<?php
  $name = $_REQUEST['name'];
  $email = $_REQUEST['email'];
  $subject = $_REQUEST['subject'];
  $sendto = $_REQUEST['branch'];
  $message = $_REQUEST['comments'];

  if (!isset($_REQUEST['name']) || !isset($_REQUEST['subject']) || !isset($_REQUEST['comments']) ) {
    ?>


add html form w/feedback fields

    






    <?php

  }
  elseif (empty($email) || empty($subject) || empty($message) || ereg( "[\r\n]", $name) || ereg( "[\r\n]", $email) )  {
    header( "Expires: Mon, 20 Dec 1998 01:00:00 GMT" );
    header( "Last-Modified: " . gmdate("D, d M Y H:i:s") . " GMT" );
    header( "Cache-Control: no-cache, must-revalidate" );
    header( "Pragma: no-cache" );

    ?>


add html error




 






    <?php
  }
  else {
    header( "Expires: Mon, 20 Dec 1998 01:00:00 GMT" );
    header( "Last-Modified: " . gmdate("D, d M Y H:i:s") . " GMT" );
    header( "Cache-Control: no-cache, must-revalidate" );
    header( "Pragma: no-cache" );

    mail( $sendto, "Web Site Feedback: $subject",
          $message, "From: $email" );

    ?>





add html thank you





    <?php
  }
?>