i need a web based contact form

Hi everybody,
I am in need of a server based contact form.
I had one, but for some reason, i somehow f... it up (no clue how, it just won't work anymore) and i've tried everything to repair it myself.
anyways, i've more or a less given up on that one, so i need a new one for a project i'm working on www.fly2asia.co.il

i will translate it to Hebrew myself later on.
Does anybody know where i can find one, or have one maid? i am not looking for those sites that manage your forms for you for a monthly fee.

the fields i need :
name
telephone
email
departure date (with calendar date picking script)
return date (with calendar...)
drop down menu to choose from various products
remarks

please please help me out on this one or make me an offer

cheers

 

$10 for a PHP script, PM for more details (include topic link)

 

10 bucks?
for this?

if(isset($_POST["submit"])) {
$from=$_POST['email'];
$subject="Contact Requested Online";
foreach ($_POST as $var => $value) {if($var!="submit"){$memo.=str_replace("txt","",$var).": ".$value."\n\n";}}
mail($to,$subject,stripslashes($memo),"From: ".$from."\r\nReply-To: ".$from."\r\nX-Mailer: PHP/" . phpversion());
}

PHP:

The script assumes that the submit button is named "submit", and the email field is named "email". There's no validation, but I assume you can figure out how to do that... Point the form at the script with <form action="script/location.php" method="post">. If you're like me, you'll point it at the same page the form is on.

 

What is the server side script language? PHP?

 

You are smart but people pay for the script since they do not want to deal with those ugly $, ; , ', ". And get the job done with ease.

 

I thought was kinda obvious seeing how this is the PHP forum.

 

You're right,
i hate dealing with this and don't want to do it anymore.
if someone can make a quick $ out of it and i can save time , why not...?

PHP indeed

 

i've done it , thanks