Adding Mail function to form

I need help incorporating a mail function to my form
I have added the Name, Email, and Site fields which need to be required.
I also have a drop down menu that needs to CC the email to the person they choose.

URGENT PLEASE HELP
<?php
if( !empty($_POST['action']) )
{
	header("Content-type: text/plain");
	$submittedData="";
	foreach($_POST['StandardSupplies'] as $value)
	{
		$k=$value."_quantity";
		if(!empty($_POST[$k]))
			$submittedData .= "\n".str_replace("_"," ",$value) . ": " . $_POST[$k];
	}
	$submittedData .="\nNo Worries Campaign";
	$submittedData .="\n\tQuantity: " . $_POST['NWC_quantity'];
	$nwc=array('Flyers','Posters','Banners','Post_Cards');
	foreach($nwc as $chk)
	{
		if( !empty($_POST[$chk]) )
		{
			$submittedData .= "\n\t" . $chk.":";
			foreach($_POST[$chk] as $value)
			{
				$submittedData .= "\n\t\t".str_replace("_"," ",$value);
			}
		}
	}
	if(!empty($submittedData))
	{
		mail("natalie.teinert@clvusa.com","Order details",$submittedData);
		echo "\n\nThank you!";
	}
	exit;
}
?>
 
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
 "http://www.w3.org/TR/html4/loose.dtd">
 
<html>
<head>
<title></title>
<style type="text/css">
<!--
.row1{float:left;width:25%;}
.row2{float:left;width:20%;}
.col1{float:left;width:49%;}
fieldset{padding:5px;}
fieldset div select{display:block;}
legend{font-weight:bold;background-color:white;}
fieldset fieldset{border:0px; border-top:1px dashed black;margin-top:1em;}
-->
</style>
 
</head>
<body>
<form id="form1" name="form1" method="post" action="orderform_thanks.php">
  <label><strong>Name:</strong></label>
  <input name="Name" type="text" id="Name" size="27">
  <br><br>
  <label><strong>Email:</strong></label>
  <input name="Email" type="text" id="Email" size="27">
  <br><br>
<label><strong>Site:</strong></label>
<input name="Site" type="text" id="Site" size="29">
<br>
<br>
<label>Regional Manager
<select name="regional_manager" id="regional_manager">
  <option selected>-</option>
  <option>Person A</option>
  <option>Person B</option>
  <option>Person C</option>
  <option>Person D</option>
  <option>Person E</option>
  <option>Person F</option>
</select>
</label>
<br>
<br>
  <fieldset><legend>Standard Supplies</legend>
		<div class="row1"><input type="checkbox" name="StandardSupplies[]" value="RateSheet" />Ratesheet <select name="RateSheet_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
	      <option value="2500">2500</option>
	      <option value="3000">3000</option>
	      <option value="3500">3500</option>
	      <option value="4000">4000</option>
	      <option value="4500">4500</option>
	      <option value="5000">5000</option>
		</select></div>
		<div class="row1"><input type="checkbox" name="StandardSupplies[]" value="Table_Drape" />Table Drape <select name="Table_Drape_quantity"><option value="0" selected>-</option>
		    <option value="1 - 6 ft.">1 - 6 ft.</option>
		    <option value="2 - 6 ft.">2 - 6 ft.</option>
		    <option value="3 - 6 ft.">3 - 6 ft.</option>
		    <option value="1 - 8 ft.">1 - 8 ft.</option>
		    <option value="2 - 8 ft.">2 - 8 ft.</option>
		    <option value="3 - 8 ft.">3 - 8 ft.</option>
		</select></div>
		<div class="row1"><input type="checkbox" name="StandardSupplies[]" value="Banner_Stands" />Banner Stands <select name="Banner_Stands_quantity"><option value="0" selected>-</option>
		    <option value="1">1</option>
		    <option value="2">2</option>
		    <option value="3">3</option>
		</select></div>
  <div><input type="checkbox" name="StandardSupplies[]" value="T_Shirts" />T-Shirts <select name="T_Shirts_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Flyers</legend>
		<div class="row1"><input type="checkbox" name="NoWorriesFlyers[]" value="ClassFlyer" />Class In Ten Minutes? <select name="ClassFlyer_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
		    <option value="2500">2500</option>
		    <option value="3000">3000</option>
		    <option value="3500">3500</option>
		    <option value="4000">4000</option>
		    <option value="4500">4500</option>
		    <option value="5000">5000</option>
		</select></div>
		<div class="row1"><input type="checkbox" name="NoWorriesFlyers[]" value="ApartmentFlyer" />Apartment Hunting? <select name="ApartmentFlyer_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
		    <option value="2500">2500</option>
		    <option value="3000">3000</option>
		    <option value="3500">3500</option>
		    <option value="4000">4000</option>
		    <option value="4500">4500</option>
		    <option value="5000">5000</option>
		</select></div>
		<div class="row1"><input type="checkbox" name="NoWorriesFlyers[]" value="RoommateFlyer" />Roommate Hasn't Paid Up? <select name="RoommateFlyer_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
		    <option value="2500">2500</option>
		    <option value="3000">3000</option>
		    <option value="3500">3500</option>
		    <option value="4000">4000</option>
		    <option value="4500">4500</option>
		    <option value="5000">5000</option>
		</select></div>
  <div><input type="checkbox" name="NoWorriesFlyers[]" value="RentsFlyer" />'Rents Cramping Your Style? <select name="RentsFlyer_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Posters</legend>
		<div class="row1"><input type="checkbox" name="NoWorriesPosters[]" value="ClassPoster" />Class In Ten Minutes? <select name="ClassPoster_quantity"><option value="0" selected>-</option>
		    <option value="1">1</option>
		    <option value="2">2</option>
		    <option value="3">3</option>
		</select></div>
		<div class="row1"><input type="checkbox" name="NoWorriesPosters[]" value="ApartmentPoster" />Apartment Hunting? <select name="ApartmentPoster_quantity"><option value="0" selected>-</option>
		    <option value="1">1</option>
		    <option value="2">2</option>
		    <option value="3">3</option>
		</select></div>
		<div class="row1"><input type="checkbox" name="NoWorriesPosters[]" value="RoommatePoster" />Roommate Hasn't Paid Up? <select name="RoommatePoster_quantity"><option value="0" selected>-</option>
		    <option value="1">1</option>
		    <option value="2">2</option>
		    <option value="3">3</option>
		</select></div>
  <div><input type="checkbox" name="NoWorriesPosters[]" value="RentsPoster" />'Rents Cramping Your Style? <select name="RentsPoster_quantity"><option value="0" selected>-</option>
      <option value="1">1</option>
      <option value="2">2</option>
      <option value="3">3</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Banners</legend>
		<div class="row1"><input type="checkbox" name="NoWorriesBanners[]" value="ClassBanner" />Class In Ten Minutes? <select name="ClassBanner_quantity"><option value="0" selected>-</option>
		    <option value="1">1</option>
		    <option value="2">2</option>
		</select></div>
		<div class="row1"><input type="checkbox" name="NoWorriesBanners[]" value="ApartmentBanner" />Apartment Hunting? <select name="ApartmentBanner_quantity"><option value="0" selected>-</option>
		    <option value="1">1</option>
		    <option value="2">2</option>
		</select></div>
		<div class="row1"><input type="checkbox" name="NoWorriesBanners[]" value="RoommateBanner" />Roommate Hasn't Paid Up? <select name="RoommateBanner_quantity"><option value="0" selected>-</option>
		    <option value="1">1</option>
		    <option value="2">2</option>
		</select></div>
  <div><input type="checkbox" name="NoWorriesBanners[]" value="RentsBanner" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" selected>-</option>
      <option value="1">1</option>
      <option value="2">2</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Postcards</legend>
		<div class="row2"><input type="checkbox" name="NoWorriesPostcards[]" value="ClassPostcard" />Class In Ten Minutes? <select name="ClassPostcard_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
		    <option value="2500">2500</option>
		    <option value="3000">3000</option>
		    <option value="3500">3500</option>
		    <option value="4000">4000</option>
		    <option value="4500">4500</option>
		    <option value="5000">5000</option>
		</select></div>
		<div class="row2"><input type="checkbox" name="NoWorriesPostcards[]" value="ApartmentPostcard" />Apartment Hunting? <select name="ApartmentPostcard_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
		    <option value="2500">2500</option>
		    <option value="3000">3000</option>
		    <option value="3500">3500</option>
		    <option value="4000">4000</option>
		    <option value="4500">4500</option>
		    <option value="5000">5000</option>
		</select></div>
		<div class="row2"><input type="checkbox" name="NoWorriesPostcards[]" value="RoommatePostcard" />Roommate Hasn't Paid Up? <select name="RoommatePostcard_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
		    <option value="2500">2500</option>
		    <option value="3000">3000</option>
		    <option value="3500">3500</option>
		    <option value="4000">4000</option>
		    <option value="4500">4500</option>
		    <option value="5000">5000</option>
		</select></div>
  <div class="row2"><input type="checkbox" name="NoWorriesPostcards[]" value="RentsPostcard" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  <div><input type="checkbox" name="NoWorriesPostcards[]" value="ForeignPostcard" />Foreign City?<select name="ForeignPostcard_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
<br>
<input type="submit" name="Submit" id="Submit" value="Submit">
</label>
</form>
</body>
</html>

