<?

function my_get_post($name,$escape=false)
{
  $var_read = '';
  if (isset($_POST[$name]))
  {
    $var_read = $_POST[$name];
    if (get_magic_quotes_gpc()) $var_read=stripslashes($var_read);
	if ($escape) $var_read=htmlspecialchars($var_read,ENT_QUOTES);
  }
  return $var_read;
}


function isEmail($str) 
{
  if(eregi("^[_a-z0-9-]+(\.[_a-z0-9-]+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,4})$", $str)) 
    return true;
  else
    return false;
}
  
function form_9_count_spam($str)
{
$nb=0;
$word='http:';
if (stristr($str,$word)) $nb++;
$word='<';
if (stristr($str,$word)) $nb++;
$word='>';
if (stristr($str,$word)) $nb++;

return $nb;
}

function isNumber($str) 
{
  if(is_numeric($str)) 
    return true;
  else
    return false;
}
  $form_9_class='form_9_error';
$form_9_error='';
  $form_9_spam=0;
  
$form_9_td_427_class='form_9_info';
$form_9_td_427_error='&nbsp;';
$form_9_td_427_value='';

$form_9_td_428_class='form_9_info';
$form_9_td_428_error='&nbsp;';
$form_9_td_428_value='';

$form_9_td_429_class='form_9_info';
$form_9_td_429_error='&nbsp;';
$form_9_td_429_value='';

$form_9_td_430_class='form_9_info';
$form_9_td_430_error='&nbsp;';
$form_9_td_430_value='';

$form_9_td_431_class='form_9_info';
$form_9_td_431_error='&nbsp;';
$form_9_td_431_value='';

$form_9_td_432_class='form_9_info';
$form_9_td_432_error='&nbsp;';
$form_9_td_432_value='';

$form_9_td_433_class='form_9_info';
$form_9_td_433_error='&nbsp;';
$form_9_td_433_value='';

$form_9_td_434_class='form_9_info';
$form_9_td_434_error='&nbsp;';
$form_9_td_434_value='';

$form_9_td_435_class='form_9_info';
$form_9_td_435_error='&nbsp;';
$select_893_value='Ja';
$select_893_checked='0';
$select_894_value='Nee';
$select_894_checked='0';


if ('jsBKT2bk'==my_get_post('form_9_submit'))
{
$form_9_error_string='Er zijn fouten gevonden!!';
$form_9_td_427_error_class='form_9_error';
$form_9_td_427_error_must='Dit is een verplicht veld';
$form_9_td_427_error_spam='http: < > zijn niet toegestaan';


$form_9_td_427_value=my_get_post('Naam' ,true);
$form_9_body.='Naam : '.my_get_post('Naam')."\r\n";


if (''==trim(my_get_post('Naam'))) {$form_9_td_427_class=$form_9_td_427_error_class; $form_9_td_427_error=$form_9_td_427_error_must; $form_9_error=$form_9_error_string;}
  

$form_9_td_427_spam=form_9_count_spam(my_get_post('Naam'));
if ($form_9_td_427_spam>0)
{
  if ($form_9_td_427_class!=$form_9_td_427_error_class) {$form_9_td_427_class=$form_9_td_427_error_class; $form_9_td_427_error=$form_9_td_427_error_spam; $form_9_error=$form_9_error_string;}
  $form_9_spam += $form_9_td_427_spam;
}
  
$form_9_td_428_error_class='form_9_error';
$form_9_td_428_error_must='Dit is een verplicht veld';
$form_9_td_428_error_validation='Dit is geen bestaand e-mail adres';
$form_9_td_428_error_spam='http: < > zijn niet toegestaan';


$form_9_td_428_value=my_get_post('Email' ,true);
$form_9_body.='Email : '.my_get_post('Email')."\r\n";


if (''==trim(my_get_post('Email'))) {$form_9_td_428_class=$form_9_td_428_error_class; $form_9_td_428_error=$form_9_td_428_error_must; $form_9_error=$form_9_error_string;}
  

if ($form_9_td_428_class!=$form_9_td_428_error_class && ''!=trim(my_get_post('Email')) && !isEmail(my_get_post('Email'))) {$form_9_td_428_class=$form_9_td_428_error_class; $form_9_td_428_error=$form_9_td_428_error_validation; $form_9_error=$form_9_error_string;}
  

