$sendto="request@abshost.net";             //Where to send e-mail
$subject="Hosting request";     //Email`s subject


$fname=$_POST["fname"];
$lname=$_POST["lname"];
$email=$_POST["email"];
$additional=$_POST["additional"];
//$package=$_POST["package"];
$ok=$_POST["ok"];
//$city=$_POST["city"];
//$address=$_POST["address"];
//$postal=$_POST["postal"];
$country=$_POST["country"];
//$phone=$_POST["phone"];
$domainn=$_POST["domainn"];
if ($domainn=="1") {$adr=$_POST["subdomain"]; $domainn1="Subdomain";};
if ($domainn=="2") {$adr=$_POST["domain"]; $domainn1="Domain";};
if ($domainn=="3") {$adr=$_POST["transfer1"]; $domainn1="Transfer";};
$sent=false;
if (isset($ok))
  {
   if ($fname!=null and $lname!=null and $email!=null
    and $country!=null and $domainn!=null
   and isset($ok))
    {
     $ipaddr=$HTTP_SERVER_VARS['REMOTE_ADDR'];
     $host=$HTTP_SERVER_VARS['REMOTE_HOST'];
     $useragent=$HTTP_SERVER_VARS['HTTP_USER_AGENT'];
     $referer=$HTTP_SERVER_VARS['HTTP_REFERER'];
/*
     if ($package=="1") $package1="Mini";
     if ($package=="2") $package1="Standard";
     if ($package=="3") $package1="Multimedia";
     if ($package=="4") $package1="Guru";
     if ($package=="5") $package1="Matrix";
*/
     $msg="
     IP: $ipaddr
     Host: $host
     Browser: $useragent
     Referer: $referer
     -----------------------------
     First name: $fname
     Last name: $lname
     Email: $email
     Country: $country
     -----------------------------
     Domain mode: $domainn1
     $adr
     -----------------------------
     Questions / Comments:
     $additional
     ";
       {
        $sent=true;
        $headers = "From: abshost@abshost.net\r\n";
        $headers .= "Reply-to: $email\r\n";
        $send=@mail($sendto,$subject,$msg,$headers);
        if ($send) echo "Thanks! Message sent!<br/>"; else echo "<font
color=\"red\"><big>Problems while sending request!</big></font><br/>";
       }
    } else echo "<font color=\"red\">Please fill all fields!</font><br/>";
  }
   if ($sent==false)
  {
echo "(*) = required<br/>
<form acrion=\"\" method=\"post\" name=\"form1\">
First name (*):<br/><input type=\"text\" name=\"fname\" value=\"\"><br/><br/>
Last name (*):<br/><input type=\"text\" name=\"lname\" value=\"\"><br/><br/>
E-Mail address(*):<br/><input type=\"text\" name=\"email\"
value=\"\"><br/><br/>
Country:<br> <input type=\"text\" name=\"country\" value=\"\"><br/><br/>
Domain options:<br/>
<input type=\"radio\" name=\"domainn\" id=\"sub\" value=\"1\"
onClick=\"toggle_domenas();\" checked>Subdomain:<br/>www.<input type=\"text\"
name=\"subdomain\" value=\"\" size=\"8\" maxlength=\"8\">.abshost.net<br/>
<input type=\"radio\" name=\"domainn\" id=\"tra\" value=\"3\"
onClick=\"toggle_domenas();\">I have a domain<br/>www.<input type=\"text\"
name=\"transfer1\" value=\"\" disabled><br/>
<br/><br/>
Application:<br/>
<textarea name=\"additional\" rows=\"7\"
cols=\"30\">$additional</textarea><br/><br/>
<input type=\"submit\" name=\"ok\" value=\"Request\">
</form>";