Ok here is the script.
I sure hope its clear what is wrong with it...
<?php
/================================
ezMail: powered by www.thanhhai.com
================================/
$RecipientEmail = "nospam@nospam.ns";
$DefaultSubject = "Info aanvraag van de website";
$RedirectPage = "verwerkt.htm";
if (!$submit) {
?>
<html>
<head>
<script type="text/javascript" language="JavaScript1.2" src="../stm31.js"></script>
<link rel="Stylesheet" href="../form.css" type='text/css'>
<STYLE TYPE="text/css">
.contactkop { font-family: verdana; font-weight: bold; font-size: 14px; color: green; }
.contactsub { font-family: arial; font-weight: normal; font-size: 12px; color: navy; }
.formtekst { font-family: arial; font-weight: normal; font-size: 12px; color: navy; }
</STYLE>
<script type="text/javascript" language="JavaScript1.2" src="stm31.js"></script>
</head>
<body LEFTMARGIN="0" TOPMARGIN="0" background="images/background-body.gif">
<table CELLSPACING="3" CELLPADDING="0">
<tr>
<td WIDTH="555" height="231" COLSPAN="5" VALIGN="top">
<FORM ACTION="<?php echo $PHP_SELF ?>" METHOD="POST">
<TABLE BORDER="0" CELLSPACING="1" WIDTH="545">
<TR>
<TD WIDTH="15" VALIGN="top"> </TD>
<TD WIDTH="359" VALIGN="top">
<font face="Arial" size="2" color="#8C6329">
Hoe heeft u ons gevonden?<br>
<SELECT NAME="Keuze">
<OPTION VALUE="Geen keuze gemaakt!!!" SELECTED>
<OPTION VALUE="De Gouden Gids">- De goudengids
<OPTION VALUE="Een advertensie">- Een advertensie
<OPTION VALUE="Via iemand anders">- Via iemand anders
</SELECT>
<br><br>
Dhr: Mevr:<BR>
<INPUT NAME="Dhr" TYPE="checkbox" SIZE="25">
<INPUT NAME="Mevr" TYPE="checkbox" SIZE="25"><BR><BR>
Naam:
Adres:<br>
<INPUT NAME="Naam" TYPE="text" SIZE="25">
<INPUT NAME="Adres" TYPE="text" SIZE="25"><BR><BR>
Postcode:
Plaats:<br>
<INPUT NAME="Postcode" TYPE="text" SIZE="25">
<INPUT NAME="Plaats" TYPE="text" SIZE="25"><BR><BR>
Email:
Tel.:<br>
<INPUT NAME="Email" TYPE="text" SIZE="25">
<INPUT NAME="Tel" TYPE="text" SIZE="25"><BR><BR>
<br>
Wilt u informatie over:<br>
<INPUT NAME="info" TYPE=checkbox VALUE="Afspraak">Afspraak<br>
<INPUT NAME="info" TYPE=checkbox VALUE="Behandelingen ">Behandelingen<br>
<INPUT NAME="info" TYPE=checkbox VALUE="Openingstijden">Openingstijden<br>
<INPUT NAME="info" TYPE=checkbox VALUE="Producten">Producten<br><br>
Overige informatie/Opmerking plaatsen:<br>
<TEXTAREA NAME="Opmerkingen" ROWS="8" COLS="45"> </TEXTAREA>
<br>
<INPUT TYPE="Submit" NAME="submit" VALUE="Send"> <INPUT TYPE="Reset">
</TD>
</TR>
</TABLE>
</FORM>
</td>
</tr>
</table>
</body>
</html>
<?php
}
else {
if (!$Subject)
$Subject = $DefaultSubject;
if (!$Gender)
$Message .= "\r\nGevonden via: $Keuze";
$Message .= "\r\nDhr: $Dhr";
$Message .= "\r\nMevr: $Mevr";
$Message .= "\r\nNaam: $Naam";
$Message .= "\r\nAdres: $Adres";
$Message .= "\r\nPostcode: $Postcode";
$Message .= "\r\nPlaats: $Plaats";
$Message .= "\r\nEmail: $Email";
$Message .= "\r\nTel: $Tel";
$Message .= "\r\nWil informatie over: $info";
$Message .= "\r\nOpmerkingen: $Opmerkingen";
$Headers .= "From: $Naam <$Email>\r\nReply-To: $Email";
if ($CcEmail)
$Headers .= "\r\nCc: $CcEmail";
mail ($RecipientEmail, $Subject, $Message, $Headers);
if ($RedirectPage) {
header ("Location: $RedirectPage");
} else {
echo "<CENTER><H1>Thank you for using ezMail</H1>";
echo "<P>Powered by [url]www.thanhhai.com[/url]</CENTER>";
}
}
?>