<?php 
 
	date_default_timezone_set('America/Kentucky/Louisville'); // you may want to change this to your own timezone if you do not live in the EST timezone
 
	// Check for form submission:
	if (isset($_POST['submitted'])) {
 
		// Minimal form validation:
		if (!empty($_POST['name']) && !empty($_POST['email']) && !empty($_POST['comments']) ) {
 
			// Create the body:
			$body = "Name: {$_POST['name']}\n\nComments: {$_POST['comments']}";
 
			// Make it no longer than 70 characters long:
			$body = wordwrap($body, 70);
 
			// Send the email:
			mail('your.email@yourdomain.com', 'Website Email Form Submission', $body, "From: {$_POST['email']}");
 
			// Print a message:
			echo '<p><strong><em>Thank you for contacting me at ' . date('g:i a') . ' ' . 'EST' . ' ' . 'on ' . date('l F j, Y') .'. I will reply ASAP.</em></strong></p>';
 
			// Clear $_POST (so that the form's not sticky):
			$_POST = array();
 
		} else {
			echo '<p style="font-weight: bold; color: #C00">Please fill out the form completely.</p>';
		}
 
	} // End of main isset() IF.
 
	// Create the HTML form:
	?>

 
<div id="email_page">
<!-- Fill in the action inside the quotes if you would like to use a seperate file to parse your file output.  
By default this is blank because the PHP code that handles the form output and response back to your visitors is in built into this code... -->
<form action=" " method="post"> 
	<p>Please fill out and submit this form to contact <em>Your Name</em> via e-mail at <a href="mailto:your.email@yourdomain.com" title="Email Me" title="Email Me">your.email@yourdomain.com</a></p>
	<p>Name: 
	<input type="text" name="name" size="42" maxlength="60" value="<?php if (isset($_POST['name'])) echo $_POST['name']; ?>" />
	</p>
<p>Email Address: <input type="text" name="email" size="34" maxlength="80" value="<?php if (isset($_POST['email'])) echo $_POST['email']; ?>" /></p>
	<p>Comments: <textarea name="comments" rows="5" cols="30"><?php if (isset($_POST['comments'])) echo $_POST['comments']; ?></textarea></p>
	<p><input type="submit" name="submit" value=" Submit E&#8211;mail "  title="Click Here to Submit Your E-mail to Me"/></p>
	<p><input type="hidden" name="submitted" value="TRUE" /></p>
</form>
</div>