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HTML - Html Form With Captcha
I am having a problem adding captcha to this form. I am looking at tutorials but are even more confused by them please help.
HTML Code:
<head>
<link rel=stylesheet href="stylesheet2004.css" type="text/css">
<script language="javascript" src="hide.js" type="text/javascript"></script>
<script type="text/javascript">
<!--
function MM_validateForm() { //v4.0
if (document.getElementById){
var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=document.getElementById(args[i]);
if (val) { nm=val.name; if ((val=val.value)!="") {
if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
} else if (test!='R') { num = parseFloat(val);
if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
min=test.substring(8,p); max=test.substring(p+1);
if (num<min || max<num) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
} } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
} if (errors) alert('The following error(s) occurred:\n'+errors);
document.MM_returnValue = (errors == '');
} }
<script language="JavaScript">
// Code for validating the form
// Visit http://www.javascript-coder.com/html-form/javascript-form-validation.phtml
// for details
var frmvalidator = new Validator("contact_form");
//remove the following two lines if you like error message box popups
frmvalidator.EnableOnPageErrorDisplaySingleBox();
frmvalidator.EnableMsgsTogether();
frmvalidator.addValidation("name","req","Please provide your name");
frmvalidator.addValidation("email","req","Please provide your email");
frmvalidator.addValidation("email","email","Please enter a valid email address");
</script>
<script language='JavaScript' type='text/javascript'>
function refreshCaptcha()
{
var img = document.images['captchaimg'];
img.src = img.src.substring(0,img.src.lastIndexOf("?"))+"?rand="+Math.random()*1000;
}
</script>
//-->
</script>
<script language="javascript" src="emailvalidation.js" type="text/javascript"></script>
</head>
<body>
width="386" height="65" border="0"></div></nobr>
<table border="0" width="770" cellspacing="0" cellpadding="0" align="center">
</tr>
</table>
<table border="0" width="770" cellspacing="0" cellpadding="0" align="center">
<tr>
<td id="navigation" valign="top" width="155">
<!-- navigation-->
<script language="javascript" src="navigation.js" type="text/javascript"></script>
<noscript>
<div class="nav"><a href="/instruments/index.html">Products</a></div>
<div class="nav"><a href="/applications/index.html">Applications Gallery</a></div>
<div class="nav"><a href="/downloads.html">Product Literature</a></div>
<div class="nav"><a href="/order.html">How to Order</a></div>
<div class="nav"><a href="/about.html">About Mark-10</a></div>
<div class="nav"><a href="/contact.html">Contact Us</a></div>
<div class="nav"><a href="/faq.html">Frequent Questions</a></div>
<div class="nav"><a href="/distributor.html">Distributors</a></div>
<div class="nav"><a href="/tools/angle.html">Conversion Calculators</a></div>
<div class="nav"><a href="/list.html">Join Mailing List</a></div>
<div class="nav"><a href="/index.html">Home</a></div></noscript>
<!-- end navigation-->
</td>
<td id="spacer" class="divid"><img src="images/spacer.gif" alt="" width="11" height="1" border="0"></td>
<td id="content_table">
<h1>INQUIRIES</h1>
<p>Thank you for taking an interest in Mark-10 force and torque measurement
products. If you have any specific questions or an application for which you
would like us to recommend a solution, please complete the appropriate fields
below. If you wish to receive our latest catalog and/or be added to our mailing
list, please check the appropriate boxes below.</p>
<p> </p>
<FORM id="frmCaptcha" NAME="frmCaptcha" METHOD="POST" action="http://www.mark-10.com/cgi-bin/mailto" style="padding:0px; margin:0px;">
<INPUT TYPE="hidden" NAME="RECIPIENT" VALUE="info@mark-10.com">
<INPUT TYPE="hidden" NAME="subject" VALUE="Mark-10 Web Submit Form">
<INPUT TYPE="hidden" NAME="THANKURL" VALUE="http://www.mark-10.com/thankyou-inquiry.html">
<input type="hidden" name="identicalfields" value="Email,Emailconfirm">
