# Add a check box to a php form. How?

**URL:** <https://forum.kirupa.com/t/add-a-check-box-to-a-php-form-how/197657>\
**Category:** Uncategorized\
**Created:** [August 18, 2006, 12:38am UTC](https://forum.kirupa.com/t/add-a-check-box-to-a-php-form-how/197657 "2006-08-18T00:38:10Z")\
**Posts on this page:** 1\
**Page:** 1

<div class="post-metadata">

**Author:** ![sarant](https://avatars.discourse-cdn.com/v4/letter/s/6a8cbe/32.png) [@sarant](https://forum.kirupa.com/u/sarant)\
**Post date:** [August 18, 2006, 12:38am UTC](https://forum.kirupa.com/t/add-a-check-box-to-a-php-form-how/197657/1 "2006-08-18T00:38:10Z")

</div>

How can I add a check box to a php form to be emailed?

the html page:

\<html\>  
\<head\>  
\<title\>PHP Form Mailer - phpFormMailer (easy to use and more secure than many cgi form  
mailers)\</title\>  
\<style\>  
BODY{  
color:#000000;  
font-size: 8pt;  
font-family: Verdana;  
}  
.button {background-color: rgb(128,128,128); color:#ffffff; font-size: 8pt;}  
.inputc {font-size: 8pt;}  
.style2 {font-size: 24pt}  
.style3 {  
font-size: 18pt;  
font-weight: bold;  
}  
\</style\>  
\<meta http-equiv=“Content-Type” content=“text/html; charset=iso-8859-1”\>\</head\>  
\<body\>  
\<form name=“phpformmailer” action=“contact.php” align=“center” method=“post”\>  
\<div align=“center”\>\<center\>  
\<p\>&nbsp;\</p\>  
\<p\>&nbsp;\</p\>  
\<table width=“449” border=“1” id=“tile”\>  
\<caption align=“top”\>  
\<span class=“style2”\> Tile Samples  
\</span\>  
\</caption\>  
\<tr\>  
\<td width=“44”\>\<a href=“image032.jpg”\>\<img src=image032.jpg  
width=44 height=44 border=“0” v:shapes="\_x0000\_s1413"\>\</a\>\</td\>  
\<td width=“71”\>X3593\</td\>  
\<td width=“279”\>Blue Blend Mosaic\</td\>  
\<td width=“27”\>\<input name=“X3593” type=“checkbox” id=“X35932” value=“X3593”\>\</td\>  
\</tr\>  
\<tr\>  
\<td\>\<img  
width=44 height=44 src=image036.jpg v:shapes="\_x0000\_s1415"\>\</td\>  
\<td\>X3596\</td\>  
\<td\>Green Blend Mosaic\</td\>  
\<td\>\<input name=“X3596” type=“checkbox” id=“X35962” value=“X3596”\>\</td\>  
\</tr\>  
\<tr\>  
\<td\>\<img  
width=44 height=44 src=image034.jpg v:shapes="\_x0000\_s1414"\>\</td\>  
\<td\>X3590\</td\>  
\<td\>Navy Blend Mosaic\</td\>  
\<td\>\<input name=“X3590” type=“checkbox” id=“X35902” value=“X3590”\>\</td\>  
\</tr\>  
\<tr\>  
\<td\>\<img  
width=44 height=44 src=image030.jpg v:shapes="\_x0000\_s1412"\>\</td\>  
\<td\>X3595\</td\>  
\<td\>Brown Blend Mosaic \</td\>  
\<td\>\<input name=“X3595” type=“checkbox” id=“X35952” value=“X3595”\>\</td\>  
\</tr\>  
\<tr\>  
\<td\>\<img  
width=44 height=44 src=image038.jpg v:shapes="\_x0000\_s1416"\>\</td\>  
\<td\>XIR2535\</td\>  
\<td\>Brushed Chrome Blue Blend Mosaic \</td\>  
\<td\>\<input name=“XIR2535” type=“checkbox” id=“XIR25352” value=“XIR2535”\>\</td\>  
