need php code for an email form?

M

max_power491

New member
After searching far and wide, and a few messed up php files I've decided to just send this one straight out. I created a form in DW CS4 and I need the code to email the fields to any email, the subject can just be Application. :) **Any help greatly appreciated, I'm running out of time (and my instructors aren't being of much help.

Here's the form I need emailed.

<form action="forminfo.php" method="post">
Name<br/><input type="text" name="name" /><br/>
Address<br/><input type="text" name="address" /><br/>
City<br/><input type="text" name="city" /><br/>
State<br/><input type="text" name="state" /><br/>
Zip<br/><input type="text" name="zip" /><br/>
Email<br/><input type="text" name="email" /><br/>
Phone Number<br/><input type="text" name="phone" /><br/>
Church Affiliation<br/><input type="text" name="church" /><br/>
How did you hear about us?<br/><textarea row="6" cols="45" name="hear" /></textarea><br/>
<p>
<label>
<input type="checkbox" name="con" value="checkbox" id="con_0" />
Conference - $149.00</label>
<br />
<label>
<input type="checkbox" name="con" value="checkbox" id="con_1" />
Conference (Early Bird before June 30th)
$129.00</label>
<br />
<label>
<input type="checkbox" name="con" value="checkbox" id="con_2" />
Hotel Room - $95.00 per night</label>
<br />
</p>
<input type="submit" value="Submit Form" />
</form>
 
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