phpretard Posted August 5, 2008 Share Posted August 5, 2008 My email send all the inflrmation only in text not html. <? session_start(); if (isset($_POST['SendOrder_y'])){ $CopyMe=$_POST['SendCopy']; $to = "me@me.com"; $to1 = $CopyMe; $subject = "Order Form"; $headers = "From:".$_SESSION['email']."\r\n"; $headers .= "MIME-Version: 1.0\r\n" . "Content-Type: text/html; charset=\"iso-8859-1\"\r\n" . "Content-Transfer-Encoding: 7bit\r\n"; ob_start(); // start buffer include ("orderSendEmail.php"); $message = ob_get_contents(); // assign buffer contents to variable ob_end_clean(); // end buffer and remove buffer contents mail($to, $subject, $message, $headers); echo"SENT"; } ?> I am not going to post the whole email but this should give you an Idea of my trouble today. Below is what actually shows up in the email. Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Nonspam: None <html> <head> <meta http-equiv="Content-Type" content="text/html; charset=windows-1252"> <link href="email.css" rel="stylesheet" type="text/css" /> <title>FHS Appraiser Source</title> </head> <body> <table border=0 width=100%><tr> <td><b><font face=verdana>APPRAISAL ORDER REQUEST FORM</font></b></td> <td -------- AND SO ON... Any help today? Quote Link to comment Share on other sites More sharing options...
DeanWhitehouse Posted August 5, 2008 Share Posted August 5, 2008 where are you setting $message Quote Link to comment Share on other sites More sharing options...
dezkit Posted August 5, 2008 Share Posted August 5, 2008 change $headers .= "MIME-Version: 1.0\r\n" . "Content-Type: text/html; charset=\"iso-8859-1\"\r\n" . "Content-Transfer-Encoding: 7bit\r\n"; to $headers = "From:".$_SESSION['email']."\r\n"; $headers .= "MIME-Version: 1.0\r\n"; $headers .= "Content-Type: text/html; charset=\"iso-8859-1\"\r\n"; $headers .= "Content-Transfer-Encoding: 7bit\r\n"; Quote Link to comment Share on other sites More sharing options...
phpretard Posted August 5, 2008 Author Share Posted August 5, 2008 I changed the headers and that didn't work???? This is the first line that shows in the email. >>> Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Nonspam: None Then thier are several breaks and then the written html Do you think that has something to with it? Quote Link to comment Share on other sites More sharing options...
DeanWhitehouse Posted August 5, 2008 Share Posted August 5, 2008 where are you setting $message Quote Link to comment Share on other sites More sharing options...
DarkPrince2005 Posted August 5, 2008 Share Posted August 5, 2008 try using phpmailer Quote Link to comment Share on other sites More sharing options...
phpretard Posted August 5, 2008 Author Share Posted August 5, 2008 Could it be an .ini problem. I am using the exact same script on a different server. Quote Link to comment Share on other sites More sharing options...
DeanWhitehouse Posted August 5, 2008 Share Posted August 5, 2008 try using phpmailer or you could just show us the $message , and then we can solve this Quote Link to comment Share on other sites More sharing options...
phpretard Posted August 5, 2008 Author Share Posted August 5, 2008 Message as requested. <? session_start(); echo" <html> <head> <style> #orderTitle{ font-weight:bold; font-size:14px; color:#006000; border-bottom:#000080 solid 2px; font-family:verdana; } #orderLable{ font-size:12px; padding:3px; font-family:verdana; } </style> <head> <body> <table border=0 width=100%> <form action='orderSubmitEmail.php' method=post> <tr> <td><b><font face=verdana>APPRAISAL ORDER REQUEST FORM</font></b></td> <td id=orderLable align=right><input type=checkbox name='SendCopy' value='".$_SESSION['email']."'> Send Me A Copy</td> </tr> </table> <div id=orderRequestForm style='width:678px; height:296px; overflow:auto; margin-bottom:10px;'> <table border=0 width=100%> <tr> <td colspan=2><div id=orderTitle>Company / Contact information</div></td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td id='orderLable' width=25%>Business:</td> <td width=75% id='orderLable'>".$_SESSION['yourBusiness']."</td> </tr> <tr> <td id='orderLable' width=25%>Company:</td> <td width=75% id='orderLable'>".$_SESSION['companyName']."</td> </tr> <tr> <td id='orderLable' width=25%>Contact Person:</td> <td width=75% id='orderLable'>".$_SESSION['contactPersonFirst']." ".$_SESSION['contactPersonLast']."</td> </tr> <tr> <td id='orderLable' width=25%>Phone:</td> <td width=75% id='orderLable'>(".$_SESSION['phone1'].") ".$_SESSION['phone2']."-".$_SESSION['phone3']."</td> </tr> <tr> <td id='orderLable' width=25%>Alternate Phone:</td> <td width=75% id='orderLable'>(".$_SESSION['altphone1'].") ".$_SESSION['altphone2']."-".$_SESSION['altphone3']."</td> </tr> <tr> <td id='orderLable' width=25%>Fax Number:</td> <td width=75% id='orderLable'>(".$_SESSION['fax1'].") ".$_SESSION['fax2']."-".$_SESSION['fax3']."</td> </tr> <tr> <td id='orderLable' width=25%>Email:</td> <td width=75% id='orderLable'>".$_SESSION['email']."</td> </tr> <tr> <td id='orderLable' width=25% valign=top>Address:</td> <td width=75% id='orderLable'>".$_SESSION['contactaddress']."<br>".$_SESSION['contactcity'].", ".$_SESSION['contactstate']." ".$_SESSION['contactzip']."</td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td colspan=2><div id=orderTitle>Inspection And Property Access Information</div></td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td id='orderLable' width=25%>Property Type:</td> <td width=75% id='orderLable'>".