<?
error_reporting(E_ALL); ini_set("display_errors", 1);

if ($_POST['send']=='ok') {
$sqlayar=mysql_query("Select * from ayar");
$strayar=mysql_fetch_array($sqlayar);
$mailMessage = "<br />"; 
								
								$mailMessage .= "<B>Adi Soyadi : $_POST[ad]</B><br /><br />";
								//$mailMessage .= "Telefon :  $_POST[tel]<br />";
								$mailMessage .= "tel :  $_POST[tel]<br />";
								$mailMessage .= "E-Mail : $_POST[email] <br />";
								$mailMessage .= "Talep Tipi : $_POST[tip] <br />";
								$mailMessage .= "Mesaj :  $_POST[mesaj]<br />";
								$tarih=date("d-m-Y");
								$ip=$_SERVER['REMOTE_ADDR'];
								$mailMessage .= "Gönderilen Ip :  $ip<br />";
								$mailMessage .= "Tarih:  $tarih<br />";																					
								$sender = $strayar['gonderen'];
					//$bcc = "$male";
					$kime= $strayar['alan'];
					$subject = "Iletisim";
					include('htmlMimeMail.php');
					$mail = new htmlMimeMail();
					$mail->setFrom($sender);
					$mail->setBcc($bcc);
					$mail->setSubject($subject);
					$mail->setHtml($mailMessage);
					$mail->setHeader('X-Mailer', 'HTML Mime mail class');
					
					$result = $mail->send(array($kime), 'smtp');
					if ($result) { header("Location: index.php?page=talepformu&mesaj=ok"); }
}

?><!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Untitled Document</title>
<style type="text/css">
<!--
body {
	margin-left: 0px;
	margin-top: 0px;
	margin-right: 0px;
	margin-bottom: 0px;
}
.style1 {
	color: #850707;
	font-family: Verdana, Arial, Helvetica, sans-serif;
	font-size: 12px;
	font-weight: bold;
}
.style2 {
	color: #406b9b;
	font-family: Verdana, Arial, Helvetica, sans-serif;
	font-size: 12px;
	font-weight: bold;
}
-->
</style></head>
<body>
<body>

<div class="baslik">Fiyat Talep Formu</div>
<div class="hr"></div>
 <form id="form1" name="form1" method="post" action="">
  <table width="900" border="0" cellspacing="3" cellpadding="3">
   
     
    <?php
  $kontrol = 0; if ($_POST['submit']) $kontrol = 1;
  if ($kontrol == 1){
	$ad_soyad = $_POST['ad_soyad'];
	$eposta = $_POST['eposta'];
	$telefon = $_POST['telefon'];
	$tip = $_POST['tip'];
	$mesaj = $_POST['mesaj'];

	if (empty($ad_soyad) || empty($eposta) || empty($telefon) || empty($tip) || empty($mesaj))
	{
echo'
	<tr>
		<td width="273" colspan="3"><span style="font-weight:bold;color:red;">Lütfen Tüm Alanları Doldurun</span></td>
	</tr>';
}else{



		$mesajj = '<span style="font-size:14px;">Fiyat Talep Formu</span>
	
	<table>
	<tr>
	<td>Adı Soyadı</td>
	<td>:</td>
	<td>'.$ad_soyad.'</td>
	</tr>
	
	
	<tr>
	<td>E Posta</td>
	<td>:</td>
	<td>'.$eposta.'</td>
	</tr>
	
	
	<tr>
	<td>Telefon</td>
	<td>:</td>
	<td>'.$telefon.'</td>
	</tr>
	
	
	<tr>
	<td>Sigorta Tipi</td>
	<td>:</td>
	<td>'.$tip.'</td>
	</tr>
	
	
	<tr>
	<td>Mesaj</td>
	<td>:</td>
	<td>'.$mesaj.'</td>
	</tr>
	</table>
	
	<br/>Bu mesaj otomatik olarak sistem tarafından gönderilmektedir.';


			$kime = 'info@sigorta.com.tr';
				$konum = 'Fiyat Talep Formu';
				$eposta($kime,$konum,$mesajj);

$sql = mysql_query ("INSERT INTO fiyat_talep (id,ad_soyad,eposta,telefon,tip,mesaj,okuma) VALUES ('0','$ad_soyad','$eposta','$telefon','$tip','$mesaj','0')");
			
			
			if ($sql){
			echo'<tr><td width="273" colspan="3"><span style="font-weight:bold;color:blue;">Mesajınız başarıyla kaydedildi.</span></td></tr>';
			}
			$ad_soyad = NULL;
			$eposta = NULL;
			$telefon = NULL;
			$mesaj = NULL;		
}
}
?>
	
    
    
    
    <tr>
      <td width="273"><span class="style1">Adınız Soyadınız </span></td>
      <td width="4" class="style1">&nbsp;</td>
      <td width="593"><input name="ad_soyad" type="text" style="border-left:solid 1px #000066; border-right:solid 1px #000066; border-top:solid 1px #000066; border-bottom:solid 1px #000066; width:200px; color:#000" /></td>
    </tr>
    <tr>
      <td class="style1">E-Posta Adresiniz </td>
      <td class="style1">&nbsp;</td>
      <td><input name="eposta" type="text" style="border-left:solid 1px #000066; border-right:solid 1px #000066; border-top:solid 1px #000066; border-bottom:solid 1px #000066;;  width:200px; color:#000" /></td>
    </tr>
    <tr>
      <td class="style1">Telefon Numaranız </td>
      <td class="style1">&nbsp;</td>
      <td><input name="telefon" type="text" style="border-left:solid 1px #000066; border-right:solid 1px #000066; border-top:solid 1px #000066; border-bottom:solid 1px #000066; width:200px; color:#000" /></td>
    </tr>
    <tr>
      <td class="style1">Fiyat Almak İstediğiniz Hizmet </td>
      <td class="style1">&nbsp;</td>
      <td><select name="tip"  style="border-left:solid 1px #000066; border-right:solid 1px #000066; border-top:solid 1px #000066; border-bottom:solid 1px #000066;width:200px; color:#000 ">
        <option value="Oto Sigorta">Oto Sigorta</option>
        <option value="Konut Sigorta">Konut Sigorta</option>
        <option value="Hayat Sigorta">Hayat Sigorta</option>
        <option value="Diğer Sigortalar">Diğer Sigortalar</option>
    </select>      </td>
    </tr>
    <tr>
      <td class="style1">Mesajınız</td>
      <td class="style1">&nbsp;</td>
      <td><textarea name="mesaj" rows="5" style="border-left:solid 1px #000066; border-right:solid 1px #000066; border-top:solid 1px #000066; border-bottom:solid 1px #000066; width:200px;height:50px;"></textarea></td>
    </tr>
    <tr>
      <td colspan="2">&nbsp;</td>
      <td><input type="submit" name="submit" value="G&ouml;nder" style="border-left:solid 1px #000066; border-right:solid 1px #000066; border-top:solid 1px #000066; border-bottom:solid 1px #000066;; background-color:#3E6B93; color:#FFFFFF " />
      </td>
    </tr>
  </table>
</form></body>
</html>
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Notice: Undefined index: submit in /var/www/vhosts/xxx.com.tr/httpdocs/talepformu.php on line 72