<?php
extract($_POST);
// Als er op submit word gedrukt.
if($submit)
{
// Controleren of er al een cookie gezet is of niet.
if(!isset($_COOKIE[post]))
{
// Velden controleren op leegte.
if($web_pages == "" || $web_copyright == "" || $des_webtemplate == "" || $des_advbanner == "" || $des_overige == "" || $scripts == "" || $promotie == "" || $service == "" || $pers_naam == "" || $pers_email == "" || $pers_telnr == "")
{
echo "<center><small><font color=\"#6a693c\" face=\"Arial\">Een of meerdere velden zijn niet goed ingevuld.<br><a href=\"javascript:history.back(-1)\">Probeer het opnieuw</a></font></small></center>";
}
else
{
// Formulier versturen.
$jouwemailadres = "jeffrey_menkehorst@hotmail.com";
$datum = date("d-m-Y H:i");
$ip = $_SERVER[REMOTE_ADDR];
$ontvanger = $jouwemailadres;
$onderwerp = "Offerte gemaakt op A-style Webdesign";
$verzender = "From: $pers_naam";
$inhoud = "Beste webmaster,\n\nOp $datum heeft $pers_naam via je website het offerteformulier ingevuld :\n\nDe Website\n- Aantal pagina's: $web_pages\n- Copyright: $web_copyright\n\nDesigns:\n- Website Template: $des_webtemplate\n- Advertentiebanner: $des_advbanner\n- Overige Designs: $des_overige\n\nScripts:\n- Gekozen scripts: $scripts\n\nPromotie\n- Gekozen promotie: $promotie\n\nService\n- Gekozen service: $service\n\nPersoonlijke Gegevens:\n- Naam: $pers_naam\n- Email: $pers_email\n- Telnr: $pers_telnr\n- Bedrijfsnaam: $pers_bedrijfsnaam\n- KVK nummer: $pers_kvk\n- Adres: $pers_adres\n- Postcode: $pers_postcode\n- Woonplaats: $pers_plaats\n- Huidige website: $pers_website\n\nVerdere Opmerkingen:\n $pers_opmerkingen\n\nHoe heeft hij ons gevonden:\n $pers_hoegevonden\n\n---------------------------------------------------------------------\nDe IP van $pers_naam = $ip";
mail($ontvanger, $onderwerp, $inhoud, $verzender);
// Cookie post zetten.
setcookie(post, "Het offerteformulier is succesvol verzonden", time()+300);
echo "<center><small><font color=\"#6a693c\" face=\"Arial\">Uw offerteformulier is succesvol verstuurd naar de webmaster.<br>U zult zo snel mogelijk een antwoord krijgen!</font></small></center>";
}
}
else
{
echo "<center><small><font color=\"#6a693c\" face=\"Arial\">U heeft zojuist al een offerte opgemaakt,<br>over een aantal minuten kunt u weer een offerte maken.</font></small></center>";
}
}
else
{
// Het formulier.
?>
<form action="offerte.php" method="POST">
<table border="0" width="430" cellspacing="0" cellpadding="0">
<tr>
<td width="100%"><table border="0" width="100%" cellspacing="0" cellpadding="2">
<tr>
<td width="100%" valign="top" colspan="2"><font color="#6a693c" face="Arial" size="3"><b>De Website</b></font></td>
</tr>
<tr>
<td valign="top" width="38%"><small><font color="#6a693c" face="Arial">Aantal pagina's: *</font></small></td>
<td width="62%"><INPUT TYPE="radio" NAME="web_pages" VALUE="0 - 5"><font color="#6a693c" face="Arial" size="1">0 tot 5</font><BR><INPUT TYPE="radio" NAME="web_pages" VALUE="5 - 10"><font color="#6a693c" face="Arial" size="1">5 tot 10</font><BR><INPUT TYPE="radio" NAME="web_pages" VALUE="10 - 20"><font color="#6a693c" face="Arial" size="1">10 tot 20</font><BR><INPUT TYPE="radio" NAME="web_pages" VALUE="20 - 30"><font color="#6a693c" face="Arial" size="1">20 tot 30</font><BR><INPUT TYPE="radio" NAME="web_pages" VALUE="30 - 50"><font color="#6a693c" face="Arial" size="1">30 tot 50</font><BR><INPUT TYPE="radio" NAME="web_pages" VALUE="Meer dan 50"><font color="#6a693c" face="Arial" size="1">Meer dan 50</font><br><br></td>
</tr>
<tr>
<td valign="top" width="38%"><small><font color="#6a693c" face="Arial">Copyright: *</font></small></td>