$_SESSION['service']."</td> </tr> <tr> <td id='orderLable' width=25%>Property Address:</td> <td width=75% id='orderLable'>".$_SESSION['prop_address']."<br>".$_SESSION['prop_city'].", ".$_SESSION['prop_state']." ".$_SESSION['prop_zip']."</td> </tr> <tr> <td id='orderLable' width=25%>Contact:</td> <td width=75% id='orderLable'>".$_SESSION['contactForInspection']." </td> </tr> <tr> <td id='orderLable' width=25%>Contact Name:</td> <td width=75% id='orderLable'>".$_SESSION['inspContactPersonFirst']." ".$_SESSION['inspContactPersonLast']."</td> </tr> <tr> <td id='orderLable' width=25%>Contact Phone Number:</td> <td width=75% id='orderLable'>(".$_SESSION['inspPhone1'].") ".$_SESSION['inspPhone2']."-".$_SESSION['inspPhone3']."</td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td colspan=2><div id=orderTitle>Appraisal Detials</div></td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td id='orderLable' width=25%>Purpose:</td> <td width=75% id='orderLable'>".$_SESSION['purpose']."</td> </tr> <tr> <td id='orderLable' width=25%>Sale Price:</td> <td width=75% id='orderLable'>".$_SESSION['salePrice']."</td> </tr> <tr> <td id='orderLable' width=25%>Report Type:</td> <td width=75% id='orderLable'>".$_SESSION['reportType']."</td> </tr> <tr> <td id='orderLable' width=25%>FHA:</td> <td width=75% id='orderLable'>".$_SESSION['fha']."</td> </tr> <tr> <td id='orderLable' width=25%>Occupancy:</td> <td width=75% id='orderLable'>".$_SESSION['occupancy']."</td> </tr> <tr> <td id='orderLable' width=25% valign=top>Comments:</td> <td width=75% id='orderLable'>".$_SESSION['explainPurpose']."</td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td id='orderLable' colspan=2 align=right>Brought to you by: <img border=0 src='logoSMALL.gif' border=0></td> </tr> </table> </div> <table border=0 width='100%'> <tr> <td align=left><a href='contact.php'><img src='orderEdit.gif' border=0></a></td> <td align=right><input type=image name='SendOrder' src='orderSend.gif'></td> </tr> </form> </table> <body> </html> "; ?> Thank you for your help in this. Quote Link to comment Share on other sites More sharing options...
DeanWhitehouse Posted August 5, 2008 Share Posted August 5, 2008 You arnt storing this to a var Quote Link to comment Share on other sites More sharing options...
phpretard Posted August 5, 2008 Author Share Posted August 5, 2008 Would that make a difference in the email that was sent? Quote Link to comment Share on other sites More sharing options...
phpretard Posted August 5, 2008 Author Share Posted August 5, 2008 I am asking because the information from the sessions is showing up in the email Quote Link to comment Share on other sites More sharing options...
DeanWhitehouse Posted August 5, 2008 Share Posted August 5, 2008 are you storing the message in this var $message?? mail($to, $subject, $message, $headers); Quote Link to comment Share on other sites More sharing options...
phpretard Posted August 5, 2008 Author Share Posted August 5, 2008 $message (i think) is the whole page "orderSendEmail.php". My email Outlook is not reading this as html but as text. It isn't an Outlook setting I get Html email all day. Quote Link to comment Share on other sites More sharing options...
DeanWhitehouse Posted August 5, 2008 Share Posted August 5, 2008 ok, can you show orderSendEmail.php and the page that sends the mail. Quote Link to comment Share on other sites More sharing options...
phpretard Posted August 5, 2008 Author Share Posted August 5, 2008 It's my first post Quote Link to comment Share on other sites More sharing options...
DeanWhitehouse Posted August 5, 2008 Share Posted August 5, 2008 Ok, then you havent defiend a message , as far as i can tell. Quote Link to comment Share on other sites More sharing options...
phpretard Posted August 5, 2008 Author Share Posted August 5, 2008 I have a message because this is what comes to my inbox once submitted: Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Nonspam: None <html> <head> <meta http-equiv="Content-Type" content="text/html; charset=windows-1252"> <style> #orderTitle{ font-weight:bold; font-size:14px; color:#006000; border-bottom:#000080 solid 2px; font-family:verdana; } #orderLable{ font-size:12px; padding:3px; font-family:verdana; } </style> <head> <body> <table border=0 width=100%> <tr> <td><b><font face=verdana>APPRAISAL ORDER REQUEST FORM</font></b></td> <td id=orderLable align=right><input type=checkbox name='SendCopy' value='".$_SESSION['email']."'> Send Me A Copy</td> </tr> </table> <div id=orderRequestForm style='width:678px; height:296px; overflow:auto; margin-bottom:10px;'> <table border=0 width=100%> <tr> <td colspan=2><div id=orderTitle>Company / Contact information</div></td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td id='orderLable' width=25%>Business:</td> <td width=75% id='orderLable'>".$_SESSION['yourBusiness']."</td> </tr> <tr> <td id='orderLable' width=25%>Company:</td> <td width=75% id='orderLable'>".$_SESSION['companyName']."</td> </tr> <tr> <td id='orderLable' width=25%>Contact Person:</td> <td width=75% id='orderLable'>".$_SESSION['contactPersonFirst']." ".$_SESSION['contactPersonLast']."</td> </tr> <tr> <td id='orderLable' width=25%>Phone:</td> <td width=75% id='orderLable'>(".$_SESSION['phone1'].") ".