<?

function my_get_post($name,$escape=false)
{
  $var_read = '';
  if (isset($_POST[$name]))
  {
    $var_read = $_POST[$name];
    if (get_magic_quotes_gpc()) $var_read=stripslashes($var_read);
	if ($escape) $var_read=htmlspecialchars($var_read,ENT_QUOTES);
  }
  return $var_read;
}


function isEmail($str) 
{
  if(eregi("^[_a-z0-9-]+(\.[_a-z0-9-]+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,4})$", $str)) 
    return true;
  else
    return false;
}
  
function form_4_count_spam($str)
{
$nb=0;
$word='http:';
if (stristr($str,$word)) $nb++;
$word='<';
if (stristr($str,$word)) $nb++;
$word='>';
if (stristr($str,$word)) $nb++;

return $nb;
}
$form_4_class='form_4_error';
$form_4_error='';
  $form_4_spam=0;
  
$form_4_td_22_class='form_4_info';
$form_4_td_22_error='&nbsp;';
$form_4_td_22_value='';

$form_4_td_23_class='form_4_info';
$form_4_td_23_error='&nbsp;';
$form_4_td_23_value='';

$form_4_td_24_class='form_4_info';
$form_4_td_24_error='&nbsp;';
$form_4_td_24_value='';

$form_4_td_25_class='form_4_info';
$form_4_td_25_error='&nbsp;';
$form_4_td_25_value='';

$form_4_td_26_class='form_4_info';
$form_4_td_26_error='&nbsp;';
$form_4_td_26_value='';


if ('uxtkzbyt'==my_get_post('form_4_submit'))
{
$form_4_error_string='There are errors which need correction.';
$form_4_td_22_error_class='form_4_error';
$form_4_td_22_error_must='Error: This field is required!';
$form_4_td_22_error_spam='Error: http: < > are not allowed!';


$form_4_td_22_value=my_get_post('Naam' ,true);
$form_4_body.='Naam : '.my_get_post('Naam')."\r\n";


if (''==trim(my_get_post('Naam'))) {$form_4_td_22_class=$form_4_td_22_error_class; $form_4_td_22_error=$form_4_td_22_error_must; $form_4_error=$form_4_error_string;}
  

$form_4_td_22_spam=form_4_count_spam(my_get_post('Naam'));
if ($form_4_td_22_spam>0)
{
  if ($form_4_td_22_class!=$form_4_td_22_error_class) {$form_4_td_22_class=$form_4_td_22_error_class; $form_4_td_22_error=$form_4_td_22_error_spam; $form_4_error=$form_4_error_string;}
  $form_4_spam += $form_4_td_22_spam;
}
  
$form_4_td_23_error_class='form_4_error';
$form_4_td_23_error_must='Error: This field is required!';
$form_4_td_23_error_validation='Error: This field must be an email!';
$form_4_td_23_error_spam='Error: http: < > are not allowed!';


$form_4_td_23_value=my_get_post('Email' ,true);
$form_4_body.='Email : '.my_get_post('Email')."\r\n";


if (''==trim(my_get_post('Email'))) {$form_4_td_23_class=$form_4_td_23_error_class; $form_4_td_23_error=$form_4_td_23_error_must; $form_4_error=$form_4_error_string;}
  

if ($form_4_td_23_class!=$form_4_td_23_error_class && ''!=trim(my_get_post('Email')) && !isEmail(my_get_post('Email'))) {$form_4_td_23_class=$form_4_td_23_error_class; $form_4_td_23_error=$form_4_td_23_error_validation; $form_4_error=$form_4_error_string;}
  

$form_4_td_23_spam=form_4_count_spam(my_get_post('Email'));
if ($form_4_td_23_spam>0)
{
  if ($form_4_td_23_class!=$form_4_td_23_error_class) {$form_4_td_23_class=$form_4_td_23_error_class; $form_4_td_23_error=$form_4_td_23_error_spam; $form_4_error=$form_4_error_string;}
  $form_4_spam += $form_4_td_23_spam;
}
  
$form_4_td_24_error_class='form_4_error';


$form_4_td_24_value=my_get_post('Adres' ,true);
$form_4_body.='Adres : '.my_get_post('Adres')."\r\n";

$form_4_td_25_error_class='form_4_error';
$form_4_td_25_error_spam='Error: http: < > are not allowed!';


$form_4_td_25_value=my_get_post('Telefoon' ,true);
$form_4_body.='Telefoon : '.my_get_post('Telefoon')."\r\n";


