Can be done in ASP or PHP. Please see the below link for a requirement from our server so emails can be sent.
[login to view URL]
[login to view URL]
I need the below data fields to be turned into a form. When the form is filled out on SSL, then I need an email notification of the form being filled out sent to email@address and email2@address. The notification Email will state:
FIRST NAME LAST NAME – PHONE NUMBER - filled out the form. The data resides at [login to view URL] If you do not have the access codes, please contact Doug or Lauren at 555-1212.
Then I need an email sent to EMAIL ADDRESS that states:
DEAR FIRST NAME LAST NAME,
Your order was received. The information you relayed for registration was:
FIRST NAME LAST NAME
ADDRESS 1
ADDRESS 2
CITY, STATE, ZIP CODE
PHONE NUMBER
EMAIL
If this information is incorrect, please contact our office immediately at 555-1212.
Thank you,
My Company
In addition, I need the data then stored in a CSV or TXT file at [login to view URL] The data will continue to grow, so each time a form is filled out, it should timestamp when it was entered and then show the data.
Form Data is below – All fields are mandatory. If they are not filled out correctly, please provide a popup window via JavaScript that request the field to be filled out. The only field that is not mandatory is Address 2
First Name
Last Name
Address 1
Address 2 (not required)
City
State
Zip code
Phone Number
Email Address
Credit Card: Visa or Master Card
Credit Card #:
Expiration Date:
CVV#
Check Box for Agreement of Terms