$_SESSION['phone2']."-".$_SESSION['phone3']."</td> </tr> <tr> <td id='orderLable' width=25%>Alternate Phone:</td> <td width=75% id='orderLable'>(".$_SESSION['altphone1'].") ".$_SESSION['altphone2']."-".$_SESSION['altphone3']."</td> </tr> <tr> <td id='orderLable' width=25%>Fax Number:</td> <td width=75% id='orderLable'>(".$_SESSION['fax1'].") ".$_SESSION['fax2']."-".$_SESSION['fax3']."</td> </tr> <tr> <td id='orderLable' width=25%>Email:</td> <td width=75% id='orderLable'>".$_SESSION['email']."</td> </tr> <tr> <td id='orderLable' width=25% valign=top>Address:</td> <td width=75% id='orderLable'>".$_SESSION['contactaddress']."<br>".$_SESSION['contactcity'].", ".$_SESSION['contactstate']." ".$_SESSION['contactzip']."</td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td colspan=2><div id=orderTitle>Inspection And Property Access Information</div></td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td id='orderLable' width=25%>Property Type:</td> <td width=75% id='orderLable'>".$_SESSION['service']."</td> </tr> <tr> <td id='orderLable' width=25%>Property Address:</td> <td width=75% id='orderLable'>".$_SESSION['prop_address']."<br>".$_SESSION['prop_city'].", ".$_SESSION['prop_state']." ".$_SESSION['prop_zip']."</td> </tr> <tr> <td id='orderLable' width=25%>Contact:</td> <td width=75% id='orderLable'>".$_SESSION['contactForInspection']." </td> </tr> <tr> <td id='orderLable' width=25%>Contact Name:</td> <td width=75% id='orderLable'>".$_SESSION['inspContactPersonFirst']." ".$_SESSION['inspContactPersonLast']."</td> </tr> <tr> <td id='orderLable' width=25%>Contact Phone Number:</td> <td width=75% id='orderLable'>(".$_SESSION['inspPhone1'].") ".$_SESSION['inspPhone2']."-".$_SESSION['inspPhone3']."</td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td colspan=2><div id=orderTitle>Appraisal Detials</div></td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td id='orderLable' width=25%>Purpose:</td> <td width=75% id='orderLable'>".$_SESSION['purpose']."</td> </tr> <tr> <td id='orderLable' width=25%>Sale Price:</td> <td width=75% id='orderLable'>".$_SESSION['salePrice']."</td> </tr> <tr> <td id='orderLable' width=25%>Report Type:</td> <td width=75% id='orderLable'>".$_SESSION['reportType']."</td> </tr> <tr> <td id='orderLable' width=25%>FHA:</td> <td width=75% id='orderLable'>".$_SESSION['fha']."</td> </tr> <tr> <td id='orderLable' width=25%>Occupancy:</td> <td width=75% id='orderLable'>".$_SESSION['occupancy']."</td> </tr> <tr> <td id='orderLable' width=25% valign=top>Comments:</td> <td width=75% id='orderLable'>".$_SESSION['explainPurpose']."</td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td width=25%> </td> <td width=75%> </td> </tr> <tr> <td id='orderLable' colspan=2 align=right>Brought to you by: <img border=0 src='logoSMALL.gif' border=0></td> </tr> </table> </div> <table border=0 width='100%'> <tr> <td align=left><a href='contact.php'><img src='orderEdit.gif' border=0></a></td> <td align=right><input type=image name='SendOrder' src='orderSend.gif'></td> </tr> </table> <body> </html> Except where you see ".$_SESSION['whatever']." the actual value is there. Quote Link to comment Share on other sites More sharing options...
phpretard Posted August 5, 2008 Author Share Posted August 5, 2008 Could it possibly be a server setting? Quote Link to comment Share on other sites More sharing options...
DarkPrince2005 Posted August 6, 2008 Share Posted August 6, 2008 Okay let's try and solve your problem.... Firstly make sure you have the following class files in the root directory of your webpage directory: 1.class.phpmailer.php 2.class.pop3.php 3.class.smtp.php then the following code is an example of a form that when submitted will forward to the second page which will send the email and then forward it to another third page which only displays a message saying the message was sent succesfully or a fourth saying that the message sending has failed. Form: au pair.html <html> <head> <title></title> <script language="JavaScript" type="text/JavaScript"> <!--//hide script function checkme() { missinginfo = ""; if (!document.form.agree.checked) { missinginfo += "Please be sure to certify that all provided information is accurate and correct."; } if (missinginfo != "") { ""; alert(missinginfo); return false; } else { return true; } } // ---> </script> <style> td{font-family:"arial"; font-size:"10pt"; color:"#DE9221"; } </style> </head> <body topmargin="0" bottommargin="0" leftmargin="0" rightmargin="0" background="body-back.jpg"> <center> <table cellpadding="0" cellspacing="0" border="0" height="100%"> <tr> <td colspan="2" background="top2.jpg" width="807" height="156"> </td> </tr> <tr> <td background="main2.jpg" width="807" valign="top"> <center><table width="780"><tr><td><br><h4>Au Pair Application Form</h4></center> <form name="form" method="post" action="au pair.php" onSubmit="return checkme();"> <b><u>General Information</u></b> <table> <tr> <td>First name:</td> <td> </td> <td colspan="4"><input type="text" name="first_name" size="35"></td> </tr> <tr> <td>Last name:</td> <td> </td> <td colspan="4"><input type="text" name="last_name" size="35"></td> </tr> <tr> <td valign="top">Address:</td> <td> </td> <td colspan="4"><textarea cols="20" rows="3" name="addresss"></textarea></td> </tr> <tr> <td>Phone number:</td> <td> </td> <td colspan="4"><input