Php Code: Feedback contact email form

This is a ready to go PHP script that can be pasted into a blank .php document. Run it through your webserver after changing $myemail to the value of your E-Mail address. It also sends the referring URL to help you know where the visitor was before he clicked to contact you.

<!-- This Script is from www.phpfreecpde.com, Coded by: Krishna Eydatoula, Mahmood Bina--><?php// Change these two variables to meet your needs.$myemail = 'myemail@domain.com';$subject = 'Contact form Subject';$op = $_POST[op];if($op == 'contact'){ $name = stripslashes($_POST[name]); $email = stripslashes($_POST[email]); $text = stripslashes($_POST[text]); $referer = $_POST[referer]; $remote_host = $_SERVER[REMOTE_ADDR]; $server = $_SERVER[SERVER_NAME]; $browser = $_SERVER[HTTP_USER_AGENT]; if(!eregi("^[_a-z0-9-]+(.[_a-z0-9-]+)*@[a-z0-9-]+(.[a-z0-9-]+)*(.[a-z]{2,3})$",$email)) { $status = "We're sorry, but you've entered an incorrect email address.<br>"; } if(!$name) { $status .= "Please enter your name.<br>"; } if(!$text) { $status .= "Please enter a message.<br>"; } if(!$status) { $header = "From: $email\r\nReply-To: $email\r\n"; $message = " Name: $name Referer: $referer Site: $server Remote Host: $remote_host Remote Browser: $browser $text "; if(mail($myemail, $subject, $message, $header)) { $status = "Thank you for your Feedback!!<br><br>"; } else { $status = "There was a problem sending your feedback, please try again later.<br><br>"; } } else { $status .= "<br>Please press <u>back</u> on your browser to resubmit.<br><br>"; }} // Now check the referer page and ensure it's a proper URL$referer = $_SERVER[HTTP_REFERER];if(!preg_match('#^http://[a-z0-9-]+.([a-z0-9-]+.)?[a-z]+#i', $referer)){ unset($referer);}?><?php print $status; ?><form method="post" action="<?php print $_SELF; ?>"><input type="hidden" name="op" value="contact"><input type="hidden" name="referer" value="<?php print $referer; ?>">Name<br><input name="name" size="35" value=""><br>E-mail address<br><input name="email" size="35" value=""><br><br>Message<br><textarea name="text" cols="50" rows="10"></textarea><br><br><input type="submit" value="Send message!"></form><br><font face="Tahoma"><a target="_blank" href="http://www.phpfreecode.com/"><span style="font-size: 8pt; text-decoration: none">PHP Free Code</span></a></font>