Open in new window

natsullyAsked:
Who is Participating?
 
hieloCommented:
>>What I meant with the CC though is to not have it CCed to the user but CCed to either Person A, Person B, etc. or whoever they choose
Ok, but you will need  a list of those emails:
<?php
if( !empty($_POST['Name']) && !empty($_POST['Email']) && !empty($_POST['Site']) )
{
	header("Content-type: text/plain");
 
	$RegionalManager=array();
	$RegionalManager['A']="PersonA@company.com";
	$RegionalManager['B']="PersonB@company.com";
	$RegionalManager['C']="PersonC@company.com";
	$RegionalManager['D']="PersonD@company.com";
	$RegionalManager['E']="PersonE@company.com";
	$RegionalManager['F']="PersonF@company.com";
 
	
      $submittedData="";
	 
      $submittedData.="\nName:" . $_POST['Name'];
      $submittedData.="\nEmail:" . $_POST['Email'];
      $submittedData.="\nSite:" . $_POST['Site'];
      $submittedData.="\nRegional Manager:" . $_POST['regional_manager'];
	 
	 $fields=array('Standard_Supplies','No_Worries_Flyers','No_Worries_Posters','No_Worries_Banners','No_Worries_Postcards');
	foreach($fields as $arrName)
	{
		 if(isset($_POST[$arrName]))
		 {
			 $submittedData.="\n\n" . str_replace("_"," ",$arrName);
		      foreach($_POST['Standard_Supplies'] as $value)
		      {
		            $k=$value."_quantity";
		            if(!empty($_POST[$k]))
		                  $submittedData .= "\n\t".str_replace("_"," ",$value) . ": " . $_POST[$k];
		      }
		 }
	}
	 $headers="CC:". $RegionalManager[ $_POST['regional_manager'] ];
      if(!empty($submittedData))
      {
            mail("natalie.teinert@company.com","Order details",$submittedData,$headers);
		 //echo $submittedData;
            echo "\n\nThank you!";
      }
      exit;
}
?>
 
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
 "http://www.w3.org/TR/html4/loose.dtd">
 
<html>
<head>
<title></title>
<style type="text/css">
.row1{float:left;width:24%;}
.row2{float:left;width:20%;}
fieldset{padding:5px;}
fieldset div select{display:block;}
legend{font-weight:bold;background-color:white;}
fieldset fieldset{border:0px; border-top:1px dashed black;margin-top:1em;}
</style>
 
</head>
<body>
<form id="form1" name="form1" method="post" action="<?=$_SERVER['PHP_SELF']?>">
  <label><strong>* Name:</strong></label>
  <input name="Name" type="text" id="Name" size="27">
  <br><br>
  <label><strong>* Email:</strong></label>
  <input name="Email" type="text" id="Email" size="27">
  <br><br>
<label><strong>* Site:</strong></label>
<input name="Site" type="text" id="Site" size="29">
<br>
<br>
<label>Regional Manager
<select name="regional_manager" id="regional_manager">
  <option  value="">-</option>
  <option value="A">Person A</option>
  <option value="B">Person B</option>
  <option value="C">Person C</option>
  <option value="D">Person D</option>
  <option value="E">Person E</option>
  <option value="F">Person F</option>
</select>
</label>
<br>
<br>
  <fieldset><legend>Standard Supplies</legend>
 