type="text" name="phone_number" size="10"></td> </tr> <tr> <td>Cell phone number:</td> <td> </td> <td colspan="4"><input type="text" name="cell_number" size="10"></td> </tr> <tr> <td>Fax number:</td> <td> </td> <td><input type="text" name="fax" size="10"></td> </tr> <tr> <td>Email address:</td> <td> </td> <td colspan="4"><input type="text" name="email" size="35"></td> </tr> <tr> <td>Sex:</td> <td> </td> <td colspan="4"><input type='radio' name='sex' id='sex' value="Male">Male <input type='radio' name='sex' id='sex' value="Female">Female</td> </tr> <tr> <td>Age:</td> <td> </td> <td><input type="text" name="age" size="5"></td> <td>Birthday:</td> <td> </td> <td><input type="text" name="birthday" size="10"></td> </tr> <tr> <td>City of birth:</td> <td> </td> <td><input type="text" name="birth_city" size="35"></td> <td>Country of birth:</td> <td> </td> <td><input type="text" name="birth_country" size="35"></td> </tr> <tr> <td>Height:</td> <td> </td> <td><input type="text" name="height" size="10"></td> <td>Weight:</td> <td> </td> <td><input type="text" name="weight" size="10"></td> </tr> <tr> <td>Eye colour:</td> <td> </td> <td><input type="text" name="eye_colour" size="10"></td> <td>Hair colour:</td> <td> </td> <td><input type="text" name="hair_colour" size="10"></td> </tr> <tr> <td>Passport number:</td> <td> </td> <td><input type="text" name="passport_number" size="20"></td> <td>Passport expiration date:</td> <td> </td> <td><input type="text" name="passport_date" size="20"></td> </tr> <tr> <td>First available departure date:</td> <td> </td> <td><input type="text" name="departure_date" size="10"></td> <td>Departure Airport:</td> <td> </td> <td><input type="text" name="departure_airport" size="20"></td> </tr> </table><br> <b><u>Education</u></b> <table> <tr> <td>Highest level of education reached:</td> <td> </td> <td colspan="4"><input type="text" name="highest_education" size="35"></td> </tr> <tr> <td>Educational and professional training:</td> <td> </td> <td colspan="4"><input type="text" name="educational_training" size="35"></td> </tr> <tr> <td>Languages spoken:</td> <td> </td> <td colspan="4"><input type="text" name="languages_spoken" size="35"></td> </tr> </table><br> <b><u>Experience in childcare</u></b> <table> <tr> <td align="center">Type of childcare<br>(baby-sitting, au pair, nanny, youth, etc.)</td> <td> </td> <td align="center">Dates<br>From and to</td> <td> </td> <td align="center">Ages of children<br>when started</td> <td> </td> <td align="center">Responsibilities</td> <td> </td> <td align="center">How often<br>(daily, weekly, monthly)</td> <td> </td> <td align="center">Name of<br>reference</td> <td> </td> <td align="center">Phone number<br>of reference</td> </tr> <tr> <td align="center"><input type="text" name="childcare_type" size="20"></td> <td> </td> <td align="center"><input type="text" name="childcare_dates" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_ages" size="5"></td> <td> </td> <td align="center"><input type="text" name="childcare_responsibilities" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_how_often" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_name" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_number" size="10"></td> </tr> <tr> <td align="center"><input type="text" name="childcare_type1" size="20"></td> <td> </td> <td align="center"><input type="text" name="childcare_dates1" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_ages1" size="5"></td> <td> </td> <td align="center"><input type="text" name="childcare_responsibilities1" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_how_often1" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_name1" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_number1" size="10"></td> </tr> <tr> <td align="center"><input type="text" name="childcare_type2" size="20"></td> <td> </td> <td align="center"><input type="text" name="childcare_dates2" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_ages2" size="5"></td> <td> </td> <td align="center"><input type="text" name="childcare_responsibilities2" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_how_often2" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_name2" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_number2" size="10"></td> </tr> <tr> <td align="center"><input type="text" name="childcare_type3" size="20"></td> <td> </td> <td align="center"><input type="text" name="childcare_dates3" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_ages3" size="5"></td> <td> </td> <td align="center"><input type="text" name="childcare_responsibilities3" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_how_often3" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_name3" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_number3" size="10"></td> </tr> <tr> <td align="center"><input type="text" name="childcare_type4" size="20"></td> <td> </td> <td align="center"><input type="text" name="childcare_dates4" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_ages4" size="5"></td> <td> </td> <td align="center"><input type="text" name="childcare_responsibilities4" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_how_often4" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_name4" size="10"></td> <td> </td> <td align="center"><input type="text" name="childcare_reference_number4" size="10"></td> </tr> </table><br> <table width="780"> <tr> <td>Age group preference:</td> <td> </td> <td><input type="text" name="age_preference" size="5"></td> </tr> <tr> <td valign="top">Reason:</td> <td> </td> <td><textarea cols="35" rows="3" name="reasons"></textarea></td> </tr> <tr> <td valign="top">List achievements, talents, and hobbies:</td> <td> </td> <td><textarea cols="50" rows="10" name="achievements"></textarea></td> </tr> </table><br> <table width="780"> <tr> <td>Can you cook?