$form_9_td_428_spam=form_9_count_spam(my_get_post('Email'));
if ($form_9_td_428_spam>0)
{
  if ($form_9_td_428_class!=$form_9_td_428_error_class) {$form_9_td_428_class=$form_9_td_428_error_class; $form_9_td_428_error=$form_9_td_428_error_spam; $form_9_error=$form_9_error_string;}
  $form_9_spam += $form_9_td_428_spam;
}
  
$form_9_td_429_error_class='form_9_error';
$form_9_td_429_error_spam='http: < > zijn niet toegestaan';


$form_9_td_429_value=my_get_post('Adres' ,true);
$form_9_body.='Adres : '.my_get_post('Adres')."\r\n";


$form_9_td_429_spam=form_9_count_spam(my_get_post('Adres'));
if ($form_9_td_429_spam>0)
{
  if ($form_9_td_429_class!=$form_9_td_429_error_class) {$form_9_td_429_class=$form_9_td_429_error_class; $form_9_td_429_error=$form_9_td_429_error_spam; $form_9_error=$form_9_error_string;}
  $form_9_spam += $form_9_td_429_spam;
}
  
$form_9_td_430_error_class='form_9_error';
$form_9_td_430_error_spam='http: < > zijn niet toegestaan';


$form_9_td_430_value=my_get_post('Postcode' ,true);
$form_9_body.='Postcode : '.my_get_post('Postcode')."\r\n";


$form_9_td_430_spam=form_9_count_spam(my_get_post('Postcode'));
if ($form_9_td_430_spam>0)
{
  if ($form_9_td_430_class!=$form_9_td_430_error_class) {$form_9_td_430_class=$form_9_td_430_error_class; $form_9_td_430_error=$form_9_td_430_error_spam; $form_9_error=$form_9_error_string;}
  $form_9_spam += $form_9_td_430_spam;
}
  
$form_9_td_431_error_class='form_9_error';
$form_9_td_431_error_spam='http: < > zijn niet toegestaan';


$form_9_td_431_value=my_get_post('Plaats' ,true);
$form_9_body.='Plaats : '.my_get_post('Plaats')."\r\n";


$form_9_td_431_spam=form_9_count_spam(my_get_post('Plaats'));
if ($form_9_td_431_spam>0)
{
  if ($form_9_td_431_class!=$form_9_td_431_error_class) {$form_9_td_431_class=$form_9_td_431_error_class; $form_9_td_431_error=$form_9_td_431_error_spam; $form_9_error=$form_9_error_string;}
  $form_9_spam += $form_9_td_431_spam;
}
  
$form_9_td_432_error_class='form_9_error';
$form_9_td_432_error_must='Dit is een verplicht veld';
$form_9_td_432_error_validation='Allen nummer invoer toegestaan';
$form_9_td_432_error_spam='http: < > zijn niet toegestaan';


$form_9_td_432_value=my_get_post('Telefoon' ,true);
$form_9_body.='Telefoon : '.my_get_post('Telefoon')."\r\n";


if (''==trim(my_get_post('Telefoon'))) {$form_9_td_432_class=$form_9_td_432_error_class; $form_9_td_432_error=$form_9_td_432_error_must; $form_9_error=$form_9_error_string;}
  

if ($form_9_td_432_class!=$form_9_td_432_error_class && ''!=trim(my_get_post('Telefoon')) && !isNumber(my_get_post('Telefoon'))) {$form_9_td_432_class=$form_9_td_432_error_class; $form_9_td_432_error=$form_9_td_432_error_validation; $form_9_error=$form_9_error_string;}
  

$form_9_td_432_spam=form_9_count_spam(my_get_post('Telefoon'));
if ($form_9_td_432_spam>0)
{
  if ($form_9_td_432_class!=$form_9_td_432_error_class) {$form_9_td_432_class=$form_9_td_432_error_class; $form_9_td_432_error=$form_9_td_432_error_spam; $form_9_error=$form_9_error_string;}
  $form_9_spam += $form_9_td_432_spam;
}
  
