<script language="javascript">
function funAgree(){
        document.form1.action="";
}
function funDisagree(){
        document.form1.action="2.php";
}
</script><img src="images/detail.jpg" alt="" /></td>
          <td width="435"><form id="form1" name="form1" method="post" action="mail.php">
              <span class="large">Title(eg.Mr,Mrs,Dr)<br />
              </span>
              <input name="title" type="text" id="textfield"  /> 
              <br>
              </label>
              <br>
              <span class="large">First name *<br />
              </span>
              <input name="name" type="text" id="textfield2" />
              <span class="small">
              </label>
              (required)</span><br>
              <br>
              <span class="large">Last name<br />
              </span>
              <input name="lname" type="text" id="textfield3"  />
              <br>
              <span class="large"> <br>
              Address</span><br />
              <label>
                <textarea name="address" id="textarea" ></textarea>
              </label>
              <span class="large">
              </label>
              <br>
              <br>
              <span class="large">PIN / Post Code</span><br />
              <input name="pin" type="text" id="textfield"  />
              <br>
              <br>
              <span class="large">Country</span><br />
              <input name="country" type="text" id="textfield"  />
              <br>
              <br>
              <span class="large"></span> <span class="large"></span> Contact No *
              <label> </label>
              </span>
              <label> <br />
                <input name="contact" type="text" id="textfield5"  />
              </label>
              <span class="small">(required)</span><span class="large"><br>
              <br>
              Email Address *<br />
              <label> </label>
              </span>
              <label>
                <input name="email" type="text" id="textfield" >
              </label>
              <span class="small">(required)</span><br>
              <div align="right"><br>
                <br>
                <label>
                  <input name="button" type="submit" class="submitCopy" id="button" value="Next" onClick="funDisagree()" >
                </label>
                </label>
              </div>
            </form>
this is the first contact page 
 <script language="javascript">
function funAgree(){
        document.form1.action="requirements-form.php";
}
function funDisagree(){
        document.form1.action="3.php";
}
</script> 
  <form id="form1" name="form1" method="post" action="mail.php">
    <span class="large">Business name</span>
    <input name="business" type="text" id="textfield"  />
    <br>
    <span class="large"></span>
    </label>
    <span class="large"> <br>
    What is the nature of your business ?</span>
    <label>
    <textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
    <br>
    </label>
    <br>
    <span class="large">What age group are your products aimed towards?
    (e.g. 25-35yrs)</span>
    <input name="product" type="text" id="textfield"  />
    <br>
    <span class="large"></span>
    </label>
    <br>
    <span class="large">Number of staff within your organisation </span>
    <input name="staff" type="text" id="textfield"  />
    <br>
    <br>
    <span class="large">What are your objectives for a new website? </span> <br>
    <br>
    <label>
    <input type="checkbox" name="checkbox" value="a">
 
    <span class="large">provide information about the business </span><br>
    <label>
    <input type="checkbox" name="checkbox2"  value="b">
    </label>
    <span class="large">online selling </span><br>
    <label>
    <input type="checkbox" name="checkbox3"  value="c">
    </label>
    <span class="large">e-marketing for customers </span><br>
    <label>
    <input type="checkbox" name="checkbox4"  value="d">
    </label>
    <span class="large">training for staff </span><br>
    <label>
    <input type="checkbox" name="checkbox5"  value="e" checked="checked">
 
 
    </label>
    <span class="large">Other, please specify <br>
    <input name="other" type="text" id="textfield"  />
    <br>
    </span>
 
    <span class="large"><br>
    <br>
    <label> </label>
    </span>
    <label>
    <input name="Submit" type="submit" class="prev" id="button" value="Previous" onClick="funAgree()">
    </label>
    </label>
    <input name="button" type="submit" class="submitCopy" id="button" value="Next" onClick="funDisagree()" >
  </form>
this is second page..
<script language="javascript">
function funAgree(){
        document.form1.action="2.php";
}
function funDisagree(){
        document.form1.action="4.php";
}
</script> 
  <form id="form1" name="form1" method="post" action="mail.php">
  <span class="large">Do you currently have a website?<br>
  <br>
 