</td> <td><input type="radio" id="cook" name="cook" value="Yes">Yes <input type="radio" id="cook" name="cook" value="No">No</td> <td>Can you swim?</td> <td><input type="radio" id="swim" name="swim" value="Yes">Yes <input type="radio" id="swim" name="swim" value="No">No</td> </tr> <tr> <td valign="top" colspan="2">Are there any pets that you do not<br>want to be placed with?</td> <td> </td> <td colspan="4" valign="top"><input type="text" name="pets" size="35"></td> </tr> <tr> <td valign="top">Reason:</td> <td> </td> <td colspan="4"><textarea cols="35" rows="3" name="pets_reason"></textarea></td> </tr> </table></center><br> <b><u>Driving information</u></b> <table> <tr> <td>Do you have a drivers license?</td> <td> </td> <td><input type="radio" id="drivers_license" name="drivers_license" value="Yes">Yes <input type="radio" id="drivers_license" name="drivers_license" value="No">No</td> </tr> <tr> <td valign="top">When did you receive your drivers license?</td> <td> </td> <td><input type="text" name="drivers_when" size="20"></td> </tr> <tr> <td valign="top">How often do you drive?</td> <td> </td> <td><input type="text" name="drivers_how_often" size="20"></td> </tr> <tr> <td>Do you have your own car?</td> <td> </td> <td><input type="radio" id="drivers_car" name="drivers_car" value="Yes">Yes <input type="radio" id="drivers_car" name="drivers_car" value="No">No</td> </tr> <tr> <td valign="top">How often do you have access to a car?</td> <td> </td> <td><input type="text" name="drivers_access" size="20"></td> </tr> <tr> <td valign="top">How heavy is the traffic that you typically drive in?</td> <td> </td> <td><input type="text" name="drivers_traffic" size="20"></td> </tr> <tr> <td valign="top">What car do you usually drive?</td> <td> </td> <td><input type="text" name="drivers_usual_car" size="20"></td> </tr> <tr> <td valign="top">Do you have any concerns with driving?</td> <td> </td> <td><input type="text" name="drivers_concerns" size="20"></td> </tr> </table><br> <b><u>Family background</u></b> <table> <tr> <td>Fathers name:</td> <td> </td> <td><input type="text" name="fathers_name" size="20"></td> <td>Occupation:</td> <td> </td> <td><input type="text" name="fathers_occupation" size="20"></td> </tr> <tr> <td>Mothers name:</td> <td> </td> <td><input type="text" name="mothers_name" size="20"></td> <td>Occupation:</td> <td> </td> <td><input type="text" name="mothers_occupation" size="20"></td> </tr> <tr> <td valign="top">Address:</td> <td> </td> <td colspan="4"><textarea cols="20" rows="3" name="family_address"></textarea></td> </tr> <tr> <td>Telephone number:</td> <td> </td> <td><input type="text" name="fphone_number" size="20"></td> <td>Cell number:</td> <td> </td> <td><input type="text" name="fcell" size="20"></td> </tr> <tr> <td>Number of children:</td> <td> </td> <td><input type="text" name="no_children" size="5"></td> </tr> <tr> <td>Are they supportive of you<br>becoming an au pair abroad?</td> <td> </td> <td valign="top"><input type="radio" id="supportive" name="supportive" value="Yes">Yes <input type="radio" id="supportive" name="supportive" value="No">No</td> </tr> <tr> <td>Do you have younger siblings?</td> <td> </td> <td><input type="radio" id="siblings" name="siblings" value="Yes">Yes <input type="radio" id="siblings" name="siblings" value="No">No</td> <td>Age:</td> <td> </td> <td><input type="text" name="fage" size="10"></td> </tr> </table><br> <b><u>About you</u></b> <table> <tr> <td>Have you lived away fom home?</td> <td> </td> <td><input type="radio" name="q1" id="q1" value="Yes">Yes <input type="radio" name="q1" id="q1" value="No">No</td> </tr> <tr> <td>Have you lived abroad?</td> <td> </td> <td><input type="radio" name="q2" id="q2" value="Yes">Yes <input type="radio" name="q2" id="q2" value="No">No</td> </tr> <tr> <td>Have you ever travelled out of the country?</td> <td> </td> <td><input type="radio" name="q3" id="q3" value="Yes">Yes <input type="radio" name="q3" id="q3" value="No">No</td> </tr> <tr> <td>Do you have friends and family in South Africa?</td> <td> </td> <td><input type="radio" name="q4" id="q4" value="Yes">Yes <input type="radio" name="q4" id="q4" value="No">No</td> </tr> <tr> <td>Do you drink alcoholic beverages?</td> <td> </td> <td><input type="radio" name="q5" id="q5" value="Yes">Yes <input type="radio" name="q5" id="q5" value="No">No</td> </tr> <tr> <td>Do you smoke?</td> <td> </td> <td><input type="radio" name="q6" id="q6" value="Yes">Yes <input type="radio" name="q6" id="q6" value="No">No</td> </tr> <tr> <td>Do you use illegal drugs?</td> <td> </td> <td><input type="radio" name="q7" id="q7" value="Yes">Yes <input type="radio" name="q7" id="q7" value="No">No</td> </tr> <tr> <td>Have you ever taken illegal drugs?</td> <td> </td> <td><input type="radio" name="q8" id="q8" value="Yes">Yes <input type="radio" name="q8" id="q8" value="No">No</td> </tr> <tr> <td>Do you have any tattoos or piercings?