<td width="62%"><INPUT TYPE="checkbox" NAME="web_copyright" VALUE="Geen link naar A-style Webdesign"><font color="#6a693c" face="Arial" size="1">Geen link naar A-style Webdesign<br><INPUT TYPE="checkbox" NAME="web_copyright" VALUE="Wel Link naar A-style Webdesign"><font color="#6a693c" face="Arial" size="1">Wel een link naar A-style Webdesign</td>
</tr>
<tr>
<td width="100%" valign="top" colspan="2"><font color="#6a693c" face="Arial" size="3"><b>Designs</b></font></td>
</tr>
<tr>
<td valign="top" width="38%"><small><font color="#6a693c" face="Arial">Website Template: *</font></small></td>
<td width="62%"><INPUT TYPE="radio" NAME="des_webtemplate" VALUE="standaard"><font color="#6a693c" face="Arial" size="1">Standaard</font><BR><INPUT TYPE="radio" NAME="des_webtemplate" VALUE="bewegend"><font color="#6a693c" face="Arial" size="1">Bewegend<BR></font><INPUT TYPE="radio" NAME="des_webtemplate" VALUE="flash"><font color="#6a693c" face="Arial" size="1">Flash (Coming Soon)<br><INPUT TYPE="radio" NAME="des_webtemplate" VALUE="geen"><font color="#6a693c" face="Arial" size="1">Geen</font><br><BR></td>
</tr>
<tr>
<td valign="top" width="38%"><small><font color="#6a693c" face="Arial">Advertentiebanner: *</font></small></td>
<td width="62%"><INPUT TYPE="radio" NAME="des_advbanner" VALUE="standaardgroot"><font color="#6a693c" face="Arial" size="1">Standaard Groot</font><BR><INPUT TYPE="radio" NAME="des_advbanner" VALUE="standaardmiddel"><font color="#6a693c" face="Arial" size="1">Standaard Middel</font><BR><INPUT TYPE="radio" NAME="des_advbanner" VALUE="standaardklein"><font color="#6a693c" face="Arial" size="1">Standaard Klein</font><BR><INPUT TYPE="radio" NAME="des_advbanner" VALUE="bewegendgroot"><font color="#6a693c" face="Arial" size="1">Bewegend Groot</font><BR><INPUT TYPE="radio" NAME="des_advbanner" VALUE="bewegendmiddel"><font color="#6a693c" face="Arial" size="1">Bewegend Middel</font><BR><INPUT TYPE="radio" NAME="des_advbanner" VALUE="bewegendklein"><font color="#6a693c" face="Arial" size="1">Bewegend Klein</font><BR><INPUT TYPE="radio" NAME="des_advbanner" VALUE="geen"><font color="#6a693c" face="Arial" size="1">Geen</font><br><BR></td>
</tr>
<tr>
<td valign="top" width="38%"><small><font color="#6a693c" face="Arial">Overige Design:*</font></small></td>
<td width="62%"><INPUT TYPE="checkbox" NAME="des_overige[]" VALUE="logo"><font color="#6a693c" face="Arial" size="1">Logo Design<br><INPUT TYPE="checkbox" NAME="des_overige[]" VALUE="poster"><font color="#6a693c" face="Arial" size="1">Poster<br><INPUT TYPE="checkbox" NAME="des_overige[]" VALUE="flyer"><font color="#6a693c" face="Arial" size="1">Flyer<br><INPUT TYPE="checkbox" NAME="des_overige[]" VALUE="Wallpapers"><font color="#6a693c" face="Arial" size="1">Destkop Achtergronden<br><INPUT TYPE="checkbox" NAME="des_overige[]" VALUE="anders"><font color="#6a693c" face="Arial" size="1">Andere Designs</td>
</tr>
<tr>
<td width="100%" valign="top" colspan="2"><font color="#6a693c" face="Arial" size="3"><b>Scripts</b></font></td>
</tr>
<tr>
<td valign="top" width="38%"><small><font color="#6a693c" face="Arial">Kies uw scripts: *</font></small></td>
<td width="62%"><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="webtemplate"><font color="#6a693c" face="Arial" size="1">Website Template Coderen<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="contact"><font color="#6a693c" face="Arial" size="1">Contactformulier<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="gastenboek"><font color="#6a693c" face="Arial" size="1">Gastenboek<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="forum"><font color="#6a693c" face="Arial" size="1">Forum<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="fotoalbum"><font