require ("defaults.php"); if ($mode == "Cancel") { header("Location: $PHP_SELF?"); } elseif ($mode == "Submit") { // REQUIRED FIELDS if (!$name) { $b[] = "You need to enter your Name."; } if (!$address1) { $b[] = "You need to enter your Address."; } if (!eregi("^([a-z0-9_]|\\-|\\.)+@(([a-z0-9_]|\\-)+\\.)+[a-z]{2,4}$",$email)) { $b[] = "You need to enter a valid Email Address."; } if (!$b) : $today = date("Y-m-d H:i:s"); $ip = getenv("REMOTE_ADDR"); // INSERT RECORD $sql = "INSERT INTO erequest SET name = '$name', company = '$company', address1 = '$address1', address2 = '$address2', address3 = '$address3', country = '$country', email = '$email', tel = '$tel', fax = '$fax', adaboard = '$adaboard', addiscover = '$addiscover', subscribe = '$subscribe', today = '$today', lang = 'eng', ip = '$ip'"; mysql_query($sql); // STRIP SLASHES $name = stripslashes($name); $company = stripslashes($company); $address1 = stripslashes($address1); $address2 = stripslashes($address2); $address3 = stripslashes($address3); $country = stripslashes($country); $email = stripslashes($email); $tel = stripslashes($tel); $fax = stripslashes($fax); $adaboard = stripslashes($adaboard); $addiscover = stripslashes($addiscover); $subscribe = stripslashes($subscribe); // EMAIL MESSAGE $to = "info@aboardpublishing.com"; $from = "webuser@aboardpublishing.com"; $subject = "New Erequest Form Signup"; $message = "Erequest Form Signup Details:\n\n"; $message .= "Name : ".$name."\n"; $message .= "Company : ".$company."\n"; $message .= "Address1 : ".$address1."\n"; $message .= "Address2 : ".$address2."\n"; $message .= "Address3 : ".$address3."\n"; $message .= "Country : ".$country."\n"; $message .= "Email : ".$email."\n"; $message .= "Tel : ".$tel."\n"; $message .= "Fax : ".$fax."\n"; $message .= "Adaboard : ".$adaboard."\n"; $message .= "Addiscover : ".$addiscover."\n"; $message .= "Subscribe : ".$subscribe."\n"; mail($to, $subject, $message, "From: ".$from); header("Location: $PHP_SELF?b[]=THANK+YOU!"); exit(); else: // REMOVE QUOTES AND STRIP SLASHES $name = stripslashes(eregi_replace('"',""",$name)); $company = stripslashes(eregi_replace('"',""",$company)); $address1 = stripslashes(eregi_replace('"',""",$address1)); $address2 = stripslashes(eregi_replace('"',""",$address2)); $address3 = stripslashes(eregi_replace('"',""",$address3)); $country = stripslashes(eregi_replace('"',""",$country)); $email = stripslashes(eregi_replace('"',""",$email)); $tel = stripslashes(eregi_replace('"',""",$tel)); $fax = stripslashes(eregi_replace('"',""",$fax)); $adaboard = stripslashes(eregi_replace('"',""",$adaboard)); $addiscover = stripslashes(eregi_replace('"',""",$addiscover)); $subscribe = stripslashes(eregi_replace('"',""",$subscribe)); endif; } ?>
if ($b) {
foreach ($b as $item) {
print "