contact form

hey there,

I 'm trying to have a proper contact form that will validate my form "on the fly" using jquery & bootstrap validator and at the end will send an email to my mail adress.

1 HTML

   <p><b>  Specific projects* </b></p>
              <div  id="alert" class="alert alert-success alert-dismissible" style="display:none" role="alert">
  <button type="button" class="close" data-dismiss="alert"><span aria-hidden="true">&times;</span><span class="sr-only">Close</span></button>
  <strong>Thank you for contacting me!</strong>I have received your enquiry and will respond to you within 24 hours.  For urgent enquiries please call me or leave a message on skype. :)
</div>



                    <form id="contactForm" method="post" class="form-horizontal" action="_/components/php/contactformSend.php" method="POST">
                        <div class="form-group">
                            <label class="col-lg-3 control-label">Full name</label>
                            <div class="col-lg-3">
                                <input type="text" class="form-control" name="firstName" placeholder="FirstName" />
                            </div>
                            <div class="col-lg-3">
                                <input type="text" class="form-control" name="lastName" placeholder="LastName" />
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-lg-3 control-label">Email address</label>
                            <div class="col-lg-5">
                                <input type="text" class="form-control" name="email" />
                            </div>
                        </div>

                      <div class="form-group">
                                <label class="col-lg-3 control-label">Website</label>
                                <div class="col-lg-5">
                                    <input type="text" class="form-control" name="website" placeholder="http://" />
                                </div>
                            </div>




                        <div class="form-group">
                            <label class="col-lg-3 control-label">What is this regarding?</label>
                            <div class="col-lg-5">
                                <div class="checkbox">
                                    <label>
                                        <input type="checkbox" name="regarding[]" value="Web Development" /> Web Development
                                    </label>
                                </div>
                                <div class="checkbox">
                                    <label>
                                        <input type="checkbox" name="regarding[]" value="SEO" /> SEO
                                    </label>
                                </div>
                                <div class="checkbox">
                                    <label>
                                        <input type="checkbox" name="regarding[]" value="Adwords" /> Adwords
                                    </label>
                                </div>
                                </div>
                                </div>

                              <div class="form-group">
                                <label class="col-lg-3 control-label">Budget</label>
                                <div class="col-lg-5">
                                    <select  class="form-control" name="budget">
                                      <option value="Less than 200">Less than 200&#36;</option>
                                      <option value="200-350">200&#36;-350&#36;</option>
                                      <option value="350-500">300&#36;-500&#36;</option>
                                      <option value="500-1000">500&#36;-1000&#36;</option>
                                      <option value="1000-1500">1000&#36;-1500&#36;</option>
                                    </select>

                                </div>
                              </div>

                               <div class="form-group">
                                <label class="col-lg-3 control-label">TimeFrame</label>
                                <div class="col-lg-5">
                                    <select class="form-control" name="timeframe">
                                        <option value="">Select the timeframe </option>
                                        <option value="one week">1 week</option>
                                        <option value="two weeks">2 weeks </option>
                                        <option value="tree weeks or more">3 weeks or more </option>

                                    </select>
                                </div>
                            </div>
                             <div class="form-group">
                                <label class="col-lg-3 control-label">Brief project description</label>
                                <div class="col-lg-5">
                                    <textarea rows="5" class="form-control" name="description"></textarea>
                                </div>
                            </div>





                        <div class="form-group">
                            <label class="col-lg-3 control-label" id="captchaOperation"></label>
                            <div class="col-lg-2">
                                <input type="text" class="form-control" name="captcha" />
                            </div>
                        </div>

                        <div class="form-group">

                        <button id="trimite" type="submit" class="col-lg-3 col-lg-offset-8 col-md-2 col-md-offset-8 btn btn-default btn-sm" name="signup" value="Sign up"> <b>SEND</b> </button>
                            <div class="col-lg-9 col-lg-offset-3">
<!--                                <button type="submit" class="btn btn-primary" name="signup" value="Sign up">Sign up</button>                                 <button type="button" class="btn btn-info" id="validateBtn">Manual validate</button>-->
                                <button type="button" class="btn btn-link" id="resetBtn">Reset form</button>
                            </div>
                        </div>
                    </form>


<script type="text/javascript">
$(document).ready(function() {
    // Generate a simple captcha
    function randomNumber(min, max) {
        return Math.floor(Math.random() * (max - min + 1) + min);
    };
    $('#captchaOperation').html([randomNumber(1, 100), '+', randomNumber(1, 200), '='].join(' '));