            <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="RateSheet" />Ratesheet <select name="RateSheet_quantity"><option value="0"  >-</option>
		  <option value="500">500</option>
		  <option value="1000">1000</option>
		  <option value="1500">1500</option>
		  <option value="2000">2000</option>
            <option value="2500">2500</option>
            <option value="3000">3000</option>
            <option value="3500">3500</option>
            <option value="4000">4000</option>
            <option value="4500">4500</option>
            <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Table_Drape" />Table Drape <select name="Table_Drape_quantity"><option value="0"  >-</option>
                <option value="1 - 6 ft.">1 - 6 ft.</option>
                <option value="2 - 6 ft.">2 - 6 ft.</option>
                <option value="3 - 6 ft.">3 - 6 ft.</option>
                <option value="1 - 8 ft.">1 - 8 ft.</option>
                <option value="2 - 8 ft.">2 - 8 ft.</option>
                <option value="3 - 8 ft.">3 - 8 ft.</option>
            </select></div>
 
            <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Banner_Stands" />Banner Stands <select name="Banner_Stands_quantity"><option value="0" >-</option>
                <option value="1">1</option>
                <option value="2">2</option>
                <option value="3">3</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="T_Shirts" />T-Shirts <select name="T_Shirts_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Flyers</legend>
            <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="ClassFlyer" />Class In Ten Minutes? <select name="ClassFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="ApartmentFlyer" />Apartment Hunting? <select name="ApartmentFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="RoommateFlyer" />Roommate Hasn't Paid Up? <select name="RoommateFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="RentsFlyer" />'Rents Cramping Your Style? <select name="RentsFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Posters</legend>
            <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="ClassPoster" />Class In Ten Minutes? <select name="ClassPoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="ApartmentPoster" />Apartment Hunting? <select name="ApartmentPoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="RoommatePoster" />Roommate Hasn't Paid Up? <select name="RoommatePoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="RentsPoster" />'Rents Cramping Your Style? <select name="RentsPoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Banners</legend>
            <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="ClassBanner" />Class In Ten Minutes? <select name="ClassBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="ApartmentBanner" />Apartment Hunting? <select name="ApartmentBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="RoommateBanner" />Roommate Hasn't Paid Up? <select name="RoommateBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="RentsBanner" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Postcards</legend>
            <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="ClassPostcard" />Class In Ten Minutes? <select name="ClassPostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="ApartmentPostcard" />Apartment Hunting? <select name="ApartmentPostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="RoommatePostcard" />Roommate Hasn't Paid Up? <select name="RoommatePostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="RentsPostcard" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="ForeignPostcard" />Foreign City?<select name="ForeignPostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
<br>
<input type="submit" name="Submit" id="Submit" value="Submit">
 
</form>
</body>
</html>
 
 
<?php
exit;
 
if( !empty($_POST['action']) )
{
	header("Content-type: text/plain");
	$submittedData="";
	foreach($_POST['Standard_Supplies'] as $value)
	{
		$k=$value."_quantity";
		if(!empty($_POST[$k]))
			$submittedData .= "\n".str_replace("_"," ",$value) . ": " . $_POST[$k];
	}
	$submittedData .="\nNo Worries Campaign";
	$submittedData .="\n\tQuantity: " . $_POST['NWC_quantity'];
	$nwc=array('Flyers','Posters','Banners','Post_Cards');
	foreach($nwc as $chk)
	{
		if( !empty($_POST[$chk]) )
		{
			$submittedData .= "\n\t" . $chk.":";
			foreach($_POST[$chk] as $value)
			{
				$submittedData .= "\n\t\t".str_replace("_"," ",$value);
			}
		}
	}
	if(!empty($submittedData))
	{
		//mail("you@yourcompany.com","Order details",$submittedData);
		echo $submittedData;
		echo "\n\nThank you!";
	}
	exit;
}
?>
 
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
 "http://www.w3.org/TR/html4/loose.dtd">
 
<html>
<head>
<title></title>
<style type="text/css">
<!--
.row1{float:left;width:25%;}
.col1{float:left;width:49%;}
fieldset{padding:5px;}
fieldset div select{display:block;}
legend{font-weight:bold;background-color:white;}
fieldset fieldset{border:0px; border-top:1px dashed black;margin-top:1em;}
-->
</style>
 
</head>
<body>
<form id="form1" name="form1" method="post" action="<?=$_SERVER['PHP_SELF']?>">
	<fieldset><legend>Standard Supplies</legend>
		<div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="RateSheet" />Ratesheet <select name="RateSheet_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
		<div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Table_Drape" />Table Drape <select name="Table_Drape_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
		<div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Banner_Stands" />Banner Stands <select name="Banner_Stands_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
		<div><input type="checkbox" name="Standard_Supplies[]" value="T_Shirts" />T-Shirts <select name="T_Shirts_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
	</fieldset>
 
	<fieldset><legend>No Worries Campaign</legend>
		<div>Quantity: <input type="text" name="NWC_quantity"/></div>
		<fieldset><legend>Flyers</legend>
			<div class="col1"><input type="checkbox" name="Flyers[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Flyers[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Flyers[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Flyers[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
 
		<fieldset><legend>Posters</legend>
			<div class="col1"><input type="checkbox" name="Posters[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Posters[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Posters[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Posters[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
 
		<fieldset><legend>Banners</legend>
			<div class="col1"><input type="checkbox" name="Banners[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Banners[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Banners[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Banners[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
 
		<fieldset><legend>Post Cards</legend>
			<div class="col1"><input type="checkbox" name="Post_Cards[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Post_Cards[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Post_Cards[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Post_Cards[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
	</fieldset>
	<div><input type="submit" name="action" value="Submit"/></div>
</form>
</body>
</html>

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0
 
natsullyAuthor Commented:
*Not how to add mail function, sorry, its there.
But how to incorporate receiving the name, email, and site info as well as mailing the Regional Manager they choose
0
 
Roger BaklundCommented:
You need to store the email addresses of the reginal managers somewhere. In the example below they are hardcoded in an array, if possible you should pull this from a database.