$form_4_td_25_spam=form_4_count_spam(my_get_post('Telefoon'));
if ($form_4_td_25_spam>0)
{
  if ($form_4_td_25_class!=$form_4_td_25_error_class) {$form_4_td_25_class=$form_4_td_25_error_class; $form_4_td_25_error=$form_4_td_25_error_spam; $form_4_error=$form_4_error_string;}
  $form_4_spam += $form_4_td_25_spam;
}
  
$form_4_td_26_error_class='form_4_error';


$form_4_td_26_value=my_get_post('Opmerkingen' ,true);
$form_4_body.='Opmerkingen : '.my_get_post('Opmerkingen')."\r\n";


if (''!=trim(my_get_post('address'))) $form_4_spam += 10;

if (''!=trim(my_get_post('yourstreet'))) $form_4_spam += 10;

if (''!=trim(my_get_post('yourname'))) $form_4_spam += 10;

if (''!=trim(my_get_post('yourname2'))) $form_4_spam += 10;

if (''!=trim(my_get_post('name'))) $form_4_spam += 10;

if (''==trim($form_4_error) && 0==$form_4_spam)
{
$receiver='leo@vanzijl.com';
$subject='Form Result -- Contact';
if (isEmail( $form_4_td_22_value )) $header='From: '.$form_4_td_22_value;

  $subject= substr($subject, 0, 255);
  $subject=str_replace("\n", " ", $subject);
  $subject=str_replace("\r", " ", $subject);

  $body=str_replace("\n.", "\n..", $form_4_body);


  if ($body!="")
  {
    $result=mail($receiver,$subject,$body,$header);
    if (!result)
    {
       echo 'ERROR: The PHP mail function mail($receiver,$subject,$body,$header); does not work properly on your server, please contact your web hosting.';
       exit;
    }
  }

  if ($result)
  {
    $url='http://www.vanzijl.com/thank-you.php';
    if (!headers_sent()){    
        header('Location: '.$url); exit;
    }else{                    
        echo '<script type="text/javascript">';
        echo 'window.location.href="'.$url.'";';
        echo '</script>';
        echo '<noscript>';
        echo '<meta http-equiv="refresh" content="0;url='.$url.'" />';
        echo '</noscript>'; exit;
    }	
    exit;
  }
}

  if (trim($form_4_error)) $form_4_error="<tr><td colspan=3 class='$form_4_class'>$form_4_error</td></tr>";
}
if ($form_4_spam >= 3)  sleep(20);
if ($form_4_spam >= 3) $form_4_td_22_value='';

if ($form_4_spam >= 3) $form_4_td_23_value='';

if ($form_4_spam >= 3) $form_4_td_24_value='';

if ($form_4_spam >= 3) $form_4_td_25_value='';

if ($form_4_spam >= 3) $form_4_td_26_value='';