</td> <td> </td> <td><input type="radio" name="q9" id="q9" value="Yes">Yes <input type="radio" name="q9" id="q9" value="No">No</td> </tr> <tr> <td>Do you have any traffic tickets?</td> <td> </td> <td><input type="radio" name="q10" id="q10" value="Yes">Yes <input type="radio" name="q10" id="q10" value="No">No</td> </tr> <tr> <td>Have you ever been in a car accident?</td> <td> </td> <td><input type="radio" name="q11" id="q11" value="Yes">Yes <input type="radio" name="q11" id="q11" value="No">No</td> </tr> <tr> <td>Do you have a criminal record?</td> <td> </td> <td><input type="radio" name="q12" id="q12" value="Yes">Yes <input type="radio" name="q12" id="q12" value="No">No</td> </tr> <tr> <td>Do you have any racial prejudices?</td> <td> </td> <td><input type="radio" name="q13" id="q13" value="Yes">Yes <input type="radio" name="q13" id="q13" value="No">No</td> </tr> <tr> <td>Are you currently in a romantic relationship?</td> <td> </td> <td><input type="radio" name="q14" id="q14" value="Yes">Yes <input type="radio" name="q14" id="q14" value="No">No</td> </tr> <tr> <td>Have you ever been married?</td> <td> </td> <td><input type="radio" name="q15" id="q15" value="Yes">Yes <input type="radio" name="q15" id="q15" value="No">No</td> </tr> <tr> <td>Do you have any financial commitments?</td> <td> </td> <td><input type="radio" name="q16" id="q16" value="Yes">Yes <input type="radio" name="q16" id="q16" value="No">No</td> </tr> <tr> <td>Do you have any physical or mental limitations?</td> <td> </td> <td><input type="radio" name="q17" id="q17" value="Yes">Yes <input type="radio" name="q17" id="q17" value="No">No</td> </tr> <tr> <td>Are you currently taking any medication?</td> <td> </td> <td><input type="radio" name="q18" id="q18" value="Yes">Yes <input type="radio" name="q18" id="q18" value="No">No</td> </tr> <tr> <td>Do you have any medical conditions requiring treatment?</td> <td> </td> <td><input type="radio" name="q19" id="q19" value="Yes">Yes <input type="radio" name="q19" id="q19" value="No">No</td> </tr> <tr> <td>Do you have any allergies?</td> <td> </td> <td><input type="radio" name="q20" id="q20" value="Yes">Yes <input type="radio" name="q20" id="q20" value="No">No</td> </tr> <tr> <td>Do you have any dietary requirements?</td> <td> </td> <td><input type="radio" name="q21" id="q21" value="Yes">Yes <input type="radio" name="q21" id="q21" value="No">No</td> </tr> <tr> <td>Are you a vegitarian?</td> <td> </td> <td><input type="radio" name="q22" id="q22" value="Yes">Yes <input type="radio" name="q22" id="q22" value="No">No</td> </tr> <tr> <td>If yes, can you cook or be placed with a family who eats meat?</td> <td> </td> <td><input type="radio" name="q23" id="q23" value="Yes">Yes <input type="radio" name="q23" id="q23" value="No">No</td> </tr> <tr> <td>Are you willing to work with a single father?</td> <td> </td> <td><input type="radio" name="q24" id="q24" value="Yes">Yes <input type="radio" name="q24" id="q24" value="No">No</td> </tr> <tr> <td>Are you willing to work with a single mother?</td> <td> </td> <td><input type="radio" name="q25" id="q25" value="Yes">Yes <input type="radio" name="q25" id="q25" value="No">No</td> </tr> <tr> <td>Do you know how to change a diaper?</td> <td> </td> <td><input type="radio" name="q26" id="q26" value="Yes">Yes <input type="radio" name="q26" id="q26" value="No">No</td> </tr> </table><br> Please explain the details for all the items to which you answered 'Yes' <table> <tr> <td><textarea cols="70" rows="10" name="yes"></textarea></td> </tr> </table><br> <b><u>Emergency information</u></b> <table> <tr> <td>Name:</td> <td> </td> <td colspan="4"><input type="text" name="name" size="20"></td> </tr> <tr> <td valign="top">Address:</td> <td> </td> <td colspan="4"><textarea cols="20" rows="3" name="eaddress"></textarea></td> </tr> <tr> <td>City, State / Country:</td> <td> </td> <td><input type="text" name="csc" size="20"></td> <td>Postal code:</td> <td> </td> <td><input type="text" name="postal_code" size="5"></td> </tr> <tr> <td>Telephone number:</td> <td> </td> <td colspan="4"><input type="text" name="ephone" size="20"></td> </tr> </table><br><center><input type="checkbox" name="agree" value="agree_terms">I certify that the information provided in this form is complete and accurate. I agree to abide<br> by all African Samaritan program requirements and the department of Home Affairs Regulations.<br><br><input type="submit" value="Submit"></td></tr></table> <br><br><br></td> </tr> <tr> <td valign="bottom" background="main2.jpg"><center><u><a href="http://www.mygeek.co.za"><b><font size="1"><font color="#FF6600">Designed and Empowered by <font color="#3C00FF">Geek Force</font><br> Copyright © 2008</font></font></b></a></u></center><br></td> </tr> </table> </center> </body> </html> Mailer: au pair.php <?php require("class.phpmailer.php"); //the email address you want to send to $arremails='info@aupair.com'; $mail = new PHPMailer(); $mail->IsSMTP(); // telling the class to use SMTP $mail->Host = "smtp.aupai.com"; // SMTP server //email address used by the form to send the email $mail->From = "web@aupair.com"; $mail->AddAddress($arremails); $mail->Subject = "Au Pair Application Form"; $mail->IsHTML(true); $mail->Body = "<table width='100%' height='100%'><tr><td bgcolor='#FFE4A3'> <center><table><tr><td><br><h4>Au Pair Application Form</h4></center> <b><u>General