There is an optional fourth parameter to the PHP mail() function. This can be used for additional headers, including a CC header.

http://php.net/manual/en/function.mail.php

Something like this:
if(!empty($submittedData)) {
  $manager_emails = array(
    'Person A' => 'a@company.com',
    'Person B' => 'b@company.com',
    'Person C' => 'c@company.com',
    'Person D' => 'd@company.com',
    'Person E' => 'e@company.com',
    'Person F' => 'f@company.com'
  );
  $manager = $_POST['regional_manager'];
  $cc = isset($manager_emails[$manager]) ? $manager_emails[$manager] : '';
  $result = @mail("your.email@company.com","Order details",
       $submittedData,
       $cc?"Cc: $manager <$cc>":null);
  echo "\n\n".($result?
    "Thank you!":
    "Error sending email");
}

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Mr_SplashCommented:
I've have made alterations to you code below.

I have added comments where you should add the managers email addresses.
<?php
if( !empty($_POST['action']) )
{
        header("Content-type: text/plain");
				$name = htmlentities($_POST['Name']);]
				$email = htmlentities($_POST['Email']);
				$site = htmlentities($_POST['Site']);
				$rManager = htmlentities($_POST['regional_manager']);
				
				//////// Add Manager Emails in here /////////
				//Repeat rows if more managers added
				
				if ($rManager == 'Person A') {    $mEmail = 'email@email.com';   }
				if ($rManager == 'Person B') {    $mEmail = 'email@email.com';   }
				if ($rManager == 'Person C') {    $mEmail = 'email@email.com';   }
				if ($rManager == 'Person D') {    $mEmail = 'email@email.com';   }
				if ($rManager == 'Person E') {    $mEmail = 'email@email.com';   }
				if ($rManager == 'Person f') {    $mEmail = 'email@email.com';   }
				
				/////////////////////////////////////////////
				
        $submittedData="Name = $name\nEmail = $email\n Site = $site\n\n";
        foreach($_POST['StandardSupplies'] as $value)
        {
                $k=$value."_quantity";
                if(!empty($_POST[$k]))
                        $submittedData .= "\n".str_replace("_"," ",$value) . ": " . $_POST[$k];
        }
        $submittedData .="\nNo Worries Campaign";
        $submittedData .="\n\tQuantity: " . $_POST['NWC_quantity'];
        $nwc=array('Flyers','Posters','Banners','Post_Cards');
        foreach($nwc as $chk)
        {
                if( !empty($_POST[$chk]) )
                {
                        $submittedData .= "\n\t" . $chk.":";
                        foreach($_POST[$chk] as $value)
                        {
                                $submittedData .= "\n\t\t".str_replace("_"," ",$value);
                        }
                }
        }
        if(!empty($submittedData))
        {
                mail("natalie.teinert@clvusa.com","Order details",$submittedData, "Cc: $mEmail");
                echo "\n\nThank you!";
        }
        exit;
}
?>
 
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
 "http://www.w3.org/TR/html4/loose.dtd">
 
<html>
<head>
<title></title>
<style type="text/css">
<!--
.row1{float:left;width:25%;}
.row2{float:left;width:20%;}
.col1{float:left;width:49%;}
fieldset{padding:5px;}
fieldset div select{display:block;}
legend{font-weight:bold;background-color:white;}
fieldset fieldset{border:0px; border-top:1px dashed black;margin-top:1em;}
-->
</style>
 