\</tr\>  
\<tr\>  
\<td\>\<img  
width=44 height=44 src=image044.jpg v:shapes="\_x0000\_s1419"\>\</td\>  
\<td\>XIR2533\</td\>  
\<td\>Brushed Chrome Green Blend Mosaic \</td\>  
\<td\>\<input name=“XIR2533” type=“checkbox” id=“XIR25332” value=“XIR2533”\>\</td\>  
\</tr\>  
\<tr\>  
\<td\>\<img  
width=44 height=44 src=image042.jpg v:shapes="\_x0000\_s1418"\>\</td\>  
\<td\>XIR2537\</td\>  
\<td\>Brushed Chrome Navy Blend Mosaic \</td\>  
\<td\>\<input name=“XIR2537” type=“checkbox” id=“XIR25372” value=“XIR2537”\>\</td\>  
\</tr\>  
\<tr\>  
\<td\>\<img  
width=44 height=44 src=image040.jpg v:shapes="\_x0000\_s1417"\>\</td\>  
\<td\>XIR2531\</td\>  
\<td\>Brushed Chrome Brown Blend Mosaic \</td\>  
\<td\>\<input name=“XIR2531” type=“checkbox” id=“XIR25312” value=“XIR2531”\>\</td\>  
\</tr\>  
\<tr\>  
\<td\>\<img  
width=44 height=44 src=image048.jpg v:shapes="\_x0000\_s1421"\>\</td\>  
\<td\>XST4956\</td\>  
\<td\>Empress Blend Mosaic \</td\>  
\<td\>\<input name=“XST4956” type=“checkbox” id=“XST49562” value=“XST4956”\>\</td\>  
\</tr\>  
\<tr\>  
\<td\>\<img  
width=44 height=44 src=image046.jpg v:shapes="\_x0000\_s1420"\>\</td\>  
\<td\>XST5892\</td\>  
\<td\>Sandstone Blend Mosaic \</td\>  
\<td\>\<input name=“XST5892” type=“checkbox” id=“XST5892” value=“XST5892”\>\</td\>  
\</tr\>  
\</table\>  
\<p\>&nbsp;\</p\>  
\<table width=“528” height=“489” cellspacing=“6” bgcolor="#F2F2F2"\>  
\<tr\>  
\<td width=“159”\>\<div align=“center”\>\</div\>\</td\>  
\<td width=“349”\>\<div align=“left” class=“style3”\>SAMPLE TILE ORDER \</div\>\</td\>  
\</tr\>  
\<tr\>  
\<td align=“right” width=“159”\>\<small\>Your name:\</small\>\</td\>  
\<td width=“349”\>\<font face=“Arial”\>\<input class=“inputc” size=“29” name=“name”\>\</font\>\</td\>  
\</tr\>  
\<tr\>  
\<td align=“right” width=“159”\>\<font color="#000080" size=“1”\>_\</font\>\<small\> Your email  
address:\</small\>\</td\>  
\<td align=“left” width=“349”\>\<font face=“Arial”\>\<input class=“inputc” size=“29”  
name=“email”\>\</font\>\</td\>  
\</tr\>  
\<tr align=“middle”\>  
\<td align=“right” width=“159”\>\<font color="#000080" size=“1”\>_\</font\>\<small\> Confirm email  
address:\</small\>\</td\>  
\<td width=“349” align=“left”\>\<font face=“Arial”\>\<input class=“inputc” size=“29”  
name=“email2”\>\</font\>\</td\>  
\</tr\>  
\<tr\>  
\<td align=“right” width=“159”\>\<font color="#000080" size=“1”\>_\</font\>\<small\> Subject:\</small\>\</td\>  
\<td width=“349”\>\<font face=“Arial”\>\<input name=“thesubject” value=“Tile Sample Order” size=“29”\>  
\</font\>\</td\>  
\</tr\>  
\<tr\>  
\<td align=“right” width=“159”\>&nbsp;\<p\>\<font color="#000080" size=“1”\>_\</font\>\<small\> Your  
Address:\</small\>\</td\>  
\<td width=“349”\>\<textarea style=“FONT-SIZE: 10pt” name=“themessage” rows=“7” cols=“27”\>