  <input type="radio" name="radio" value="1">yes - If 'yes', please specify website address<br> 
 
  <input name="website" type="text" id="textfield"  />
  <br>
  <span class="large"></span>
   </label>
    <span class="large">
    <label>
    <input type="radio" name="radio" value="1"> no - If 'no', what web address would you like?<br> 
 
 <span class="eg"><em>e.g www.limoservices.co.uk</em> </span><span class="large"><BR>
      <input name="no" type="text" id="textfield"  />
      <br>
      <br>
      How webpages are required?<br>
 
  <label><input type="radio" name="color" value="1" checked>1<br> 
<input type="radio" name="color" value="1">1-5<br> 
<input type="radio" name="color" value="1">5-25<br> 
<input type="radio" name="color" value="1"> large database site with 100's of pages<br> 
<input type="radio" name="color" value="1"> not sure <br> 
 
 
      <br>
      What webpages do you want on your website? <BR>
      (e.g.   galleries, about us, product, services , enquiry form, documents downloads,   video etc.) <br>
      <textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
      <br>
 
    <label><br>
   </label>
 
   <span class="large">Do you require web hosting?</span><br>
   <input type="radio" name="hosting" value="1" checked>yes<br> 
<input type="radio" name="hosting" value="1">no<br> 
<input type="radio" name="hosting" value="1">not sure<br> 
 
   <br>
   <span class="large">Do you require an email account?</span><span class="eg"><br>
  <em> e.g <a href="mailto:info@limoservices.co.uk">info@limoservices.co.uk</a></em></span>
 
   <input name="account" type="text" id="textfield"  />
   <br>
   <br>
   <span class="large">Please provide web address links to websites that you would like your website to be similar </span><br>
   <br>
   <span class="large">Web address 1</span><br>
   <input name="web1" type="text" id="textfield"  />
   <br>
   <br>
   <span class="large">Explain why you like it </span><br>
   <textarea name="textarea" id="textarea" cols="45" rows="5"></textarea><br>
   </span><br>
<hr> <br>
 
   <span class="large">Web address 2</span><br>
   <input name="web2" type="text" id="textfield"  />
   <br>
   <br>
 
   <span class="large">Explain why you like it </span><br>
   <textarea name="textarea" id="textarea" cols="45" rows="5"></textarea><br><br>
      <span class="large">Do you have a logo or brand identity that you would like us to use?</span> <br>
      <label>
      <input type="radio" name="brand" value="1" checked>yes<br> 
<input type="radio" name="brand" value="1">no<br> 
 
     <br>
     <span class="large">Do you have your own digital images that you would like us to use?<br>
     <label>
     <input type="radio" name="images" value="1" checked>yes<br> 
<input type="radio" name="images" value="1">no<br> 
     <input type="radio" name="images" value="1" checked>i would like help with images<br> <br>
 
 
     <span class="large">Do you have the text that is to be used on the website?</span><br>
     <label>
     <input type="radio" name="text" value="1" checked>yes<br> 
<input type="radio" name="text" value="1">no<br> 
<input type="radio" name="text" value="1">I would like help with the text<br> 
 
     <br>
     <span class="large">Does your website need to be in any multi-ethnic languages such as Punjabi,   Bangladeshi, Urdu, polish, French etc?</span><br>
     <label>
     <input type="radio" name="lang" value="1" checked>no<br> 
<input type="radio" name="lang" value="1">If 'yes', please specify<br> 
 
     <input name="yes" type="text" id="textfield" />
     <br>
     <br>
 
     <input name="Submit" type="submit" class="prev" id="button" value="Previous" onClick="funAgree()">
    </label>
    </label>
    <input name="button" type="submit" class="submitCopy" id="button" value="Next" onClick="funDisagree()" >
</form>
this is 3rd page
 <script language="javascript">
function funAgree(){
        document.form1.action="3.php";
}
function funDisagree(){
        document.form1.action="5.php";
}
</script> 
  <form id="form1" name="form1" method="post" action="mail.php">
  <span class="large">Please select which website features you would like?<br>
 
