lexperts-contact-form

<?php

// CONFIG YOUR E-MAIL
define('SEND_TO', '[email protected]');
define('SUBJECTS', 'Subject 1, Subject 2, Subject 3');
define('SUCCESS_MESSAGE', 'Thank you {name}, your message has been submitted to us.');
define('INBOX_MESSAGE', 'Name: {name} {enter} Company: {company} {enter} E-mail: {email} {enter} Phone number: {phone} {enter} Subject: {subject} {enter} Comment: {enter} {comment}');


// CONFIG YOUR ERROR MESSAGES
define('ERROR_MESSAGE_NAME', '(Name can\'t be blank)');
define('ERROR_MESSAGE_EMAIL', '(E-mail can\'t be blank)');
define('ERROR_MESSAGE_EMAIL_INVALID', '(Email is invalid)');
define('ERROR_MESSAGE_PHONE_INVALID', '(Phone is invalid)');
define('ERROR_MESSAGE_SUBJECT', '(Subject can\'t be blank)');
define('ERROR_MESSAGE_COMMENT', '(Comment can\'t be blank)');
define('ERROR_MESSAGE_CAPTCHA', '(Captcha can\'t be blank)');
define('ERROR_MESSAGE_CAPTCHA_INVALID', '(Captcha is invalid)');


// DON'T TOUCH BEGIN
@ini_set('session.use_cookies', '1');
@ini_set('session.use_trans_sid', 'false');
    
@session_set_cookie_params(0, '/');
@session_start();

if (ini_get('register_globals')) {
    $globals = array('_SESSION');

    foreach ($globals as $global) {
        foreach ($GLOBALS[$global] as $key => $value) {
            if ($value === @$GLOBALS[$key]) {
                unset($GLOBALS[$key]);
            }
        }
    }
}

@ini_set('magic_quotes_gpc', 'Off');

if (ini_get('magic_quotes_gpc')) {
    function clean($data) {
           if (is_array($data)) {
              foreach ($data as $key => $value) {
                $data[$key] = clean($value);
              }
        } else {
              $data = stripslashes($data);
        }
        return $data;
    }            
    $_POST = clean($_POST);
}

function php_self(){
    if(isset($_SERVER['PATH_INFO']) && strlen($_SERVER['PATH_INFO'])> 0){
        return substr($_SERVER['PHP_SELF'], 0, (strlen($_SERVER['PHP_SELF']) - @strlen($_SERVER['PATH_INFO'])));
    }else{
        return $_SERVER['PHP_SELF'];
    }
}

$subjects = explode(',', SUBJECTS);

$error                    = FALSE;
$send                     = FALSE;

if ($_SERVER['REQUEST_METHOD'] == 'POST') {
    $name                = $_POST['name'];
    $company            = $_POST['company'];
    $email               = $_POST['email'];
    $phone               = $_POST['phone'];
    $subject             = $_POST['subject'];
    $comment            = $_POST['comment'];
    $captcha            = $_POST['captcha'];
        
    $pfind = array(
                  '+',
                '-',
                ' '
            );
            
    $phone_check = str_replace($pfind, '', $phone);
    
    if(empty($name)){
        $error_name     = ERROR_MESSAGE_NAME;
        $error             = TRUE;    
    }
    
    if(empty($email)){
        $error_email    = ERROR_MESSAGE_EMAIL;
        $error             = TRUE;    
    }elseif(!eregi('^[_a-z0-9-]+(\.[_a-z0-9-]+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,4})$', $email)){
        $error_email    = ERROR_MESSAGE_EMAIL_INVALID;
        $error             = TRUE;
    }
    
    if(!empty($phone)){
        if(!ctype_digit($phone_check)){
            $error_phone    = ERROR_MESSAGE_PHONE_INVALID;
            $error             = TRUE;
        }
    }
    
    if(empty($subject)){
        $error_subject  = ERROR_MESSAGE_SUBJECT;
        $error             = TRUE;    
    }
    
    if(empty($comment)){
        $error_comment  = ERROR_MESSAGE_COMMENT;
        $error             = TRUE;    
    }
    
    if(empty($captcha)){
        $error_captcha  = ERROR_MESSAGE_CAPTCHA;
        $error             = TRUE;    
    }elseif($_SESSION['captcha'] != $captcha){
        $error_captcha  = ERROR_MESSAGE_CAPTCHA_INVALID;
        $error             = TRUE;
    }
    
    if(!$error) {
    
        if(strtoupper(substr(PHP_OS, 0, 3) == 'WIN')) {
              $ent         = "\r\n";
        }elseif(strtoupper(substr(PHP_OS, 0, 3) == 'MAC')) {
              $ent         = "\r";
        }else{
             $ent         = "\n";
        }
        
