<?php
////////////////////////// Feedback Form Lite ///////////////////
// Gilly's Portfolio - http://www.gilly.org.uk
//
// This script is free to use as long as you retain the credit link
// To remove the credit link please upgrade to Feedback Form Reloaded
// by visiting - http://www.gilly.org.uk
//
// For support visit http://www.gilly.org.uk/contact.php
//
// You must edit the $feedback_email to your email
//
// You can edit the others but it is not necessary
////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////
//////////////////// Edit the options below ////////////////////
////////////////////////////////////////////////////////////////
// You must edit the line below
$feedback_email = "mgg888@gmail.com";
// Change for email subject
$subject = "GeioStudio Feedback";
// Response to incomplete fields
$empty_fields = 'Please complete all the fields in the form.<br><br><a href="javascript:history.go(-1)">[Go Back]</a>';
// Message sent notification
$thankyou = "Your message has been sent.";
////////////////////////////////////////////////////////////////
///////////// Do not need to edit below this point /////////////
////////////////////////////////////////////////////////////////
$name = stripslashes($_POST['Name']);
$email = stripslashes($_POST['Email']);
$message = stripslashes($_POST['Message']);
if (!isset($_POST['Name'])) {
?>
<p><h1>Feedback - <a href="http://www.geiostudio.be">back</a></h1>
<form method="post" action="<?php echo $_SERVER['REQUEST_URI']; ?>">
<p>Name:<br />
<input name="Name" type="text" id="Name" size="40" />
</p>
<p>Email:<br />
<input name="Email" type="text" id="Email" size="40" />
</p>
<p>Message:<br />
<textarea name="Message" cols="31" rows="4" id="Message"></textarea>
</p>
<p>
<input type="submit" value="Send" />
<input name="Reset" type="reset" value="Reset" />
</p>
</form>
<br><br>
<?php
}
elseif (empty($name) || empty($email) || empty($message)) {
echo $empty_fields;
}
else {
$ref = $_SERVER['HTTP_REFERER'];
$url = "http://".$_SERVER['HTTP_HOST'].$_SERVER["REQUEST_URI"];
if ($ref != $url) {
echo "Access Denied from external pages!";
exit;
}
mail($feedback_email, $subject, $message, "From: $name <$email>");
echo $thankyou;
}
?>