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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Sample form for use with formmail.php</title>
</head>
<body>
<p>This form demonstrates the use of formmail.php.
<br />Note that formmail.php <i>requires</i> a one line change
to work (two lines recommended). Use a text editor to read the information
at the top of formmail.php.
</p>
<p>Also, you need to change this form using a text editor;
follow the 4 simple steps shown in the comments.
</p>
<p>We've included sample fields to show you how to
submit Checkboxes, Radio Buttons, Multi-selection
List Boxes, normal Text fields, and Text Areas.
</p>
<p>
For full information and support, visit
<a href="http://www.tectite.com/">www.tectite.com</a>
</p>
<p>
You can save time and effort by using our
<a href="http://www.tectite.com/wizards/choose.php">Form Designer and FormMail Configuration Wizard</a>
to design your own forms and get a configured copy of FormMail.
</p>
<p></p>
<!-- STEP 1: Put the full URL to formmail.php on your website in the 'action' value. -->
<form method="post" action="http://www.irti.com/formmail.php" name="SampleForm">
<input type="hidden" name="env_report" value="REMOTE_HOST,REMOTE_ADDR,HTTP_USER_AGENT,AUTH_TYPE,REMOTE_USER" />
<!-- STEP 2: Put your email address in the 'recipients' value.
Note that you also have to allow this email address in the
$TARGET_EMAIL setting within formmail.php!
-->
<input type="hidden" name="recipients" value="[email protected]" />
<!-- STEP 3: Specify required fields in the 'required' value - or leave unchanged.
NOTE: DO NOT put your email address and name here.
"Your email address" and "Your name" are error messages for your users to see,
not placeholders for you to replace.
-->
<input type="hidden" name="required" value="EmailAddr:Your email address,FullName:Your name" />
<!-- STEP 4: Put your subject line in the 'subject' value. -->
<input type="hidden" name="subject" value="Sample FormMail Testing" />
<!-- ALL DONE! Visit our site for HOW TO guides and more complex features. -->
<!-- this derives (creates) "email" and "realname" special fields from the input fields -->
<input type="hidden" name="derive_fields" value="email=EmailAddr,realname=FullName" />
<!-- this excludes the "email" and "realname" special fields from the body of the email you receive -->
<input type="hidden" name="mail_options" value="Exclude=email;realname" />
<table border="1" cellspacing="5%">
<tr>
<td>
<p>Please enter your name:</p>
</td>
<td><input type="text" name="FullName" />
</td>
</tr>
<tr>
<td>
<p>Please enter your email address:</p>
</td>
<td><input type="text" name="EmailAddr" />
</td>
</tr>
<tr>
<td><p>May we contact you?</p>
</td>
<td>
Yes <input type="radio" name="contact" value="Y" checked="checked" />
No <input type="radio" name="contact" value="N" />
</td>
</tr>
<tr>
<td><p>What are your favourite colours?</p>
</td>
<td>
Red <input type="checkbox" name="colors[]" value="red" />
Blue <input type="checkbox" name="colors[]" value="blue" />
Yellow <input type="checkbox" name="colors[]" value="yellow" />
</td>
</tr>
<tr>
<td valign="top"><p>What vehicles do you have a license to operate?</p>
</td>
<td valign="top">
<p>
<select name="vehicles[]" multiple="multiple" size="5">
<option value="Car">Car</option>
<option value="Bus">Bus</option>
<option value="Truck">Truck</option>
<option value="Plane">Aeroplane</option>
<option value="Boat">Boat</option>
</select> (Select all that apply; use CTRL-click to select)
</p>
</td>
</tr>
<tr>
<td valign="top">
<p>Please enter your message:</p>
</td>
<td><textarea name="mesg" rows="10" cols="50"></textarea>
</td>
</tr>
<tr>
<td><input type="submit" value="Submit" /></td>
<td style="text-align:right;"><span style="font-size:60%;">Powered by Tectite <a href="http://www.tectite.com/" target="_blank">contact form</a> processor (FormMail).</span>
</td>
</tr>
</table>
</form>
</body>
</html>