<table border="0" cellpadding="2" style="border-collapse: collapse" bordercolor="#111111" width="600" height="493">
<tr>
<tr>
<td width="131" height="22" colspan="2" align="right">*Name:</td>
<td height="22" colspan="2" onfocus=><input type="text" name="Name" id="Name"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right"><font size="2">Title:</font></td>
<td colspan="2" height="22"><input name="Title" type="text" size="41"></td>
</tr>
<tr>
<p style="width:300px; text-align:right;">
<td colspan="2" style="text-align: right"> *Email:</td>
<td height="22" colspan="2" align="left"><input type="text" name="Email" id="Email"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right">*Confirm Email: </td>
<td height="22" colspan="2" align="left"><input type="text" name="Emailconfirm" size="22" id="Emailconfirm"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right"><font size="2">Company: </font></td>
<td colspan="2" height="22"><input name="Company" type="text" size="41"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right"><p align="left" style="text-align: right; margin-top: 0; margin-bottom: 0"> Industry:</td>
<td colspan="2" height="22"><input name="Industry" type="text" size="41"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right"><font size="2">*Address:</font></td>
<td colspan="2" height="22"><input name="Address1" type="text" id="Address1" size="53"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right">*<font size="2">City:</font></td>
<td colspan="2" height="22"><input name="City" type="text" id="City" size="30"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right"><font size="2">*State/Province:</font></td>
<td colspan="2" height="22"><input name="State" type="text" id="State" size="30"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right"><font size="2">*Zip / Postal
Code:</font></td>
<td colspan="2" height="22"><input name="Zip" type="text" id="Zip" size="30"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right"><font size="2">Country:</font></td>
<td colspan="2" height="22"><input name="Country" type="text" size="30"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right"><font size="2">Telephone:</font></td>
<td width="202" height="22"><input name="Tel" type="text" size="30"></td>
<td width="247" height="22"><font size="2">Ext: </font>
<input name="Ext" type="text" size="9"></td>
</tr>
<tr>
<td width="131" height="22" colspan="2" align="right"><font size="2">Fax:</font></td>
<td colspan="2" height="22"><input name="Fax" type="text" size="30"></td>
</tr>
<tr>
<td width="131" height="75" colspan="2" align="right"><p style="text-align: right; margin-top: 0; margin-bottom: 0"><font size="2"> Application </font></p>
<p style="text-align: right; margin-top: 0; margin-bottom: 0"><font size="2"> or Question:</font>
<p> </td>
<td colspan="2" height="75"><textarea name="Application" style="width:425px; height: 75px;" rows="1" cols="20"></textarea></td>
</tr>
<tr>
<td width="131" height="6" colspan="2" align="right"></td>
<td colspan="2" height="6"><input type="checkbox" name="SendCatalog" value="Yes">
<font size="2"> Send me
your latest catalog</font></td>
</tr>
<tr>
<td height="34" colspan="2" align="right"> </td>
<td colspan="2" height="34"><input type="checkbox" name="AddToMailingList" value="Yes">
<font size="2"> Add me to
your mailing list</font></td>
</tr>
<tr>
<td height="34" colspan="2" align="right"> </td>
<td colspan="2" height="34">
<img id="imgCaptcha" src="create_image.php" />
<label for="message"><br>
Enter the code above here :</label>
<input id="txtCaptcha" type="text" name="txtCaptcha" value="" maxlength="10" size="32" /></td>
</tr>
<tr>
<td height="34" colspan="2" align="right"> </td>
<td colspan="2" height="34"><input id="btnCaptcha" type="button" value="Captcha Test" name="btnCaptcha" onClick="MM_validateForm('Name','','R','Email','','RisEmail','Emailconfirm','','RisEmail','Address1','','R','City','','R','State','','R','Zip','','R');return document.MM_returnValue; return ErrorCheck(); getParam(document.frmCaptcha)" value="Submit">
<input type="reset" value="Clear" name="Reset"></td>
</tr>
</table>
</form></td>
</tr>
</table>
<br>
<table cellspacing="2" width=525 border=0 celpadding="3">