color="#6a693c" face="Arial" size="1">Fotoalbum<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="kalender"><font color="#6a693c" face="Arial" size="1">Kalender<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="agenda"><font color="#6a693c" face="Arial" size="1">Agenda<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="chatbox"><font color="#6a693c" face="Arial" size="1">Chatbox<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="muziek"><font color="#6a693c" face="Arial" size="1">Muziekspeler<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="nieuwsbrief"><font color="#6a693c" face="Arial" size="1">Nieuwsbrief<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="nieuwssysteem"><font color="#6a693c" face="Arial" size="1">Nieuwssysteem<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="poll"><font color="#6a693c" face="Arial" size="1">Poll<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="quiz"><font color="#6a693c" face="Arial" size="1">Quiz<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="statistieken"><font color="#6a693c" face="Arial" size="1">Statistieken<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="offerte"><font color="#6a693c" face="Arial" size="1">Offertesysteem<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="anderescripts"><font color="#6a693c" face="Arial" size="1">Andere Scripts<br><INPUT TYPE="checkbox" NAME="scripts[]" VALUE="geen"><font color="#6a693c" face="Arial" size="1">Geen van alle scripts!<br><br></td>
</tr>
<tr>
<td width="100%" valign="top" colspan="2"><font color="#6a693c" face="Arial" size="3"><b>Promotie</b></font></td>
</tr>
<tr>
<td valign="top" width="38%"><small><font color="#6a693c" face="Arial">Kies uw promotie: *</font></small></td>
<td width="62%"><INPUT TYPE="checkbox" NAME="promotie[]" VALUE="flyer"><font color="#6a693c" face="Arial" size="1">Flyers uitdelen<br><INPUT TYPE="checkbox" NAME="promotie[]" VALUE="poster"><font color="#6a693c" face="Arial" size="1">Posters plakken<br><INPUT TYPE="checkbox" NAME="promotie[]" VALUE="adv_andere"><font color="#6a693c" face="Arial" size="1">Adverteren op andere websites<br><INPUT TYPE="checkbox" NAME="promotie[]" VALUE="adv_astylegroot"><font color="#6a693c" face="Arial" size="1">Adverteren op a-style webdesign Grote banner<br>
<INPUT TYPE="checkbox" NAME="promotie[]" VALUE="adv_astyleklein"><font color="#6a693c" face="Arial" size="1">Adverteren op a-style webdesign Kleine banner<br><INPUT TYPE="checkbox" NAME="promotie[]" VALUE="zoekmachines"><font color="#6a693c" face="Arial" size="1">Aanmelden bij zoekmachines<br><INPUT TYPE="checkbox" NAME="promotie[]" VALUE="anders"><font color="#6a693c" face="Arial" size="1">Andere Promotie<br><INPUT TYPE="checkbox" NAME="promotie[]" VALUE="geen"><font color="#6a693c" face="Arial" size="1">Geen promotie<br><br></td>
</tr>
<tr>
<td width="100%" valign="top" colspan="2"><font color="#6a693c" face="Arial" size="3"><b>Service</b></font></td>
</tr>
<tr>
<td valign="top" width="38%"><small><font color="#6a693c" face="Arial">Kies uw service: *</font></small></td>
<td width="62%"><INPUT TYPE="checkbox" NAME="service[]" VALUE="webhost"><font color="#6a693c" face="Arial" size="1">Laat A-style uw webhosting regelen<br><INPUT TYPE="checkbox" NAME="service[]" VALUE="domein"><font color="#6a693c" face="Arial" size="1">Laat A-style uw domeinnaam regelen<br><INPUT TYPE="checkbox" NAME="service[]" VALUE="andere"><font color="#6a693c" face="Arial" size="1">Andere Service<br><INPUT TYPE="checkbox" NAME="service[]" VALUE="geen"><font color="#6a693c" face="Arial" size="1">Geen Service<br><br></td>
</tr>
<tr>
