<STYLE type="text/css">    
/* FORMS */
input[type=submit], input[type=text], textarea {
    background-image: -moz-linear-gradient(top,  rgba(255,255,255,0.2) 30%, rgba(251,251,251,0.2) 31%, rgba(0,0,0,0.1) 100%);
    background-image: -webkit-gradient(linear, left top, left bottom, color-stop(30%,rgba(255,255,255,0.2)), color-stop(31%,rgba(251,251,251,0.2)), color-stop(100%,rgba(0,0,0,0.1)));
    background-image: -webkit-linear-gradient(top,  rgba(255,255,255,0.2) 30%,rgba(251,251,251,0.2) 31%,rgba(0,0,0,0.1) 100%);
    background-image: -o-linear-gradient(top,  rgba(255,255,255,0.2) 30%,rgba(251,251,251,0.2) 31%,rgba(0,0,0,0.1) 100%);
    background-image: -ms-linear-gradient(top,  rgba(255,255,255,0.2) 30%,rgba(251,251,251,0.2) 31%,rgba(0,0,0,0.1) 100%);
    background-image: linear-gradient(top,  rgba(255,255,255,0.2) 30%,rgba(251,251,251,0.2) 31%,rgba(0,0,0,0.1) 100%);
    filter: progid:DXImageTransform.Microsoft.gradient( startColorstr='#33ffffff', endColorstr='#1a000000',GradientType=0 );
    
    -webkit-border-radius: 6px;
    -moz-border-radius: 6px;
    border-radius: 6px;
    border: 1px solid;
    box-shadow: 0 1px 0 rgba(255,255,255,0.5) inset;
    
    font-size: 11px;
    font-weight: bold;
    text-shadow: 0 1px 0 rgba(0,0,0,0.5);
    text-decoration: none;
    
    position: relative;
    line-height: 16px;
    padding:0px 14px;
    margin-bottom:8px;
}

/* SUBMIT */
input[type=submit] {
    background-color: #FF8400;
    border-color: #F27D00;
    color:#FFF;
    height: 30px;
    cursor:pointer;
}

/* TEXT INPUT */
input[type=text] {
    background-color: #0ea4e4;
    border-color: #0b81b4;
    color:#FFF;
    height: 30px;
}

/* TEXTAREA */
textarea {
    background-color: #0ea4e4;
    border-color: #0b81b4;
    color:#FFF;
    min-width:290px;
    min-height:120px;
    padding-top:8px;
}
</STYLE>

<?php
if(empty($_POST['submit'])) {
?>
    <form action="" method="post">
    <input type="text" name="formName" value="Imie i nazwisko" onblur="if(value=='') value = 'Imie i nazwisko'" onfocus="if(value=='Imie i nazwisko') value = ''"/>
    <input type="text" name="formEmail" value="E-mail" onblur="if(value=='') value = 'E-mail'" onfocus="if(value=='E-mail') value = ''"/><br />
    <textarea name="formText" onblur="if(value=='') value = 'Treść'" onfocus="if(value=='Treść zapytania...') value = ''">Treść zapytania...</textarea><br />
    <input type="submit" name="submit" value="Wyolij formularz"/>
    </form>
<?php
} else {
    //twoje dane
    $email = 'mojemail@op.pl';
    
    //dane z formularza
    $formName = $_POST['formName'];
    $formEmail = $_POST['formEmail'];
    $formText = $_POST['formText'];
    
    if(!empty($formName) && !empty($formEmail) && !empty($formText)) {
        //--- pocz1tek funkcji weryfikuj1cej adres e-mail ---
        function checkMail($checkmail) {
          if(filter_var($checkmail, FILTER_VALIDATE_EMAIL)) {
            if(checkdnsrr(array_pop(explode("@",$checkmail)),"MX")){
                return true;
              }else{
                return false;
              }
          } else {
            return false;
          }
        }
        //--- koniec funkcji ---
        
        if(checkMail($formEmail)) {
          //dodatkowe informacje: ip i host użytkownika
          $ip = $_SERVER['REMOTE_ADDR'];
          $host = gethostbyaddr($_SERVER['REMOTE_ADDR']);
          $protocol = strpos(strtolower($_SERVER['SERVER_PROTOCOL']),'https')
                        === FALSE ? 'http' : 'https';
            $host     = $_SERVER['HTTP_HOST'];
            $script   = $_SERVER['SCRIPT_NAME'];
            $params   = $_SERVER['QUERY_STRING'];
            
            $currentUrl = $protocol . '://' . $host . $script . '?' . $params;
        
          //tworzymy szkielet wiadomooci
          //treść wiadomości
          $mailText = "Treść wiadomooci:n$formTextnOd: $formName, $formEmail ($ip, $host)nLink: $currentUrl";
        
          //adres zwrotny
          $mailHeader = "From: $formName <$formEmail>";
        
          //funkcja odpowiedzialna za wysłanie e-maila
          @mail($email, '[Zapytanie]', $mailText, $mailHeader) or die('B31d: wiadomooa nie zosta3a wys3ana');
        
          //komunikat o poprawnym wys3aniu wiadomooci
          echo 'Wiadomość została wysłana';
        } else {
            echo 'Adres e-mail jest niepoprawny';
        }
    }
    else {
      //komunikat w przypadku nie powodzenia
      echo 'Wypełnij wszystkie pola formularza';
    }
}
?>