$form_9_td_433_error_class='form_9_error';
$form_9_td_433_error_spam='http: < > zijn niet toegestaan';


$form_9_td_433_value=my_get_post('Mobiel' ,true);
$form_9_body.='Mobiel : '.my_get_post('Mobiel')."\r\n";


$form_9_td_433_spam=form_9_count_spam(my_get_post('Mobiel'));
if ($form_9_td_433_spam>0)
{
  if ($form_9_td_433_class!=$form_9_td_433_error_class) {$form_9_td_433_class=$form_9_td_433_error_class; $form_9_td_433_error=$form_9_td_433_error_spam; $form_9_error=$form_9_error_string;}
  $form_9_spam += $form_9_td_433_spam;
}
  
$form_9_td_434_error_class='form_9_error';
$form_9_td_434_error_spam='http: < > zijn niet toegestaan';


$form_9_td_434_value=my_get_post('Vrijetekst' ,true);
$form_9_body.='Vrijetekst : '.my_get_post('Vrijetekst')."\r\n";


$form_9_td_434_spam=form_9_count_spam(my_get_post('Vrijetekst'));
if ($form_9_td_434_spam>0)
{
  if ($form_9_td_434_class!=$form_9_td_434_error_class) {$form_9_td_434_class=$form_9_td_434_error_class; $form_9_td_434_error=$form_9_td_434_error_spam; $form_9_error=$form_9_error_string;}
  $form_9_spam += $form_9_td_434_spam;
}
  
$form_9_td_435_error_class='form_9_error';
$form_9_td_435_error_must='Dit is een verplicht veld';

$form_9_body.='Nieuwsbrief_1 : '.my_get_post('Nieuwsbrief_1')."\r\n";
if (my_get_post('Nieuwsbrief_1') == $select_893_value) $select_893_checked=1; else $select_893_checked=0;
$form_9_body.='Nieuwsbrief_2 : '.my_get_post('Nieuwsbrief_2')."\r\n";
if (my_get_post('Nieuwsbrief_2') == $select_894_value) $select_894_checked=1; else $select_894_checked=0;


if ($select_893_checked!=1 && $select_894_checked!=1) {$form_9_td_435_class=$form_9_td_435_error_class; $form_9_td_435_error=$form_9_td_435_error_must; $form_9_error=$form_9_error_string;}
  

if (''==trim($form_9_error) && 0==$form_9_spam)
{
$receiver='info@lachaleur.nl';
$subject='Contact aanvraag';
if (isEmail( $form_9_td_1_value )) $header='From: '.$form_9_td_1_value;
$subject.=$form_9_td_2_value;

  $subject= substr($subject, 0, 255);
  $subject=str_replace("\n", " ", $subject);
  $subject=str_replace("\r", " ", $subject);

  $body=str_replace("\n.", "\n..", $form_9_body);


  if ($body!="")
  {
    $result=mail($receiver,$subject,$body,$header);
    if (!result)
    {
       echo 'ERROR: The PHP mail function mail($receiver,$subject,$body,$header); does not work properly on your server, please contact your web hosting.';
       exit;
    }
  }

  if ($result)
  {
    $url='http://www.lachaleur.nl/feedback-thank-you.php';
    if (!headers_sent()){    
        header('Location: '.$url); exit;
    }else{                    
        echo '<script type="text/javascript">';
        echo 'window.location.href="'.$url.'";';
        echo '</script>';
        echo '<noscript>';
        echo '<meta http-equiv="refresh" content="0;url='.$url.'" />';
        echo '</noscript>'; exit;
    }	
    exit;
  }
}

  if (trim($form_9_error)) $form_9_error="<tr><td colspan=3 class='$form_9_class'>$form_9_error</td></tr>";
}
if ($form_9_spam >= 3)  sleep(20);
if ($form_9_spam >= 3) $form_9_td_427_value='';

if ($form_9_spam >= 3) $form_9_td_428_value='';

if ($form_9_spam >= 3) $form_9_td_429_value='';

if ($form_9_spam >= 3) $form_9_td_430_value='';

if ($form_9_spam >= 3) $form_9_td_431_value='';

if ($form_9_spam >= 3) $form_9_td_432_value='';

if ($form_9_spam >= 3) $form_9_td_433_value='';

if ($form_9_spam >= 3) $form_9_td_434_value='';

if ($form_9_spam >= 3) $select_893_checked='0';

if ($form_9_spam >= 3) $select_894_checked='0';