<td width="100%" valign="top" colspan="2"><font color="#6a693c" face="Arial" size="3"><b>Persoonlijke Gegevens</b></font></td>
</tr>
<tr>
<td width="38%"><small><font color="#6a693c" face="Arial">Uw naam: *</font></small></td>
<td width="62%"><input STYLE="background-color: transparent; font-color: font-size: 10px; font-family: verdana; color: #6a693c;" type="text" name="pers_naam" size="29"></td>
</tr>
<tr>
<td width="38%"><small><font color="#6a693c" face="Arial">Uw E-mail: *</font></small></td>
<td width="62%"><input STYLE="background-color: transparent; font-color: font-size: 10px; font-family: verdana; color: #6a693c;" type="text" name="pers_email" size="29"></td>
</tr>
<tr>
<td width="38%"><small><font color="#6a693c" face="Arial">Uw Telefoonnummer: *</font></small></td>
<td width="62%"><input STYLE="background-color: transparent; font-color: font-size: 10px; font-family: verdana; color: #6a693c;" type="text" name="pers_telnr" size="29"></td>
</tr>
<tr>
<td width="38%"><small><font color="#6a693c" face="Arial">Uw Bedrijfsnaam:</font></small></td>
<td width="62%"><input STYLE="background-color: transparent; font-color: font-size: 10px; font-family: verdana; color: #6a693c;" type="text" name="pers_bedrijfsnaam" size="29"></td>
</tr>
<tr>
<td width="38%"><small><font color="#6a693c" face="Arial">KVK nummer:</font></small></td>
<td width="62%"><input STYLE="background-color: transparent; font-color: font-size: 10px; font-family: verdana; color: #6a693c;" type="text" name="pers_kvk" size="29"></td>
</tr>
<tr>
<td width="38%"><small><font color="#6a693c" face="Arial">Uw adres:</font></small></td>
<td width="62%"><input STYLE="background-color: transparent; font-color: font-size: 10px; font-family: verdana; color: #6a693c;" type="text" name="pers_adres" size="29"></td>
</tr>
<tr>
<td width="38%"><small><font color="#6a693c" face="Arial">Uw Postcode:</font></small></td>
<td width="62%"><input STYLE="background-color: transparent; font-color: font-size: 10px; font-family: verdana; color: #6a693c;" type="text" name="pers_postcode" size="29"></td>
</tr>
<tr>
<td width="38%"><small><font color="#6a693c" face="Arial">Uw Woonplaats: *</font></small></td>
<td width="62%"><input STYLE="background-color: transparent; font-color: font-size: 10px; font-family: verdana; color: #6a693c;" type="text" name="pers_plaats" size="29"></td>
</tr>
<tr>
<td width="40%"><small><font color="#6a693c" face="Arial">Uw Huidige Website:</font></small></td>
<td width="60%"><input STYLE="background-color: transparent; font-color: font-size: 10px; font-family: verdana; color: #6a693c;" type="text" name="pers_website" size="29"></td>
</tr>
<tr>
<td colspan="2"><small><font color="#6a693c" face="Arial">Verdere opmerkingen:</font></small></td>
</tr>
<tr>
<td colspan="2"><textarea STYLE="background-color: transparent;" rows="6" name="pers_opmerkingen" cols="40"></textarea></td>
</tr>
<tr>
<td colspan="2"><small><font color="#6a693c" face="Arial">Hoe heeft u ons gevonden?</font></small></td>
</tr>
<tr>
<td colspan="2"><textarea STYLE="background-color: transparent;" rows="6" name="pers_hoegevonden" cols="40"></textarea></td>
</tr>
<tr>
<td width="100%" valign="top" colspan="2"><small><small><small><small><small><small><small>
</small></small></small></small></small></small></small></td>
</tr>
<tr>
<td width="100%" valign="top" colspan="2"><input type="submit" value="Versturen"
name="submit"></td>
</tr>
<tr>
<td width="100%" valign="top" colspan="2"><font color="#6a693c" face="Arial">* Deze velden zijn verplicht om in te vullen!<br><br>Wij zullen zorgvuldig omgaan met uw gegevens en deze nooit doorgeven aan derden!</font></td>
</tr>
</table>
</td>
</tr>
</table>
</form>
<?php } ?>