Untitled

<html>
<body>
<?php
if(isset($_POST['email'])) {
    function died($error) {
        echo "We are very sorry, but there were error(s) found with the form you submitted. ";
        echo "These errors appear below.<br /><br />";
        echo $error."<br /><br />";
        echo "Please go back and fix these errors.<br /><br />";
        die();
    }
    if(!isset($_POST['name']) ||
        !isset($_POST['company']) ||
        !isset($_POST['email']) ||
        !isset($_POST['telephone']) ||
        !isset($_POST['comments'])) {
        died('We are sorry, but there appears to be a problem with the form you submitted.');
    }
    $name = $_POST['name'];
    $company = $_POST['company'];
    $email_from = $_POST['email'];
    $telephone = $_POST['telephone'];
    $comments = $_POST['comments'];
    $error_message = "";
    $email_exp = '/^[A-Za-z0-9._%-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,4}$/';
  if(!preg_match($email_exp,$email_from)) {
    $error_message .= 'The Email Address you entered does not appear to be valid.<br />';
  }
    $string_exp = "/^[A-Za-z .'-]+$/";
  if(!preg_match($string_exp,$name)) {
    $error_message .= 'The name you entered does not appear to be valid.<br />';
  }
  if(!preg_match($string_exp,$company)) {
    $error_message .= 'The company you entered does not appear to be valid.<br />';
  }
  if(strlen($comments) < 2) {
    $error_message .= 'The Comments you entered do not appear to be valid.<br />';
  }
  if(strlen($error_message) > 0) {
    died($error_message);
  }
    function clean_string($string) {
      $bad = array("content-type","bcc:","to:","cc:","href");
      return str_replace($bad,"",$string);
    }


  $service_url = 'https://COMPANY_NAME.quickbase.com/db/TABLE_ID?a=API_AddRecord&_fid_6=' . $name . '&ticket=' . $xml->ticket . '&apptoken=APPTOKEN' . '&_fid_7=' . $company . '&_fid_8=' . $email_from . '&_fid_9=' . $telephone . '&_fid_10=' . $comments . '';
  $curl3 = curl_init($service_url);
  curl_setopt($curl3, CURLOPT_RETURNTRANSFER, true);

  echo '<iframe id="test" style="display:none;" width=0 height=0 src="'.$service_url.'" visible=false></iframe>';
?>


<!-- include your own success html here -->


Thank you for contacting us. We will be in touch with you very soon.


<?php

}

?>
</body>
</html>