  </span><span class="large">
  <label>
  <input type="checkbox" name="checkbox" id="checkbox">
  </label>
  Live video cameras <br>
  <label>
  <input type="checkbox" name="checkbox2" id="checkbox2">
  </label>
  Contact form <br>
  <label>
  <input type="checkbox" name="checkbox3" id="checkbox3">
  </label>
  Video clips <BR>
 
    <label>
    <input type="checkbox" name="checkbox4" id="checkbox4">
    </label>
      Guestbook<br>
      <label>
      <input type="checkbox" name="checkbox5" id="checkbox5">
      </label>
      News alerts <br>
      <label>
      <input type="checkbox" name="checkbox6" id="checkbox6">
      </label>
      Dynamic picture galleries <br>
      <label>
      <input type="checkbox" name="checkbox7" id="checkbox7">
      </label>
      Blog<br>
      <label>
      <input type="checkbox" name="checkbox8" id="checkbox8">
      </label>
      Website feedback form <br>
      <label>
      <input type="checkbox" name="checkbox9" id="checkbox9" checked="checked">
      </label>
      Virtual tours <br>
      <br>
      Enter additional website features you require <br>
      <label></label><textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
      <br>
    <br><hr>
      <div align="center" class="large"></div>
  <br>
  Please select which Graphic and designs features you would like<br>
  <label>
  <input type="checkbox" name="checkbox10" id="checkbox10">
  </label>
  Brochures<br>
  <label>
  <input type="checkbox" name="checkbox11" id="checkbox11">
  </label>
  Business cards<br>
  <label>
  <input type="checkbox" name="checkbox12" id="checkbox12">
  </label>
  Flyers<br>
  <label>
  <input type="checkbox" name="checkbox13" id="checkbox13">
  </label>
  Pamphlet<br>
  <label>
  <input type="checkbox" name="checkbox14" id="checkbox14">
  </label>
  Catalogue<br>
  <label>
  <input type="checkbox" name="checkbox15" id="checkbox15">
  </label>
  Letterheads <br>
  <label>
  <input type="checkbox" name="checkbox16" id="checkbox16">
  </label>
  Logo designs <br>
  <label>
  <input type="checkbox" name="checkbox17" id="checkbox17">
  </label>
  posters<br>
  <label>
  <input type="checkbox" name="checkbox18" id="checkbox18">
  </label>
  Compliment slip <br>
  <label>
  <input type="checkbox" name="checkbox19" id="checkbox19">
  </label>
  Annual reports <br>
  <label>
  <input type="checkbox" name="checkbox20" id="checkbox20">
  </label>
  Newsletters<br>
  <label>
  <input type="checkbox" name="checkbox21" id="checkbox21" checked="checked">
  </label>
  Calendar<br>
  <br>
  Enter additional graphics and design requirements you require <br>
      <textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
      <br>
    </span>
    <label><br>
   </label>
 
 
     <input name="Submit" type="submit" class="prev" id="button" value="Previous" onClick="funAgree()">
    </label>
    </label>
    <input name="button" type="submit" class="submitCopy" id="button" value="Next" onClick="funDisagree()" >
</form>
this is 4th page
<script language="javascript">
function funAgree(){
        document.form1.action="4.php";
}
function funDisagree(){
        document.form1.action="mail.php";
}
</script> 
  <form id="form1" name="form1" method="post" action="mail.php">
  <span class="large">How do you want your website updated?<br>
 
  <input type="radio" name="website" value="1" checked> I would like help with updating my website <br> 
<input type="radio" name="website" value="1"> I will update the website my self<br> 
<input type="radio" name="website" value="1"> I would like training on how to update the website<br>
  <input type="radio" name="website" value="1" > not sure<br> 
 
