Untitled

<html>
 <head>
  <meta content="text/html; charset=UTF-8" http-equiv="Content-Type">
 </head>

  <body>

    <?php
      if(isset($_POST['Submit'])) {

        $ime = $_POST['ime'];
        $mail = $_POST['mail'];
        $telefon = $_POST['telefon'];
        $adres = $_POST['adres'];
        $cardNum = $_POST['cardNum'];
      }

       $url = "http://192.168.20.9:8060/api/";

        //paste your XML file here

        $post_string = '
<?xml version="1.0" encoding="UTF-8" ?>
<LoyaltyCardPersonalizeRequest>
    <CardCode>' . $cardNum . '</CardCode>
    <ClientName>' . $ime . '</ClientName>
    <ClientAddress>' . $adres . '</ClientAddress>
    <ClientPhone>' . $telefon . '</ClientPhone>
    <ClientEMail>' . $mail . '</ClientEMail>
</LoyaltyCardPersonalizeRequest>';

$header = "POST HTTP/1.0 \r\n";
$header .= "Content-type: text/xml \r\n";
$header .= "Content-length: ".strlen($post_string)." \r\n";
$header .= "Content-transfer-encoding: text \r\n";
$header .= "Connection: close \r\n\r\n";
$header .= $post_string;

$ch = curl_init();
curl_setopt($ch, CURLOPT_SSL_VERIFYPEER, 0);
curl_setopt($ch, CURLOPT_URL,$url);
curl_setopt($ch, CURLOPT_RETURNTRANSFER, 1);
curl_setopt($ch, CURLOPT_TIMEOUT, 4);
curl_setopt($ch, CURLOPT_CUSTOMREQUEST, $header);

$data = curl_exec($ch);

if(curl_errno($ch))
    print curl_error($ch);
else
curl_close($ch);

     ?>


    <form action="" method="post">
    Име: <input type="text" name="ime"><br>
    E-mail: <input type="text" name="mail"><br>
    Адрес: <input type="text" name="adres"><br>
    Телефон: <input type="text" name="telefon"><br>
    Карта №: <input type="text" name="cardNum"><br>

    <input type="submit" value="GAZ!" id="submit" name="Submit" />

    </form>


  </body>

</html>