Information</u></b> <table> <tr> <td>First name:</td> <td> </td> <td colspan='4'>$_POST[first_name]</td> </tr> <tr> <td>Last name:</td> <td> </td> <td colspan='4'>$_POST[last_name]</td> </tr> <tr> <td valign='top'>Address:</td> <td> </td> <td colspan='4'>$_POST[addresss]</td> </tr> <tr> <td>Phone number:</td> <td> </td> <td colspan='4'>$_POST[phone_number]</td> </tr> <tr> <td>Cell phone number:</td> <td> </td> <td colspan='4'>$_POST[cell_number]</td> </tr> <tr> <td>Fax number:</td> <td> </td> <td>$_POST[fax]</td> </tr> <tr> <td>Email address:</td> <td> </td> <td colspan='4'>$_POST[email]</td> </tr> <tr> <td>Sex:</td> <td> </td> <td colspan='4'>$_POST[sex]</td> </tr> <tr> <td>Age:</td> <td> </td> <td>$_POST[age]</td> <td>Birthday:</td> <td> </td> <td>$_POST[birthday]</td> </tr> <tr> <td>City of birth:</td> <td> </td> <td>$_POST[birth_city]</td> <td>Country of birth:</td> <td> </td> <td>$_POST[birth_country]</td> </tr> <tr> <td>Height:</td> <td> </td> <td>$_POST[height]</td> <td>Weight:</td> <td> </td> <td>$_POST[weight]</td> </tr> <tr> <td>Eye colour:</td> <td> </td> <td>$_POST[eye_colour]</td> <td>Hair colour:</td> <td> </td> <td>$_POST[hair_colour]</td> </tr> <tr> <td>Passport number:</td> <td> </td> <td>$_POST[passport_number]</td> <td>Passport expiration date:</td> <td> </td> <td>$_POST[passport_date]</td> </tr> <tr> <td>First available departure date:</td> <td> </td> <td>$_POST[departure_date]</td> <td>Departure Airport:</td> <td> </td> <td>$_POST[departure_airport]</td> </tr> </table><br> <b><u>Education</u></b> <table> <tr> <td>Highest level of education reached:</td> <td> </td> <td colspan='4'>$_POST[highest_education]</td> </tr> <tr> <td>Educational and professional training:</td> <td> </td> <td colspan='4'>$_POST[educational_training]</td> </tr> <tr> <td>Languages spoken:</td> <td> </td> <td colspan='4'>$_POST[languages_spoken]</td> </tr> </table></center><br> <b><u>Experience in childcare</u></b> <table cellspacing='0' cellpadding='0' border='0'> <tr> <td bgcolor='#DE9221' align='center'>Type of childcare<br>(baby-sitting, au pair, nanny, youth, etc.)</td> <td bgcolor='#DE9221'> </td> <td bgcolor='#DE9221' align='center'>Dates<br>From and to</td> <td bgcolor='#DE9221'> </td> <td bgcolor='#DE9221' align='center'>Ages of children<br>when started</td> <td bgcolor='#DE9221'> </td> <td bgcolor='#DE9221' align='center'>Responsibilities</td> <td bgcolor='#DE9221'> </td> <td bgcolor='#DE9221' align='center'>How often<br>(daily, weekly, monthly)</td> <td bgcolor='#DE9221'> </td> <td bgcolor='#DE9221' align='center'>Name of<br>reference</td> <td bgcolor='#DE9221'> </td> <td bgcolor='#DE9221' align='center'>Phone number<br>of reference</td> </tr> <tr> <td align='center'>$_POST[childcare_type]</td> <td> </td> <td align='center'>$_POST[childcare_dates]</td> <td> </td> <td align='center'>$_POST[childcare_ages]</td> <td> </td> <td align='center'>$_POST[childcare_responsibilities]</td> <td> </td> <td align='center'>$_POST[childcare_how_often]</td> <td> </td> <td align='center'>$_POST[childcare_reference_name]</td> <td> </td> <td align='center'>$_POST[childcare_reference_number]</td> </tr> <tr> <td align='center'>$_POST[childcare_type1]</td> <td> </td> <td align='center'>$_POST[childcare_dates1]</td> <td> </td> <td align='center'>$_POST[childcare_ages1]</td> <td> </td> <td align='center'>$_POST[childcare_responsibilities1]</td> <td> </td> <td align='center'>$_POST[childcare_how_often1]</td> <td> </td> <td align='center'>$_POST[childcare_reference_name1]</td> <td> </td> <td align='center'>$_POST[childcare_reference_number1]</td> </tr> <tr> <td align='center'>$_POST[childcare_type2]</td> <td> </td> <td align='center'>$_POST[childcare_dates2]</td> <td> </td> <td align='center'>$_POST[childcare_ages2]</td> <td> </td> <td align='center'>$_POST[childcare_responsibilities2]</td> <td> </td> <td align='center'>$_POST[childcare_how_often2]</td> <td> </td> <td align='center'>$_POST[childcare_reference_name2]</td> <td> </td> <td align='center'>$_POST[childcare_reference_number2]</td> </tr> <tr> <td align='center'>$_POST[childcare_type3]</td> <td> </td> <td align='center'>$_POST[childcare_dates3]</td> <td> </td> <td align='center'>$_POST[childcare_ages3]</td> <td> </td> <td align='center'>$_POST[childcare_responsibilities3]</td> <td> </td> <td align='center'>$_POST[childcare_how_often3]</td> <td> </td> <td align='center'>$_POST[childcare_reference_name3]</td> <td> </td> <td align='center'>$_POST[childcare_reference_number3]</td> </tr> <tr> <td align='center'>$_POST[childcare_type4]</td> <td> </td> <td align='center'>$_POST[childcare_dates4]</td> <td> </td> <td align='center'>$_POST[childcare_ages4]</td> <td> </td> <td align='center'>$_POST[childcare_responsibilities4]</td> <td> </td> <td align='center'>$_POST[childcare_how_often4]</td> <td> </td> <td align='center'>$_POST[childcare_reference_name4]</td> <td> </td> <td align='center'>$_POST[childcare_reference_number4]</td> </tr> </table><br> <table> <tr> <td width='200'>Age group preference:</td> <td> </td> <td>$_POST[age_preference]</td> </tr> <tr> <td valign='top'>Reason:</td> <td> </td> <td>$_POST[reasons]</td> </tr> <tr> <td valign='top'>List achievements, talents, and hobbies:</td> <td> </td> <td>$_POST[achievements]</td> </tr> </table><br> <table> <tr> <td>Can you cook?</td> <td>$_POST[cook]</td> <td>Can you swim?