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Edifica.com"; // form fields /* every form field is an array consisting of 6 elements: 1) field caption 2) field name 3) field type: line, field, radio, select, checkbox, multiselect, divider 4) additional info: if field type is - 'radio' this field contains the radio captions/values like so: {caption1|value1} {caption2|value2} {caption3|value3}... - 'select' this field contains the radio captions/values like so: {caption1|value1} {caption2|value2} {caption3|value3}... - 'email' the field value must be a valid emailaddress - 'checkbox' this field contains the radio captions/values like so: {caption1|value1} {caption2|value2} {caption3|value3}... - 'multiselect' this field contains the radio captions/values like so: {caption1|value1} {caption2|value2} {caption3|value3}... - 'divider' -> you can specify something like '
' in the caption field - 'field' this values optional defines a max chars number 5) mandatory ('*') or not ('') 6) error message if empty on submit and set to mandatory previously */ $fields[] = array("Company", "company", "line", "", "", ""); $fields[] = array("Name", "name", "line", "", "*", "Please enter a name"); $fields[] = array("Address", "address", "line", "", "", ""); $fields[] = array("City", "city", "line", "", "", ""); $fields[] = array("Phone", "phone", "line", "", "*", "Please enter a phone number"); $fields[] = array("Email", "email", "line", "email", "*", "Please enter a valid email address"); $fields[] = array("Reply by", "replyby", "radio", "{Email|email}{Phone|phone}", "*", "Please, select a reply mode"); // $fields[] = array("Income", "income", "select", "{-- please choose --|}{more than $30'000|30000}{more than $50'000|50000}{more than $70'000|70000}", "*", "Please select your income"); // $fields[] = array("
", "", "divider", "", "", ""); // $fields[] = array("Interests", "interests", "checkbox", "{Fishing}{Cars & Bikes|cars}{Music|music/sounds}{Cultures}", "*", "Please choose at least one interest"); // $fields[] = array("Interests 2", "interests_2", "multiselect", "{Fishing}{Cars & Bikes|cars}{Music|music/sounds}{Cultures}", "*", "Please choose at least one interest 2"); // $fields[] = array("
", "", "divider", "", "", ""); $fields[] = array("Message", "request", "field", "", "*", "Please enter a request"); // $fields[] = array("Limited Text", "limited", "field", 250, "*", "Please enter a limited text"); // ################ END CONFIG ########################################################## // ####################################################################################### $version = "1.5"; $errorPointer = ($posError == "above") ? "↓ " : "↑ "; function spaces($num, $fill=" "){ $foo=""; for ($i=0; $i<$num; $i++) $foo.=$fill; return $foo; } function isValidEmail($addr){ if(eregi("^[a-z0-9]+([_.-][a-z0-9]+)*@([a-z0-9]+([.-][a-z0-9]+)*)+\\.[a-z]{2,4}$", $addr)) return true; else return false; } function jsCharCount(){ if ($GLOBALS['cfCharCountFunc'] != 1){ $html = "\n"; $GLOBALS['cfCharCountFunc'] = 1; return $html; } } // start form evaluation unset($error); if ($_REQUEST['do']=="send"){ $error = false; $fromAddress = ""; $message = ""; foreach ($fields as $field){ if ($field[4] == "*"){ if ($field[3] == "email"){ if (!isValidEmail($_REQUEST[$field[1]])) $error[$field[1]] = $field[5]; }else{ if ($_REQUEST[$field[1]] == "" || $_REQUEST[$field[1]] == " " || $_REQUEST[$field[1]] == " ") $error[$field[1]] = $field[5]; } } } if ($error === false){ $message = $emailSubject." \n"; for ($i = 0; $i < strlen($emailSubject); $i++) $message .= "*"; $message .= " \n\n$msgDate:".spaces($msgIndent-strlen($msgDate)).date($dateFormat); foreach ($fields as $field){ if ($field[2] == "divider"){ $message .= "\n-----------------------------------"; }else{ $message .= "\n".$field[0].":".spaces($msgIndent-strlen($field[0])); if ($field[3] == "email"){ $message .= "mailto:".$_REQUEST[$field[1]]; $fromAddress = "From: ".$_REQUEST[$field[1]]; }else if ($field[2] == "checkbox" || $field[2] == "multiselect"){ $multi = ""; foreach ($_REQUEST[$field[1]] as $val){ $divider = ($multi != "") ? ", " : ""; $multi .= (isset($val) && $val != "") ? $divider.$val : ""; } $message .= $multi; }else $message .= $_REQUEST[$field[1]]; } $message .= " "; } mail($targetAddress, $emailSubject, $message, $fromAddress); //echo "
$message
"; echo $txtThankyou; } } if ($error!==false){ $html = ""; // draw form $html .= "\n\n \n\n"; $html .= "
\n"; $html .= "\n"; foreach ($fields as $field){ $htmlError = ""; $htmlField = ""; if ($field[2] == "divider"){ $html .= ""; }else{ $html .= "\n\n"; } $html .= "\n"; $html .= "\n"; $html .= "
".$field[0]."