</table>
</FORM>
</body>
Similar TutorialsHi I want to add a CAPTCHA to my contact form as i have been getting hit badly by spammers was wondering if any one could give me some advice or script on how to do that....thanks in advance The contactus page currently sends data to 3 email addresses. I dont verify these fields currently but wish to do so. I merely have them sent to feedback.php which accepts the data and sends the emails. I want two things done where I need help: 1, I need all fields to be validated in the contactus page itself before going to the feedback.php file 2, I want a simple captcha that can also be verified on contactus.php itself. Can someone help? Thanks Navs We currently have a feedback form (feedback.php) that is used in our contactus page. This gets sent to three email address. I now want to add a captcha to it and create a verification for all the fields in the contactus page itself ah sorry i think this should be in php thread Hi, im trying to have a math captcha in my registration form, but having trouble with setting it up in my form. sorry for the large code. If i change the value of $_POST['Submit'] to something else like $_POST['Submit1'] and then same for the math image captcha then it works, but i would like it to work as part of the form, makes sense? lol right now the form just posts the value and doesnt check for captcha values! if someone could help me out here that would be great! thank you. <?php if(isset($_POST['Submit'])){ if($_POST['Submit'] != $_SESSION['security_number']) { $error = ""; } else { $error = ""; } //NEED TO CHECK IF FIELDS ARE FILLED IN if( empty($_POST['name']) && (empty($_POST['email']))){ header("Location:Messages.php?msg=3"); exit(); } if( empty($_POST['pw1']) && (empty($_POST['pw2']))){ header( "Location:Messages.php?msg=4" ); exit(); } $name=$_POST['name']; $email=$_POST['email']; $pw1=$_POST['pw1']; $pw2=$_POST['pw2']; if("$pw1" !== "$pw2" ){ header( "Location:Messages.php?msg=5" ); exit(); } $ip = $_SERVER['REMOTE_ADDR']; //connect to the db server , check if uname exist include('config.php'); $query1=("Select * from user where email='$email'"); $result1= mysql_query($query1); $num1=mysql_num_rows($result1); if ($num1 > 0) {//Email already been used header( "Location:Messages.php?msg=11" ); exit(); }else{ $query=("Select * from user where uname='$name'"); $result= mysql_query($query); $num=mysql_num_rows($result); if ($num > 0) {//Username already exist header( "Location:Messages.php?msg=6" ); exit(); }else{ //if username does not exist insert user details $query=( "INSERT INTO user (uname, pw,email,date_joined,ip,level) VALUES ('$name',md5('$pw1'),'$email',NOW(),'$ip','Normal')"); if (@mysql_query ($query)) { header("location:login.php?reg=1"); exit; } } } mysql_close(); } ?> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"> <html><!-- InstanceBegin template="/Templates/Auth.dwt.php" codeOutsideHTMLIsLocked="false" --> <head> <!-- InstanceBeginEditable name="doctitle" --> <title>Registration</title> <!-- InstanceEndEditable --> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <!-- InstanceBeginEditable name="head" --> <!-- InstanceEndEditable --> <link href="styleLog.css" rel="stylesheet" type="text/css"> <script language="javascript" type="text/javascript"> function reloadCaptcha() { document.getElementById('captcha').src = document.getElementById('captcha').src+ '?' +new Date(); } </script> </head> <body> <table width="100%" border="0" cellspacing="7" cellpadding="0"> <tr class="temptitle"> <td><!-- InstanceBeginEditable name="EditRegion4" -->New User Registration <!-- InstanceEndEditable --></td> </tr> <tr> <td><!-- InstanceBeginEditable name="EditRegion3" --> <form name="form1" action="register.php" method="post"> <table width="657" border="0"> <tr> <td width="122"><div align="left">Name</div></td> <td width="525"><input name="name" type="text" size="40"></td> </tr> <tr> <td><div align="left">Email</div></td> <td><input name="email" type="text" size="40"></td> </tr> <tr> <td><div align="left">Password</div></td> <td><input name="pw1" type="password" size="40"></td> </tr> <tr> <td ><div align="left">Confirm Password </div></td> <td><input name="pw2" type="password" size="40"></td> </tr> <tr> <td><img src="math_captcha/image.php" alt="Click to reload image" title="Click to reload image" id="captcha" onclick="javascript:reloadCaptcha()" /></td> <td><input type="text" name="Submit" value="what's the result?" onclick="this.value=''" /></td> <td> </tr> <tr> <td></td> <td> <input name="Submit" type="submit" value="Register"></td> </tr> </table> </form> <?