Php form is not working properly

[atlfan]

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 = "service@rodriguezstudios.com"; 
                $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! 

[Ch0cu3r]

 

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: 

Because you are not getting their values from $_POST

[atlfan]

Elaborate more because this $_POST syntax validates the required fields

 

1. $Deposition = validateInput(safe($_POST['deposition']), "Deposition");
2. $Time = validateInput(safe($_POST['time']), "Time");

 

i don't want those other options that there are not working to be checked.

[fastsol]

So don't validate them then, just make the vars needed without the validateInput() on them.

$Video = $_POST['video']; // Stuff like that