".$field[0].$field[4]." "; } switch ($field[2]){ case "line": $htmlField = ""; if (isset($error[$field[1]])) $htmlError = "
".$errorPointer.$error[$field[1]]."
"; $html .= ($posError == "above") ? $htmlError.$htmlField : $htmlField.$htmlError; break; case "field": if (is_numeric($field[3])){ $attrVal = "cfCount('cf_".$field[1]."', 'cf_remchars_".$field[1]."', ".$field[3].")"; $attr = "onkeydown=\"$attrVal\" onkeyup=\"$attrVal\""; }else $attr = ""; $htmlField .= "\n"; if (is_numeric($field[3])){ $remChars = (isset($_REQUEST[$field[1]])) ? ($field[3] - strlen($_REQUEST[$field[1]])) : $field[3]; $htmlField .= jsCharCount()."
$txtRemainingChars ".$remChars.""; } if (isset($error[$field[1]])) $htmlError .= "
".$errorPointer.$error[$field[1]]."
"; $html .= ($posError == "above") ? $htmlError.$htmlField : $htmlField.$htmlError; break; case "radio": preg_match_all("/\{(.*?)\}/", $field[3], $foo); $options = $foo[1]; $i=1; foreach ($options as $opt){ $opt = explode("|", $opt); $label = $opt[0]; $value = (isset($opt[1])) ? $opt[1] : $opt[0]; $checked = ($_REQUEST[$field[1]] == $value) ? "checked" : ""; $htmlField .= "   "; $i++; } if (isset($error[$field[1]])) $htmlError .= "
".$errorPointer.$error[$field[1]]."
"; $html .= ($posError == "above") ? $htmlError.$htmlField : $htmlField.$htmlError; break; case "checkbox": preg_match_all("/\{(.*?)\}/", $field[3], $foo); $options = $foo[1]; $i=1; foreach ($options as $opt){ $opt = explode("|", $opt); $label = $opt[0]; $value = (isset($opt[1])) ? $opt[1] : $opt[0]; $checked = ($_REQUEST[$field[1]][($i)] == $value) ? "checked" : ""; $htmlField .= "   "; $i++; } if (isset($error[$field[1]])) $htmlError .= "
".$errorPointer.$error[$field[1]]."
"; $html .= ($posError == "above") ? $htmlError.$htmlField : $htmlField.$htmlError; break; case "select": preg_match_all("/\{(.*?)\}/", $field[3], $foo); $options = $foo[1]; $i=1; $htmlField .= "\n\n"; if (isset($error[$field[1]])) $htmlError .= "
".$errorPointer.$error[$field[1]]."
"; $html .= ($posError == "above") ? $htmlError.$htmlField : $htmlField.$htmlError; break; case "multiselect": preg_match_all("/\{(.*?)\}/", $field[3], $foo); $options = $foo[1]; $i=1; $htmlField .= "\n\n"; if (isset($error[$field[1]])) $htmlError .= "
".$errorPointer.$error[$field[1]]."
"; $html .= ($posError == "above") ? $htmlError.$htmlField : $htmlField.$htmlError; break; } $html .= "
 * $txtMandatory
 \n"; $html .= "
\n"; $html .= "
\n"; $html .= "\n \n\n"; echo $html; } /* ######################### END Contact Form ########################## ##################################################################### */ ?>
   
  ADDRESS
Av. Libertador con Av. Sorocaima, Edificio Edifica, Piso 7, El Rosal.
Caracas 1060A, Venezuela.
PHONOS
+58212 9531792 / 1292 / 4098
FAX
+58212 9533179