[php]<?php
$email = $_POST[‘email’];
$first = $_POST[‘first’];
$last = $_POST[‘last’];
$business = $_POST[‘business’];
$home = $_POST[‘home’];
$cell = $_POST[‘cell’];
$other = $_POST[‘other’];
$con_time = $_POST[‘con_time’];
$street = $_POST[‘street’];
$city = $_POST[‘city’];
$state = $_POST[‘state’];
$zip = $_POST[‘zip’];
$con_time = $_POST[‘con_time’];
$dvr_size = $_POST[‘dvr_size’];
$cust_cam = $_POST[‘cust_cam’];
$add_cam = $_POST[‘add_cam’];
$upg_mon = $_POST[‘upg_mon’];
$to = ‘[email protected]’;
$subject = ’ Upgrade Request ’ ;
$message = "
Conact Name:
Name: $first $last
Business Name: $business
Conact Numbers:
Home: $home
Cell: $cell
Other: $other
Preferred Contact time: $con_time
Address:
Street Address: $street
City: $city
State: $state
Zipcode: $zip
Customer wants to upgrade DVR to $dvr_size.
Customer currently has $cust_cam cameras.
Customer wants to add $add_cam cameras.
Customer wants to upgrade their monitor to $upg_mon. r\n";
$headers = 'From: ’ .$email . “\r\n” .
'Reply-To: ’ .$email . “\r\n” .
‘X-Mailer: PHP/’ . phpversion();
mail($to, $subject, $message, $headers);
echo "Thank You, Your request has been sent.
";
echo "<a href=“http://landb-securities.com”> Back to Home Page ";
?>
[/php]
This is my html
[code]
#wrapper{ height:1100px; } #photo{ float:left; background-image:url('family.jpg'); background-repeat:no-repeat; width:800px; height:200px; border-top-left-radius: 10px; border-bottom-left-radius: 10px; } #text{ margin:10px 0px; } #quote{ margin:50px auto; width:300px; } #box{ margin:5px 5px; float:left; } #input_title{ margin:0px 5px; float:left; font-weight:bold; } #heading{ margin:15px 225px; float:left; font-size:xx-large; font-weight:bold; } #main{ margin:0px 0px 0px 0px; background:white; height:900px; width:800px; float:left; border-top-left-radius: 10px; border-bottom-left-radius: 10px; } Latham & Bolton Securities*First Name
*Last Name
Business Name
*Home
*Cell
Other
Morning(8am-12noon)
Afternoon(12:01noon-5pm)
Evening(5:01pm-8pm)
*Street Address
*City
*State
*Zip
500GB
1TB
2TB
3TB
Not Sure
Not interested
1 Camera
2 Camera
3 Camera
4 Camera
More than 4
Not interested
Add a 19 inch monitor
Add a 20 inch monitor
Add a 22 inch monitor
Larger than 22 inch
Not Interested
<div id="call">
Call Us:
Alex Bolton:(903)720-8299
Jeffrey Latham:(903)916-0305
<div id="email">
Email Us:
For Sales: [email protected]
For Repairs: [email protected]