        $find = array(
                  '{name}',
                  '{company)',
                '{email}',
                '{phone}',
                  '{subject}',
                  '{comment}',
                  '{enter}'
            );
    
        $replace = array(
                  'name'         => $name,
                'company'     => $company,
                'email'     => $email,
                'phone'     => $phone,
                  'subject'   => $subject,
                  'commment'  => $comment,
                  'enter'        => $ent
            );
            
        $comment = str_replace($find, $replace, INBOX_MESSAGE);
    
        $boundary         = '----=_NextPart_' . md5(rand());  
            
        $headers          = 'From: ' . $name . '<' . $email . '>' . $ent;
        $headers        .= 'X-Mailer: PHP/' . phpversion() . $ent;  
        $headers        .= 'MIME-Version: 1.0' . $ent;
        $headers        .= 'Content-Type: multipart/mixed; boundary="' . $boundary . '"' . $ent . $ent;  
    
        $message          = '--' . $boundary . $ent;  
        $message        .= 'Content-Type: text/plain; charset="utf-8"' . $ent;
        $message        .= 'Content-Transfer-Encoding: base64' . $ent . $ent;
        $message        .= chunk_split(base64_encode($comment));
        
        ini_set('sendmail_from', $email);
        
        mail(SEND_TO, $subject, strip_tags(html_entity_decode($message)), $headers);  
        
        $send             = TRUE;
        $success         = str_replace($find, $replace, SUCCESS_MESSAGE);
    }
}
// DON'T TOUCH END

?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" dir="ltr" lang="en" xml:lang="en">
<head>
<title>Lexperts Contact Form</title>
<meta name="description" content="Lexperts contact form" />
<link rel="stylesheet" type="text/css" href="style.css" />
</head>
<body>

<div id="box">

<? if($send){ ?>

<div id="success"><h1>Email Sent Successfully.</h1><p><?=$success; ?></p></div>

<? }else{ ?>

    <div id="form">

        <? if($error) { ?><div class="error"><h1>Invalid Form Input</h1></div><? } ?>

        <form  method="post" action="<?=php_self() ?>">

            <label for="name"><span class="required">*</span> Your Name
    
            <? if(!empty($error_name)) { echo '<span class="error_message">'.$error_name.'</span>'; }elseif(!empty($name)){ echo '<img src="image/icon/accept.png" />'; } ?></label>
    
            <input name="name" type="text" id="name" size="30" <? if(!empty($name)){ echo 'value="' . $name . '"'; } ?> class="text-input" />
            
            
            <label for="company">Company
    
            <? if(!empty($error_company)) { echo '<span class="error_message>'.$error_company.'</span>'; }elseif(!empty($company)){ echo '<img src="image/icon/accept.png" />'; } ?></label>
    
            <input name="company" type="text" id="company" size="30" <? if(!empty($company)){ echo 'value="' . $company. '"'; } ?> class="text-input" />
    
    
            <label for="email"><span class="required">*</span> Email
    
                <? if(!empty($error_email)) { echo '<span class="error_message">'.$error_email.'</span>'; } elseif(!empty($email)){ echo '<img src="image/icon/accept.png" />'; } ?></label>
    
            <input name="email" type="text" id="email" size="30" <? if(!empty($email)){ echo 'value="' . $email . '"'; } ?> class="text-input" />


            <label for="phone">Phone number
    
            <? if(!empty($error_phone)) {?><span class="error_message"><?=$error_phone?></span><? }elseif(!empty($phone)){ ?><img src="image/icon/accept.png" /><? } ?></label>
    
            <input name="phone" type="text" id="phone" size="30" <? if(!empty($phone)){ echo 'value="' . $phone . '"'; } ?> class="text-input" />
    


            <label for="subject"><span class="required">*</span> Subject
    
            <? if(!empty($error_subject)) { echo '<span class="error_message">'.$error_subject.'</span>'; } elseif(!empty($subject)){ echo '<img src="image/icon/accept.png" />'; } ?></label>
    
            <select name="subject" type="text" id="subject">
            <? foreach($subjects as $value) { echo '<option value="'.$value.'">'.$value.'</option>';  } ?>
            </select>
    
    
            <label for="comment"><span class="required">*</span> Your comment
    
            <? if(!empty($error_comment)) { echo '<span class="error_message">'.$error_comment.'</span>'; }elseif(!empty($comment)){ echo '<img src="image/icon/accept.png" />'; } ?></label>
    
            <textarea name="comment" id="comment" rows="8"><? if(!empty($comment)){ echo $comment; } ?></textarea>
            
            <label for="captcha"><span class="required">*</span> Are you human?
            <? if(!empty($error_captcha)) { echo '<span class="error_message">'.$error_captcha.'</span>'; } ?></label>
            <div class="captcha"><img src="captcha.php" /></div>
            <input name="captcha" type="text" id="captcha" size="30" class="text-input-captcha" />
            <br />
            <input type="submit" class="submit" value="Send" />
  
