<br><p class="b3">
<? if($action=='send'){
if (($mssg=='')||($subject=='')||($naam=='')){$input='fout';}elseif
(!ereg( "[A-Za-z0-9_-]+([\.]{1}[A-Za-z0-9_-]+)*@[A-Za-z0-9-]+([\.]{1}[A-Za-z0-9-]+)+", $email)) { $emailfout="1"; } else {
if (getenv(HTTP_X_FORWARDED_FOR)){
$ip = getenv(HTTP_X_FORWARDED_FOR); } else {
$ip = getenv(REMOTE_ADDR); }
$mssg=stripslashes($mssg);
$mssg=$mssg.'
URL='.$url.'
IP = '.$ip;
$subject = stripslashes($subject);
$subject="jouw onderwerp: ".$subject;
mail("email@jouwsite.nl", "$subject", "$mssg", "From: $naam<$email>");
$status='send';
?>
Uw bericht wordt verzonden. Indien nodig krijgt u zo spoedig mogelijk een reactie!
<BR><BR>
</td>
</tr>
</table>
</td>
</tr>
</table>
</body>
</html>
<? exit; }} ?>
<? if ($status!=send){ ?>
<br>Zorg ervoor dat alle velden correct zijn invuld!
<br><br>
<? if ($input==fout) { ?><font color="white">Vul aub alle velden in!</font><br><Br><? } elseif
($emailfout==1){ ?><font color="white">Vul aub een juist emailadres in, anders kunnen we geen reactie terugsturen!</font><br><Br><? } ?>
<form action="contact.php" method="post">
<input type="hidden" name="action" value="send">
<table border="0">
<tr>
<td><p class="b3"><b>Naam</b></td>
<td><input type="text" size="25" name="naam" maxlength="35" value="<? echo $naam; ?>"></td>
</tr>
<tr>
<td><p class="b3"><b>Email adres</b></td>
<td><input type="text" size="25" name="email" maxlength="35" value="<? echo $email; ?>"></td>
</tr>
<tr>
<td><p class="b3"><b>Onderwerp</b></td>
<td><input type="text" size="25" name="subject" maxlength="35" value="<? echo $subject; ?>"></td>
</tr>
<tr>
<td><p class="b3"><b>Website adres</b></td>
<td><input type="text" size="25" name="url" maxlength="50" value"<? echo $url; ?>"></td>
</tr>
<tr>
<td valign="top"><p class="b3"><b>Bericht:</b></td>
<td><textarea rows="10" cols="37" name="mssg"><? echo htmlspecialchars(stripslashes($mssg)); ?></textarea></td>
</tr><tr>
<td colspan="2"><center><input type="submit" value="Verstuur"></td>
</tr>
</table>
</form>
<? } ?>
<BR><BR>
</td>
</tr>
</table>
</td>
</tr>
</table>
</body>
</html>