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<html>
<head>
<title>Feedback Form</title>
</head>
<body>
<form action="feedback.php" method="post">
Name:<input type="text" name="username" size="30">
<br><br>
Email:<input type="text" name="useraddr" size="30">
<br><br>
<textarea name="comments" cols="30" rows="5">
</textarea><br>
<input type="submit" value="Send Form">
</form>
</body>
</html>
File: feedback.php
<?php
$username = $_POST['username'];
$useraddr = $_POST['useraddr'];
$comments = $_POST['comments'];
$to = "php@h.com";
$re = "Website Feedback";
$msg = $comments;
$headers = "MIME-Version: 1.0\r\n";
$headers .= "Content-type: text/html; charset=iso-8859-1\r\n";
$headers .= "From: $useraddr \r\n";
$headers .= "Cc: another@hotmail.com \r\n";
mail( $to, $re, $msg, $headers );
?>
<html>
<head>
<title>Message Received</title>
</head>
<body>
<h3>Thanks for your comments</h3>
Message received from <?php echo($username); ?><br>
Reply to <?php echo($useraddr); ?>
</body>
</html>
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