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Kmita Mail v.3 Form Processor
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Sincerely,
Jennifer Ginest

Dear Customercare,

Now that is what I call SERVICE. I read the other testimonials and they bragged about your service. Here it is that I bought this software on a Saturday afternoon when most US Businesses are closed and I find out that you already set kmita mail up for me on my server. I was not expecting it until Tuesday or so. This has meant a lot to me and like one guy said already; “the customer care is worth the $20 alone”. I will surely pass this information along to all that I know in the Internet Business.
Thank you so much,

Richard Legg
Oregon USA
www.mygolden opportunity.com

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Home > Kmita Mail PHP form to email > Demo > Contact Form

 

Kmita Mail v.3 : Contact Form Demo

Contact form is the most widely used form using Kmita Mail. You can validate the field inputs, show errors in each field, send autoresponder, add this data to MySQL database and lot more.

Fields with * are required.
* Name
Company
* Email Address
Address
* City
* State
* Country
Zip Code
* Telephone
Did you contact us earlier?
Yes No
Kmita Product you are interested in

Kmita Mail
Kmita Tell Friend
Kmita Catalogue
Kmita Randomizer
Kmita FAQ

* Query
Enter the characters shown in the above image [0-9, A-F]:
 

 

Contact Form HTML

<form action="http://alldemos.kmitascripts.com/kmitam/submit.php" method="post" > <span class="text">Contact form is the most widely used form using Kmita Mail. You can validate the field inputs, show errors in each field, send autoresponder, add this data to MySQL database and lot more.</span><br /> <br /> <table cellspacing="0" cellpadding="2"> <tr> <td height="25" colspan="2" class="text_justify_no_side_border">Fields with <font color="#FF0000">*</font> are required.</td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right"><span class="inside_text"><font color="#FF0000">*</font></span> Name</div></td> <td height="25" valign="top" class="text_justify_no_side_border"><input id="rn_Name" name="rn_Name" /> <input type="hidden" name="formname" value="contact0.php" /></td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text">Company</div></td> <td height="25" valign="top" class="text_justify_no_side_border"><input id="km_Company" name="km_Company" /> </td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text"> <div align="right"><font color="#FF0000">* </font>Email Address </div> </div></td> <td height="25" valign="top" class="text_justify_no_side_border"><input id="re_Email" name="re_Email" /> </td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text">Address</div></td> <td height="25" valign="top" class="text_justify_no_side_border"><textarea id="rn_Address" name="rn_Address"></textarea> </td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text"> <font color="#FF0000">*</font> City</div></td> <td height="25" valign="top" class="text_justify_no_side_border"><input id="rn_city" name="rn_city" /> </td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text"><font color="#FF0000">*</font> State</div></td> <td height="25" valign="top" class="text_justify_no_side_border"><input id="rn_state" name="rn_state" /> </td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text"><font color="#FF0000">*</font> Country</div></td> <td height="25" valign="top" class="text_justify_no_side_border"><select name="rn_Country" id="rn_Country"> <option value="India">India</option> <option value="USA" selected="selected">USA</option> <option value="Canada">Canada</option> <option value="France">France</option> <option value="UK">UK</option> <option value="Germany">Germany</option> <option value="Mexico">Mexico</option> <option value="Belgium">Belgium</option> <option value="Other">Other</option> </select> </td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text">Zip Code </div></td> <td height="25" valign="top" class="text_justify_no_side_border"><input id="nn_Zip_code" name="nn_Zip_code" /> </td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text"> <font color="#FF0000">*</font> Telephone</div></td> <td height="25" valign="top" class="text_justify_no_side_border"><input id="rn_Telephone" name="rn_Telephone" /> </td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text">Did you contact us earlier? </div></td> <td height="25" valign="top" class="text_justify_no_side_border"><input name="km_Contact_Us_Earlier" type="radio" value="Yes" /> Yes <input name="km_Contact_Us_Earlier" type="radio" value="No" checked="checked" /> No</td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text">Kmita Product you are interested in </div></td> <td height="25" valign="top" class="text_justify_no_side_border"><p> <span class="inside_text"> <input name="km_Products" type="checkbox" id="km_Products" value="Kmita Mail" /> Kmita Mail <br /> <input name="km_Products" type="checkbox" id="km_Products" value="Kmita Tell Friend" /> Kmita Tell Friend<br /> <input name="km_Products" type="checkbox" id="km_Products" value="Kmita Catalogue" /> Kmita Catalogue<br /> <input name="km_Products" type="checkbox" id="km_Products" value="Kmita Randomizer" /> Kmita Randomizer <br /> <input name="km_Products" type="checkbox" id="km_Products" value="Kmita FAQ" /> Kmita FAQ <input name="km_Products" type="hidden" id="km_Products" value="no product selected" /> <br /> </span></p></td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right" class="inside_text"><font color="#FF0000">*</font> Query</div></td> <td height="25" valign="top" class="text_justify_no_side_border"><textarea id="rn_Query" name="rn_Query" rows="5"></textarea> </td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border"><div align="right"><img src="http://alldemos.kmitascripts.com/kmitam/image.php" width="150" height="80" /> </div></td> <td height="25" valign="top" class="text_justify_no_side_border">Enter the characters shown in the above image [0-9, A-F]: <input name="secnum" type="text" id="secnum" /></td> </tr> <tr> <td height="25" valign="top" class="text_justify_no_side_border">&nbsp;</td> <td height="25" valign="top" class="text_justify_no_side_border"><span class="inside_text"> <input type="submit" name="Submit" value="Submit" /> </span></td> </tr> </table> <!--// Security Image Code --> </form>

 

 

 

 

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