  </span><span class="large">
  <label></label>
  <br>
  How would you rate your computer literacy skills<br>
  <label>
  <input type="radio" name="skill" value="1" > poor<br> 
<input type="radio" name="skill" value="1"> medium<br> 
<input type="radio" name="skill" value="1"> good<br> 
<input type="radio" name="skill" value="1" checked> excellent<br> 
 
  <br>
  How often does your website need to be updated ?<br>
  <label>
  <input type="radio" name="update" value="1" checked>  not very often<br> 
<input type="radio" name="update" value="1"> occasionally<br> 
<input type="radio" name="update" value="1"> frequently<br> 
<input type="radio" name="update" value="1"> not sure<br> 
 
      <br>
      What sections of your website do you need to update the most<br>
      <label></label><textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
      <br>
    <br><hr>
    When do you wish to launch the website ?<br>
 
  <label></label>
  <label>
  <input type="launch" name="launch" id="textfield">
  <br>
  </label>
  <br>
  Please enter reference code 10% for discount <br>
     <input type="text" name="code" id="textfield">
     <br>
     <br>
     Please enter any other information that you feel is relevant to the project here<br>
      <textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
      <br>
      <br>
      Enter verification image <br><input name="verif_box" type="text" id="verif_box" style="padding:2px; border:1px solid #CCCCCC; width:180px; height:14px;font-family:Verdana, Arial, Helvetica, sans-serif; font-size:11px;"/>
<img src="verificationimage.php?<?php echo rand(0,9999);?>" alt="verification image, type it in the box" width="50" height="24" align="absbottom" /><br />
<br />
 
<!-- if the variable "wrong_code" is sent from previous page then display the error field -->
<?php if(isset($_GET['wrong_code'])){?>
<div style="border:1px solid #990000; background-color:#D70000; color:#FFFFFF; padding:4px; padding-left:6px;width:295px;">Wrong verification code</div><br /> 
<?php ;}?>
    </span>
    <label><br>
   </label>
 
 
     <input name="Submit" type="submit" class="prev" id="button" value="Previous" onClick="funAgree()">
    </label>
    </label>
    <input name="button" type="submit" class="submitCopy" id="button2" value="Submit" onClick="funDisagree()" >
  </form>
this is 5th page
<?php
$body = "";
foreach($_POST as $key => $value) {
	$body .= "$key : $value \n";
}
mail("your-email", "Web site comments", $body, "From: <a href="mailto:webmaster@yahoo.co.uk">webmaster@yahoo.co.uk</a>");
?>
 

<script language="javascript">
function funAgree(){
document.form1.action="";
}
function funDisagree(){
document.form1.action="2.php";
}
</script><img src="images/detail.jpg" alt="" /></td>
<td width="435"><form id="form1" name="form1" method="post" action="mail.php">
<span class="large">Title(eg.Mr,Mrs,Dr)<br />
</span>
<input name="title" type="text" id="textfield" /> 
<br>
</label>
<br>
<span class="large">First name *<br />
</span>
<input name="name" type="text" id="textfield2" />
<span class="small">
</label>
(required)</span><br>
<br>
<span class="large">Last name<br />
</span>
<input name="lname" type="text" id="textfield3" />
<br>
<span class="large"> <br>
Address</span><br />
<label>
<textarea name="address" id="textarea" ></textarea>
</label>
<span class="large">
</label>
<br>
<br>
<span class="large">PIN / Post Code</span><br />
<input name="pin" type="text" id="textfield" />
<br>
<br>
<span class="large">Country</span><br />
<input name="country" type="text" id="textfield" />
<br>
<br>
<span class="large"></span> <span class="large"></span> Contact No *
<label> </label>
</span>
<label> <br />
<input name="contact" type="text" id="textfield5" />
</label>
<span class="small">(required)</span><span class="large"><br>
<br>
Email Address *<br />
<label> </label>
</span>
<label>
<input name="email" type="text" id="textfield" >
</label>
<span class="small">(required)</span><br>
<div align="right"><br>
<br>
<label>
<input name="button" type="submit" class="submitCopy" id="button" value="Next" onClick="funDisagree()" >
</label>
</label>
</div>
</form>
this is the first contact page 
<script language="javascript">
function funAgree(){
document.form1.action="requirements-form.php";
}
function funDisagree(){
document.form1.action="3.php";
}
</script> 
<form id="form1" name="form1" method="post" action="mail.php">
<span class="large">Business name</span>
<input name="business" type="text" id="textfield" />
<br>
<span class="large"></span>
</label>
<span class="large"> <br>
What is the nature of your business ?</span>
<label>
<textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
<br>
</label>
<br>
<span class="large">What age group are your products aimed towards?
(e.g. 25-35yrs)</span>
<input name="product" type="text" id="textfield" />
<br>
<span class="large"></span>
</label>
<br>
<span class="large">Number of staff within your organisation </span>
<input name="staff" type="text" id="textfield" />
<br>
<br>
<span class="large">What are your objectives for a new website? </span> <br>
<br>
<label>
<input type="checkbox" name="checkbox" value="a">
 
