I need help creating a "Contact" form

I need help creating a "Contact" form like the one on http://www.vellephant.com/contact.html

Can someone please do it for me?

Thanks so much!

 

how much ya gonna pay me?

 

Hey, you don't need to pay anybody for such a simple form.

You need to use the following code in the html page.

<form method="POST" name="contactform" action="mail.php"> 

			
			<table width="100%" border="0" cellspacing="0" cellpadding="0">
			

  <tr>
    <td align="right">Name: </td>
    <td align="right">
         <input type="text" id="TxtName" name="name" onkeypress="clearText();" size="33" /></td>
    <td rowspan="11" align="center" valign="middle">
     <input id="btnSubmit" type="image" src="images/submitbtn.png" value="Submit" name="submit" />
    
</td>
  </tr>
  <tr>
    <td colspan="2" class="minirowspacer"></td>
    </tr>
  <tr>
    <td align="right">Email id :</td>
    <td align="right"><input type="text" id="TxtEmail" name="email" size="33" /></td>
    </tr>
  <tr>
     <td colspan="2" class="minirowspacer"></td>
    </tr>
  <tr>
    <td align="right">Contact No:</td>
    <td align="right">  <input type="text" id="TxtPhone" name="Phone" size="33" /> </td>
    </tr>
  <tr>
     <td colspan="2" class="minirowspacer"></td>
    </tr>
  <tr>
    <td align="right">Address:</td>
    <td align="right"><input type="text" id="TxtAddress" name="Address" size="33" />
</td>
  </tr>
  <tr>
    <td colspan="2" class="minirowspacer"></td>
    </tr>
  <tr>
    <td align="right">Write your Query:</td>
    <td align="right"> <textarea id="txtMessage" name="message" cols="25" ></textarea></td>
  </tr>
  

  
  
</table>
</form>

Code (markup):

You need to create a php file named mail.php and put the following code in it

<?php
//new function
$to = "info@yourdomain.com";
$nameto = "SalesManager";
$from = $_POST["Email"];
$namefrom = $_POST["Name"];
$subject = "Message/Query";
$phone =  $_POST["Phone"];

$address=  $_POST["Address"];
if($address == NULL)
$address=  " ";

$comment=  $_POST["Message"];
if($comment == NULL)
$comment=  " ";

//Construct Message
$message = "Name: $namefrom" ;
$message .= "<br />" . "Email: $from" . PHP_EOL;
$message .= "<br />" . "Phone: $phone" . PHP_EOL;
$message .= "<br />" . "Address: $address" . PHP_EOL;
$message .= "<br />" . "<br />" ."Question/Comment: $comment" . PHP_EOL;


try
{
echo 'Mail sending is in progress...' ;
authSendEmail($from, $namefrom, $to, $nameto, $subject, $message) ;
echo "Mail Sent Successfully";
echo '<script type="text/javascript">window.location.href = "http://yourdomain.com/index.html?msg=yes" </script>';
}
catch(Exception $e)
 {
 echo $e->getMessage();
 echo "Mail Send failure";
 echo '<script type="text/javascript">window.location.href = "http://yourdomain.com/index.html?msg=no" </script>';
 }


?>

<?php
/* * * * * * * * * * * * * * SEND EMAIL FUNCTIONS * * * * * * * * * * * * * */

//This will send an email using auth smtp and output a log array
//logArray - connection,

function authSendEmail($from, $namefrom, $to, $nameto, $subject, $message)
{
//SMTP + SERVER DETAILS
/* * * * CONFIGURATION START * * * */
$smtpServer = "mail.yourdomain.com";
$port = "25";
$timeout = "30";
$username = "info@yourdomain.com";
$password = "your password";
$localhost = "localhost";
$newLine = "\r\n";
/* * * * CONFIGURATION END * * * * */

//Connect to the host on the specified port
$smtpConnect = fsockopen($smtpServer, $port, $errno, $errstr, $timeout);
$smtpResponse = fgets($smtpConnect, 515); // fgets( filenam, length )
if(empty($smtpConnect))
{
$output = "Failed to connect: $smtpResponse";
throw $output;
}
else
{
$logArray['connection'] = "Connected: $smtpResponse";
}

//Request Auth Login
fputs($smtpConnect,"AUTH LOGIN" . $newLine);
$smtpResponse = fgets($smtpConnect, 515);
$logArray['authrequest'] = "$smtpResponse";

//Send username
fputs($smtpConnect, base64_encode($username) . $newLine);
$smtpResponse = fgets($smtpConnect, 515);
$logArray['authusername'] = "$smtpResponse";

//Send password
fputs($smtpConnect, base64_encode($password) . $newLine);
$smtpResponse = fgets($smtpConnect, 515);
$logArray['authpassword'] = "$smtpResponse";

//Say Hello to SMTP
fputs($smtpConnect, "HELO $localhost" . $newLine);
$smtpResponse = fgets($smtpConnect, 515);
$logArray['heloresponse'] = "$smtpResponse";

//Email From
fputs($smtpConnect, "MAIL FROM: $from" . $newLine);
$smtpResponse = fgets($smtpConnect, 515);
$logArray['mailfromresponse'] = "$smtpResponse";

//Email To
fputs($smtpConnect, "RCPT TO: $to" . $newLine);
$smtpResponse = fgets($smtpConnect, 515);
$logArray['mailtoresponse'] = "$smtpResponse";

//The Email
fputs($smtpConnect, "DATA" . $newLine);
$smtpResponse = fgets($smtpConnect, 515);
$logArray['data1response'] = "$smtpResponse";

//Construct Headers
$headers = "MIME-Version: 1.0" . $newLine;
$headers .= "Content-type: text/html; charset=iso-8859-1" . $newLine;
$headers .= "To: $nameto <$to>" . $newLine;
$headers .= "From: $namefrom <$from>" . $newLine;

fputs($smtpConnect, "To: $to\nFrom: $from\nSubject: $subject\n$headers\n\n$message\n.\n");
$smtpResponse = fgets($smtpConnect, 515);
$logArray['data2response'] = "$smtpResponse";

// Say Bye to SMTP
fputs($smtpConnect,"QUIT" . $newLine);
$smtpResponse = fgets($smtpConnect, 515);
$logArray['quitresponse'] = "$smtpResponse";


}
?>	

Code (markup):

 

forgot to tell you that you need to change the url and email address to your email address wherever required

 

If you do a search for free PHP contact form, you will find tons..
I wish I knew the name of the One I am using but can't seem to find it on any of the documentation I have found

 

Thanks to everyone who DIDNT try to RIP ME OFF.

 

if you are using WP, just install a plugin called "Contact Form" it's free and very easy to use.

 

oh i have another one ajax popup contact form ajax popup contact form

 

They're not trying to rip you off. I'm confident that if you payed somebody to design a form for you, it would be much more advanced and sleek than a basic <form>. But as others have said, there are many free scripts, plugins, etc. out there that will suffice for what you're needing.