File: D:/HostingSpaces/SGroot/sylviastotalcare.nl/wwwroot/contact_form.php
<?
// geef me alle errors
error_reporting(E_ALL);
$errormsg = array();
$naam = isset($_POST['naam']) ? trim(stripslashes($_POST['naam'])) : '';
$straat = isset($_POST['straat']) ? trim(stripslashes($_POST['straat'])) : '';
$postcode = isset($_POST['postcode']) ? trim(stripslashes($_POST['postcode'])) : '';
$woonplaats = isset($_POST['woonplaats']) ? trim(stripslashes($_POST['woonplaats'])) : '';
$telefoon = isset($_POST['telefoon']) ? trim(stripslashes($_POST['telefoon'])) : '';
$email = isset($_POST['email']) ? trim(stripslashes($_POST['email'])) : '';
$opmerkingen = isset($_POST['opmerkingen']) ? trim(stripslashes($_POST['opmerkingen'])) : '';
$send = false;
$sendmessage = "Uw verzoek is verzonden.<br>Bedankt voor uw reactie.";
if ( isset($_POST['verzonden']) )
{
if ( strlen($naam) < 2 )
{
$errormsg[] = 'naam klopt niet';
}
if ( !preg_match('/^[0-9]{4}[a-z]{2}$/i', $postcode) )
{
$errormsg[] = 'postcode klopt niet';
}
if ( !preg_match('/^[0-9 .-]{10,11}$/i', $telefoon) )
{
$errormsg[] = 'telefoon klopt niet';
}
if ( !preg_match('/^[a-z0-9._-]{2,}@[a-z.-]{2,}\.[a-z]{2,6}$/i', $email) )
{
$errormsg[] = 'email klopt niet';
}
if ( !count($errormsg) )
{
$bericht = 'Naam = '.$naam."\n";
$bericht .= 'Straat = '.$straat."\n";
$bericht .= 'Postcode = '.$postcode."\n";
$bericht .= 'Woonplaats = '.$woonplaats."\n";
$bericht .= 'Telefoon = '.$telefoon."\n";
$bericht .= 'Emailadres = '.$email."\n";
$bericht .= 'Opmerkingen = '.$opmerkingen."\n\n";
$send = mail("sylvia.de.groot@planet.nl", "CONTACT FORMULIER WEBSITE", "$bericht", "From: $email\r\n");
if (!$send) {
$sendmessage = "Uw verzoek kon niet worden verzonden.<br>Probeer het later nog eens.";
}
}
}
?><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<TITLE>Sylvia's total care</TITLE>
<link rel="stylesheet" type="text/css" href="../css/style.css">
<link href="silvia/SpryAssets/SpryTabbedPanels.css" rel="stylesheet" type="text/css">
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"><style type="text/css">
<!--
body {
background-color: #003539;
background-image: url(Content/Laneche-wallpaper-1280x1024.gif);
}
body,td,th {
color: #FFF;
text-align: left;
}
#mail {
color: #000;
}
#mail {
color: #FFF;
}
.mail {
color: #000;
}
.mail {
color: #FFF;
}
-->
</style></head>
<body bgcolor="#FFFFFF" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" scroll="no" >
<p>
<style type="text/css">
<!--
body, td{
vertical-align: top;
}
label,input {
display: table-cell;
width: 145px;
float: left;
margin-bottom: 4px;
background: #EBE8E5;
border: 1px solid #EBE8E5;
font-family: Georgia, Arial, Helvetica, sans-serif;
font-size: 9pt;
color: #352D27;
font-weight: none;
text-decoration: none;
letter-spacing: 1px;
line-height: 18px;
}
body {
margin: 0px;
}
-->
</style>
</p>
<p> </p>
<form action="contact_form.php" method="post">
<table width="245" height="310" border="0" cellpadding="0" cellspacing="0">
<? if (!$send) { ?>
<tr>
<td width="100" bgcolor="#4A575F" class="body" id="mail" ><blockquote>
<h3><span class="mail"><strong>naam:</strong> </span></h3>
</blockquote></td>
<td width="145" bgcolor="#4A575F"><blockquote>
<p>
<span class="mail">
<input type="text" name="naam" value="<?=$naam; ?>" maxlength="60" />
</span></p>
</blockquote></td>
</tr>
<tr>
<td bgcolor="#4A575F" class="body" id="mail"><blockquote>
<h3><span class="mail"><strong>straat:</strong> </span></h3>
</blockquote></td>
<td bgcolor="#4A575F"><blockquote>
<p>
<span class="mail">
<input type="text" name="straat" value="<?=$straat; ?>" maxlength="60" />
</span></p>
</blockquote></td>
</tr>
<tr>
<td bgcolor="#4A575F" class="body" id="mail"><blockquote>
<h3><span class="mail"><strong>postcode:</strong> </span></h3>
</blockquote></td>
<td bgcolor="#4A575F"><blockquote>
<p>
<span class="mail">
<input type="text" name="postcode" value="<?=$postcode; ?>" maxlength="60" />
</span></p>
</blockquote></td>
</tr>
<tr>
<td bgcolor="#4A575F" class="body" id="mail"><blockquote>
<h3><span class="mail"><strong>woonplaats:</strong> </span></h3>
</blockquote></td>
<td bgcolor="#4A575F"><blockquote>
<p>
<span class="mail">
<input type="text" name="woonplaats" value="<?=$woonplaats; ?>" maxlength="60" />
</span></p>
</blockquote></td>
</tr>
<tr>
<td bgcolor="#4A575F" class="body" id="mail"><blockquote>
<h3><span class="mail"><strong>telefoon:</strong> </span></h3>
</blockquote></td>
<td bgcolor="#4A575F"><blockquote>
<p>
<span class="mail">
<input type="text" name="telefoon" value="<?=$telefoon; ?>" maxlength="60" />
</span></p>
</blockquote></td>
</tr>
<tr>
<td bgcolor="#4A575F" class="body" id="mail"><blockquote>
<h3><span class="mail"><strong>e-mail:</strong> </span></h3>
</blockquote></td>
<td bgcolor="#4A575F"><blockquote>
<p>
<span class="mail">
<input type="text" name="email" value="<?=$email; ?>" maxlength="100" />
</span></p>
</blockquote></td>
</tr>
<tr>
<td bgcolor="#4A575F" class="body" id="mail"><blockquote>
<h3><span class="mail"><strong>opmerkingen:</strong> </span></h3>
</blockquote></td>
<td bgcolor="#4A575F"><blockquote> </blockquote></td>
</tr>
<tr>
<td colspan="2" bgcolor="#4A575F"> <blockquote>
<p name="opmerkingen" WRAP="PHISICAL" COLS="27" ROWS="7"/><span class="mail">
<textarea name="opmerkingen" WRAP="PHISICAL" COLS="27" ROWS="7"/>
<?=$opmerkingen; ?></textarea>
</span>
</blockquote></td>
</tr>
<tr>
<td bgcolor="#4A575F" class="body"><blockquote> </blockquote></td>
<td bgcolor="#4A575F"><blockquote>
<p>
<input name="verzonden" type="submit" class="body" accesskey="s" value="verzend" />
</p>
</blockquote></td>
</tr>
<? } else { ?>
<tr>
<td colspan=2 class="body"><b><?=$sendmessage;?></b></td>
</tr>
<? } ?>
</table>
</form>
<?=empty($errormsg) ? '' : '<script type="text/javascript">window.alert("'.implode('\n', $errormsg).'");</script>'; ?>
</body>
</html>