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Feb 19th, 2018
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  1. <div class="formArea row m0">
  2. <form action="contact_process.php" class="row m0 contact_form" id="contactForm">
  3. <div class="col-sm-6">
  4. <div class="row m0">
  5. <label for="contact_name">Name <span>*</span></label>
  6. <input type="text" class="form-control" name="contact_name" id="contact_name" required>
  7. </div>
  8. <div class="row m0">
  9. <label for="contact_phone">Phone</label>
  10. <input type="tel" class="form-control" name="contact_phone" id="contact_phone">
  11. </div>
  12. <div class="row m0">
  13. <label for="monthly_badget">Monthly Budget</label>
  14. <select name="monthly_badget" id="monthly_badget" class="selectpicker form-control">
  15. <option value="0" disabled selected>-(Monthly Budget)-</option>
  16. <option value="200">200 USD</option>
  17. <option value="300">300 USD</option>
  18. <option value="400">400 USD</option>
  19. <option value="500">500 USD</option>
  20. </select>
  21. </div>
  22. </div>
  23. <div class="col-sm-6">
  24. <div class="row m0">
  25. <label for="contact_email">Email <span>*</span></label>
  26. <input type="email" class="form-control" name="contact_email" id="contact_email" required>
  27. </div>
  28. <div class="row m0">
  29. <label for="contact_url">Website <span>*</span></label>
  30. <input type="url" class="form-control" name="contact_url" id="contact_url" required>
  31. </div>
  32. <div class="row m0">
  33. <label for="learn_seowave">How did you learn about SEOWAVE</label>
  34. <select name="learn_seowave" id="learn_seowave" class="selectpicker form-control">
  35. <option value="0" disabled selected>-(Select)-</option>
  36. <option value="google">Google Search</option>
  37. <option value="yahoo">Yahoo Search</option>
  38. <option value="blog">Blog</option>
  39. <option value="forum">Forum</option>
  40. </select>
  41. </div>
  42. </div>
  43. <div class="col-sm-12">
  44. <div class="row m0">
  45. <label for="interested_in">Which services are you interested in?</label>
  46. <select name="interested_in" id="interested_in" class="selectpicker form-control">
  47. <option value="off_page">Off Page Optimization</option>
  48. <option value="on_page">On Page Optimization</option>
  49. </select>
  50. </div>
  51. </div>
  52. <div class="col-sm-12">
  53. <div class="row m0">
  54. <label for="addInfos">Additional Information</label>
  55. <textarea name="addInfos" id="addInfos" class="form-control"></textarea>
  56. </div>
  57. </div>
  58. <div class="col-sm-12 text-center">
  59. <button class="borderred_link" type="submit"><span>submit details!</span></button>
  60. </div>
  61. </form>
  62.  
  63. <?php
  64.  
  65. $to = " contato@agenciahabitat.com.br ";
  66. $from = $_REQUEST['contact_email'];
  67. $name = $_REQUEST['contact_name'];
  68. $headers = "From: $from";
  69. $subject = "Você tem mensagem do seu formulário";
  70.  
  71. $fields = array();
  72. $fields{"name"} = 'contact_name';
  73. $fields{"email"} = 'contact_email';
  74. $fields{"url"} = 'contact_url';
  75. $fields{"phone"} = 'contact_phone';
  76. $fields{"Monthly Budget"} = "monthly_badget";
  77. $fields{"How know about SEOWAVE"} = "learn_seowave";
  78. $fields{"Interested In"} = "interested_in";
  79. $fields{"Additional Information"} = "addInfos";
  80.  
  81. $body = " Aqui está o que foi enviado:nn "; foreach($fields as $a => $b){ $body .= sprintf("%20s: %sn",$b,$_REQUEST[$a]); }
  82.  
  83. $send = mail($to, $subject, $body, $headers);
  84.  
  85. ?>
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