0) { /** * Check if the hidden honeypot fields are filled out. If not, send a mail. * there are two honeypot fields, both are initially set with an empty value * if any are filled in, a bot or hacker is at work, reject */ $hacker = false; if ( isset($_POST['hpot_url']) && !empty($_POST['hpot_url'])) { $hacker=true;unset($_POST['hpot_url']); } if ( isset($_POST['hpot_okurl']) && !empty($_POST['hpot_okurl'])) { $hacker=true;unset($_POST['hpot_okurl']); } if ( $hacker === true ) { exit('Unable to process
'); } $hacker = null;unset($hacker); /* END honeypot bot/hacker check */ require_once "assets/mailer/FormValidator.php"; $show_form = false; $validator = new codeworxtech\FormValidator('en'); // this shows how to use custom error messages // $validator->addValidation("Name","required","Please fill in Name"); // $validator->addValidation("Email","email","The input for Email should be a valid email value"); // $validator->addValidation("Email","required","Please fill in Email"); // $validator->addValidation("Comments","nourl","URL NOT allowed"); // language selection (if different from "en" - english) // $validator->SetLanguage("fr"); // this shows how to use built-in default error messages $validator->addValidation("Name","required"); $validator->addValidation("Name","nourl"); $validator->addValidation("Email_Address","required"); $validator->addValidation("Email_Address","email"); $validator->addValidation("Appt_desc","required"); $validator->addValidation("Appt_desc","nourl"); if($validator->ValidateForm()) { $setSender = ['noreply@' . $_SERVER['HTTP_HOST']=>'No Reply (unmonitored)']; $setRecipient = ['name@yourdomain.com'=>'Your Name']; $page_title = 'Contact Us Sample Form from: ' . $_SERVER['HTTP_HOST']; $refreshWaitMinutes = 0; $required = 'Name,Email_Address,Appt_desc'; $reserved_keys = 'hpot_url,hpot_okurl'; $subject = $page_title; $supressIP = true; $useEnvRpt = false; if (file_exists('assets/mailer/Form2Mail.php')) { $redirect = "sample_thankyou.php?t=appointments"; require 'assets/mailer/Form2Mail.php'; } exit(); } else { $error_hash = $validator->GetErrors(); if ($reload_form) { foreach($error_hash as $inpname => $inp_err) { $errorVar = $inpname . '_error'; $$errorVar = '
'; } $show_form = true; } else { foreach($error_hash as $inpname => $inp_err) { echo "$inpname: $inp_err
\n"; } echo "
\nTry again
\n"; $show_form = false; } foreach ($_POST as $key => $val) { $$key = $val; } } $show_form = false; } if ($show_form === true) { $ip = filter_var($_SERVER['REMOTE_ADDR'], FILTER_VALIDATE_IP); $error_bar_ip = ''; if (trim($ip) != '') { $error_bar_ip = 'Your IP: ' . $ip . ' • ' . gethostbyaddr($ip) . ''; } ?> Form2Mail Sample Contact Us form

Form2Mail
Sample
Appointment Request

To fully test this sample form:

To fully test, add your email address to $setRecipient in the php code at the top of this form ... then go ahead and submit a test.

Note: Your appointment will be confirmed when we reply to your request.

✱ = required