule a Deposition - Professional Court Reporters";
$Message .= "Deposition Date: " . $Deposition . "\n";
$Message .= "Time: " . $Time . $Ampm. $Timeday . "\n\n";
$Message .= "Transcript Delivery: " . $Delivery . "\n\n\n";
$Message .= "Video: " . $Video . "\n\n\n\n";
$Message .= "Case Option: " . $Co1. "vs: " . $Co2 . "\n\n\n\n\n";
$Message .= "Witness: " . $Witness . "\n\n\n\n\n\n";
$Message .= "Location: " . $Location . "\n\n\n\n\n\n\n";
$Message .= "Additional Requests: " . $Additional. "\n\n\n\n\n\n\n\n";
$Message .= "Attorney Name: " . $Attorney . "\n\n\n\n\n\n\n\n\n";
$Message .= "Your Name: " . $Name . "\n\n\n\n\n\n\n\n\n\n";
$Message .= "Firm Name: " . $Firm. "\n\n\n\n\n\n\n\n\n\n\n";
$Message .= "Firm Physical Address: " . $Address . "\n\n\n\n\n\n\n\n\n\n\n\n";
$Message .= "Phone No: " . $Phone . "\n\n\n\n\n\n\n\n\n\n\n\n\n";
$Message .= "Fax No: " . $Fax. "\n\n\n\n\n\n\n\n\n\n\n\n\n\n";
$Message .= "Email: " . $Email . "\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n";
$Headers = "From: ". $From . "<" . $To. ">\r\n";
$Headers .= "Reply-To: " . $Email . "\r\n";
$Headers .= "Return-path: ". $Email;
$result = mail($To, $Subject, $Message, $Headers);
if ($result)
$resultMsg = "You message was sucessfully sent.";
else
$resultMsg = "There was a problem sending your message.";
/*insert anti spam fragement here */
?>
<p style="line-height:200%; text-align:center; font-family:Verdana, Geneva, sans-serif; color:#000000">Your deposition has been scheduled<?php
if(!empty($fieldName)) {
echo " , {$fieldName}. {$resultMsg}";
}
echo "</p>";
}
?>
<?php
function redisplayForm($Deposition, $Time , $Ampm, $Timeday, $Delivery, $Video, $Co1, $Co2, $Witness, $Location, $Additional, $Attorney, $Name, $Firm, $Address, $Phone, $Fax, $Email){
?>
<form action="" method="POST">
<fieldset class="first">
<fieldset class="first">
<p>
<label class="labelone"for="deposition">*Deposition Date:</label>
<input type="text" id="datepicker" name="deposition" value="<?php echo $Deposition; ?>" />
</p>
<p>
<label for="*Time:" name="time">*Time: </label>
<input type="text" name="time" value="<?php echo $Time; ?>">
<select name="ampm" id="Ampm">
<option value="am">A.M.</option>
<option value="pm">P.M.</option>
</select>
<select name="timeday" id="Timeday">
<option value="all">All Day</option>
<option value="half">Half Day</option>
<option value="hours">1-2 hrs</option>
</select>
</p>
<p>
<label for="*Transcript Delivery:" name="transcript"/>
*Transcript Delivery:</label>
<select>
<option value="regular">Regular Delivery (10 day)</option>
<option value="same">Same Day</option>
<option value="1day">1 Day</option>
<option value="2day">2 Day</option>
<option value="3day">3 Day</option>
<option value="4day">4 Day</option>
<option value="5day">5 Day</option>
</select>
</p>
<p>
<label for="*Video" name="video">*Video:</label>
<select name="video" id="video">
<option value="yes">Yes</option>
<option value="no">No</option>
</select>
</label>
</p>
<p>
<label for ="caseoption">Case Option:</label>
<input type="text" name="co1" value="<?php echo $Co1; ?>"/>
vs.
<input type="text" name="co2" value="<?php echo $Co2; ?>" />
</p>
<p>
<label for ="witness">*Witness:</label>
<input type="text" name="witness" value="<?php echo $Witness; ?>" />
</p>
</fieldset>
<fieldset>
<legend>LOCATION OF DEPOSITION, TELEPHONE NUMBER, AND NAME OF CONTACT PERSON:</legend>
<p>
<label for="location">*Location:</label>
<textarea name="location" id="Location" value="<?php echo $Location; ?>"></textarea>
</p>
<p>
<label for="additional">Addtional Requests (i.e. Realtime):</label>
<input type="text" name="additional" value="<?php echo $Additional; ?>" />
</p>
<p>
<label for ="attorney">*Attorney Name:</label>
<input type="text" name="attorney" value="<?php echo $Attorney; ?>" />
<p>
<label for ="name">*Your Name:</label>
<input type="text" name="name" value="<?php echo $Name; ?>" />
</p>
<label for ="firm">*Firm Name:</label>
<input type="text" name="firm" value="<?php echo $Firm; ?>" />
</p>
<p>
<label for ="firmaddress">Firm's Physical Address:</label>
<input type="text" name="address" value="<?php echo $Address; ?>" />
</p>
<p>
<label for ="phone">*Phone No:</label>
<input type="text" name="phone" value="<?php echo $Phone; ?>"/>
</p>
<p>
<label for ="fax">Fax No:</label>
<input type="text" name="fax" value="<?php echo $Fax; ?>"/>
</p>
<p>
<label for ="email">*Email:</label>
<input type="text" name="email" value="<?php echo $Email; ?>" />
</p>
</fieldset>
<fieldset>
<input class="btn" name="submit" type="submit" value="Send Email"/>
<input class="btn" name="reset" type="reset" value="Clear Form" />
</fieldset>
</form>
<?php
}
?>
<?php
function safe($string)
{
$pattern = "/\r|\n|\%0a|\%0d|Content\-Type:|bcc:|to:|cc:/i";
return preg_replace($pattern, '', $string);
}
?>
The extra pair of eyes would be greatly appreciated!