<span class="large">provide information about the business </span><br>
<label>
<input type="checkbox" name="checkbox2" value="b">
</label>
<span class="large">online selling </span><br>
<label>
<input type="checkbox" name="checkbox3" value="c">
</label>
<span class="large">e-marketing for customers </span><br>
<label>
<input type="checkbox" name="checkbox4" value="d">
</label>
<span class="large">training for staff </span><br>
<label>
<input type="checkbox" name="checkbox5" value="e" checked="checked">
 
 
</label>
<span class="large">Other, please specify <br>
<input name="other" type="text" id="textfield" />
<br>
</span>
 
<span class="large"><br>
<br>
<label> </label>
</span>
<label>
<input name="Submit" type="submit" class="prev" id="button" value="Previous" onClick="funAgree()">
</label>
</label>
<input name="button" type="submit" class="submitCopy" id="button" value="Next" onClick="funDisagree()" >
</form>
this is second page..
<script language="javascript">
function funAgree(){
document.form1.action="2.php";
}
function funDisagree(){
document.form1.action="4.php";
}
</script> 
<form id="form1" name="form1" method="post" action="mail.php">
<span class="large">Do you currently have a website?<br>
<br>
 
<input type="radio" name="radio" value="1">yes - If 'yes', please specify website address<br> 
 
<input name="website" type="text" id="textfield" />
<br>
<span class="large"></span>
</label>
<span class="large">
<label>
<input type="radio" name="radio" value="1"> no - If 'no', what web address would you like?<br> 
 
<span class="eg"><em>e.g www.limoservices.co.uk</em> </span><span class="large"><BR>
<input name="no" type="text" id="textfield" />
<br>
<br>
How webpages are required?<br>
 
<label><input type="radio" name="color" value="1" checked>1<br> 
<input type="radio" name="color" value="1">1-5<br> 
<input type="radio" name="color" value="1">5-25<br> 
<input type="radio" name="color" value="1"> large database site with 100's of pages<br> 
<input type="radio" name="color" value="1"> not sure <br> 
 
 
<br>
What webpages do you want on your website? <BR>
(e.g. galleries, about us, product, services , enquiry form, documents downloads, video etc.) <br>
<textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
<br>
 
<label><br>
</label>
 
<span class="large">Do you require web hosting?</span><br>
<input type="radio" name="hosting" value="1" checked>yes<br> 
<input type="radio" name="hosting" value="1">no<br> 
<input type="radio" name="hosting" value="1">not sure<br> 
 
<br>
<span class="large">Do you require an email account?</span><span class="eg"><br>
<em> e.g [email]info@limoservices.co.uk[/email]</em></span>
 
<input name="account" type="text" id="textfield" />
<br>
<br>
<span class="large">Please provide web address links to websites that you would like your website to be similar </span><br>
<br>
<span class="large">Web address 1</span><br>
<input name="web1" type="text" id="textfield" />
<br>
<br>
<span class="large">Explain why you like it </span><br>
<textarea name="textarea" id="textarea" cols="45" rows="5"></textarea><br>
</span><br>
<hr> <br>
 