=$error?> Would like to use CAPTCHA or something on my web site instead of simply providing a contact email address. I'm interested in suggestions or a simple CAPTCHA type solution, recommendation or script. Thank you. script completed, thx Hi, For a course I'm taking, we are learning to make HTML forms. I'm having trouble with my form, however. My submit button won't submit [that is, refresh to] the results.php page I have set up for the form submission. The querystring in the URL contains the information I've entered on the form, but it won't display the new page. My reset button, however, works totally fine and completely resets the data. Can anyone help? HI i'm creating an html form which will be posted to a php file. The problem is the are multiple input fields which need to have the same name/id. If they have the same name or id what will be submitted to the php file, will it just append one value to the other? Does it make a difference if i use id or name? Thanks Hello, With a HTML form, is there anyway I can allow the user to send the form to my email without it opening up a email program? I currently have this... HTML Code: <form method="post" action="mailto:support@huntswebdesigns.co.uk"> If it is possible, what would I need to change in this? Cheers guys. Hi all, hoping someone out there may be able to help. I need to create a form of drop down menus with the end result once submitted being a different website. IE. Choosing different options on the drop down menu will lead to a different site. Example. Q1. Yes Q2. Yes Q3. Yes Submit - Takes you to a football site. Q1. No Q2. Yes Q3. Yes Submit - Takes you to a golf site. Any ideas on this would be mostly appreciated, I can only work with html. I'm having a bit of trouble setting up my e-mail form on my website. www.dynamitede.com - the form and coding is in the HTML. I found a script for an HTML e-mail form. I'm just looking to have people fill out this form, I am emailed the results, and a download box comes up for the e-book or they can be taken to another page. I'm assuming I'm missing some sort of other coding that has to be configured with the form. I have tried the free apps and tools, but they look ugly. Any assistance is appreciated! Probably a simple fix for an experienced coder. Hello, I am new to the forums, and i have been using HTMl for quite some time now. I was just wondering, i have a custom pc building form, and as of right now i am using javascript and all the items are stored in the HTML of the BODY tag. I was wondering if there is a way i can modify the form, and have the pull down items populate from an external database. eg. Current HTML Code: <table class="cpu_content" width="800" align=center id="table1">
<tr>
<td> </td>
<td></td>
<td><strong>Qty</strong></td>
<td><strong>Total</strong></td>
</tr>
<tr class="lineitem">
<td>CD-ROM Drives:</td>
<td>
<select name="prod_1" class="quoteselect" onchange="updatePrice(1, this.value)">
<option value="Select:0" selected>-- Select --</option>
<option value="Asus:0">--ASUS-- </option>
<option value="Asus52xCD:20.0">Asus 52x CD-ROM Drive ($20.00)</option>
<option value="Asus52XDBL:20.0">Asus 52x CD-ROM Drive (Black) ($20.00)</option>
<option value="LG:0">--LG--</option>
<option value="LG52xCD:20.0">LG 52x CD-ROM Drive ($20.00)</option>
<option value="LG52xCDBL:20.0">LG 52x CD-ROM Drive (Black) ($20.00)</option>
</select>
</td>
<td>
<select name="qty_1" id="qty_1" onchange="calculateSubtotal()">
<option value="0">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
</select>
</td>
<td>
<input id="st_1" type="text" size="5" class="subtotal" value="0.00" readonly name="T1">
</td>
</tr>
.....More items here....
...Tax/Shipping/Totals will go here....