    $('#contactForm').bootstrapValidator({
//        live: 'disabled',
        message: 'This value is not valid',
        feedbackIcons: {
            valid: 'glyphicon glyphicon-ok',
            invalid: 'glyphicon glyphicon-remove',
            validating: 'glyphicon glyphicon-refresh'
        },
        fields: {
            firstName: {
                validators: {
                    notEmpty: {
                        message: 'The first name is required and cannot be empty'
                    }
                }
            },
            lastName: {
                validators: {
                    notEmpty: {
                        message: 'The last name is required and cannot be empty'
                    }
                }
            },

            email: {
                validators: {
                    emailAddress: {
                        message: 'The input is not a valid email address'
                    }
                }
            },
             website: {
                validators: {
                    uri: {
                        message: 'The input is not a valid URL'
                    }
                }
            },

            'regarding[]': {
                validators: {
                    notEmpty: {
                        message: 'Please specific what is this regarding'
                    }
                }
            },
           budget: {
                validators: {
                    notEmpty: {
                        message: 'Please select the estimated time'
                    }
                }
            },

             timeframe: {
                validators: {
                    notEmpty: {
                        message: 'Please select the estimated time'
                    }
                }
            },

            description: {
                trigger: 'blur',
                validators: {
                    notEmpty: {
                        message: 'The brief description of the future project is required'
                    }
                }
            },

            captcha: {
                validators: {
                    callback: {
                        message: 'Wrong answer',
                        callback: function(value, validator) {
                            var items = $('#captchaOperation').html().split(' '), sum = parseInt(items[0]) + parseInt(items[2]);
                            return value == sum;
                        }
                    }
                }
            }
        }
    });

    // Validate the form manually
   // $('#validateBtn').click(function() {
   //     $('#contactForm').bootstrapValidator('validate');
   // });

    $('#resetBtn').click(function() {
        $('#contactForm').data('bootstrapValidator').resetForm(true);
    });
});
</script>
<script type="text/javascript" src="_/js/ajaxscript.js"></script>
</div>


2 ajaxscript.js

url = '_/components/php/contactformSend.php';

function collectData(){

    firstName = $("input[name='firstName']").val();
    lastName = $("input[name='lastName']").val();
    email = $("input[name='email']").val();
    website = $("input[name='website']").val();
    budget  = $("input[name='budget']").val();
    timeframe  = $("select[name='timeframe']").val();
    description = $("textarea[name='description']").val();

    var valcbx = [];
    $("input[name='regarding[]']:checkbox:checked").each(function(i){
      valcbx[i] = $(this).val();
    });
    regarding = valcbx;

    //create object
    return obj =
    {'firstName' : firstName,
    'lastName' : lastName,
    'email' : email,
    'website' : website,
    'budget' : budget,
    'timeframe' : timeframe,
    'description' : description,
    'regarding' : regarding};
}


function errorFunction(){
}

function alwaysFunction(){
}

function successFunction(){
    $('#alert').css('display', 'block');
}

function makeAjaxRequest(cData){
    var promise = $.ajax({
    type: "POST",
    url: url,
    data: cData,
    dataType: 'json',
    async : true
    });

    promise.done(successFunction);
    promise.fail(errorFunction);
    promise.always(alwaysFunction);
}

function makeRequest(){
    collectedData = collectData();
    data = JSON.stringify(collectedData);
    makeAjaxRequest(data);

}

$(document).ready(function(){
    $('#trimite').on('click', function(){
        //alert("hhh");
        makeRequest();
        return false;
     //   return true;

    })
});



3  contacformSend.php

<?php header('Content-Type: application/json'); ?>
<?php
                  //$rest_json = json_decode(file_get_contents("php://input"), false);
//echo $rest_json;
//$received = json_decode($rest_json);
//print_r($received);
                 //print_r($_POST);
//mail('elizadascal@gmail.com','te-a cautat', print_r($received, true));

//mail('elizadascal@gmail.com','te-a cautat', print_r($_POST, true));


$data = json_decode(file_get_contents("php://input"), false);
//$received = print_r($data);

        //json_decode(stripslashes($_POST['data']));

$to = "elizadascal@gmail.com";
$header = "Content-Type: text/html\r\nReply-To";
$subject = "This is my Subject Line";


$body ="<strong>The data is:</strong>".print_r($_POST, true) ;


if(@mail($to, $subject, $body, $header)) {
    die("true");
    } else {
        die("There was an error sending the email.");
    }



?>