<span class="large">Web address 2</span><br>
<input name="web2" type="text" id="textfield" />
<br>
<br>
 
<span class="large">Explain why you like it </span><br>
<textarea name="textarea" id="textarea" cols="45" rows="5"></textarea><br><br>
<span class="large">Do you have a logo or brand identity that you would like us to use?</span> <br>
<label>
<input type="radio" name="brand" value="1" checked>yes<br> 
<input type="radio" name="brand" value="1">no<br> 
 
<br>
<span class="large">Do you have your own digital images that you would like us to use?<br>
<label>
<input type="radio" name="images" value="1" checked>yes<br> 
<input type="radio" name="images" value="1">no<br> 
<input type="radio" name="images" value="1" checked>i would like help with images<br> <br>
 
 
<span class="large">Do you have the text that is to be used on the website?</span><br>
<label>
<input type="radio" name="text" value="1" checked>yes<br> 
<input type="radio" name="text" value="1">no<br> 
<input type="radio" name="text" value="1">I would like help with the text<br> 
 
<br>
<span class="large">Does your website need to be in any multi-ethnic languages such as Punjabi, Bangladeshi, Urdu, polish, French etc?</span><br>
<label>
<input type="radio" name="lang" value="1" checked>no<br> 
<input type="radio" name="lang" value="1">If 'yes', please specify<br> 
 
<input name="yes" type="text" id="textfield" />
<br>
<br>
 
<input name="Submit" type="submit" class="prev" id="button" value="Previous" onClick="funAgree()">
</label>
</label>
<input name="button" type="submit" class="submitCopy" id="button" value="Next" onClick="funDisagree()" >
</form>
this is 3rd page
<script language="javascript">
function funAgree(){
document.form1.action="3.php";
}
function funDisagree(){
document.form1.action="5.php";
}
</script> 
<form id="form1" name="form1" method="post" action="mail.php">
<span class="large">Please select which website features you would like?<br>
 
</span><span class="large">
<label>
<input type="checkbox" name="checkbox" id="checkbox">
</label>
Live video cameras <br>
<label>
<input type="checkbox" name="checkbox2" id="checkbox2">
</label>
Contact form <br>
<label>
<input type="checkbox" name="checkbox3" id="checkbox3">
</label>
Video clips <BR>
 
<label>
<input type="checkbox" name="checkbox4" id="checkbox4">
</label>
Guestbook<br>
<label>
<input type="checkbox" name="checkbox5" id="checkbox5">
</label>
News alerts <br>
<label>
<input type="checkbox" name="checkbox6" id="checkbox6">
</label>
Dynamic picture galleries <br>
<label>
<input type="checkbox" name="checkbox7" id="checkbox7">
</label>
Blog<br>
<label>
<input type="checkbox" name="checkbox8" id="checkbox8">
</label>
Website feedback form <br>
<label>
<input type="checkbox" name="checkbox9" id="checkbox9" checked="checked">
</label>
Virtual tours <br>
<br>
Enter additional website features you require <br>
<label></label><textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
<br>
<br><hr>
<div align="center" class="large"></div>
<br>
Please select which Graphic and designs features you would like<br>
<label>
<input type="checkbox" name="checkbox10" id="checkbox10">
</label>
Brochures<br>
<label>
<input type="checkbox" name="checkbox11" id="checkbox11">
</label>
Business cards<br>
<label>
<input type="checkbox" name="checkbox12" id="checkbox12">
</label>
Flyers<br>
<label>
<input type="checkbox" name="checkbox13" id="checkbox13">
</label>
Pamphlet<br>
<label>
<input type="checkbox" name="checkbox14" id="checkbox14">
</label>
Catalogue<br>
<label>
<input type="checkbox" name="checkbox15" id="checkbox15">
</label>
Letterheads <br>
<label>
<input type="checkbox" name="checkbox16" id="checkbox16">
</label>
Logo designs <br>
<label>
<input type="checkbox" name="checkbox17" id="checkbox17">
</label>
posters<br>
<label>
<input type="checkbox" name="checkbox18" id="checkbox18">
</label>
Compliment slip <br>
<label>
<input type="checkbox" name="checkbox19" id="checkbox19">
</label>
Annual reports <br>
<label>
<input type="checkbox" name="checkbox20" id="checkbox20">
</label>
Newsletters<br>
<label>
<input type="checkbox" name="checkbox21" id="checkbox21" checked="checked">
</label>
Calendar<br>
<br>
Enter additional graphics and design requirements you require <br>
<textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
<br>
</span>
<label><br>
</label>
 
