Untitled

<html>

<body>


<form method="post" action="">


<!-- Form by vuk.simic@gmail.com ;) !-->

<table cellpadding=0 cellspacing=0 style="font-size:14px;color: #243F6B;">

  <tr>
    <td width=150px>Vase ime i prezime : <font color="red" size=2>*</font><td>
    <td><input type="text" name="ime"></td>
    <td>&nbsp;</td>
  </tr>

   <tr>
    <td>&nbsp;<td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
   </tr>

   <tr>
    <td>Vasa adresa :<td>
    <td><input type="text" name="adresa"></td>
    <td>&nbsp;</td>
   </tr>

      <tr>
    <td>&nbsp; <td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
   </tr>

   <tr>
    <td>Grad :<td>
    <td><input type="text" name="grad"></td>
    <td>&nbsp;</td>
   </tr>

      <tr>
    <td>&nbsp; <td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
   </tr>

    <tr>
    <td>Drzava : <font color="red" size=2>*</font><td>
    <td>
        <select name="drzava">
          <option value="">Izaberi drzavu...</option>
          <option value="Srbija">Srbija</option>
          <option value="BiH">BiH</option>
          <option value="Makedonija">Makedonija</option>
          <option value="Hrvatska">Hrvatska</option>
          <option value="Crna Gora">Crna Gora</option>
        </select>
    </td>
    <td>&nbsp;</td>
   </tr>

      <tr>
    <td>&nbsp;<td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
   </tr>

  <tr>
    <td>Vas E-mail : <font color="red" size=2>*</font><td>
    <td><input type="text" name="email"></td>
    <td>&nbsp;</td>
  </tr>

     <tr>
    <td>&nbsp;<td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
   </tr>

   <tr>
    <td>Naziv servera :<font color="red" size=2>*</font><td>
    <td><input type="text" name="naziv"></td>
    <td>&nbsp;</td>
   </tr>

      <tr>
    <td>&nbsp;<td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
   </tr>

   <tr>
    <td>Password : <font color="red" size=2>*</font><td>
    <td><input type="text" name="pass"></td>
    <td>&nbsp;</td>
   </tr>

      <tr>
    <td>&nbsp;<td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
   </tr>

   <tr>
    <td>Vrsta servera : <font color="red" size=2>*</font><td>
    <td>
       <select name="vrsta">
          <option value="">Izaberi jedno..</option>
          <option value="Premium">Premium</option>
          <option value="Lite">Lite</option>
        </select>
    </td>
    <td>&nbsp;</td>
   </tr>

      <tr>
    <td>&nbsp;<td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
   </tr>


   <tr>
    <td>Mod servera : <font color="red" size=2>*</font><td>
    <td>
       <select name="mod">
          <option value="">Izaberi mod....</option>
          <option value="Public">Public(PUB)</option>
          <option value="DeathMatch">DeathMatch(DM)</option>
          <option value="DeathRun">DeathRun(DR)</option>
          <option value="ClanWar">ClanWar(CW)</option>
          <option value="SuperHero">SuperHero(SH)</option>
          <option value="GunGame">GunGame(GG)</option>
          <option value="COD">Call Of Duty(COD)</option>
          <option value="Hide and Seek">Hide and Seek(HNS)</option>
          <option value="Kreedz">Kreedz(KZ)</option>
          <option value="Soccer Jam">Soocer Jam(SJ)</option>
          <option value="Surf">Surf</option>
          <option value="Zombie Biohazard">Zombie Biohazard</option>
          <option value="Zombie Plague">Zombie Plague</option>
          <option value="AWP">AWP</option>
        </select>
    </td>
    <td>&nbsp;</td>
   </tr>

</table>

<p style="font-size:13px;color: #243F6B;">
<br />
Polja oznacena sa <font color="red" size=2>*</font> su obavezna.<br /><br />
Posle popunjavanja formulara u roku od 24h ce vam stici poruka na e-mail sa koga ste<br /> narucili server, sa uplatnicom i dodatnim informacijama.
<br /> <br />

<input type="submit" value="Posalji" name="submit">
<input type="button" value="Odustani" name="odustani">

<br />

<!-- Form by vuk.simic@gmail.com ;) !-->

</form>

<?php

$ime = $_POST['ime'];
$adresa = $_POST['adresa'];
$grad = $_POST['grad'];
$drzava = $_POST['drzava'];
$email = $_POST['email'];
$naziv = $_POST['naziv'];
$password = $_POST['pass'];
$vrsta = $_POST['vrsta'];
$mod = $_POST['mod'];

if($_POST['submit']){ //kad pritisnemo dugme "POSALJI"

if($ime &&  $drzava && $email && $naziv && $password && $vrsta && $mod ){ // provera da li su obavezna polja popunjeba

$to = "serveri@adrenalin-hosting.info";  // email na koji da salje
$subject = "Narucivanje"; //naslov
$message = " Ime i prezime : " . $ime . "\n Adresa : " . $adresa . "\n Email : " . $email .
"\n Grad : " . $grad . "\n Drzava : " . $drzava . "\n Naziv servera : " . $naziv . "\n Password : "
 . $password . "\n Vrsta servera : " . $vrsta . "\n Mod servera : " . $mod; //poruka
$from = $email;
$headers = "From: $from";
mail($to,$subject,$message,$headers); // funkcija za slanje NE DIRAJ ako ne znas ;)
?>

<font color="red" size=2px>Poslato! :) </font>
<?php
}else{ //ako polja nisu popunjena
?>
 <font color="red" size=2px>Polja oznacena sa <font color="red" size=2>*</font> moraju biti popunjena.</font>
<?php
}


} // Coded by vuk.simic@gmail.com
?>
</p>
</body>

</html>