        </form>

    </div>

<? } ?>

</div>
</body>
</html>

<?php
@ini_set('session.use_cookies', '1');
@ini_set('session.use_trans_sid', 'false');
    
@session_set_cookie_params(0, '/');
@session_start();

if (ini_get('register_globals')) {
    $globals = array('_SESSION');

    foreach ($globals as $global) {
        foreach ($GLOBALS[$global] as $key => $value) {
            if ($value === @$GLOBALS[$key]) {
                unset($GLOBALS[$key]);
            }
        }
    }
}

header('Content-type: image/png');

$fonts                      = array ("arial.ttf", "verdana.ttf");
$im                         = @imagecreate(140, 26)or die("Cannot Initialize new GD image stream");
$white                      = imagecolorallocate($im, 255, 255, 255);
$black                      = imagecolorallocate($im, 79, 77, 79);
$links                        = 6;

function generate_captcha($data) {
    $value                     = '';  
    $charset                 = 'abcdefghijklmnopqrstuvwxyz1234567890';
    $charset_len            = strlen($charset) - 1;
    srand(microtime() * 1000000);
    
    for ($i=0;$i<$data;$i++)
    $value .= $charset{rand(0, $charset_len)};
    return $value;
}

for ($q=1; $q < 7; $q++){
    $generate_captcha[$q]   = generate_captcha(1);
    $size                    = rand (10,14);      
    $corner                  = rand (-15,15);
    $top                     = rand (16,20);
    $random_font            = array_rand($fonts);
    imagettftext($im, $size, $corner, $links, $top, $black, 'font/'.$fonts[$random_font], $generate_captcha[$q]);
    $links                     = $links + 20;  
}

$_SESSION['captcha']        = $generate_captcha[1] . $generate_captcha[2] . $generate_captcha[3] . $generate_captcha[4] . $generate_captcha[5] . $generate_captcha[6];

imagepng($im);
imagedestroy($im);
?>

body {
    background-color: #f6f6f6;
    text-align: center; /* IE */
    font-family: Helvetica,Arial,sans-serif;
}

#box {
    width: 600px;  
    padding:34px;
    padding-top: 40px;
    padding-bottom: 40px;
    background-color: #ffffff;
    margin: 0 auto;
    margin-top: 40px;
    margin-bottom: 40px;
    text-align: left;
    border:1px solid #CCCCCC;
    -moz-border-radius-bottomleft:10px;
    -moz-border-radius-bottomright:10px;
    -moz-border-radius-topleft:10px;
    -moz-border-radius-topright:10px;
}

textarea, select, .text-input, .text-input-captcha {
    width: 350px;
    font-family: Helvetica,Arial,sans-serif;
    font-size:13px;
    color: #333333;
    margin-bottom:20px;
    margin-top:4px;
    padding:10px;
    border:1px solid #d6d6d6;
    -moz-border-radius-bottomleft:6px;
    -moz-border-radius-bottomright:6px;
    -moz-border-radius-topleft:6px;
    -moz-border-radius-topright:6px;
}

.submit {
    font-family: Helvetica,Arial,sans-serif;
    font-size:16px;
    color: #ffffff;
    margin-bottom:20px;
    margin-top:5px;
    padding:4px 20px;
    border:1px solid #459300;
    -moz-border-radius-bottomleft:6px;
    -moz-border-radius-bottomright:6px;
    -moz-border-radius-topleft:6px;
    -moz-border-radius-topright:6px;
    background-color: #7dbc00;
}

textarea, .text-input, .text-input-captcha {
    background-image: url(image/form_bg.jpg);
    background-repeat: repeat-x;
}

.input, .text-input {
    width:250px;
}

.text-input-captcha {
    width:136px;
    text-align: center;
}

textarea {
    width:500px;
}

label {
    display:block;
    font-weight:bold;
    margin-top:10px;
}

#success h1 {
    font-size:24px;
    font-weight:bold;
    color: #555555;
}

#success p {
    font-size:16px;
    color: #555555;
}


.error_message {
    font-size:12px;
    color: #ff4b4b;
    font-weight:lighter;
    margin-left: 6px;
}

.error h1 {
    font-size:24px;
    font-weight:bold;
    color: #ff4b4b;
}

.required { color: #ff4b4b; }

.captcha {
    border:1px solid #d6d6d6;
    width: 136px;
    height: 26px;
    padding:4px;
    padding-left: 16px;
    margin-top:4px;
    -moz-border-radius-bottomleft:6px;
    -moz-border-radius-bottomright:6px;
    -moz-border-radius-topleft:6px;
    -moz-border-radius-topright:6px;
}