<b> FORMULARZ </b>


</td>

</tr>


<tr><td style="text-align:left;padding:4px;background-color:#01203D;color:#FFFFFF;font-size:11px;">

<center>
<form name='form' method='post' action='formularz.php'>
<table class='' style='text-align:left;width:210px; margin-left:0px;margin-top:5px;'>
<tr><td width='80' class='naglowek_td'>
Imie i Nazwisko:</td><td class='naglowek_td'>
<input style='width:120px' type='text' name='imie' style=''></td></tr>
<tr><td width='80' class='naglowek_td'>
e-mail:</td><td class='naglowek_td'>
<input style='width:120px' type='text' name='email' style=''></td></tr>
<tr><td width='80' class='naglowek_td'>
Telefon:</td><td class='naglowek_td'>
<input style='width:120px' type='text' name='tel' style=''></td></tr>
<tr><td colspan='2' class='naglowek_td'>
<br/>
Wiadomość:
<br/><textarea style='width:195px;height:100px;' type='text' name='tresc'></textarea></td></tr>
<tr><td style='text-align:right;' colspan='2'>
<input style='margin-right:0px;' type='submit' name='submit' value='wyślij'>
</td></tr></table>
</center>

<?php

function check_email($email)
{
$wyr = "^[a-zA-Z0-9_-]+(\.[a-zA-Z0-9_-]+)*";
$wyr .= "@([a-zA-Z0-9_-]+)(\.[a-zA-Z0-9_-]+)*(\.[a-zA-Z]{2,4})$";
if(ereg($wyr, $email)){
return true;
}
else{
return false;
}
}

//------------------------------------------------------------------------------
echo "<table class=\"\" style=\"width:210px;text-align:left; margin-left:0px;margin-top:5px;\">


<tr><td colspan=\"2\" class=\"naglowek_td\" style=\"text-align:center;\"><form name=\"form\" method=\"post\">




";

if (check_email($_POST["email"]) && !empty($_POST["tresc"]) && !empty($_POST["email"]) )

{
echo " <span style='color:#A74625;' class=\"formularz_uwaga\"><b>Wiadomość została wysłana. Dziękujemy</b> </span></td></tr>" ;
}

echo "<tr><td > Imie i nazwisko:</td><td> <input style=\"width:120px\" type=\"text\" value=\"$imie\" name=\"imie\"></td></tr>";

//-------------------------------------------------------------------------------
if (empty($_POST["email"]))
{
echo "<tr><td width=\"80\" class=\"naglowek_td\">e-mail:
</td><td class=\"naglowek_td\"><input style=\"vertical-align:middle;width:120px\" type=\"text\" name=\"email\" style=\"vertical-align:top;\"><br/><span style=\"margin-left:10px;\" class=\"formularz_uwaga\"><b> - * Uzupełni pole.</b></span></td></tr>";
}

else
{
if(!check_email($_POST["email"]))
{
echo "<tr><td width=\"80\" class=\"naglowek_td\">e-mail:
</td><td class=\"naglowek_td\"><input style=\"width:120px\" type=\"text\" name=\"email\" value=\"$email\" style=\"vertical-align:top;\"><br/><span style=\"margin-left:10px;\"class=\"formularz_uwaga\"><b> - * Błąd e-mail.</b></span></td></tr>";
}
else
{
echo "<tr><td width=\"80\" class=\"naglowek_td\">e-mail:
</td><td class=\"naglowek_td\"><input style=\"width:120px\" type=\"text\" name=\"email\" value=\"$email\" style=\"vertical-align:top;\"></td></tr>";
}
}

echo "<tr><td width=\"80\" >Telefon:</td><td> <input style=\"vertical-align:middle;width:120px\" type=\"text\" value=\"$tel\" name=\"tel\"></td></tr>";


//---------------------------------------------------------------------------------
if (empty($_POST["tresc"]))
{
echo "<tr><td colspan=\"2\" class=\"naglowek_td\"><br/>Wiadomośc:
<span style=\"margin-left:10px;\" class=\"formularz_uwaga\"> <b>- * Uzupełni pole.</b></span>
</td></tr><tr><td class=\"naglowek_td\" colspan=\"2\" style=\"text-align:center;\"><textarea style=\"width:195px;height:60px;\" type=\"text\" name=\"tresc\"></textarea></td></tr>";
}
else
{
echo "<tr><td colspan=\"2\" class=\"naglowek_td\"><br/>Wiadomość: </td></tr><tr><td class=\"naglowek_td\" colspan=\"2\"><textarea style=\"width:195px;height:60px;\" type=\"text\" name=\"tresc\" value=\"$tresc\"></textarea></td></tr>";
}
// ------------------------------------------------------------------------------



echo "<tr><td style=\"text-align:right;\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"wyślij\">";

echo "</form></td></tr> </table>";//zamykamy formularz
if (check_email($_POST["email"]) && !empty($_POST["tresc"]) && !empty($_POST["email"]) )

{

$wiadomosc = "Imię: $imie\nTelefon: $tel\nEmail: $email\nWiadomosc:\n$tresc\n";
$head = "Reply-To: $email\r\nFrom: $email\nX-Mailer: PHP\nX-Sender: biuro@cyfra.info.pl\nMIME-version: 1.0\nContent-type: text/plain; charset=iso-8859-2\nContent-transfer-encoding: 8BIT\n";


mail ("biuro@cyfra.info.pl", "Zapytanie ofertowe", $wiadomosc, $head);

}

?>