</td> <td>$_POST[swim]</td> </tr> <tr> <td valign='top' colspan='2'>Are there any pets that you do not<br>want to be placed with?</td> <td colspan='4'>$_POST[pets]</td> </tr> <tr> <td valign='top'>Reason:</td> <td> </td> <td colspan='4'>$_POST[pets_reason]</td> </tr> </table></center><br> <b><u>Driving information</u></b> <center><table> <tr> <td>Do you have a drivers license?</td> <td> </td> <td>$_POST[drivers_license]</td> </tr> <tr> <td valign='top'>When did you receive your drivers license?</td> <td> </td> <td>$_POST[drivers_when]</td> </tr> <tr> <td valign='top'>How often do you drive?</td> <td> </td> <td>$_POST[drivers_how_often]</td> </tr> <tr> <td>Do you have your own car?</td> <td> </td> <td>$_POST[drivers_car]</td> </tr> <tr> <td valign='top'>How often do you have access to a car?</td> <td> </td> <td>$_POST[drivers_access]</td> </tr> <tr> <td valign='top'>How heavy is the traffic that you typically drive in?</td> <td> </td> <td>$_POST[drivers_traffic]</td> </tr> <tr> <td valign='top'>What car do you usually drive?</td> <td> </td> <td>$_POST[drivers_usual_car]</td> </tr> <tr> <td valign='top'>Do you have any concerns with driving?</td> <td> </td> <td>$_POST[drivers_concerns]</td> </tr> </table><br> <b><u>Family background</u></b> <table> <tr> <td>Fathers name:</td> <td> </td> <td>$_POST[fathers_name]</td> <td>Occupation:</td> <td> </td> <td>$_POST[fathers_occupation]</td> </tr> <tr> <td>Mothers name:</td> <td> </td> <td>$_POST[mothers_name]</td> <td>Occupation:</td> <td> </td> <td>$_POST[mothers_occupation]</td> </tr> <tr> <td valign='top'>Address:</td> <td> </td> <td colspan='4'>$_POST[family_address]</td> </tr> <tr> <td>Telephone number:</td> <td> </td> <td>$_POST[fphone_number]</td> <td>Cell number:</td> <td> </td> <td>$_POST[fcell]</td> </tr> <tr> <td>Number of children:</td> <td> </td> <td>$_POST[no_children]</td> </tr> <tr> <td>Are they supportive of you becoming an au pair abroad?</td> <td> </td> <td>$_POST[supportive]</td> </tr> <tr> <td>Do you have younger siblings?</td> <td> </td> <td>$_POST[siblings]</td> <td>Age:</td> <td> </td> <td>$_POST[fage]</td> </tr> </table><br> <b><u>About you</u></b> <table> <tr> <td>Have you lived away fom home?</td> <td> </td> <td>$_POST[q1]</td> </tr> <tr> <td>Have you lived abroad?</td> <td> </td> <td>$_POST[q2]</td> </tr> <tr> <td>Have you ever travelled out of the country?</td> <td> </td> <td>$_POST[q3]</td> </tr> <tr> <td>Do you have friends and family in South Africa?</td> <td> </td> <td>$_POST[q4]</td> </tr> <tr> <td>Do you drink alcoholic beverages?</td> <td> </td> <td>$_POST[q5]</td> </tr> <tr> <td>Do you smoke?</td> <td> </td> <td>$_POST[q6]</td> </tr> <tr> <td>Do you use illegal drugs?</td> <td> </td> <td>$_POST[q7]</td> </tr> <tr> <td>Have you ever taken illegal drugs?</td> <td> </td> <td>$_POST[q8]</td> </tr> <tr> <td>Do you have any tattoos or piercings?</td> <td> </td> <td>$_POST[q9]</td> </tr> <tr> <td>Do you have any traffic tickets?</td> <td> </td> <td>$_POST[q10]</td> </tr> <tr> <td>Have you ever been in a car accident?</td> <td> </td> <td>$_POST[q11]</td> </tr> <tr> <td>Do you have a criminal record?</td> <td> </td> <td>$_POST[q12]</td> </tr> <tr> <td>Do you have any racial prejudices?</td> <td> </td> <td>$_POST[q13]</td> </tr> <tr> <td>Are you currently in a romantic relationship?</td> <td> </td> <td>$_POST[q14]</td> </tr> <tr> <td>Have you ever been married?</td> <td> </td> <td>$_POST[q15]</td> </tr> <tr> <td>Do you have any financial commitments?</td> <td> </td> <td>$_POST[q16]</td> </tr> <tr> <td>Do you have any physical or mental limitations?</td> <td> </td> <td>$_POST[q17]</td> </tr> <tr> <td>Are you currently taking any medication?</td> <td> </td> <td>$_POST[q18]</td> </tr> <tr> <td>Do you have any medical conditions requiring treatment?</td> <td> </td> <td>$_POST[q19]</td> </tr> <tr> <td>Do you have any allergies?</td> <td> </td> <td>$_POST[q20]</td> </tr> <tr> <td>Do you have any dietary requirements?</td> <td> </td> <td>$_POST[q21]</td> </tr> <tr> <td>Are you a vegitarian?</td> <td> </td> <td>$_POST[q22]</td> </tr> <tr> <td>If yes, can you cook or be placed with a family who eats meat?</td> <td> </td> <td>$_POST[q23]</td> </tr> <tr> <td>Are you willing to work with a single father?</td> <td> </td> <td>$_POST[q24]</td> </tr> <tr> <td>Are you willing to work with a single mother?</td> <td> </td> <td>$_POST[q25]</td> </tr> <tr> <td>Do you know how to change a diaper?</td> <td> </td> <td>$_POST[q26]</td> </tr> </table><br> Please explain the details for all the items to which you answered 'Yes' <table> <tr> <td>$_POST[yes]</td> </tr> </table><br> <b><u>Emergency information</u></b> <table> <tr> <td>Name:</td> <td> </td> <td colspan='4'>$_POST[name]</td> </tr> <tr> <td valign='top'>Address:</td> <td> </td> <td colspan='4'>$_POST[eaddress]</td> </tr> <tr> <td>City, State / Country:</td> <td> </td> <td>$_POST[csc]</td> <td>Postal code:</td> <td> </td> <td>$_POST[postal_code]</td> </tr> <tr> <td>Telephone number:</td> <td> </td> <td colspan='4'>$_POST[ephone]</td> </tr> </table></td></tr></table> </td> </tr> </table></center></td> </tr> </table>"; if(!$mail->Send()) { echo "<script language=JavaScript>window.location='amailfail.html'</script><br>"; } else { echo "<script language=JavaScript>window.location='athankyou.html'</script><br>"; }; ?> </html> Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.