</head>
<body>
<form id="form1" name="form1" method="post" action="orderform_thanks.php">
  <label><strong>Name:</strong></label>
  <input name="Name" type="text" id="Name" size="27">
  <br><br>
  <label><strong>Email:</strong></label>
  <input name="Email" type="text" id="Email" size="27">
  <br><br>
<label><strong>Site:</strong></label>
<input name="Site" type="text" id="Site" size="29">
<br>
<br>
<label>Regional Manager
<select name="regional_manager" id="regional_manager">
  <option selected>-</option>
  <option>Person A</option>
  <option>Person B</option>
  <option>Person C</option>
  <option>Person D</option>
  <option>Person E</option>
  <option>Person F</option>
</select>
</label>
<br>
<br>
  <fieldset><legend>Standard Supplies</legend>
                <div class="row1"><input type="checkbox" name="StandardSupplies[]" value="RateSheet" />Ratesheet <select name="RateSheet_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
              <option value="2500">2500</option>
              <option value="3000">3000</option>
              <option value="3500">3500</option>
              <option value="4000">4000</option>
              <option value="4500">4500</option>
              <option value="5000">5000</option>
                </select></div>
                <div class="row1"><input type="checkbox" name="StandardSupplies[]" value="Table_Drape" />Table Drape <select name="Table_Drape_quantity"><option value="0" selected>-</option>
                    <option value="1 - 6 ft.">1 - 6 ft.</option>
                    <option value="2 - 6 ft.">2 - 6 ft.</option>
                    <option value="3 - 6 ft.">3 - 6 ft.</option>
                    <option value="1 - 8 ft.">1 - 8 ft.</option>
                    <option value="2 - 8 ft.">2 - 8 ft.</option>
                    <option value="3 - 8 ft.">3 - 8 ft.</option>
                </select></div>
                <div class="row1"><input type="checkbox" name="StandardSupplies[]" value="Banner_Stands" />Banner Stands <select name="Banner_Stands_quantity"><option value="0" selected>-</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                </select></div>
  <div><input type="checkbox" name="StandardSupplies[]" value="T_Shirts" />T-Shirts <select name="T_Shirts_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Flyers</legend>
                <div class="row1"><input type="checkbox" name="NoWorriesFlyers[]" value="ClassFlyer" />Class In Ten Minutes? <select name="ClassFlyer_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                    <option value="2500">2500</option>
                    <option value="3000">3000</option>
                    <option value="3500">3500</option>
                    <option value="4000">4000</option>
                    <option value="4500">4500</option>
                    <option value="5000">5000</option>
                </select></div>
                <div class="row1"><input type="checkbox" name="NoWorriesFlyers[]" value="ApartmentFlyer" />Apartment Hunting? <select name="ApartmentFlyer_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                    <option value="2500">2500</option>
                    <option value="3000">3000</option>
                    <option value="3500">3500</option>
                    <option value="4000">4000</option>
                    <option value="4500">4500</option>
                    <option value="5000">5000</option>
                </select></div>
                <div class="row1"><input type="checkbox" name="NoWorriesFlyers[]" value="RoommateFlyer" />Roommate Hasn't Paid Up? <select name="RoommateFlyer_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                    <option value="2500">2500</option>
                    <option value="3000">3000</option>
                    <option value="3500">3500</option>
                    <option value="4000">4000</option>
                    <option value="4500">4500</option>
                    <option value="5000">5000</option>
                </select></div>
  <div><input type="checkbox" name="NoWorriesFlyers[]" value="RentsFlyer" />'Rents Cramping Your Style? <select name="RentsFlyer_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Posters</legend>
                <div class="row1"><input type="checkbox" name="NoWorriesPosters[]" value="ClassPoster" />Class In Ten Minutes? <select name="ClassPoster_quantity"><option value="0" selected>-</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                </select></div>
                <div class="row1"><input type="checkbox" name="NoWorriesPosters[]" value="ApartmentPoster" />Apartment Hunting? <select name="ApartmentPoster_quantity"><option value="0" selected>-</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                </select></div>
                <div class="row1"><input type="checkbox" name="NoWorriesPosters[]" value="RoommatePoster" />Roommate Hasn't Paid Up? <select name="RoommatePoster_quantity"><option value="0" selected>-</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                    <option value="3">3</option>
                </select></div>
  <div><input type="checkbox" name="NoWorriesPosters[]" value="RentsPoster" />'Rents Cramping Your Style? <select name="RentsPoster_quantity"><option value="0" selected>-</option>
      <option value="1">1</option>
      <option value="2">2</option>
      <option value="3">3</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Banners</legend>
                <div class="row1"><input type="checkbox" name="NoWorriesBanners[]" value="ClassBanner" />Class In Ten Minutes? <select name="ClassBanner_quantity"><option value="0" selected>-</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                </select></div>
                <div class="row1"><input type="checkbox" name="NoWorriesBanners[]" value="ApartmentBanner" />Apartment Hunting? <select name="ApartmentBanner_quantity"><option value="0" selected>-</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                </select></div>
                <div class="row1"><input type="checkbox" name="NoWorriesBanners[]" value="RoommateBanner" />Roommate Hasn't Paid Up? <select name="RoommateBanner_quantity"><option value="0" selected>-</option>
                    <option value="1">1</option>
                    <option value="2">2</option>
                </select></div>
  <div><input type="checkbox" name="NoWorriesBanners[]" value="RentsBanner" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" selected>-</option>
      <option value="1">1</option>
      <option value="2">2</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Postcards</legend>
                <div class="row2"><input type="checkbox" name="NoWorriesPostcards[]" value="ClassPostcard" />Class In Ten Minutes? <select name="ClassPostcard_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                    <option value="2500">2500</option>
                    <option value="3000">3000</option>
                    <option value="3500">3500</option>
                    <option value="4000">4000</option>
                    <option value="4500">4500</option>
                    <option value="5000">5000</option>
                </select></div>
                <div class="row2"><input type="checkbox" name="NoWorriesPostcards[]" value="ApartmentPostcard" />Apartment Hunting? <select name="ApartmentPostcard_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                    <option value="2500">2500</option>
                    <option value="3000">3000</option>
                    <option value="3500">3500</option>
                    <option value="4000">4000</option>
                    <option value="4500">4500</option>
                    <option value="5000">5000</option>
                </select></div>
                <div class="row2"><input type="checkbox" name="NoWorriesPostcards[]" value="RoommatePostcard" />Roommate Hasn't Paid Up? <select name="RoommatePostcard_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                    <option value="2500">2500</option>
                    <option value="3000">3000</option>
                    <option value="3500">3500</option>
                    <option value="4000">4000</option>
                    <option value="4500">4500</option>
                    <option value="5000">5000</option>
                </select></div>
  <div class="row2"><input type="checkbox" name="NoWorriesPostcards[]" value="RentsPostcard" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  <div><input type="checkbox" name="NoWorriesPostcards[]" value="ForeignPostcard" />Foreign City?<select name="ForeignPostcard_quantity"><option value="0" selected>-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
<br>
<input type="submit" name="Submit" id="Submit" value="Submit">
</label>
</form>
</body>
</html>

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0
 
natsullyAuthor Commented:
cxr,
I know it would make things easier to pull from a database but I have absolutely no experience with them.

Mr_Splash,
can't seem to get it to work.

0
 
Mr_SplashCommented:
Are you getting an error message at tall?
0
 
hieloCommented:
supply your email address and try:
<?php
if( !empty($_POST['Name']) && !empty($_POST['Email']) && !empty($_POST['Site']) )
{
	header("Content-type: text/plain"); 
      $submittedData="";
	 
      $submittedData.="\nName:" . $_POST['Name'];
      $submittedData.="\nEmail:" . $_POST['Email'];
      $submittedData.="\nSite:" . $_POST['Site'];
      $submittedData.="\nRegional Manager:" . $_POST['regional_manager'];
	 
	 $fields=array('Standard_Supplies','No_Worries_Flyers','No_Worries_Posters','No_Worries_Banners','No_Worries_Postcards');
	foreach($fields as $arrName)
	{
		 if(isset($_POST[$arrName]))
		 {
			 $submittedData.="\n\n" . str_replace("_"," ",$arrName);
		      foreach($_POST['Standard_Supplies'] as $value)
		      {
		            $k=$value."_quantity";
		            if(!empty($_POST[$k]))
		                  $submittedData .= "\n\t".str_replace("_"," ",$value) . ": " . $_POST[$k];
		      }
		 }
	}
	 $headers="CC:".$_POST['Email'];
      if(!empty($submittedData))
      {
            mail("natalie.teinert@COMPANY.com","Order details",$submittedData,$headers);
		// echo $submittedData;
            echo "\n\nThank you!";
      }
      exit;
}
?>
 
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
 "http://www.w3.org/TR/html4/loose.dtd">
 
<html>
<head>
<title></title>
<style type="text/css">
.row1{float:left;width:24%;}
.row2{float:left;width:20%;}
fieldset{padding:5px;}
fieldset div select{display:block;}
legend{font-weight:bold;background-color:white;}
fieldset fieldset{border:0px; border-top:1px dashed black;margin-top:1em;}
</style>
 
