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- <?php
- var_dump($_POST);
- $hostname = 'hostname';
- $dbname = 'dbname';
- $username = 'username';
- $password = 'password';
- $con=mysql_connect($hostname,$username,$password) or die("Failed to connect to MySQL: " . mysql_error());
- $db=mysql_select_db($dbname,$con) or die("Failed to connect to MySQL: " . mysql_error());
- $insert = "INSERT INTO Booking_request_form (Treatment, Date, Time, Message) VALUES('".$_POST["Treatment"]."','".$_POST["Date"]."', '".$_POST["Time"]."', '".$_POST["Message"]."')";
- var_dump($insert);
- $handle = mysql_query($insert);
- var_dump($handle);
- ?>
- <form action="treatment_form.php" method="post">
- <div class="heading1">
- <p>Select Your Treatment:</p>
- </div>
- <div class="dropdown">
- <select><?php echo $options; ?></select>
- </div>
- <div class="heading2">
- <p>Select Your Date:</p>
- <input type="text" id="datepicker"/>
- <script>
- $(function() {
- $( "#datepicker" ).datepicker({dateFormat: 'dd/mm/yy'});
- });
- </script>
- </div>
- <div class="heading3">
- <p>Select Your Time:</p>
- <input type="text" id="timepicker"/>
- <!-- <script>
- $(function($) {
- $(function() {
- $('input.timepicker').timepicker();
- });
- })(jQuery);
- </script> -->
- </div>
- <div class="heading4">
- <p>Add a message for our Staff:</p>
- <textarea name="message" placeholder="Enter Message..."></textarea>
- </div>
- <div class="submit">
- <input type="submit" value="Request Booking" id="Submit">
- </div>
- </form>
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