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Contact form with contents stored on MYsql Database


maximus83

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Hi,

 

I want to create a form with the contents stored on a database. I've got so far but now I'm totally stuck. At the moment when I click send the connection seems to work because i get the message "Connected to MySQL" when I click submit, but my table 'warranty_reg' is not been updated and I'm not getting the message "Thank you, your warranty has been registered." I'm not sure if I have inserted my table right in my database, i have tried a totally blank table and adding the fields manually eg. name, address etc. 

 

Please excuse the length of my code below but I feel it all might be relevant, is there a problem with the code or am i doing something wrong at the database end? Any help would be greatly appreciated.

 



<?php
/* Detect submit */

if (isset($_POST['submit'])) {


$username = "username";
$password = "password";
$hostname = "localhost"; 

//connection to the database
$dbhandle = mysql_connect($hostname, $username, $password)
or die("Unable to connect to MySQL");
echo "Connected to MySQL";

//select a database to work with
$selected = mysql_select_db("mydatabasename",$dbhandle)
  or die("Could not select databasename db");


/* Set variables from form data */

if (empty($_POST['first_name'])) {
$first_name = FALSE;
$validate .='<p>Please enter your first name.</p>'; 
} else { 
$first_name = $_POST['first_name'];
}

if (empty($_POST['surname'])) {
$surname = FALSE;
$validate .='<p>Please enter your last name.</p>'; 
} else { 
$surname = $_POST['surname'];
}

if (empty($_POST['email'])) {
$email = FALSE;
$validate .='<p>Please enter your email address.</p>'; 
} else { 
$email = $_POST['email'];
}	

if (empty($_POST['veremail'])) {
$veremail = FALSE;
$validate .='<p>Please re-enter your email address for verification.</p>'; 
} else { 
$veremail = $_POST['veremail'];
if ($email != $veremail){
$validate .='<p>The email address you entered does not does not match the verification address - please check you have entered both addresses correctly.</p>'; 
}
}


if($_POST['product'] == 'NULL') {
$product = FALSE;	
$validate .='<p>Please choose a product.</p>';
} else { 
$product = $_POST['product'];
}

if($_POST['retailer'] == 'NULL') {
$retailer = FALSE;	
$validate .='<p>Please tell us which retailer you purchased the product from.</p>';
} else { 
$retailer = $_POST['retailer'];
}


if (empty($_POST['address'])) {
$address = FALSE;
$validate .='<p>Please enter your postal address.</p>'; 
} else { 
$address = $_POST['address'];
}



/* Check everything is set */

if ($first_name && $surname && $email && $product && $retailer && $address &&($email == $veremail)) {

/* Add to table */

$query = "INSERT INTO warranty_reg (first_name, surname, email, product, retailer, dop, message, address, created) VALUES ('$first_name', '$surname', '$email', '$product', '$retailer', '$address', NOW() )";
$result = @mysql_query ($query);

/* If successfully added to table */

if ($result) {	


echo '<h3>Thank you, your warranty has been registered.</h3>';



/* Show tech problem message */	

} else { 
$validate = '<h3>Your warranty could not be sent due to a technical problem - please try again later. We apologize for any inconvenience.</h3>';
}

/* Show form verification messages */	

} else {
if (isset($validate)) {
	echo '<p>You need complete ALL of the fields in the contact form</p><br />'.$validate.'</p><br /><p>Thank you.</p><br /><p><FORM><INPUT TYPE="button" VALUE="Back to form" onClick="history.go(-1);return true;"> </FORM></p>';
}
}

/* Show initial form */	

} else {
?>

<!-- End of processing -->     
<form method="post" action="<?php echo htmlentities($_SERVER['REQUEST_URI']); ?>">
    <h1>Register your Warranty</h1><br />



      
      <table width="421" border="0" align="center" cellpadding="0" cellspacing="0">
            <tr>
              <td width="182" valign="top"><p>First name:</p></td>
              <td width="239" align="left" valign="top"><p>
                  <input type="text" name="first_name" id="first_name" autocomplete="off" value="<?php if (isset($POST['first_name'])) echo $_POST['first_name']; ?>">
                </p></td>
            </tr>
             <tr>
              <td valign="top"><p>Last name:</p></td>
              <td align="left" valign="top"><p>
                  <input type="text" name="surname" id="surname" autocomplete="off" value="<?php if (isset($POST['surname'])) echo $_POST['surname']; ?>">
                </p></td>
            </tr>           
            <tr>
              <td valign="top"><p>Email address:</p></td>
              <td align="left" valign="top"><p>
                  <input type="text" name="email" id="email" autocomplete="off" value="<?php if (isset($POST['email'])) echo $_POST['email']; ?>">
                </p></td>
            </tr>
            <tr>
              <td valign="top"><p>Re-enter email address:</p></td>
              <td align="left" valign="top"><p>
                  <input type="text" name="veremail" id="veremail" autocomplete="off" value="<?php if (isset($POST['veremail'])) echo $_POST['veremail']; ?>">
                </p></td>
            </tr>
            <tr>
              <td valign="top"><p>Product:</p></td>
              <td><p>
<select name="product">
  <option selected="selected" value="NULL">-- Select a product --</option>
  <option value="oso zero mount">product1</option>
  <option value="oso zero mount">product2</option>
  <option value="oso zero mount">product3</option>
  <option value="oso zero mount">product4</option>
  <option value="oso zero mount">product5</option>

</select>
                </p></td></tr>
            <tr>
              <td valign="top"><p>Which retailer did you purchase the product from?</p><br /></td>
              <td align="left" valign="top"><p>
                  <input type="text" name="retailer" id="retailer" autocomplete="off" value="<?php if (isset($POST['retailer'])) echo $_POST['retailer']; ?>">
                </p></td>
            </tr>
                <tr>
              <td valign="top"><p>Date of purchase:</p></td>
              <td align="left" valign="top"><p>DD: 
<select name="date_day" id="date_day">
<option selected="selected" value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
MM: <select name="date_month" id="date_month">
<option selected="selected" value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
                  YYYY: <input name="date_year" type="text" autocomplete="off" id="date_year" value="<?php if (isset($POST['date_year'])) echo $_POST['date_year']; ?>" size="4" maxlength="4">
                </p></td></tr>
                
                        
            <tr>
              <td valign="top"><p>Postal address:</p>
             </td>
              <td align="left" valign="top"><p>
                  <textarea name="address" id="address" cols="30" rows="6" value="<?php if (isset($POST['address'])) echo $_POST['address']; ?>"></textarea>
                </p></td>
          </tr>
            </table>
           
           <p>
                  <input name="submit" type="submit" value="Send Message">
                </p>
               
             
</form>
<?php 
}
?>

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