contact-form.php

<?php
/*
Name:           Demo Form
*/
ini_set('allow_url_fopen', true);
session_cache_limiter('nocache');
header('Expires: ' . gmdate('r', 0));

header('Content-type: application/json');

if(isset($_POST['recaptcha']) && !empty($_POST['recaptcha']))
{
    //your site secret key
    $secret = '6Lfs1R0UAAAAABBa_bGcxwtnwmhASeY3ia5GltNJ';

    if( function_exists('curl_version') ) {
        // reCAPTCHA - Using CURL
        $fields = array(
            'secret'    =>  $secret,
            'response'  =>  $_POST['recaptcha'],
            'remoteip'  =>  $_SERVER['REMOTE_ADDR']
        );

        $verifyResponse = curl_init("https://www.google.com/recaptcha/api/siteverify");
        curl_setopt($verifyResponse, CURLOPT_RETURNTRANSFER, true);
        curl_setopt($verifyResponse, CURLOPT_TIMEOUT, 15);
        curl_setopt($verifyResponse, CURLOPT_POSTFIELDS, http_build_query($fields));
        $responseData = json_decode(curl_exec($verifyResponse));
        curl_close($verifyResponse);
    } else {
        $arrResult = array ('response'=>'error','errorMessage'=>'You need CURL or file_get_contents() activated in your server. Please contact your host to activate.');
        echo json_encode($arrResult);
        die();
    }
    if($responseData->success) {

        require_once('php-mailer/PHPMailerAutoload.php');
        // Step 1 - Enter your email address below.
        $email = 'adortok@ndacorp.com';

        // If the e-mail is not working, change the debug option to 2 | $debug = 2;
        $debug = 0;

        $fields = array(
            0 => array(
                'text' => 'Name',
                'val' => $_POST['name']
            ),
            1 => array(
                'text' => 'Email',
                'val' => $_POST['email']
            ),
            2 => array(
                'text' => 'Company',
                'val' => $_POST['company']
            ),
            3 => array(
                'text' => 'Phone',
                'val' => $_POST['phone']
            ),
            4 => array(
                'text' => 'Region',
                'val' => $_POST['region']
            ),
            5 => array(
                'text' => 'Checkboxes',
                'val' => implode($_POST['checkboxes'], ", ")
            ),
            6 => array(
                'text' => 'Additional Info',
                'val' => $_POST['comment']
            )
        );

        $message = '';

        foreach($fields as $field) {
            $message .= $field['text'].": " . htmlspecialchars($field['val'], ENT_QUOTES) . "<br>\n";
        }

        $mail = new PHPMailer(true);

        try {

            $mail->SMTPDebug = $debug;                                 // Debug Mode

            // Step 2 (Optional) - If you don't receive the email, try to configure the parameters below:

            $mail->IsSMTP();                                         // Set mailer to use SMTP
            $mail->Host = '10.10.1.32';                    // Specify main and backup server
            //$mail->SMTPAuth = true;                                  // Enable SMTP authentication
            //$mail->Username = 'user@example.com';                    // SMTP username
            //$mail->Password = 'secret';                              // SMTP password
            //$mail->SMTPSecure = 'tls';                               // Enable encryption, 'ssl' also accepted
            //$mail->Port = 587;                                       // TCP port to connect to

            $mail->AddAddress($email);                                 // Add another recipient

            //$mail->AddAddress('person2@domain.com', 'Person 2');     // Add a secondary recipient
            //$mail->AddCC('person3@domain.com', 'Person 3');          // Add a "Cc" address.
            //$mail->AddBCC('person4@domain.com', 'Person 4');         // Add a "Bcc" address.

            $mail->SetFrom('nda@ndacorp.com', $_POST['name']);
            $mail->AddReplyTo($_POST['email'], $_POST['name']);

            $mail->IsHTML(true);                                  // Set email format to HTML

            $mail->CharSet = 'UTF-8';

            $mail->Subject = 'Demo Request Submitted';
            $mail->Body    = $message;

            $mail->Send();
            $arrResult = array ('response'=>'success');

        } catch (phpmailerException $e) {
            $arrResult = array ('response'=>'error','errorMessage'=>$e->errorMessage());
        } catch (Exception $e) {
            $arrResult = array ('response'=>'error','errorMessage'=>$e->getMessage());
        }

        if ($debug == 0) {
            echo json_encode($arrResult);
        }
    } else {
        $arrResult = array ('response'=>'error','errorMessage'=>'Robot verification failed, please try again');
        echo json_encode($arrResult);
    }

} else {
    $arrResult = array ('response'=>'error','errorMessage'=>'Please click on the reCAPTCHA box.');
    echo json_encode($arrResult);
}