?><html>
<head>
<title></title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" >
<meta name="description" content="" >
<meta name="keywords" content="" >
<meta name="GENERATOR" content="Ewisoft Website Builder eCommerce Software from http://www.ewisoft.com/" >
<link rel=stylesheet type="text/css" href="./usertpl/1contemporary/styles.css" ><script language="javascript" type="text/javascript" src="./user/g-css-js/common-form.js" ></script>
<link rel="stylesheet" type="text/css" href="./user/g-css-js/form-4.css" />
<script language="javascript" type="text/javascript" src="./user/g-css-js/form-4.js" ></script>
</head>
<body left-margin=0 top-margin=0 >
<div align=left >
<table border=0 cellpadding=0 cellspacing=0 width="101%" height=407 style="text-align:Left;position:absolute;left:0;top:0;" >
<tr>
<td width="100%" height=33 colspan=2 class=bannerbackground ><table border=0 cellspacing=0 cellpadding=0 >
<tr>
<td><img src="./usertpl/1contemporary/cooltext428399157.png" hspace=10 ></td>
<td class=slogan ></td></tr></table>
<b><font color="#FFFFFF" >&nbsp; </font></b></td></tr>
<tr>
<td width="100%" height=33 colspan=2 class=nav1background >&nbsp; <b><font color="#FFFFFF" >
<a href="p1.htm" target="_self" class=tlink >Home</a> &nbsp;&nbsp;&nbsp; 
<a href="contact-me.php" target="_self" class=tlinkA >Vragen/opmerkingen?</a> &nbsp;&nbsp;&nbsp; <a href="site-map.htm" target="_self" class=tlink >Site Map</a> &nbsp;&nbsp;&nbsp; <a href="http://www.ewisoft.com/" target="_self" class=tlink >Website Builder</a>&nbsp;&nbsp;&nbsp;</font></b></td></tr>
<tr>
<td width="100%" colspan=2 class=spacer height=21 ></td></tr>
<tr>
<td width="14%" height="100%" valign=top class=lmenucontainer >
<div align=center >
<center>
<table border=0 cellpadding=0 cellspacing=0 width="100%" >
<tr>
<td width="100%" ></td></tr></table></center></div>
<ul></ul>
<table width="100%" border=0 cellpadding=5 cellspacing=0 >
<tr>
<td class=content2background ><P>&nbsp;</P></td></tr></table><p>&nbsp;</td>
<td width="86%" height=418 valign=top class=contentbackground >
<div align=right >
<table border=0 cellpadding=0 cellspacing=0 width="98%" height=542 >
<tr>
<td width="100%" height=21 class=contentbackground ></td></tr>
<tr>
<td width="100%" height=520 valign=top class=content ><H1>Vragen/opmerkingen?</H1>
<P>Vul onderstaand formulier in en u krijgt antwoord op al uw vragen!</P>
<P>&nbsp;</P>
<form id="ewisoft_form-4" name=form4 method=post action="#" onsubmit="return onsubmit_form_4();" >
<input type=hidden name="form_4_submit" value=uxtkzbyt >
<table cellpadding=2 cellspacing=0 border=0 >
<? echo $form_4_error ?>
<tr><td class="form_4_td_22" >Naam:</td><td class="form_4_td" ><input type=text name=Naam value="<? echo $form_4_td_22_value ?>" onchange="validate_form_4_input_22(false);" /></td><td id="form_4_info_td_22" class="<? echo $form_4_td_22_class ?>" ><? echo $form_4_td_22_error ?></td></tr>
<tr><td class="form_4_address" >address</td><td class="form_4_address" ><input type=text name=address /></td><td class="form_4_address" >&nbsp;</td></tr>
<tr><td class="form_4_td_23" >Email:</td><td class="form_4_td" ><input type=text name=Email value="<? echo $form_4_td_23_value ?>" onchange="validate_form_4_input_23(false);" /></td><td id="form_4_info_td_23" class="<? echo $form_4_td_23_class ?>" ><? echo $form_4_td_23_error ?></td></tr>
<tr><td class="form_4_td" >Adres:</td><td class="form_4_td" ><textarea name=Adres ><? echo $form_4_td_24_value ?></textarea></td><td id="form_4_info_td_24" class="<? echo $form_4_td_24_class ?>" ><? echo $form_4_td_24_error ?></td></tr>
<tr><td class="form_4_td" >Telefoon:</td><td class="form_4_td" ><input type=text name=Telefoon value="<? echo $form_4_td_25_value ?>" onchange="validate_form_4_input_25(false);" /></td><td id="form_4_info_td_25" class="<? echo $form_4_td_25_class ?>" ><? echo $form_4_td_25_error ?></td></tr>
<tr><td class="form_4_yourstreet" >yourstreet</td><td class="form_4_yourstreet" ><input type=text name=yourstreet /></td><td class="form_4_yourstreet" >&nbsp;</td></tr>
<tr><td class="form_4_yourname" >yourname</td><td class="form_4_yourname" ><input type=text name=yourname /></td><td class="form_4_yourname" >&nbsp;</td></tr>
<tr><td class="form_4_td" >Opmerkingen:</td><td class="form_4_td" ><textarea name=Opmerkingen ><? echo $form_4_td_26_value ?></textarea></td><td id="form_4_info_td_26" class="<? echo $form_4_td_26_class ?>" ><? echo $form_4_td_26_error ?></td></tr>
<tr><td class="form_4_yourname2" >yourname2</td><td class="form_4_yourname2" ><input type=text name=yourname2 /></td><td class="form_4_yourname2" >&nbsp;</td></tr>
<tr><td class="form_4_name" >name</td><td class="form_4_name" ><input type=text name=name /></td><td class="form_4_name" >&nbsp;</td></tr>
<tr><td align=center class="form_4_td" colspan=2 ><input type=submit value=Submit /></td><td id="form_4_info_td_27" class="form_4_info" >&nbsp;</td></tr></table></form></td></tr></table></div>
<p>&nbsp; </td></tr>
<tr>
<td width="14%" valign=top height=12 ></td>
<td width="86%" height=12 valign=top class=footer >Copyright &copy; LeoVanZijl. All rights reserved.<br>www.vanzijl.com is powered by <a href="http://www.ewisoft.com/" target="_blank" >Website Builder</a> &copy; 2003-2009</td></tr></table></div></body></html>