Buying Need A Contact Form Send Mail Function Php Script - Urgent

Discussion in 'Programming' started by thexboy, Mar 14, 2010.

  1. #1
    i need a php script to send mail from a contact form.

    i know how to make it. but what i need is that mail must be send in as html (in table) format since it is using for lead's in a website.

    i am posting the form code in here you need to give me the php code to do that.

    budget is 5 - 7$

    <FORM  onSubmit="YY_checkform('account_form','Name','#q','0','First Name is required.','Last_Name','#q','0','Last Name is required.','Address1','#q','0','Address1 is required.','City','#q','0','City is required.','State','#q','0','State is required.','Zipcode','#q','0','Zip is required.','Country','#q','0','Country is required.','Phone','#q','0','Phone is required.','Email','S','2','Email is required.');return document.MM_returnValue" method="post" name="account_form" action="process_account_application.php">
    <INPUT value=help type=hidden name=sendto> 
    <INPUT value="Merchant Account Inquiry" type=hidden name=subject> 
                      <TABLE width="588">
    
                        <TBODY>
                        <TR>
                          <TD width="184">
                          <p align="center"><font size="2">Contact Name:</font></TD>
                          <TD width="394">
                          <p align="center"><INPUT id=Name name=Name size="35"> </TD></TR>
    
                        <TR>
                          <TD width="184">
    
                          <p align="center"><font size="2">Company:</font></TD>
                          <TD width="394">
                          <p align="center">
                          <INPUT id=Last_Name0 name=Last_Name1 size="35"> </TD></TR>
                        <TR>
    
                          <TD width="184">
                          <p align="center"><font size="2">Address 1:</font></TD>
    
                          <TD width="394">
                          <p align="center">
                          <INPUT id=Last_Name1 name=Last_Name2 size="35"> </TD></TR>
                        <TR>
                          <TD width="184">
    
                          <p align="center"><font size="2">Address 2:</font></TD>
                          <TD width="394">
                          <p align="center">
    
                          <INPUT id=Last_Name2 name=Last_Name3 size="35"> </TD></TR>
                        <TR>
                          <TD width="184">
                          <p align="center"><font size="2">City:</font></TD>
    
                          <TD width="394">
                          <p align="center">
                          <INPUT id=Last_Name3 name=Last_Name4 size="35"> </TD></TR>
    
                        <TR>
                          <TD width="184">
                          <p align="center"><font size="2">State:</font></TD>
                          <TD width="394">
    
                          <p align="center"><SELECT id=State tabIndex=7 size=1 name=State> 
                              <OPTION selected value=select>Select State</OPTION> 
                              <OPTION value=AK>AK</OPTION> <OPTION 
                              value=AL>AL</OPTION> <OPTION value=AR>AR</OPTION> 
                              <OPTION value=AZ>AZ</OPTION> <OPTION 
                              value=CA>CA</OPTION> <OPTION value=CO>CO</OPTION> 
                              <OPTION value=CT>CT</OPTION> <OPTION 
                              value=DC>DC</OPTION> <OPTION value=DE>DE</OPTION> 
                              <OPTION value=FL>FL</OPTION> <OPTION 
                              value=GA>GA</OPTION> <OPTION value=GU>GU</OPTION> 
                              <OPTION value=HI>HI</OPTION> <OPTION 
                              value=IA>IA</OPTION> <OPTION value=ID>ID</OPTION> 
                              <OPTION value=IL>IL</OPTION> <OPTION 
                              value=IN>IN</OPTION> <OPTION value=KS>KS</OPTION> 
                              <OPTION value=KY>KY</OPTION> <OPTION 
                              value=LA>LA</OPTION> <OPTION value=MA>MA</OPTION> 
                              <OPTION value=MD>MD</OPTION> <OPTION 
                              value=ME>ME</OPTION> <OPTION value=MI>MI</OPTION> 
                              <OPTION value=MN>MN</OPTION> <OPTION 
                              value=MO>MO</OPTION> <OPTION value=MS>MS</OPTION> 
                              <OPTION value=MT>MT</OPTION> <OPTION 
                              value=NC>NC</OPTION> <OPTION value=ND>ND</OPTION> 
                              <OPTION value=NE>NE</OPTION> <OPTION 
                              value=NH>NH</OPTION> <OPTION value=NJ>NJ</OPTION> 
                              <OPTION value=NM>NM</OPTION> <OPTION 
                              value=NV>NV</OPTION> <OPTION value=NY>NY</OPTION> 
                              <OPTION value=OH>OH</OPTION> <OPTION 
                              value=OK>OK</OPTION> <OPTION value=OR>OR</OPTION> 
                              <OPTION value=PA>PA</OPTION> <OPTION 
                              value=PR>PR</OPTION> <OPTION value=RI>RI</OPTION> 
                              <OPTION value=SC>SC</OPTION> <OPTION 
                              value=SD>SD</OPTION> <OPTION value=TN>TN</OPTION> 
                              <OPTION value=TX>TX</OPTION> <OPTION 
                              value=UT>UT</OPTION> <OPTION value=VA>VA</OPTION> 
                              <OPTION value=VI>VI</OPTION> <OPTION 
                              value=VT>VT</OPTION> <OPTION value=WA>WA</OPTION> 
                              <OPTION value=WI>WI</OPTION> <OPTION 
                              value=WV>WV</OPTION> <OPTION value=WY>WY</OPTION> 
                              <OPTION value=Other>Other</OPTION></SELECT> </TD></TR>
    