 
<input name="Submit" type="submit" class="prev" id="button" value="Previous" onClick="funAgree()">
</label>
</label>
<input name="button" type="submit" class="submitCopy" id="button" value="Next" onClick="funDisagree()" >
</form>
this is 4th page
<script language="javascript">
function funAgree(){
document.form1.action="4.php";
}
function funDisagree(){
document.form1.action="mail.php";
}
</script> 
<form id="form1" name="form1" method="post" action="mail.php">
<span class="large">How do you want your website updated?<br>
 
<input type="radio" name="website" value="1" checked> I would like help with updating my website <br> 
<input type="radio" name="website" value="1"> I will update the website my self<br> 
<input type="radio" name="website" value="1"> I would like training on how to update the website<br>
<input type="radio" name="website" value="1" > not sure<br> 
 
</span><span class="large">
<label></label>
<br>
How would you rate your computer literacy skills<br>
<label>
<input type="radio" name="skill" value="1" > poor<br> 
<input type="radio" name="skill" value="1"> medium<br> 
<input type="radio" name="skill" value="1"> good<br> 
<input type="radio" name="skill" value="1" checked> excellent<br> 
 
<br>
How often does your website need to be updated ?<br>
<label>
<input type="radio" name="update" value="1" checked> not very often<br> 
<input type="radio" name="update" value="1"> occasionally<br> 
<input type="radio" name="update" value="1"> frequently<br> 
<input type="radio" name="update" value="1"> not sure<br> 
 
<br>
What sections of your website do you need to update the most<br>
<label></label><textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
<br>
<br><hr>
When do you wish to launch the website ?<br>
 
<label></label>
<label>
<input type="launch" name="launch" id="textfield">
<br>
</label>
<br>
Please enter reference code 10% for discount <br>
<input type="text" name="code" id="textfield">
<br>
<br>
Please enter any other information that you feel is relevant to the project here<br>
<textarea name="textarea" id="textarea" cols="45" rows="5"></textarea>
<br>
<br>
Enter verification image <br><input name="verif_box" type="text" id="verif_box" style="padding:2px; border:1px solid #CCCCCC; width:180px; height:14px;font-family:Verdana, Arial, Helvetica, sans-serif; font-size:11px;"/>
<img src="verificationimage.php?<?php echo rand(0,9999);?>" alt="verification image, type it in the box" width="50" height="24" align="absbottom" /><br />
<br />
 
<!-- if the variable "wrong_code" is sent from previous page then display the error field -->
<?php if(isset($_GET['wrong_code'])){?>
<div style="border:1px solid #990000; background-color:#D70000; color:#FFFFFF; padding:4px; padding-left:6px;width:295px;">Wrong verification code</div><br /> 
<?php ;}?>
</span>
<label><br>
</label>
 
 
<input name="Submit" type="submit" class="prev" id="button" value="Previous" onClick="funAgree()">
</label>
</label>
<input name="button" type="submit" class="submitCopy" id="button2" value="Submit" onClick="funDisagree()" >
</form>
this is 5th page
<?php
$body = "";
foreach($_POST as $key => $value) {
$body .= "$key : $value \n";
}
mail("your-email", "Web site comments", $body, "From: [email]webmaster@yahoo.co.uk[/email]");
?>