So my question would be, how could this code be modified to use a dabase to store the items for the pulldown menus, if this is possible? Thanks for reading, Kaashif Is any one willing to make me a small form for my contact us page in html? All i want is a box that asks there email and then a larger box below were they can type there message and then when they click on send i want it to send me the infomation to my email at info4football_programmes@yahoo.co.uk Thanks Hi, I'm trying to create a form with two boxes for an insurance site. I want that in the first box the user will select the type of insurance and in the second box type the zip code. For every insurance type, the surfer will be directed to a different URL. This is the code that I have, but of course that it doesn't work: HTML Code: <form name="mainform">
<tr>
<td colspan="2">
<select name="src" id="type">
<option value="http://www.mysite.com/results-car.html">Auto</option>
<option value="http://www.mysite.com/results-home.html">Home</option>
<option value="http://www.mysite.com/results-life.html">Life</option>
<option value="http://www.mysite.com/results-health.html">Health</option>
<option value="http://www.mysite.com/results-motorcycle.html">Motorcycle</option>
<option value="http://www.mysite.com/results-business.html">Business</option>
</select>
</td>
<input type="hidden" name="source" value="google" />
<tr>
<td><input type="text" name="zipcode" maxlength="5" id="zip" />
</td>
</tr>
<tr>
<td colspan="2" style="text-align:center;"><input type="submit" id="button" value="Go"/></td>
</tr>
</table>
</form>
For example, for auto insurance the URL should be: HTML Code: http://www.mysite.com/results-car.html?zipcode=10001&source=google Thanks!! i have a working order form on my website. the problem is i have 300 items in the form and when someone submits the form, i get all 300 items emailed to me, when all i want is the items orders. example: person orders itemC only i get in the email: itemA: itemB: itemC:1 itemD: etc x 300 when all i want in the email is: itemC:1 is that possible? Taking it slow... I need a web page. This web page will be composed of an irrelevant amount of questions, possibly twenty (20). An prospective applicant should be able to come to this web page, fill out the questions, and press a submit button. The questions should then be taken from that web page, put into either a Word document (.doc) or a PDF file (.pdf) in their corresponding areas. As a side note, the prospective applicant should not be able to see or edit the actual Word document or PDF file. He or she should just be able to fill in answers to the questions given and then submit and be done until called for an interview. This Word document or PDF file would then be emailed to the designated person that handles job applications. All of the necessary information would be already filled in, allowing for, lets say, an immediate interview with the prospective applicant once they arrive at the business instead of having to fill out the form by hand, possibly wasting 20-30 minutes. How would I go about making this? Is it even possible? Do I have to buy expensive software? Thanks in advance! Hi I have created a form in HTML that will ultimately use php to send it's content. Rather than clutter the page I have placed the titles of the fields within themselves, which the user will then overwrite. How can I make it so when the user clicks or tabs into the fields the titles disappear and (if it's possible) reappear if the user clicks/tabs out again without entering their own info. Is it going to be a bit of clever js? The test link is he http://www.dnco.com/contactform.html or my relevant code follows. Please note that it uses a bit of CSS to define the look of the fields: HTML Code:
<div style="position:absolute; top:0px; left:0px">
<input type="text" class="formelement" name="name" value="Your name" />
</div>
<div style="position:absolute; top:30px; left:0px">
<input type="text" class="formelement" name="email" value="Your email" />
</div>
<div id="comments" style="position:absolute; top:60px; left:0px">
<textarea name="comments" class="formelement_multiline" value="Comments">Comments</textarea>
</div>
<div id="submit" style="position:absolute; top:170px; left:0px">
<input type="submit" value="Send" class="formbutton">
</div>