</head>
<body>
<form id="form1" name="form1" method="post" action="<?=$_SERVER['PHP_SELF']?>">
  <label><strong>* Name:</strong></label>
  <input name="Name" type="text" id="Name" size="27">
  <br><br>
  <label><strong>* Email:</strong></label>
  <input name="Email" type="text" id="Email" size="27">
  <br><br>
<label><strong>* Site:</strong></label>
<input name="Site" type="text" id="Site" size="29">
<br>
<br>
<label>Regional Manager
<select name="regional_manager" id="regional_manager">
  <option >-</option>
  <option>Person A</option>
  <option>Person B</option>
  <option>Person C</option>
  <option>Person D</option>
  <option>Person E</option>
  <option>Person F</option>
</select>
</label>
<br>
<br>
  <fieldset><legend>Standard Supplies</legend> 
            <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="RateSheet" />Ratesheet <select name="RateSheet_quantity"><option value="0"  >-</option>
		  <option value="500">500</option>
		  <option value="1000">1000</option>
		  <option value="1500">1500</option>
		  <option value="2000">2000</option>
            <option value="2500">2500</option>
            <option value="3000">3000</option>
            <option value="3500">3500</option>
            <option value="4000">4000</option>
            <option value="4500">4500</option>
            <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Table_Drape" />Table Drape <select name="Table_Drape_quantity"><option value="0"  >-</option>
                <option value="1 - 6 ft.">1 - 6 ft.</option>
                <option value="2 - 6 ft.">2 - 6 ft.</option>
                <option value="3 - 6 ft.">3 - 6 ft.</option>
                <option value="1 - 8 ft.">1 - 8 ft.</option>
                <option value="2 - 8 ft.">2 - 8 ft.</option>
                <option value="3 - 8 ft.">3 - 8 ft.</option>
            </select></div> 
            <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Banner_Stands" />Banner Stands <select name="Banner_Stands_quantity"><option value="0" >-</option>
                <option value="1">1</option>
                <option value="2">2</option>
                <option value="3">3</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="T_Shirts" />T-Shirts <select name="T_Shirts_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Flyers</legend>
            <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="ClassFlyer" />Class In Ten Minutes? <select name="ClassFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="ApartmentFlyer" />Apartment Hunting? <select name="ApartmentFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="RoommateFlyer" />Roommate Hasn't Paid Up? <select name="RoommateFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="RentsFlyer" />'Rents Cramping Your Style? <select name="RentsFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Posters</legend>
            <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="ClassPoster" />Class In Ten Minutes? <select name="ClassPoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="ApartmentPoster" />Apartment Hunting? <select name="ApartmentPoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="RoommatePoster" />Roommate Hasn't Paid Up? <select name="RoommatePoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="RentsPoster" />'Rents Cramping Your Style? <select name="RentsPoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Banners</legend>
            <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="ClassBanner" />Class In Ten Minutes? <select name="ClassBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="ApartmentBanner" />Apartment Hunting? <select name="ApartmentBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="RoommateBanner" />Roommate Hasn't Paid Up? <select name="RoommateBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="RentsBanner" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Postcards</legend>
            <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="ClassPostcard" />Class In Ten Minutes? <select name="ClassPostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="ApartmentPostcard" />Apartment Hunting? <select name="ApartmentPostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="RoommatePostcard" />Roommate Hasn't Paid Up? <select name="RoommatePostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="RentsPostcard" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="ForeignPostcard" />Foreign City?<select name="ForeignPostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
<br>
<input type="submit" name="Submit" id="Submit" value="Submit"> 
</form>
</body>
</html> 

<?php
exit; 
if( !empty($_POST['action']) )
{
	header("Content-type: text/plain");
	$submittedData="";
	foreach($_POST['Standard_Supplies'] as $value)
	{
		$k=$value."_quantity";
		if(!empty($_POST[$k]))
			$submittedData .= "\n".str_replace("_"," ",$value) . ": " . $_POST[$k];
	}
	$submittedData .="\nNo Worries Campaign";
	$submittedData .="\n\tQuantity: " . $_POST['NWC_quantity'];
	$nwc=array('Flyers','Posters','Banners','Post_Cards');
	foreach($nwc as $chk)
	{
		if( !empty($_POST[$chk]) )
		{
			$submittedData .= "\n\t" . $chk.":";
			foreach($_POST[$chk] as $value)
			{
				$submittedData .= "\n\t\t".str_replace("_"," ",$value);
			}
		}
	}
	if(!empty($submittedData))
	{
		//mail("you@yourcompany.com","Order details",$submittedData);
		echo $submittedData;
		echo "\n\nThank you!";
	}
	exit;
}
?> 
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
 "http://www.w3.org/TR/html4/loose.dtd">
 
<html>
<head>
<title></title>
<style type="text/css">
<!--
.row1{float:left;width:25%;}
.col1{float:left;width:49%;}
fieldset{padding:5px;}
fieldset div select{display:block;}
legend{font-weight:bold;background-color:white;}
fieldset fieldset{border:0px; border-top:1px dashed black;margin-top:1em;}
-->
</style>
 
</head>
<body>
<form id="form1" name="form1" method="post" action="<?=$_SERVER['PHP_SELF']?>">
	<fieldset><legend>Standard Supplies</legend>
		<div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="RateSheet" />Ratesheet <select name="RateSheet_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
		<div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Table_Drape" />Table Drape <select name="Table_Drape_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
		<div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Banner_Stands" />Banner Stands <select name="Banner_Stands_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
		<div><input type="checkbox" name="Standard_Supplies[]" value="T_Shirts" />T-Shirts <select name="T_Shirts_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
	</fieldset>
 
	<fieldset><legend>No Worries Campaign</legend>
		<div>Quantity: <input type="text" name="NWC_quantity"/></div>
		<fieldset><legend>Flyers</legend>
			<div class="col1"><input type="checkbox" name="Flyers[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Flyers[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Flyers[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Flyers[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
 
		<fieldset><legend>Posters</legend>
			<div class="col1"><input type="checkbox" name="Posters[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Posters[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Posters[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Posters[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
 
		<fieldset><legend>Banners</legend>
			<div class="col1"><input type="checkbox" name="Banners[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Banners[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Banners[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Banners[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
 
		<fieldset><legend>Post Cards</legend>
			<div class="col1"><input type="checkbox" name="Post_Cards[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Post_Cards[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Post_Cards[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Post_Cards[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
	</fieldset>
	<div><input type="submit" name="action" value="Submit"/></div>
</form>
</body>
</html>

Open in new window

0
 
natsullyAuthor Commented:
hielo,
Thats much better.
What I meant with the CC though is to not have it CCed to the user but CCed to either Person A, Person B, etc. or whoever they choose
0
 
natsullyAuthor Commented:
and I just noticed, when the email comes through it repeats every value selected in the "StandardSuplies section when other products are selected.

ex. "Standard Supplies
      RateSheet: 500
      Table Drape: 1 - 6 ft.

