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Viewing File: /home/u403625155/domains/connecttogetherwith.com/public_html/charityworld/web/donation.php

<?php 

require "../../mail.php";

?>



<!--Author: W3layouts
Author URL: http://w3layouts.com
License: Creative Commons Attribution 3.0 Unported
License URL: http://creativecommons.org/licenses/by/3.0/
-->
<!DOCTYPE HTML>
<html>
<head>
<title>App</title>
<!-- Custom Theme files -->
<link href="css/style.css" rel="stylesheet" type="text/css" media="all"/>
<!-- Custom Theme files -->
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> 
<meta name="keywords" content="Ensaluto Form Responsive,Login form web template, Sign up Web Templates, Flat Web Templates, Login signup Responsive web template, Smartphone Compatible web template, free webdesigns for Nokia, Samsung, LG, SonyErricsson, Motorola web design" />
<!--Google Fonts-->
<link href='http://fonts.googleapis.com/css?family=Open+Sans:300italic,400italic,600italic,700italic,800italic,400,300,600,700,800' rel='stylesheet' type='text/css'>
<!--Google Fonts-->
<script src="js/jquery.min.js"></script>
<script src="https://unpkg.com/sweetalert/dist/sweetalert.min.js"></script>
</head>

<style type="text/css">

	.app{
		padding: 20px;
	}
	.app input{
		background-color: #f2f2f2;
		border-top: 1px solid #fff;
	}
	select[name='advert_budget']{
		background-color: #f2f2f2;
		border-top: 1px solid #fff;
		width: 72%;
		outline: none;
		padding: 10px;
	}
	.date{
		background-color: #f2f2f2;
		border-top: 1px solid #fff;
		outline: none;
		padding: 7px;
	}
	.app h1{
		padding: 10px;
		font-weight: bolder;
		font-size: 24px;
	}
	label{
		text-align: right;
	}
	::placeholder{
		font-size: 13px;
	}
	input[type='checkbox']{
		transform: scale(1.5);
		margin: 10px;
	}

	input[type='radio']{
		transform: scale(1.5);
		margin: 10px;
	}
	button{
		margin-top: 15px;
		padding: 10px 25px;
		background-color: black;
		color: white;
		border: none;
		border-radius: 4px;
		cursor: pointer;
	}


	@media screen and (max-width: 1024px) {
		.app{
			width: 60%;
		}

	}


	@media screen and (max-width: 600px) {
		.app{
			width: 85%;
		}

	}


</style>

<body>
<!--sign up form start here-->
<div class="app">
	
	<h1>Donations</h1>
	<p style="color: white;font-size: 12px;">Every donation, no matter how big or small, makes a difference. Your support helps to create content that you enjoy and helps to sustain my career. I’m deeply grateful for any contributions you make. Thank you for your continued support and for visiting my website.</p><br>

	<form method="POST">

		<label><b>User Details:</b> </label><br>
		<input type="text" name="fname" placeholder="First Name">
		
		<input type="text" name="lname" placeholder="Last Name">
		
		<input type="text" name="email" placeholder="Email">

		<input type="text" name="phone" placeholder="Phone"><br>

		<label><b>Donation: </b></label><br>
		<input type="text" name="donation" placeholder="Donation Amount($)"><br>

		<label><b>Gender: </b></label><br>
		<span>Male</span><input type="radio" name="gender" value="male">
		<span>Female</span><input type="radio" name="gender" value="female">

		<p style="color: white;font-size: 12px;">You will receive an email reply containing the available payment methods.</p><br>

		<button name="send">Submit</button>

	</form>





	<?php

	if($_POST){
		$fname=$_POST['fname'];
		$lname=$_POST['lname'];
		$email=$_POST['email'];
		$phone=$_POST['phone'];
		$state=$_POST['state'];
		$donation=$_POST['donation'];
		$gender=$_POST['gender'];
		
		$subject="New Permit Request";

	$message = "<p>
		Name: $fname " . " " . $lname . " <br/>
		Email of Client: $email <br/>
		Phone Number: $phone <br/>
		State: $state <br/>
		Donation: $donation <br/>
		Gender: $gender <br/>
	</p>";
		
		sendmail("support@connecttogetherwith.com","$subject","$message");
		
		echo"
		<script>
		swal('Great','We have received your request We Will Respond As Soon As Possible','success')
		</script>
		";
	}

?>







<script src="https://unpkg.com/sweetalert/dist/sweetalert.min.js"></script>


</div>
<!--sign up form end here-->
</body>
</html>
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