This script is supposed to send collected information like full name, email address, phone and how soon to my email address but I'm getting a blank email. Those info supposed to show up on the body of the email. I do get the email sent to me but with no info. Please help me fix this! it's showing up on my site. Thanks for your help!
<?php
$action=$_REQUEST['action'];
if ($action=="") /* display the contact form */
{
?>
<br /><br />
<font size='1'>Fill out the form below and we'll contact you with more information as soon as possible.</font><br /><br />
<form action="" method="POST" enctype="multipart/form-data">
<input type="hidden" name="action" value="submit">
<b>Your full name:</b><br>
<input name="name" type="text" value="" size="30"/><br>
<b>Your email address:</b><br>
<input name="email" type="text" value="" size="30"/><br>
<b>Your Phone #:</b><br>
<input name="phone" type="text" value="" size="30"/><br>
<b>How soon?</b><br>
<input name="howsoon" type="text" value="" size="30"/><br>
<font size="1">We hate spam too! Your information will only be shared with the doctor.</font>
<p align="right"><input type="submit" value="SEND MAIL"/></p>
</form>
<?php
}
else /* send the submitted data */
{
$name=$_REQUEST['name'];
$email=$_REQUEST['email'];
$phone=$_REQUEST['phone'];
$howsoon=$_REQUEST['howsoon'];
if (($name=="")||($email=="")||($phone=="")||($howsoon==""))
{
echo "<br><br><font color='red' size='3'>All fields are required, please fill <a href=\"\">the form</a> again.</font><br><br>";
}
else{
$from="From: $name<$email>\r\nReturn-path: $email";
$subject="Free Plastic Surgery Consultation Request";
mail("myemailaddress@email.com", $subject, $message, $from);
echo "<br /><br /><font color='blue'><b>Form is sent! Thank you for using CelebrityNoseJobs.net to find a Cosmetic/Plastic Surgeon practice in $details->city. We will provide your information to participating specialists in the area and they will get back to you with more information as soon as possiblle.</b></font><br /><br />";
}
}
?>
