this is the html part
<div data-role="content">
<form action="contact.php" method="post">
<fieldset>
<div data-role="fieldcontain">
<label for="senderName">Name:</label>
<input type="text" name="senderName" id="senderName" placeholder="Please type your name" required="required" maxlength="40" />
</div>
<div data-role="fieldcontain">
<label for="senderEmail">Email Address:</label>
<input type="email" name="senderEmail" id="senderEmail" placeholder="Please type your email address" required="required" maxlength="50" />
</div>
<div data-role="fieldcontain">
<label for="message" style="padding-top: .5em;">Your Message</label>
<textarea name="message" id="message" placeholder="Please type your message" required="required" cols="80" rows="10" maxlength="10000"></textarea>
</div>
</fieldset>
<button type="submit" data-theme="b"/>Send Email</button>
</form>
here is the php part
<?php
define( "RECIPIENT_NAME", "Thomas" );
define( "RECIPIENT_EMAIL", "gomobile@talonmobile.com" );
define( "EMAIL_SUBJECT", "Visitor Message" );
$success = false;
$senderName = isset( $_POST['senderName'] ) ? preg_replace( "/[^\.\-\' a-zA-Z0-9]/", "", $_POST['senderName'] ) : "";
$senderEmail = isset( $_POST['senderEmail'] ) ? preg_replace( "/[^\.\-\_\@a-zA-Z0-9]/", "", $_POST['senderEmail'] ) : "";
$message = isset( $_POST['message'] ) ? preg_replace( "/(From:|To:|BCC:|CC:|Subject:|Content-Type:)/", "", $_POST['message'] ) : "";
if ( $senderName && $senderEmail && $message ) {
$recipient = RECIPIENT_NAME . " <" . RECIPIENT_EMAIL . ">";
$headers = "From: " . $senderName . " <" . $senderEmail . ">";
$success = mail( $recipient, EMAIL_SUBJECT, $message, $headers );
}
if ( isset($_GET["ajax"]) ) {
echo $success ? "success" : "error";
} else {
?>
<html>
<head>
<title>Thanks!</title>
</head>
<body>
<?php if ( $success ) echo "<p>Thanks for sending your message! We'll get back to you shortly.</p>" ?>
<?php if ( !$success ) echo "<p>There was a problem sending your message. Please try again.</p>" ?>
</body>
</html>
<?php
}
?>