here is my code. everything works fine but once i get the email there is NO data from the form. it's all blank.
Form code:
<title>Residential Application</title>
<link rel="stylesheet" type="text/css" href="view.css" media="all">
<script type="text/javascript" src="view.js"></script>
<script type="text/javascript" src="calendar.js"></script>
</head>
<body id="main_body" >
<img id="top" src="top.png" alt="">
<div id="form_container">
<h1><a>Residential Application</a></h1>
<form method="post" action="contact.php">
<div class="form_description">
<h2>Residential Application</h2>
</div>
<ul >
<li id="li_1" ><strong>Full Name</strong>
<div>
<input id="Full_Name_1" name="Full_Name" class="element text" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_2" >
<label class="description" for="element_2">Phone </label>
<span>
<input id="Phone_1" name="Phone" class="element text" size="18" maxlength="13" value="" type="text"><br />
###-###-####</span></li> <li id="li_3" >
<label class="description" for="element_3">Billing Address </label>
<div>
<input id="Billing_Address_1" name="Billing_Address" class="element text large" value="" type="text">
<label for="element_3_1">Street Address or PO Box</label>
</div>
<div>
<input id="Billing_address_line_2" name="Billing_address_line_2" class="element text large" value="" type="text">
<label for="element_3_2">Address Line 2</label>
</div>
<div class="left">
<input id="City" name="City" class="element text medium" value="" type="text">
<label for="element_3_3">City</label>
</div>
<div class="right">
<input id="State" name="State" class="element text medium" value="" type="text">
<label for="element_3_4">State / Province / Region</label>
</div>
<div class="left">
<input id="Zip" name="Zip_Code" class="element text medium" maxlength="15" value="" type="text">
<label for="element_3_5">Postal / Zip Code</label>
</div>
</li> <li id="li_4" >
<label class="description" for="element_4">Delivery Address (If Different from Billing) </label>
<div>
<input id="Delivery_Address" name="Delivery_Address_Line_1" class="element text large" value="" type="text">
<label for="element_4_1">Street Address</label>
</div>
<div>
<input id="Delivery_Address_line_2" name="Delivery_Address_line_2" class="element text large" value="" type="text">
<label for="element_4_2">Address Line 2</label>
</div>
<div class="left">
<input id="Delivery_City" name="Delivery_City" class="element text medium" value="" type="text">
<label for="element_4_3">City</label>
</div>
<div class="right">
<input id="Delivery_State" name="Delivery_State" class="element text medium" value="" type="text">
<label for="element_4_4">State / Province / Region</label>
</div>
<div class="left">
<input id="Delivery_Zip_Code" name="Delivery_Zip_Code" class="element text medium" maxlength="15" value="" type="text">
<label for="element_4_5">Postal / Zip Code</label>
</div>
<div class="right"></div>
</li> <li id="li_5" >
<label class="description" for="element_5">Email </label>
<div>
<input id="Email" name="Email" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_6" >
<label class="description" for="element_6">Current Tank Size </label>
<div>
<input id="Current_Tank_Size" name="Current_Tank_Size" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_15" >
<label class="description" for="element_15">Tank Location </label>
<span>
<input id="Tank_Location_Above" name="Tank_Location" class="element radio" type="radio" value="Above Ground" />
<label class="choice" for="element_15_1">Above Ground</label>
<input id="Tank_Location_Below" name="Tank_Location" class="element radio" type="radio" value="Below Ground" />
<label class="choice" for="element_15_2">Below Ground</label>
</span>
</li> <li id="li_16" >
<label class="description" for="element_16">Do you preffer automatic or will call delivery? </label>
<span>
<input id="element_16_1" name="Delivery_Preferance" class="element radio" type="radio" value="Will Call" />
<label class="choice" for="element_16_1">Will Call</label>
<input id="element_16_2" name="Delivery_preferance" class="element radio" type="radio" value="Automatic" />
<label class="choice" for="element_16_2">Automatic</label>
</span>
</li> <li id="li_7" >
<label class="description" for="element_7">If Automatic please tell us how often you would like delivery. </label>
<div>
<input id="element_7" name="how_often_you_would_like_delivery" class="element text large" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_8" >
