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Help with Sending Form data to Database


inquisitive

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Alright I am trying to to obviously upload my form into the database...here is my following code:

 

<?php
// plug globals
include("db_connect.php");
include("config.php");
include("functions.php");
// turn on ad footer
// 1=on 0=off
$foot_ad=1;
?>
<?php

$db="mydb"; 
$link = mysql_connect("myserver", "mylogin", "mypass");
if (! $link)
die("Our database is experiencing technical difficulties. Please contact our Webmaster");
else{
mysql_select_db($db , $link)
or die("Select DB Error: ".mysql_error());
}

$submit = $_POST["Submit"];

if ($submit == "Submit") {

$submit = $_POST["Submit"];

$form1 = $_POST["textfield1"];
$form2 = $_POST["textfield2"];
$form3 = $_POST["textfield3"];
$form4 = $_POST["textfield4"];
$form5 = $_POST["textfield5"];
$form6 = $_POST["textfield6"];
$form7 = $_POST["textfield7"];
$form8 = $_POST["textfield8"];
$form9 = $_POST["textfield9"];
$form10 = $_POST["textfield10"];
$form11 = $_POST["textfield11"];
$form12 = $_POST["textfield12"];
$form13 = $_POST["textfield13"];

mysql_query ("INSERT INTO newsletter_signup (
company_name, address, city, state, zip, sales_email, production_email, office_email, service_email, phone, fax, questions, nrgca_member) 
values ('$form1','$form2','$form3','$form4','$form5','$form6','$form7','$form8','$form9','$form10','$form11','$form12','$form13')");

$to = "[email protected]";
$from = "[email protected]";
$subject = "Contact Request from - ".$_SERVER['HTTP_HOST']." by " .$form1." " .$form2;
$message = "First Name: " .$form1 ."<br>" ."Last Name: " .$form2 ."<br>" ."Address: " .$form3 ."<br>" ."City: " .$form4 ."<br>" ."State: " .$form5 ."<br>Zipcode: " .$form6 ."<br>Home Phone: " .$form7 ."<br>Alternate Phone: " .$form8 ."<br>Best Time to Call: " .$form9 ."<br>Email: " .$form10 ."<br>Type of Project: " .$form11 ."<br>Type of Gutter: " .$form12 ."<br>Do you Need financing?: " .$form13;
$headers  = 'MIME-Version: 1.0' . "\r\n";
$headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n";
$headers .= "From: $from";
mail($to,$subject,$message,$headers);
?>
<META HTTP-EQUIV=Refresh CONTENT="0; URL=newsletter-signup2.php">
<?
}
?>

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