\</textarea\>\</td\>  
\</tr\>  
\<tr\>  
\<td width=“159”\>\</td\>  
\<td width=“349”\>\<script language=“JavaScript”\>\<!–  
function validateForm()  
{  
var okSoFar=true  
with (document.phpformmailer)  
{  
var foundAt = email.value.indexOf("@",0)  
if (foundAt \< 1 && okSoFar)  
{  
okSoFar = false  
alert (“Please enter a valid email address.”)  
email.focus()  
}  
var e1 = email.value  
var e2 = email2.value  
if (!(e1==e2) && okSoFar)  
{  
okSoFar = false  
alert (“Email addresses you entered do not match. Please re-enter.”)  
email.focus()  
}  
if (thesubject.value=="" && okSoFar)  
{  
okSoFar=false  
alert(“Please enter the subject.”)  
thesubject.focus()  
}  
if (themessage.value=="" && okSoFar)  
{  
okSoFar=false  
alert(“Please enter the details for your Adress.”)  
themessage.focus()  
}  
if (okSoFar==true) submit();  
}  
}  
// --\>\</script\>\<input type=“button” class=“button”  
value=“Send” name=“B1” ONCLICK=“javascript:validateForm()”\>\<small\> \<small\>You must fill in  
the fields marked with a \*\</small\>\</small\>\</td\>  
\</tr\>  
\</table\>  
\</center\>\</div\>  
\</form\>  
\</body\>  
\</html\>

the PHP page:

## \<?php $valid\_ref1=“[http://intellisft.com/contact.html](http://intellisft.com/contact.html)”; $valid\_ref2=“[http://www.intellisft.com/contact.html](http://www.intellisft.com/contact.html)”; $replyemail=“[sarant@intellisft.com](mailto:sarant@intellisft.com)”; function clean\_input\_4email($value, $check\_all\_patterns = true) { $patterns[0] = ‘/content-type:/’; $patterns[1] = ‘/to:/’; $patterns[2] = ‘/cc:/’; $patterns[3] = ‘/bcc:/’; if ($check\_all\_patterns) { $patterns[4] = ‘/\r/’; $patterns[5] = ‘/ /’; $patterns[6] = ‘/%0a/’; $patterns[7] = ‘/%0d/’; } return preg\_replace($patterns, “”, strtolower($value)); } $name = clean\_input\_4email($\_POST[“name”]); $email = clean\_input\_4email($\_POST[“email”]); $thesubject = clean\_input\_4email($\_POST[“thesubject”]); $themessage = clean\_input\_4email($\_POST[“themessage”], false); $error\_msg=‘ERROR - not sent. Try again.’; $success\_sent\_msg=’\<p align=“center”\>\<strong\>&nbsp;\</strong\>\</p\> \<p align=“center”\>\<strong\>Your order has been successfully sent to us\<br\> \</strong\> and we will ship your sample out as soon as possible.\</p\> \<p align=“center”\>A copy of your order has been sent to you.\</p\> \<p align=“center”\>Thank you for your interest in our tiles.\</p\>’; $replymessage = "Hi $name Thank you for your order. We will endeavour to send a reply to you shortly. Please DO NOT reply to this email. Below is a copy of the sample order you submitted:

## Subject: $thesubject Order Address: $themessage

Thank you";  
if (!isset($\_POST[‘email’]))  
{  
echo “\<script language=“JavaScript”\>\<!–  
“;  
echo “top.location.href = “$valid\_ref1”;  
// --\>\</script\>”;  
exit;  
}  
$ref\_page=$\_SERVER[“HTTP\_REFERER”];  
$valid\_referrer=0;  
if($ref\_page==$valid\_ref1) $valid\_referrer=1;  
elseif($ref\_page==$valid\_ref2) $valid\_referrer=1;  
if(!$valid\_referrer)  
{  
echo “\<script language=“JavaScript”\>\<!–  
alert(”$error\_msg”);  
“;  
echo “top.location.href = “$valid\_ref1”;  
// --\>\</script\>”;  
exit;  
}  
$themessage = “Name: $name  
Address: $themessage”;  
if($  
mail(”$replyemail”,  
“$thesubject”,  
“$themessage”,  
“From: $email  
Reply-To: $email”);  
mail("$email",  
“Receipt: $thesubject”,  
“$replymessage”,  
“From: $replyemail  
Reply-To: $replyemail”);  
echo $success\_sent\_msg;  
?\>