?><!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en" >
<head>
<link rel="stylesheet" type="text/css" href="./usertpl/1subtle/n007.css" media="screen,projection" />
<title>La Chaleur</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" >
<meta name="description" content="La Chaleur" >
<meta name="keywords" content="La Chaleur" >
<meta name="GENERATOR" content="Ewisoft Website Builder eCommerce Software from http://www.ewisoft.com/" >
<LINK rel="stylesheet" type="text/css" href="./user/ecommerce-css/e_list_view.css" >
<LINK rel="stylesheet" type="text/css" href="./user/ecommerce-css/e_detail_view.css" >
<LINK rel="stylesheet" type="text/css" href="./user/ecommerce-css/e_grid_view.css" >
<style type="text/css" >
<!--
.link7984
{
	color:#7f7f7f;
}

--></style><link rel="stylesheet" type="text/css" href="./user/g-css-js/form-9.css" />
<script language="javascript" type="text/javascript" src="./user/g-css-js/form-9.js" ></script><script language="javascript" type="text/javascript" src="./user/g-css-js/common-form.js" ></script> </head>
<body>
<table class="container" width="100%" ><tr><td><table width="100%" border="0" align="center" cellpadding="5" cellspacing="0" class="banner" >
<tr>
<td colspan="1" align="center" ><img src="./usertpl/1subtle/banner_2-lachaleur.jpg" width="1060" height="234" border="0" align="center" style="text-align:center;margin-left:0px;margin-right:10px;" /></td></tr></table>
<div class="toppict" ></div>
<table class="topmenu" width="100%" ><tr><td>
<table id="topnavcontainer" width="100%" ><tr><td>
<ul id="topnavlist" >
<li><a href="index.htm" target="_self" >Home</a></li>
<li id="topactive" ><a href="feedback.php" target="_self" id="topcurrent" >Contact</a></li>
<li><a href="winkel.htm" target="_self" >Winkel</a></li></ul></td></tr></table></td></tr></table>
<div class="mainpict" ></div>
<table class="leftmenu" width="100%" ><tr><td>
<ul id="leftnavlist" ></ul>
<P><img src="./user/cimage/arzberg-logo.jpg" width="225" height="225" style="HEIGHT:82px;WIDTH:112px;" border="0" ></P>
<P><img src="./user/cimage/bavaria.png" width="160" height="160" style="HEIGHT:74px;WIDTH:114px;" border="0" ></P>
<P><img src="./user/cimage/boch-logo.png" width="240" height="121" style="HEIGHT:70px;WIDTH:115px;" border="0" ></P>
<P><img src="./user/cimage/maasstricht-logo.png" width="313" height="161" style="HEIGHT:76px;WIDTH:117px;" border="0" ></P>
<P><img src="./user/cimage/royal-alberts-logo.jpg" width="209" height="123" style="HEIGHT:82px;WIDTH:117px;" border="0" ></P>
<P>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; e.a.</P></td></tr></table>
<div class="contframe" >
<div class="contents" ><P><FONT size="4" ><STRONG>Contact:</STRONG></FONT></P>
<P><STRONG><FONT size="4" ></FONT></STRONG>&nbsp;</P>
<P>
<form id="ewisoft_form-9" name="form9" method="post" action="#" onsubmit="return onsubmit_form_9();" >
<input type="hidden" name="form_9_submit" value="jsBKT2bk" >
<table width="80%" cellpadding="3" cellspacing="0" border="0" bgcolor="#c0c0c0" >
<? echo $form_9_error ?>
<tr><td class="form_9_td_427" >Naam:</td><td class="form_9_td" ><input type="text" name="Naam" value="<? echo $form_9_td_427_value ?>" class="form_9_input_427" onchange="validate_form_9_input_427(false);" /></td><td id="form_9_info_td_427" class="<? echo $form_9_td_427_class ?>" ><? echo $form_9_td_427_error ?></td></tr>
