Contact Form

*Name:

*E-mail:

*Phone Number:

Select Your Browser:

*Message:
EST
5.3.6

Source Code for formTable


<?php  //build browser input 
    $browsers = array ("Firefox", "Internet Explorer", "Opera", "Safari", "Chrome", "Other");
?>
    
<form method="post" action="<?php ($_SERVER['DOCUMENT_ROOT']); ?>/lvs/php101/week5/success.php" id="testform">
<fieldset>
<legend>Contact Form</legend>
  <table> 
    <tr> 
      <td><p><span class="note">*</span>Name:</p></td> 
      <td> 
        <input name="name" type="text" size="30" maxlength="150" value="<?php echo $name ?>" /> 
      </td> 
    </tr> 
      <tr> 
      <td><p><span class="note">*</span>E-mail:</p></td> 
      <td> 
        <input name="email" type="text" size="30" maxlength="150" value="<?php echo $email ?>" /> 
      </td> 
    </tr> 
     <tr> 
      <td><p><span class="note">*</span>Phone Number:</p></td> 
      <td> 
        <input name="phone" type="text" size="30" maxlength="150" value="<?php echo $phone ?>" /> 
      </td> 
    </tr>
    <tr> 
      <td><p>Select Your Browser:</p></td>
      <td>  
        <?php
            echo "<select name='browser'>";
            foreach($browsers as $browser) 
            {
                echo "<option value='$browser'>$browser</option>";
            }
            echo "</select>";
        ?>
       </td> 
    </tr> 
    <tr> 
      <td valign="top"><p><span class="note">*</span>Message:</p></td> 
      <td><textarea name="message" cols="30" rows="6"><?php echo $message ?></textarea></td> 
    </tr> 
    <tr><td></td> <td><input name="submit" type="submit" value="Send Message" /></td></tr> 
  </table>
  </fieldset>
</form> 

Source Code for Current Page

<?php $siteName = 'LzyDaz Designs<br /><em><span class="white-text">www.lzydaz.com</span></em>'; ?>

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
<head>
<title>Contact Form</title>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<link href="<?php ($_SERVER['DOCUMENT_ROOT']); ?>/lvs/php101/common/site.css" rel="stylesheet" type="text/css" />
<link href="<?php ($_SERVER['DOCUMENT_ROOT']); ?>/lvs/php101/week5/common/week5.css" rel="stylesheet" type="text/css" />
</head>

<body>

<div id="head">
<p><?php echo $siteName; ?></p>
</div><!--close #head-->

<div id="wrap">
<div id="content">

<div id="bar-nav">
<?php include($_SERVER['DOCUMENT_ROOT'] . '/lvs/php101/includes/bar-nav.php'); ?>
</div><!--close bar-nav-->

<div id="navcontainer">
<ul> 
<li><a href="../week5.php" title="Return to Main">Main</a></li>
<li><a href="books.php" title="Table">Books</a></li>
<li class="last"><a href="dice.php" title="Dice Game Revised">Game</a></li>
</ul>
</div><!-- close navcontainer -->

<div id="contactForm">
<?php include($_SERVER['DOCUMENT_ROOT'] . '/lvs/php101/week5/includes/formTable.php'); ?>
</div><!--close #contactForm-->

</div><!--close #content-->
</div><!--close #wrap-->

<div id="foot">
<?php include($_SERVER['DOCUMENT_ROOT'] . '/lvs/php101/includes/copyright.php'); ?>
</div><!--close #foot-->

<div id="source">
<?php echo date("T"); ?>
<hr />
<?php echo phpversion(); ?>
<hr />
<p>Source Code for formTable</p>
<?php show_source('includes/formTable.php'); ?>
<hr />
<p>Source Code for Current Page</p>
<?php show_source(basename($_SERVER['PHP_SELF'])); ?>
</div><!--close #source-->

</body>
</html>