I am trying to make a form where the user chooses a number from a list box a number of people (1-10), and then the form has that many sections of data. What is the name of what I am trying to do? Any help would much be appreciated. Thanks again. Example: Number of People: (LIST BOX 1-10(let say I selected 1)) 1. Height: (TEXT BOX) Weight: (TEXT BOX) Age: (TEXT BOX) Another Example: Number of People: (LIST BOX 1-10(let say I selected 3)) 1. Height: (TEXT BOX) Weight: (TEXT BOX) Age: (TEXT BOX) 2. Height: (TEXT BOX) Weight: (TEXT BOX) Age: (TEXT BOX) 3. Height: (TEXT BOX) Weight: (TEXT BOX) Age: (TEXT BOX) OK, sad to say, I just registered to ask this question (and I'm sorry if this is in the wrong section, too). I'm fairly new at HTML and PHP, and I get a blank page whenever I use this form: This is the HTML part: Code: <html> <head> <title>HTML</title> </head> <body> <form action="PHPServer.php" method="post"> <input type="text" name="from" value="Sender" /> <br/> <input type="text" name="to" value="Receiver" /> <br/> <input type="text" name="subject" value="Subject" /> <br/> <input type="text" name="msg" value="Message" /> <br/> <input type="submit" value="Send E-Mail" /> </form> </body> </html> This is the PHP part: Code: <html>
<head><title>PHP Server</title></head>
<body>
<?php
$to = $_POST['to'];
$subject = $_POST['subject'];
$from = $_POST['from'];
$message = $_POST['msg'];
if(mail($to, $subject, $message, $from)){
echo "Mail sent";
}else{
echo "Failed to send mail";
}
?>
</body>
</html>
Again, all I get when I press the submit form (with all valid information) is a blank white page on the PHP part (aka www.website.com/PHPServer.php) and the title as PHP Server...Help please and thanks The problem I am having with it is the mailto part. Whenever I click send, it automatically opens Microsoft Outlook. Here is what I need: 1) Make it so that it sends to the e-mail I specify without opening Microsoft Outlook. 2) Make all the fields required to be sent. Code: <title>multiple-choice quiz form</title> </head> <body bgcolor=#ffffff> <h3><font size=6><center>Rate Your Support</center></font></h3> <h3><center>Please remember that we are not owned by or affiliated with Facebook. We therefore can not edit or change your profile. We cannot edit wall-to-walls, inbox messages, deactivated profiles, groups, fan-pages, notifications, settings, or Facebook Chat.</center></h3> <form method="mail" action="mailto:jobrewer@packer.edu?subject=Rate Your Support" enctype="text/plain"> <p>1. Who helped you with your problem?:<BR> <input type="radio" name="1.The staff member who helped me with my issue was" value="maison"> funnytim<BR> <input type="radio" name="1.The staff member who helped me with my issue was" value="quatre"> Lightning Yoshi<BR> <input type="radio" name="1.The staff member who helped me with my issue was" value="soleil"> The Listener<BR> <p>2. Was your problem responded to in a reasonable amount of time?<BR> <input type="radio" name="2. The word which means fish is" value="maison"> 1 - 72+ hours<BR> <input type="radio" name="2. The word which means fish is" value="valise"> 2 - 48-71 hours<BR> <input type="radio" name="2. The word which means fish is" value="soleil"> 3 - 36-47 hours <BR> <input type="radio" name="2. The word which means fish is" value="poisson"> 4 - 24-35 hours<BR> <input type="radio" name="2. The word which means fish is" value="poisson"> 5 - 24- hours<BR> </p> <p>3. Was your question properly diagnosed by our staff?:<BR> <input type="radio" name="3. The word which means suitcase is" value="renard"> No<BR> <input type="radio" name="3. The word which means suitcase is" value="valise"> Barely<BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> Somewhat<BR> <input type="radio" name="3. The word which means suitcase is" value="poisson"> Mostly<BR> <input type="radio" name="3. The word which means suitcase is" value="poisson"> Fully<BR> </p> <p>4. Were you given any type of directions to solve your problem?:<BR> <input type="radio" name="3. The word which means suitcase is" value="renard"> No<BR> <input type="radio" name="3. The word which means suitcase is" value="valise"> Somewhat<BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> Yes<BR> </p> <p>5. Did your supporter type in complete sentences, use correct grammar, punctuation, and spelling, etc.?:<BR> <input type="radio" name="3. The word which means suitcase is" value="renard"> No<BR> <input type="radio" name="3. The word which means suitcase is" value="valise"> Somewhat<BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> Yes<BR> </p> <p>6. Was your topic locked before the issue was resolved?:<BR> <input type="radio" name="3. The word which means suitcase is" value="renard"> No<BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> Yes<BR> </p> <p>7. Did you receive the solution you needed?:<BR> <input type="radio" name="3. The word which means suitcase is" value="renard"> No<BR> <input type="radio" name="3. The word which means suitcase is" value="valise"> Barely<BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> Somewhat<BR> <input type="radio" name="3. The word