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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!!

Full Excel VBA Course - Beginner to Expert

Need Help With Email Script (built A Html Form- Need Form Info Emailed)

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script completed, thx

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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)

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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.

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Hey Guys...

need some help with a form. It seems like it should be a basic function but i can not get it to work.

All I need a search form that will take whatever is entered to edit a url for instance

http://www.mysite.com/<searchbox>/index.html

so if i typed in hello into my search box it would open

http://www.mysite.com/hello/index.html

if you could help me with this it would be great

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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>

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sorry i found it

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Hi,

I have set up a basic HTML form that asks a customer a series of questions.

My question is, using PHP or similar can anybody help witht he code to,

Provide basic data validation, all fields require a response and then to email the data direct to me without using the clients email software.

All the internet help I can find refers to put functions in seperate files, but I can't do that as I don't have access to the host servers!

I intend to put a capatcha on it to prevent spamming, again this seems to rely on other php files too.

Is there away that you can create functions that are called, but are not in seperate files?

Any help would be greatly received.

- Jason

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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

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I am storing all of my shopping cart information in a db and then retrieving whenever someone wants to checkout. I want all the products to be transferred to google checkout as soon as i click their checkout button.

for some reason when i click the image that is supposed ot take me to google checkout it begins to download the picture of the google checkout to my computer?
it worked until i tried having it save more than 1 product..

here is my code

PHP Code:
   $cart_set1 = get_cart($cookie_id);
while($row = mysql_fetch_array($cart_set1))
    {?>
<?php
$number=1;
?>
<form method="POST"
    action="https://sandbox.google.com/checkout/api/checkout/v2/checkoutForm/Merchant/722419656118816">

  <input type="hidden" name="<?php echo "item_name_".$number; ?>" value="<?php echo $row['product_name']; ?>"/>

  <input type="hidden" name="<?php echo "item_quantity_".$number; ?>" value="<?php echo $row['qty']; ?>"/>
  <input type="hidden" name="<?php echo "item_price_".$number; ?>" value="<?php echo $row['product_price']; ?>"/>
  <input type="hidden" name="<?php echo "item_currency_".$number; ?>" value="USD"/>
  <input type="hidden" name="<?php echo "ship_method_name_".$number; ?>" value="UPS Ground"/>
  <input type="hidden" name="<?php echo "ship_method_price_".$number; ?>" value="10.99"/>
  <input type="hidden" name="<?php echo "item_description_".$number; ?>" value="<?php echo $row['size']; ?>"/>
  <input type="hidden" name="tax_rate" value="0.0875"/>
  <input type="hidden" name="tax_us_state" value="NY"/>
  <input type="hidden" name="_charset_"/>

<?php
$number++;
?>

<?php

}
?>

<input type="image" name="Google Checkout" alt="fast checkout through google"
src="http://checkout.google.com/buttons/checkout.gif?merchant_id=722419656118816&w=180&h=46&style=white&variant=text&loc=en_US"
height="46" width="180"/>
</form

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I have a Website which I need put on a CD to send out to customers.

I am looking for a way of being able to send the contents of an HTML feedback form to a mail address.

Bear in mind that the Form will be on a CD and will have no server side support (CGI, PHP etc). I am rapidly coming to the belief that this cannot be done!!!!

Can anyone help

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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>

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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>&nbsp;</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

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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.

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Hi All,

I'm far from a HTML pro so need some help with this one.

I need to automate some auditing as much as I can. What I was thinking was to create a html form with yes/no answers. when a NO answer is provided, a description of why this is bad is shown, to either copy and paste into a word doc or even better, auto generate the document.

i.e.

Web form with question and radio button Y/N answers;

Q1. Is there an Anti-Virus Y/N
Q2. Are MS updates up to date Y/N
Q3. Are all firewalls on Y/N
Q4. Are Password complexities met Y/N

As you can see, Q1 and Q3 were answered with a NO. so would like details on these questions shown/generated/exported to word. i.e.

Q1. Is there an Anti-Virus;
Anti-Virus is required to prevent malicious software bla bla bla

Q3. Are all Firewalls on;
Firewalls prevent attacks bla bla blab laa.

IS this easy to do?

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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?

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hi,

i am newbie to web design,

my html form works in firefox but not in opera or IE, i use outlook 2002

the code is show below

<form action="MAILTO:tecnodude@gmail.com" method="post" enctype="text/plain"><p> 
</p>
<p>
<font color="#FFFFFF"> </font><font color="#000000">Please forward us your name
and email address so we can provide you  a better service.</font></p>
<p><input type="text" name="T1" size="20">  <font color="#000000">
:Name</font></p>
<p><input type="text" name="T2" size="20"> <font color="#FFFFFF"> </font><font color="#000000">:Email</font></p>
<p><input type="submit" value="Submit" name="B1"><input type="reset" value="Reset" name="B2"></p>
</form>

any idea what the problem is?