<tr><td class="form_9_td_428" >Email:</td><td class="form_9_td" ><input type="text" name="Email" value="<? echo $form_9_td_428_value ?>" class="form_9_input_428" onchange="validate_form_9_input_428(false);" /></td><td id="form_9_info_td_428" class="<? echo $form_9_td_428_class ?>" ><? echo $form_9_td_428_error ?></td></tr>
<tr><td class="form_9_td" >Adres:</td><td class="form_9_td" ><textarea name="Adres" rows="2" class="form_9_input_429" ><? echo $form_9_td_429_value ?></textarea></td><td id="form_9_info_td_429" class="<? echo $form_9_td_429_class ?>" ><? echo $form_9_td_429_error ?></td></tr>
<tr><td class="form_9_td" >Postcode:</td><td class="form_9_td" ><input type="text" name="Postcode" value="<? echo $form_9_td_430_value ?>" class="form_9_input_430" onchange="validate_form_9_input_430(false);" /></td><td id="form_9_info_td_430" class="<? echo $form_9_td_430_class ?>" ><? echo $form_9_td_430_error ?></td></tr>
<tr><td class="form_9_td" >Plaats:</td><td class="form_9_td" ><input type="text" name="Plaats" value="<? echo $form_9_td_431_value ?>" class="form_9_input_431" onchange="validate_form_9_input_431(false);" /></td><td id="form_9_info_td_431" class="<? echo $form_9_td_431_class ?>" ><? echo $form_9_td_431_error ?></td></tr>
<tr><td class="form_9_td" >Telefoon:</td><td class="form_9_td" ><input type="text" name="Telefoon" value="<? echo $form_9_td_432_value ?>" class="form_9_input_432" onchange="validate_form_9_input_432(false);" /></td><td id="form_9_info_td_432" class="<? echo $form_9_td_432_class ?>" ><? echo $form_9_td_432_error ?></td></tr>
<tr><td class="form_9_td" >Mobiel:</td><td class="form_9_td" ><input type="text" name="Mobiel" value="<? echo $form_9_td_433_value ?>" class="form_9_input_433" onchange="validate_form_9_input_433(false);" /></td><td id="form_9_info_td_433" class="<? echo $form_9_td_433_class ?>" ><? echo $form_9_td_433_error ?></td></tr>
<tr><td class="form_9_td" >Vrije tekst:</td><td class="form_9_td" ><textarea name="Vrijetekst" rows="10" class="form_9_input_434" ><? echo $form_9_td_434_value ?></textarea></td><td id="form_9_info_td_434" class="<? echo $form_9_td_434_class ?>" ><? echo $form_9_td_434_error ?></td></tr>
<tr><td class="form_9_td" >Nieuwsbrief </td><td class="form_9_td" ><label for="select_893" ><input type="checkbox" name="Nieuwsbrief_1" value="<? echo $select_893_value ?>" id="select_893" <? if ( 1 == $select_893_checked ) echo ' checked=checked '; ?> />Ja</label><br>
<label for="select_894" ><input type="checkbox" name="Nieuwsbrief_2" value="<? echo $select_894_value ?>" id="select_894" <? if ( 1 == $select_894_checked ) echo ' checked=checked '; ?> />Nee</label></td><td id="form_9_info_td_435" class="<? echo $form_9_td_435_class ?>" ><? echo $form_9_td_435_error ?></td></tr>
<tr><td align="center" class="form_9_td" colspan="2" ><input type="submit" value="Verzenden" /></td><td id="form_9_info_td_436" class="form_9_info" >&nbsp;</td></tr></table></form></P>
<H1><STRONG></FORM>
<P></P></STRONG></H1></p></div></div>
<table class="footer" width="100%" ><tr><td>Copyright &copy; ATC-Systems 2018. All rights reserved.<br>This website was powered by Ewisoft <a href="http://www.ewisoft.com/" target="_blank" class="link7984" >eCommerce Website Builder</a>.</td></tr></table></td></tr></table></body></html>