which means suitcase is" value="poisson"> Mostly<BR> <input type="radio" name="3. The word which means suitcase is" value="poisson"> Fully<BR> </p> <p>8. Would you recommend us to a friend?:<BR> <input type="radio" name="3. The word which means suitcase is" value="renard"> No<BR> <input type="radio" name="3. The word which means suitcase is" value="valise"> Maybe<BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> Definitely<BR> <p>9. On a scale of 1-10 (with 10 being best), what would you rate Facebook Forum Support?:<BR> <input type="radio" name="3. The word which means suitcase is" value="renard"> 1/10; I didn't get any support whatsoever<BR> <input type="radio" name="3. The word which means suitcase is" value="valise"> 2/10 <BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> 3/10 <BR> <input type="radio" name="3. The word which means suitcase is" value="renard"> 4/10<BR> <input type="radio" name="3. The word which means suitcase is" value="valise"> 5/10<BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> 6/10<BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> 7/10 <BR> <input type="radio" name="3. The word which means suitcase is" value="renard"> 8/10<BR> <input type="radio" name="3. The word which means suitcase is" value="valise"> 9/10<BR> <input type="radio" name="3. The word which means suitcase is" value="soleil"> 10/10; The support was very useful<BR> </p> <p>10. <br><form method="post" action=""> <textarea name="comments" cols="40" rows="5"> Enter your other comments here about your experience with our Facebook Support System... </textarea><br> </form> <br> <br> <br> <br> <input type="submit" value="Send Form"> <input type="reset" value="Clear Form"> </form> </body> </html> I'm trying to build this form...so far most-everything looks like it is in working order...but i am still not getting emails forwarded to me when the form is submitted...im somewhat new at html, so any help would be appreciated! (and yes i put my real email addy into the form, i just removed it as i am posting on here) ----- HTML Code: <form action="http://www.bigbiz.com/cgi-bin/forms.cgi" method="POST">
<input type=hidden name=F_to value="email@email.com" />
<input type=hidden name=F_subject value="New Estimate Appointment" />
<p><span class="style6">Schedule Your Appointment</span></p>
<p> </p>
<p>Customer Information:</p>
<p> </p>
<p> Name:</p>
<p>
<input name=name size="10" maxlength="30">
</p>
<p> </p>
<p>Phone Number:
<p>
<input type="text" size="10" maxlength="30" name="phone">
</p>
<p> </p>
<p>Email Address:
<p>
<input name=F_from size="10" maxlength="40">
</p>
<p> </p>
<p>------------</p>
<p><br/>
Vehicle Information:</p>
<p> </p>
<p>Make :</p>
<p>
<input type="Make" size="10" maxlength="20" name="make">
</p>
<p> </p>
<p>Model:</p>
<p>
<input type="model" size="10" maxlength="20" name="model">
</p>
<p> </p>
<p>Year :</p>
<p>
<input type="year" size="10" maxlength="4" name="year">
</p>
<p> </p>
<p>Reason for bringing in vehicle:</p>
<p>
<textarea rows="5" cols="28" wrap="physical" name="comments"></textarea>
</p>
</p>
<p> </p>
<p>------------</p>
<p> </p>
<p>Schedule your apointment:</p>
<p> </p>
<select name="month">
<option></option>
<option>January</option>
<option>February</option>
<option>March</option>
<option>April</option>
<option>May</option>
<option>June</option>
<option>July</option>
<option>August</option>
<option>September</option>
<option>October</option>
<option>November</option>
<option>December</option>
</select>
<select name="day">
<option></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>
<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>
<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option>
</select>
<select name="time">
<option></option>
<option>8:30 AM</option>
<option>9:00 AM</option>
<option>9:30 AM</option>
<option>10:00 AM</option>
<option>11:00 AM</option>
<option>11:30 AM</option>
<option>12:00 PM</option>
<option>12:30 PM</option>
<option>1:00 PM</option>
<option>1:30 PM</option>
<option>2:00 PM</option>
<option>2:30 PM</option>
<option>3:00 PM</option>
<option>3:30 PM</option>
<option>4:00 PM</option>
<option>4:30 PM</option>
<option>5:00 PM</option>
</select>
<p>*Note we are open Monday - Friday, 8:30 - 5:30</p>
<p> </p>
<input type=submit value="Send" name="submit" />
<input type=hidden name=F_fields value="'Name:'+name,'Contact Number:'+phone,'Email Address:'+F_from,'Vehicle Make:'+make,'Vehicle Model:'+model,'Vehicle Year:'+year,'Appointment Month:'+month, 'Appointment Day: '+day,'Time:'+time" />
<input type=hidden name=F_required value="name,phone,F_from,month,day,time" />
<INPUT TYPE=HIDDEN NAME=F_ok_url VALUE="http://www.website.com" />
</form>
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