                        <TR>
                          <TD width="184">
                          <p align="center"><font size="2">Zip:</font></TD>
                          <TD width="394">
                          <p align="center"><INPUT maxLength=10 size=18 name=Zipcode> </TD></TR>
                        <TR>
                          <TD width="184">
    
                          <p align="center"><font size="2">Country:</font></TD>
    
                          <TD width="394">
                          <p align="center">
                          <INPUT id=Last_Name4 name=Last_Name5 size="35"> </TD></TR>
                        <TR>
                          <TD width="184">
                          <p align="center"><font size="2">Phone:</font></TD>
    
                          <TD width="394">
                          <p align="center">
    
                          <INPUT id=Last_Name5 name=Last_Name6 size="35"> </TD></TR>
                        <TR>
                          <TD width="184">
                          <p align="center"><font size="2">Fax:</font></TD>
                          <TD width="394">
    
                          <p align="center">
                          <INPUT id=Last_Name6 name=Last_Name7 size="35"> </TD></TR>
    
                        <TR>
                          <TD width="184">
                          <p align="center"><b><font size="2">Email:</font></b></TD>
                          <TD width="394">
                          <p align="center">
    
                          <INPUT id=Last_Name7 name=Last_Name8 size="35"> </TD></TR>
                        <TR>
                          <TD width="184">
    
                          <p align="center">&nbsp;</TD>
                          <TD width="394">
                          <p align="center">&nbsp;</TD></TR>
                        <tr>
                          <TD vAlign=top width="184">
    
                          <p align="center"><b><font size="2">How can we 
                          help your business?</font></b></TD>
                          <TD width="394">
                          <p align="center"><TEXTAREA rows=5 cols=41 name=notes></TEXTAREA><BR>&nbsp;</TD>
    
                        </tr>
                        <TR>
                          <TD width="184">
                          <p align="center"><font size="2">Company Site Name:</font></TD>
    
                          <TD width="394">
                          <p align="center">
                          <INPUT id=Last_Name8 name=Last_Name9 size="35"> </TD></TR>
                        <TR>
    
                          <TD width="184">
                          <p align="center"><font size="2">Business type</font></TD>
                          <TD width="394">
    
                          <p align="center"><strong>&nbsp;<select name="btype">
                          <option selected value="Internet Based">Internet Based
                          </option>
                          <option value="Retail Store">Retail Store</option>
                          <option value="Escort/Adult Services">Escort/Adult 
                          Services</option>
    
                          <option value="Mail/Phone Order">Mail/Phone Order</option>
                          <option value="Other">Other</option>
    
                          </select> </strong> </TD></TR>
                        <TR>
                          <TD width="184">
                          <p align="center"><font size="2">Estimated Monthly Volume:</font></TD>
    
                          <TD width="394">
                          <p align="center"><strong>&nbsp;<select name="ccvolume">
                          <option selected value="$0-$4999">$0-$4,999</option>
    
                          <option value="$5,000-$14,999">$5,000-$14,999</option>
                          <option value="$15,000-$49,999">$15,000-$49,999</option>
                          <option value="$50,000-$99,999">$50,000-$99,999</option>
                          <option value="$100,000+">$100,000+</option>
    
                          </select> </strong> </TD></TR>
    
                        <TR>
                          <TD width="184">
                          <p align="center"><font size="2">Company URL:</font></TD>
                          <TD width="394">
                          <p align="center">
                          <INPUT id=Last_Name9 name=Last_Name10 size="58"> </TD></TR>
    
                        <tr>
    
                          <TD width="184">
                          <p align="center"><strong style="font-weight: 400"><label>
                          <font size="2">I Would Like Global to </font></label>
                          </strong></TD>
                          <TD width="394">
                          <p align="center"><strong>&nbsp;<select name="poc">
                          <option selected value="An Agent To Call Me First">Please call within 24 hours
                          </option>
    
                          <option value="An Application Sent Out Immediately">I am ready to sign up - call ASAP
                          </option>
                          </select> </strong> </TD>
                        </tr>
                        <TR>
                          <TD colSpan=2 align=left width="582">
                            <p align="center">&nbsp;</TD></TR>
                        <TR>
    
                          <TD width="184">
                          <p align="center"><font size="2">Submit:</font></TD>
                          <TD width="394">
                          <p align="center"><INPUT value="Submit Application" type=submit name=submit> 
                          </TD></TR></TBODY></TABLE></FORM>
    Code (markup):
    also this must need spam filter and this script need to worked(need to return if the following is not filled)

    onSubmit="YY_checkform('account_form','Name','#q','0','First Name is required.','Last_Name','#q','0','Last Name is required.','Address1','#q','0','Address1 is required.','City','#q','0','City is required.','State','#q','0','State is required.','Zipcode','#q','0','Zip is required.','Country','#q','0','Country is required.','Phone','#q','0','Phone is required.','Email','S','2','Email is required.');return document.MM_returnValue"
    Code (markup):
    Payment Via PayPal.

    I need to get this asap
     
    thexboy, Mar 14, 2010 IP
  2. open.tech

    open.tech Peon

    Messages:
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    As Seller:
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    As Buyer:
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    #2
    Job taken up by me
     
    open.tech, Mar 14, 2010 IP
  3. open.tech

    open.tech Peon

    Messages:
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    As Buyer:
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    #3
    Job completed
     
    open.tech, Mar 14, 2010 IP