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Simply copy and paste this code into a php file then upload it to your Site. Make sure that no space is before the php tag in your file.
<?php session_start(); if(isset($_REQUEST['phpsessid'])) { $sessionid_get=$_REQUEST['phpsessid']; $sessionid=session_id($sessionid_get); } else { $sessionid=session_id(); } if(isset($_REQUEST['field_count'])) { $count=$count + $_REQUEST['field_count']; } else { $count=0; } ?> <style type="text/css"> body { background:#cccccc; } td { font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; color: #5C5C5C; } a { font-family: Tahoma, Arial, Helvetica, sans-serif; font-size: 11px; color: #395D8C; line-height:15px; font-weight:bold; text-decoration:none; } a:hover { font-family: Tahoma, Arial, Helvetica, sans-serif; font-size: 11px; color: #000000; line-height:15px; font-weight:bold; text-decoration:none; } .submit_bt { background-color:#DCEAEF; border:#98A4B6 1px solid; font-size: 10px; font-weight: bold; color:#E67A45; } .submit_bt:hover { font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 10px; font-weight: bold; color:#E67A45; text-decoration: underline; } </style> <form name="frmSetup" action="http://www.siteformbuilder.com/eform_mailer_next.php?phpsessid=$sessionid" method="post"> <TABLE width="600" border=0 align=left cellpadding="0" cellspacing="0" > <TR> <TD> </TD> </TR> <TR> <TD width="100%" ><p ><SPAN>Step 1 :</SPAN> Define Your Form Elements</p></TD> </TR> <TR> <TD><TABLE width="100%" border=0 align=left cellpadding="2" cellspacing="0" > <TR> <TD width="19%">Email to receive data:</TD> <TD width="81%" colSpan=4><input name='esh_formmail_recipient' size=25 value="" ></TD> </TR> <TR> <TD>Subject:</TD> <TD colSpan=4><input name='esh_formmail_subject' size=25 value="" > </TD> </TR> </TABLE></TD> </TR> <TR> <TD> </TD> </TR> <TR> <TD><table width="100%" border="0" align="center" cellpadding="0" cellspacing="0" > <TR valign="middle"> <TD width="4%" ><img src="images/pixel.gif" width="1" height="15"></TD> <TD width="21%"><div align="center">Display Text</div></TD> <TD width="21%"><div align="center">Variable Name</div></TD> <TD width="22%"><div align="center">Type</div></TD> <TD width="22%"><div align="center">Required</div></TD> <TD width=4%> </TD> </TR> <TR> <TD >1.</TD> <TD><div align="center"> <INPUT name="field_text0" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name0" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type0 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required0 type=checkbox value=Required> </div></TD> </TR> <TR> <TD >2.</TD> <TD><div align="center"> <INPUT name="field_text1" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name1" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type1 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required0 type=checkbox value=Required> </div></TD> </TR> <TR> <TD >3.</TD> <TD><div align="center"> <INPUT name="field_text2" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name2" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type2 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required0 type=checkbox value=Required> </div></TD> </TR> <TR> <TD >4.</TD> <TD><div align="center"> <INPUT name="field_text3" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name3" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type3 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required3 type=checkbox value=Required> </div></TD> </TR> <TR> <TD >5.</TD> <TD><div align="center"> <INPUT name="field_text4" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name4" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type4 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required4 type=checkbox value=Required> </div></TD> </TR> <TR> <TD >6.</TD> <TD><div align="center"> <INPUT name="field_text5" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name5" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type5 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required5 type=checkbox value=Required> </div></TD> </TR> <TR> <TD >7.</TD> <TD><div align="center"> <INPUT name="field_text6" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name6" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type6 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required6 type=checkbox value=Required> </div></TD> </TR> <TR> <TD >8.</TD> <TD><div align="center"> <INPUT name="field_text7" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name7" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type7 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required7 type=checkbox value=Required> </div></TD> </TR> <TR> <TD >9.</TD> <TD><div align="center"> <INPUT name="field_text8" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name8" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type8 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required8 type=checkbox value=Required> </div></TD> </TR> <TR> <TD >10.</TD> <TD><div align="center"> <INPUT name="field_text9" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name9" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type9 > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required9 type=checkbox value=Required> </div></TD> </TR> <?php for($i=1; $i <= $count; $i++) { ?> <TR> <TD ><?php echo $i + 10; $temp_count=$i + 9;?></TD> <TD><div align="center"> <INPUT name="field_text<?php echo $temp_count;?>" value="" size=28> </div></TD> <TD><div align="center"> <INPUT name="field_name<?php echo $temp_count;?>" value="" size=28> </div></TD> <TD><div align="center"> <SELECT name=field_type<?php echo $temp_count;?> > <OPTION value=Text >Text</OPTION> <OPTION value=TextArea >TextArea</OPTION> <OPTION value=CheckBox >CheckBox</OPTION> </SELECT> </div></TD> <TD><div align="center"> <INPUT name=field_required8 type=checkbox value=Required> </div></TD> </TR> <? } ?> </table></TD> </TR> <TR> <TD><TABLE width="100%" border=0 align=center cellpadding="2" cellspacing="0" > <TR><input type="hidden" name="field_count" value="<?php echo $count;?>"> <TD width="157"><input type="submit" value="Add Field" name="add_field" class="submit_bt" /></TD> <TD colSpan=3> </TD> <TD width="253"><SPAN > </SPAN></TD> </TR> </TABLE></TD> </TR> <TR> <TD> </TD> </TR> <TR> <TD> </TD> </TR> <TR> <TD> </TD> </TR> <TR> <TD ><p align="left" ><SPAN>Step 2 :</SPAN> Generate and Download Your Form</p></TD> </TR> <TR> <TD><DIV align="center"> <input type="submit" name="generate_form" value="Generate Form" class="submit_bt" /> </DIV></TD> </TR> <TR> <TD></TD> </TR> </TABLE>
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