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Please please someone help me!

I am attempting to duplicate a webpage for a buddy of mine that has lost the codes. I know what the page should look like, and I have everything done except the spacing.

Can someone please tell me how to get the spaces in it?

This is what I have so far:

<html>
<head>
<title>Jackson Electronics Registration Form
</title>
</head>
<Body Style= "font-family:Verdana;background-color:#99FFCC;">
<form name="REG." id="Registration" method="post" action="mailto:CustSuptDir@JE.com" enctype="text/plain">
<center><img src="images/Jackson.gif" alt="Jackson" width="311px" height="90px"></center>
<h2>Registration Form</h2>
<hr>

<tr>
<td>First Name:</td>
<td><input name="txtName" size="25" maxLength="25"</td>
<td>Last Name:</td>
<td><input type="text" name="txtPhone" size="25" maxLength="25"></td>
</tr>
<br>

<tr>
<td>Address #1:</td>
<input type="text" name="txtAddress" size="33" maxLength="25"</td>
</tr>

<br>

<tr>
<td>Address #2:</td>
<input type="text" name="txtAddress2" size="33" maxLength="25"</td>
</tr>

<br>

<tr>
<td>City:</td>
<input type="text" name="txtcity" size="15" maxLength="25"</td>
<td>State:</td>
<input type="text" name="txtstate" size="2" maxLength="25"</td>
<td>Zip:</td>
<input type="text" name="txtzip" size="6" maxLength="25"</td>
</tr>

<br>

<td>Country:</td>
<input type="text" name="txtcountry" size="33" maxLength="25" value="United States"</td>

<hr>

<tr>
<td>Product:
<select>
<option value"id"> ScanMaster</option>
<option> ScanMaster II </option>
<option> LaserPrint 1000 </option>
<option> LaserPrint 5000 </option>
<option> Print/Scan 150 </option>
<option> Print/Scan 250 </option>
</select>
</tr>

<br>

<tr>
<td>Date Purchased:</td>
<input type="text" name="txtpurchasedate" size="15" maxLength="25"</td>
</tr>

<br>

<tr>
<td>Serial #:</td>
<input type="text" name="txtSerial" size="15" maxLength="25"</td>
</tr>

<br>

<td colspan="2" rowspan="2">Used for:
<input type=radio name="radUse" Value="H">Home<br>
<input type=radio name="radUse" Value="B" checked="checked">Business<br>
<input type=radio name="radUse" Value="G">Government<br>
<input type=radio name="radUse" Value="EI">Educational Institution<br>
<input type=radio name="radUse" Value="O">Other<br>
</td>

<br>

<tr>
<tr>System (check all that apply):
<input type="checkbox" name="option1" value="Windows">Milk<br>
<input type="checkbox" name="option2" value="Macintosh">Butter<br>
<input type="checkbox" name="option3" value="UNIX">UNIX<br>
<input type="checkbox" name="option4" value="Other">Other<br>
</tr>

<br>

<hr>

<tr>Comments?:
<textarea rows="5" cols="50">
</textarea>
</tr>

<br>

<INPUT type="submit" name="Send Registration" value="Send Registration">
<INPUT TYPE="reset" name="Cancel" value="Cancel">

</table>
</form>
</body>
</html>

This is what it needs to look like.

Can someone PLEASE tell me what I am leaving out?

Thanks a million!

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Hello, on my website ... davidm.freepgs.com/index3.php ... on my right side i have a search form. if you open my site with mozilla firefox everything look great but if you view it with Internet explorer the search button is not in the box but below it which messes up the options below it.

This is a little part of the form where the problem is occuring:

<input type="hidden" name="domains" value="davidm.freepgs.com"></input>
<label for="sbi" style="display: none">Enter your search terms</label>
<input type="text" name="q" size="9" maxlength="255" value="" id="sbi"></input>
<label for="sbb" style="display: none">Submit search form</label>
<input type="submit" name="sa" value="Search" id="sbb" class="button"></input>

the search button is the class="button"> it is located in my css file.

Can anyone please help me out here?

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I have an HTML form that has validations on some fields as well as other fields that dont have it. The past couple of days I have been getting blank emails of every form at least once a day. I have a few forms in my website, including ones in different languages, and this morning i got an email from each form with blank answers. I have a captcha on each one of the forms too. HELP