No Worries Flyers
      RateSheet: 500
      Table Drape: 1 - 6 ft.

No Worries Posters
      RateSheet: 500
      Table Drape: 1 - 6 ft."
0
 
natsullyAuthor Commented:
points are no issue, I'll post as many questions as you need I just need this completed quickly.
0
 
Roger BaklundCommented:
Change this:

foreach($_POST['Standard_Supplies'] as $value)

... to this:

foreach($_POST[$arrName] as $value)
0
 
natsullyAuthor Commented:
that gives a "Warning:  Invalid argument supplied for foreach() in 'my server address' on line 18"
(the line you supplied above) and doesn't pass the variables through on the email
0
 
natsullyAuthor Commented:
hielo, that did the trick.

I've posted the rest of my question in a new question for more points.
You can view it here:
http://www.experts-exchange.com/Web_Development/Web_Languages-Standards/PHP/Q_23801381.html

PLEASE HELP!
0
 
natsullyAuthor Commented:
Thanks so much!!
You're really helping me out!
Please help me finish it out!!
Thanks!!
0
 
Roger BaklundCommented:
>> "Warning:  Invalid argument supplied for foreach() in 'my server address' on line 18"

Try changing the same line into this:

if(is_array($_POST[$arrName]) foreach($_POST[$arrName] as $value)

hielo: what is going on after </html> (line  279) in your suggestion? The 'exit' in line 283 kills the PHP, but the extra markup (lines 319-379) is sent to the browser...?
0
 
Roger BaklundCommented:
sorry, missing a closing parenthesis for the if():

if(is_array($_POST[$arrName])) foreach($_POST[$arrName] as $value)
0
 
hieloCommented:
try this:
<?php
if( !empty($_POST['Name']) && !empty($_POST['Email']) && !empty($_POST['Site']) )
{
	header("Content-type: text/plain");
 
	//if you set this to false you will get "No Worries Posters". 
	//When true, you just get "Posters"
	$RemoveNoWorriesPrefix=true;
 
	//list or regional managers to be cc
	$RegionalManager=array();
	$RegionalManager['A']="PersonA@company.com";
	$RegionalManager['B']="PersonB@company.com";
	$RegionalManager['C']="PersonC@company.com";
	$RegionalManager['D']="PersonD@company.com";
	$RegionalManager['E']="PersonE@company.com";
	$RegionalManager['F']="PersonF@company.com";
 
	
      $submittedData="";
	 
      $submittedData.="\nName:" . $_POST['Name'];
      $submittedData.="\nEmail:" . $_POST['Email'];
      $submittedData.="\nSite:" . $_POST['Site'];
      $submittedData.="\nRegional Manager:" . $_POST['regional_manager'];
	 
	 $fields=array('Standard_Supplies','No_Worries_Flyers','No_Worries_Posters','No_Worries_Banners','No_Worries_Postcards');
	foreach($fields as $arrName)
	{
		 if(isset($_POST[$arrName]))
		 {
		 	if($RemoveNoWorriesPrefix)
				$submittedData.="\n\n" . str_replace("No Worries ","",str_replace("_"," ",$arrName));
			else
				$submittedData.="\n\n" . str_replace("_"," ",$arrName);
 
		      foreach($_POST[$arrName] as $value)
		      {
		            $k=$value."_quantity";
		            if(!empty($_POST[$k]))
		                  $submittedData .= "\n\t".str_replace("_"," ",$value) . ": " . $_POST[$k];
		      }
		 }
	}
	 $headers="";
	 if(!empty($_POST['regional_manager']))
	 	$headers="CC:". $RegionalManager[ $_POST['regional_manager'] ];
      if(!empty($submittedData))
      {
            mail("natalie.teinert@company.com","Order details",$submittedData,$headers);
		 //echo $submittedData;
            echo "\n\nThank you!";
      }
      exit;
}
?>
 
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
 "http://www.w3.org/TR/html4/loose.dtd">
 
<html>
<head>
<title></title>
<style type="text/css">
.row1{float:left;width:24%;}
.row2{float:left;width:20%;}
fieldset{padding:5px;}
fieldset div select{display:block;}
legend{font-weight:bold;background-color:white;}
fieldset fieldset{border:0px; border-top:1px dashed black;margin-top:1em;}
</style>
 
</head>
<body>
<form id="form1" name="form1" method="post" action="<?=$_SERVER['PHP_SELF']?>">
  <label><strong>* Name:</strong></label>
  <input name="Name" type="text" id="Name" size="27">
  <br><br>
  <label><strong>* Email:</strong></label>
  <input name="Email" type="text" id="Email" size="27">
  <br><br>
<label><strong>* Site:</strong></label>
<input name="Site" type="text" id="Site" size="29">
<br>
<br>
<label>Regional Manager
<select name="regional_manager" id="regional_manager">
  <option  value="">-</option>
  <option value="A">Person A</option>
  <option value="B">Person B</option>
  <option value="C">Person C</option>
  <option value="D">Person D</option>
  <option value="E">Person E</option>
  <option value="F">Person F</option>
</select>
</label>
<br>
<br>
  <fieldset><legend>Standard Supplies</legend>
 
            <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="RateSheet" />Ratesheet <select name="RateSheet_quantity"><option value="0"  >-</option>
		  <option value="500">500</option>
		  <option value="1000">1000</option>
		  <option value="1500">1500</option>
		  <option value="2000">2000</option>
            <option value="2500">2500</option>
            <option value="3000">3000</option>
            <option value="3500">3500</option>
            <option value="4000">4000</option>
            <option value="4500">4500</option>
            <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Table_Drape" />Table Drape <select name="Table_Drape_quantity"><option value="0"  >-</option>
                <option value="1 - 6 ft.">1 - 6 ft.</option>
                <option value="2 - 6 ft.">2 - 6 ft.</option>
                <option value="3 - 6 ft.">3 - 6 ft.</option>
                <option value="1 - 8 ft.">1 - 8 ft.</option>
                <option value="2 - 8 ft.">2 - 8 ft.</option>
                <option value="3 - 8 ft.">3 - 8 ft.</option>
            </select></div>
 
