<?php include_once('header.inc'); ?>
<?php if(isset($_POST['email'])) {
// EDIT THE 2 LINES BELOW AS REQUIRED
$email_to = "[email protected]";
$email_subject = "Information from Williams Roofing Website";
function died($error) {
// your error code can go here
echo "We are very sorry, but there were error(s) found with the form your submitted. ";
echo "These errors appear below.<br /><br />";
echo $error."<br /><br />";
echo "Please go back and fix these errors.<br /><br />";
die();
}
// validation expected data exists
if(!isset($_POST['name']) ||
!isset($_POST['address1']) ||
!isset($_POST['address2']) ||
!isset($_POST['city']) ||
!isset($_POST['state']) ||
!isset($_POST['zipcode']) ||
!isset($_POST['county']) ||
!isset($_POST['homephone']) ||
!isset($_POST['workphone']) ||
!isset($_POST['cellphone']) ||
!isset($_POST['email_from']) ||
!isset($_POST['comments'])) {
died('We are sorry, but there appears to be a problem with the form your submitted.');
}
$name = $_POST['name']; // not required
$address1 = $_POST['address1']; // notrequired
$address2 = $_POST['address2']; // not required
$address1 = $_POST['city']; // not required
$address1 = $_POST['state']; // not required
$address1 = $_POST['zipcode']; // not required
$address1 = $_POST['county']; // not required
$address1 = $_POST['homephone']; // not required
$address1 = $_POST['workphone']; // not required
$address1 = $_POST['cellphone']; // not required
$email_from = $_POST['email_from']; // not required
$comments = $_POST['comments']; // not required
$error_message = "";
$email_exp = "^[A-Z0-9._%-]+@[A-Z0-9.-]+\.[A-Z]{2,4}$";
if(!eregi($email_exp,$email_from)) {
$error_message .= 'The Email Address you entered does not appear to be valid.<br />';
}
$string_exp = "^[a-z .'-]+$";
if(!eregi($string_exp,$name)) {
$error_message .= 'The name you entered does not appear to be valid.<br />';
}
if(!eregi($string_exp,$address1)) {
$error_message .= 'The address you entered does not appear to be valid.<br />';
}
if(strlen($comments) < 2) {
$error_message .= 'The Comments you entered do not appear to be valid.<br />';
}
if(strlen($error_message) > 0) {
died($error_message);
}
$email_message = "Form details below.\n\n";
function clean_string($string) {
$bad = array("content-type","bcc:","to:","cc:","href");
return str_replace($bad,"",$string);
}
$email_message .= "Name: ".clean_string($name)."\n";
$email_message .= "Address1: ".clean_string($address1)."\n";
$email_message .= "Address2: ".clean_string($address2)."\n";
$email_message .= "city: ".clean_string($city)."\n";
$email_message .= "state: ".clean_string($state)."\n";
$email_message .= "zipcode: ".clean_string($zipcode)."\n";
$email_message .= "county: ".clean_string($county)."\n";
$email_message .= "homephone: ".clean_string($homephone)."\n";
$email_message .= "workphone: ".clean_string($workphone)."\n";
$email_message .= "cellphone: ".clean_string($cellphone)."\n";
$email_message .= "Email_from: ".clean_string($email_from)."\n";
$email_message .= "Comments: ".clean_string($comments)."\n";
// create email headers
$headers = 'From: '.$email_from."\r\n".
'Reply-To: '.$email_from."\r\n" .
'X-Mailer: PHP/' . phpversion();
@mail($email_to, $email_subject, $email_message, $headers);
?>
<!-- include your own success html here -->
Thank you for contacting us. We will be in touch with you very soon.
<?
}
?>
<h4>CALL US FOR OUR SPECIALS OR FILL OUT THE FORM BELOW!</h4>
<form name="contactform" method="post" action="contact.php">
<table width="550px" border="0">
</tr>
<tr>
<td valign="top">
<label for="name">Name *</label>
</td>
<td valign="top">
<input type="text" name="name" maxlength="75" size="50">
</td>
</tr>
<tr>
<td valign="top"">
<label for="address1">Address 1*</label>
</td>
<td valign="top">
<input type="text" name="address1" maxlength="75" size="50">
</td>
</tr>
<tr>
<td valign="top"">
<label for="address2">Address 2*</label>
</td>
<td valign="top">
<input type="text" name="address2" maxlength="75" size="50">
</td>
</tr>
<tr>
<td valign="top"">
<label for="city">City*</label>
</td>
<td valign="top">
<input type="text" name="city" maxlength="75" size="50">
</td>
</tr>
<tr>
<td valign="top"">
<label for="state">State*</label>
</td>
<td valign="top">
<input type="text" name="state" maxlength="75" size="10">
</td>
</tr>
<tr>
<td valign="top"">
<label for="zipcode">ZIP*</label>
</td>
<td valign="top">
<input type="text" name="zipcode" maxlength="75" size="10">
</td>
</tr>
<tr>
<td valign="top">
<label for="county">County</label>
</td>
<td valign="top">
<select name="county" id="county">
<option value="" selected="selected"></option>
<option value="Richmond">Richmond</option>
<option value="Columbia">Columbia</option>
<option value="Aiken">Aiken</option>
</select>
</td>
</tr>
<tr>
<td valign="top">
<label for="email_from">Email Address</label>
</td>
<td valign="top">
<input type="text" name="email_from" maxlength="80" size="50">
</td>
</tr>
<tr>
<td valign="top">
<label for="type">Type of Work Requested</label>
</td>
<td>
<select name="type" id="type">
<option value="" selected="selected"></option>
<option value="New">New</option>
<option value="Replacement">Replacement</option>
<option value="Repair">Repair</option>
<option value="Other">Other</option>
</select>
</td>
</tr>
<tr>
<td valign="top">
<label for="comments">Description (if other) and/or other comments</label>
</td>
<td valign="top">
<textarea name="comments" maxlength="4000" cols="50" rows="10"></textarea>
</td>
</tr>
<tr>
<td colspan="2" style="text-align:center">
<input type="submit" value="Submit Form"> <a href="http://www.freeconta..._form.php"></a>
</td>
</tr>
</table>
</form>
<p>Please use one of the methods below to get in touch with us:</p>
<p>By Phone:</p>
<ul>
<li>South Carolina: 803-644-ROOF (7663)</li>
<li>Georgia: 706-722-7664</li>
</ul>
<p>If you would prefer to mail us, our mailing address is<br /><br />
P.O. Box 1830<br />
Langley, SC 29834</p>
</ul>
<p>You can always email us at <a href="mailto:[email protected]">[email protected]</a>.</p>
<?php include_once('footer.inc'); ?>
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