<label class="description" for="element_8">Social Security Number </label>
<div>
<input id="element_8" name="Social_Security_Number" class="element text medium" type="text" maxlength="11" value=""/>
</div><p class="guidelines" id="guide_8"><small>123-12-1234</small></p>
</li> <li id="li_9" >
<label class="description" for="element_9">Date of Birth </label>
<span>
<input id="element_9_1" name="DOB" class="element text" size="15" maxlength="10" value="" type="text">
<label for="element_9_1">MM-DD-YYYY</label>
</span>
</li> <li id="li_10" >
<label class="description" for="element_10">Drivers License </label>
<div>
<input id="element_10" name="Drivers_License" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_11" >
<label class="description" for="Employer_L">Employers Name and Address </label>
<div>
<textarea id="element_11" name="Employer_info" class="element textarea small"></textarea>
</div>
</li> <li id="li_12" >
<label class="description" for="element_12">Mothers Maiden Name </label>
<div>
<input id="element_12" name="Mothers_Maiden_Name" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_13" >
<label class="description" for="element_13">Banks Name, Address and Phone # </label>
<div>
<textarea id="element_13" name="Bank_Info" class="element textarea small"></textarea>
</div>
</li> <li id="li_17" >
<label class="description" for="element_17">Do you already OWN your tanks? </label>
<span>
<input id="element_17_1" name="Do_You_Own_Your_Tanks_1" class="element radio" type="radio" value="Yes" />
<label class="choice" for="element_17_1">Yes</label>
<input id="element_17_2" name="Do_You_Own_Your_Tanks_2" class="element radio" type="radio" value="No" />
<label class="choice" for="element_17_2">No</label>
</span>
</li> <li id="li_14" >
<label class="description" for="element_14">What date would you like to start Delivery? </label>
<span>
<input id="element_14_1" name="Delivery_Start_Date" class="element text" size="15" maxlength="10" value="" type="text">
<label for="element_14_1">MM-DD-YYYY</label>
</span>
</li>
<li class="buttons">
<input type="hidden" name="form_id" value="303866" />
<input id="saveForm" class="button_text" type="submit" name="submit" value="Submit" />
</li>
</ul>
</form>
</div>
<img id="bottom" src="bottom.png" alt="">
</body>
</html>
contact.php code:
<?php
$Full_Name = $_REQUEST['Full_Name'] ;
$Email = $_REQUEST['Email'] ;
$headers = "From: $Email";
$subject = "Web Contact Data";
$fields = array();
$feilds = $_REQUEST['Full_Name'] ;
$feilds = $_REQUEST['Phone'] ;
$feilds = $_REQUEST['Billing_Address'] ;
$feilds = $_REQUEST['Billing_address_line_2'] ;
$feilds = $_REQUEST['City'] ;
$feilds = $_REQUEST['State'] ;
$feilds = $_REQUEST['Zip_Code'] ;
$feilds = $_REQUEST['Delivery_Address_Line_1'] ;
$feilds = $_REQUEST['Delivery_Address_Line_1'] ;
$feilds = $_REQUEST['Delivery_State'] ;
$feilds = $_REQUEST['Delivery_Zip_Code'] ;
$feilds = $_REQUEST['Email'] ;
$feilds = $_REQUEST['Current_Tank_Size'] ;
$feilds = $_REQUEST['Tank_Location'] ;
$feilds = $_REQUEST['Delivery_Preferance'] ;
$feilds = $_REQUEST['how_often_you_would_like_delivery'] ;
$feilds = $_REQUEST['Social_Security_Number'] ;
$feilds = $_REQUEST['DOB'] ;
$feilds = $_REQUEST['Drivers_License'] ;
$feilds = $_REQUEST['Employer_info'] ;
$feilds = $_REQUEST['Mothers_Maiden_Name'] ;
$feilds = $_REQUEST['Bank_Info'] ;
$feilds = $_REQUEST['Do_You_Own_Your_Tanks'] ;
$feilds = $_REQUEST['Delivery_Start_Date'] ;
$to = "********@gmail.com";
$body = "We have received the following information:\n\n"; foreach($fields as $a => $b){ $body .= sprintf("%20s: %s\n",$b,$_REQUEST[$a]); }
$headers2 = "From: hcsdroid@gmail.com";
$subject2 = "Thank you for contacting us";
$autoreply = "Thank you for contacting us. Somebody will get back to you as soon as possible, usualy within 48 hours. If you have any more questions, please consult our website at http://www.earlvillebuyersgroup.com";
if($Email == '') {print "You have not entered an email, please go back and try again";}
else {
if($Full_Name == '') {print "You have not entered a name, please go back and try again";}
else { $send = mail($to, $subject, $body, $headers); $send2 = mail($Email, $subject2, $autoreply, $headers2);
if($send) {header( "Location: http://www.earlvillebuyersgroup.net/Thank_You_For_your_Application.html" );}
else {print "We encountered an error sending your mail, please notify HCSDroid@gmail.com"; } } } ?>
