[Golith]

the complete html file will be;

HTML Code:

<?php
// make sure that all values are set to unchecked in case the page has been refreshed
$Search engine_status = 'unchecked';
$Advertising = 'unchecked';
$referral_status = 'unchecked';
$Facebook = 'unchecked';
$Other = 'unchecked';

if (isset($_POST['Submit1'])) {

$selected_radio = $_POST['list'];

if ($selected_radio == 'Search engine') {
$searchengine= 'checked';
}else if ($selected_radio == 'Advertising') {
$adveretising= 'checked';
}else if ($selected_radio == 'referral') {
$referral= 'checked';
}else if ($selected_radio == 'Facebook') {
$facebook= 'checked';
}else if ($selected_radio == 'Other') {
$other= 'checked';
}
}
?>

<form [B]name="submit1"[/B] method="post" action="contact.php">
<table width="471" align="center" cellspacing="4">
<tr class="subhead">
<td width="146" bgcolor="#FFFFFF"><span class="style5">Subject</span></td>
<td width="307" bgcolor="#FFFFFF"><span class="style5">
<select name="sendto">
<option value="inquiry@pwks.net" selected="selected">General inquiry</option>
<option value="booking@pwks.net">booking inquiry</option>
<option value="feedback@pwks.net">Feedback</option>
</select>
</span></td>
</tr>
<tr class="subhead">
<td bgcolor="#FFFFFF"><span class="style5"><font color="red">*</font> Name:</span></td>
<td bgcolor="#FFFFFF"><input name="Name" size="25" /></td>
</tr>
<tr class="subhead">
<td bgcolor="#FFFFFF"><span class="style5"><font color="red">*</font> Email:</span></td>
<td bgcolor="#FFFFFF"><input name="Email" size="25" /></td>
</tr>
<tr class="subhead">
<td bgcolor="#FFFFFF"><span class="style5">Company:</span></td>
<td bgcolor="#FFFFFF"><input name="Company" size="25" /></td>
</tr>
<tr class="subhead">
<td bgcolor="#FFFFFF"><span class="style5">Phone:</span></td>
<td bgcolor="#FFFFFF"><input name="Phone" size="25" /></td>
</tr>
<tr class="subhead">
<td bgcolor="#FFFFFF"><span class="style5"></span></td>
<td bgcolor="#FFFFFF"><span class="style5"></span></td>
</tr>
<tr class="subhead">
<td valign="top" bgcolor="#FFFFFF"><span class="style5">Where did you hear about me:</span></td>
<td bgcolor="#FFFFFF"><span class="style5">
<input type="radio" name="list" value="Search engine" />
Search engine<br />
<input type="radio" name="list" value="Referral" />
Referral<br />
<input type="radio" name="list" value="Advertising" />
Advertising<br />
<input type="radio" name="list" value="Facebook" />
Facebook <br />
<input type="radio" name="list" value="Other" />
Other <br />
</span></td>
</tr>
<tr class="subhead">
<td valign="top" bgcolor="#FFFFFF"><span class="style5">if &quot;Other&quot; please specify</span></td>
<td bgcolor="#FFFFFF"><input name="Specify" size="25" /></td>
</tr>
<tr class="subhead">
<td valign="top" bgcolor="#FFFFFF"><span class="style5">Message:</span></td>
<td bgcolor="#FFFFFF"><span class="style5">
<textarea name="Message" cols="35" rows="6" wrap="physical"></textarea>
</span></td>
</tr>
<tr class="subhead">
<td colspan="2" align="center" bgcolor="#FFFFFF"><input name="send" type="submit" value="Submit" /></td>
</tr>
<tr class="subhead">
<td colspan="2" align="center" bgcolor="#FFFFFF"><span class="style5"><small>A <font color="red">*</font> indicates a field is required</small></span></td>
</tr>
</table>
</form> 

the contact.php page will be

PHP Code:

$to = $_REQUEST['sendto'] ; 

$from = $_REQUEST['Email'] ; 

$name = $_REQUEST['Name'] ; 

[B]$list = $_REQUEST['list']; [/B]

$headers = "From: $from"; 

$subject = "inquiry Email"; 



$fields = array(); 

$fields{"Name"} = "Name"; 

$fields{"Company"} = "Company"; 

$fields{"Email"} = "Email"; 

$fields{"Phone"} = "Phone"; 

[B]$fields{"list"} = "Where did you hear about me "; [/B]

$fields{"Specify"} = "Specify"; 

$fields{"Message"} = "Message";  



$body = "We have received the following information:\n\n";  



foreach($fields as $a => $b){  

     $body .= sprintf("%20s: %s\n",$b,$_REQUEST[$a]);  

}  



$headers2 = "From: info@pwks.net";  

$subject2 = "Thank you for contacting me";  

$autoreply = "Thank you for contacting me. I will get back to you as soon as possible. Please do not reply to this message";  



if($from == '') {print "You have not entered an email, please go back and try again";}  

else {  

if($name == '') {print "You have not entered a name, please go back and try again";}  

if($list == '') {print "You have not selected an option for 'where did you hear about me', please go back and try again";}  

else  // ..... what ever ur condition are