            <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Banner_Stands" />Banner Stands <select name="Banner_Stands_quantity"><option value="0" >-</option>
                <option value="1">1</option>
                <option value="2">2</option>
                <option value="3">3</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="T_Shirts" />T-Shirts <select name="T_Shirts_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Flyers</legend>
            <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="ClassFlyer" />Class In Ten Minutes? <select name="ClassFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="ApartmentFlyer" />Apartment Hunting? <select name="ApartmentFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="RoommateFlyer" />Roommate Hasn't Paid Up? <select name="RoommateFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="No_Worries_Flyers[]" value="RentsFlyer" />'Rents Cramping Your Style? <select name="RentsFlyer_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Posters</legend>
            <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="ClassPoster" />Class In Ten Minutes? <select name="ClassPoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="ApartmentPoster" />Apartment Hunting? <select name="ApartmentPoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="RoommatePoster" />Roommate Hasn't Paid Up? <select name="RoommatePoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="No_Worries_Posters[]" value="RentsPoster" />'Rents Cramping Your Style? <select name="RentsPoster_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Banners</legend>
            <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="ClassBanner" />Class In Ten Minutes? <select name="ClassBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="ApartmentBanner" />Apartment Hunting? <select name="ApartmentBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="RoommateBanner" />Roommate Hasn't Paid Up? <select name="RoommateBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row1"><input type="checkbox" name="No_Worries_Banners[]" value="RentsBanner" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
   <fieldset><legend>No Worries - Postcards</legend>
            <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="ClassPostcard" />Class In Ten Minutes? <select name="ClassPostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="ApartmentPostcard" />Apartment Hunting? <select name="ApartmentPostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
            <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="RoommatePostcard" />Roommate Hasn't Paid Up? <select name="RoommatePostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
                <option value="2500">2500</option>
                <option value="3000">3000</option>
                <option value="3500">3500</option>
                <option value="4000">4000</option>
                <option value="4500">4500</option>
                <option value="5000">5000</option>
            </select></div>
  <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="RentsPostcard" />'Rents Cramping Your Style? <select name="RentsBanner_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  <div class="row2"><input type="checkbox" name="No_Worries_Postcards[]" value="ForeignPostcard" />Foreign City?<select name="ForeignPostcard_quantity"><option value="0" >-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option>
      <option value="2500">2500</option>
      <option value="3000">3000</option>
      <option value="3500">3500</option>
      <option value="4000">4000</option>
      <option value="4500">4500</option>
      <option value="5000">5000</option>
  </select></div>
  </fieldset>
<br>
<br>
<input type="submit" name="Submit" id="Submit" value="Submit">
 
</form>
</body>
</html>
 
 
<?php
exit;
 
if( !empty($_POST['action']) )
{
	header("Content-type: text/plain");
	$submittedData="";
	foreach($_POST['Standard_Supplies'] as $value)
	{
		$k=$value."_quantity";
		if(!empty($_POST[$k]))
			$submittedData .= "\n".str_replace("_"," ",$value) . ": " . $_POST[$k];
	}
	$submittedData .="\nNo Worries Campaign";
	$submittedData .="\n\tQuantity: " . $_POST['NWC_quantity'];
	$nwc=array('Flyers','Posters','Banners','Post_Cards');
	foreach($nwc as $chk)
	{
		if( !empty($_POST[$chk]) )
		{
			$submittedData .= "\n\t" . $chk.":";
			foreach($_POST[$chk] as $value)
			{
				$submittedData .= "\n\t\t".str_replace("_"," ",$value);
			}
		}
	}
	if(!empty($submittedData))
	{
		//mail("you@yourcompany.com","Order details",$submittedData);
		echo $submittedData;
		echo "\n\nThank you!";
	}
	exit;
}
?>
 
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
 "http://www.w3.org/TR/html4/loose.dtd">
 
<html>
<head>
<title></title>
<style type="text/css">
<!--
.row1{float:left;width:25%;}
.col1{float:left;width:49%;}
fieldset{padding:5px;}
fieldset div select{display:block;}
legend{font-weight:bold;background-color:white;}
fieldset fieldset{border:0px; border-top:1px dashed black;margin-top:1em;}
-->
</style>
 
</head>
<body>
<form id="form1" name="form1" method="post" action="<?=$_SERVER['PHP_SELF']?>">
	<fieldset><legend>Standard Supplies</legend>
		<div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="RateSheet" />Ratesheet <select name="RateSheet_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
		<div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Table_Drape" />Table Drape <select name="Table_Drape_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
		<div class="row1"><input type="checkbox" name="Standard_Supplies[]" value="Banner_Stands" />Banner Stands <select name="Banner_Stands_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
		<div><input type="checkbox" name="Standard_Supplies[]" value="T_Shirts" />T-Shirts <select name="T_Shirts_quantity"><option value="0">-</option><option value="500">500</option><option value="1000">1000</option><option value="1500">1500</option><option value="2000">2000</option></select></div>
	</fieldset>
 
	<fieldset><legend>No Worries Campaign</legend>
		<div>Quantity: <input type="text" name="NWC_quantity"/></div>
		<fieldset><legend>Flyers</legend>
			<div class="col1"><input type="checkbox" name="Flyers[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Flyers[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Flyers[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Flyers[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
 
		<fieldset><legend>Posters</legend>
			<div class="col1"><input type="checkbox" name="Posters[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Posters[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Posters[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Posters[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
 
		<fieldset><legend>Banners</legend>
			<div class="col1"><input type="checkbox" name="Banners[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Banners[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Banners[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Banners[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
 
		<fieldset><legend>Post Cards</legend>
			<div class="col1"><input type="checkbox" name="Post_Cards[]" value="Class In Ten Minutes?"/>Class In Ten Minutes?</div>
			<div><input type="checkbox" name="Post_Cards[]" value="Apartment Hunting?"/>Apartment Hunting?</div>
			<div class="col1"><input type="checkbox" name="Post_Cards[]" value="Roommate hasn't paid up?"/>Roommate hasn't paid up?</div>
			<div><input type="checkbox" name="Post_Cards[]" value="Olds Cramping Your Style?"/>Olds Cramping Your Style?</div>
		</fieldset>
	</fieldset>
	<div><input type="submit" name="action" value="Submit"/></div>
</form>
</body>
</html>

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