<form action="form-send.php" method="post">
  <table width="400" border="0" cellspacing="0" cellpadding="5">
    <tr valign="top">
      <td colspan="2"><div align="center"><span class="style9">You can Reservate your room or bed in Mostar here. </span></div></td>
      <td colspan="2" rowspan="12">&nbsp;</td>
    </tr>
    <tr valign="top">
      <td width="152" class="style10"><div align="right"><span class="style5">Full name:</span></div></td>
      <td width="226"><input name="name" type="text" id="name"></td>
    </tr>
    <tr valign="top">
      <td width="152" class="style10"><div align="right"><span class="style5">Email: </span></div></td>
      <td width="226"><p>
        <input name="mail" type="text" id="mail">
      </p>      </td>
    </tr>
    <tr valign="top">
      <td width="152" class="style10"><div align="right"><span class="style5">Telephone number</span>:</div></td>
      <td width="226"><input name="phone" type="text" id="phone"></td>
    </tr>
    <tr valign="top">
      <td width="152" class="style10"><div align="right"><span class="style5">Your from: </span></div></td>
      <td width="226"><input name="from" type="text" id="from"></td>
    </tr>
    <tr valign="top">
      <td width="152" class="style10"><div align="right"><span class="style5">Room needed: </span></div></td>
      <td width="226"><select name="rooms" id="rooms">
        <option selected>Pleas select
        <option value="I_need_Single_room">I need Single room [12 &euro;]
        <option value="I_need_Double_room">I need Double room [10 &euro;]
        <option value="I_need_Twin_room">I need Twin room [10 &euro;]
        <option value="I_need_Share_triple_room">I need Share triple room (3 or 4 bed) [9.90 &euro;]
        <option value="I_need_Group_booking">I need Group booking [by the deal]
      </select></td>
    </tr>
    <tr valign="top">
      <td width="152" class="style10"><div align="right"><span class="style5">How many rooms:</span></div></td>
      <td width="226"><select name="howmuch" id="howmuch">
        <option selected>Pleas select
        <option value="One_room">one room
        <option value="More_room">More room
      </select></td>
    </tr>
    <tr valign="top">
      <td width="152" class="style10"><div align="right"><span class="style5">For how long:</span></div></td>
      <td width="226"><select name="days" id="days">
        <option selected>Pleas select
        <option value="Only_one_day">Only one day
        <option value="Two_days">Two days
    <option value="Thre_days">Thre days
        <option value="More_days">More days
      </select></td>
    </tr>
    <tr valign="top">
      <td width="152" class="style10"><div align="right"><span class="style5">message: </span></div></td>
      <td><p>
        <textarea name="message" cols="35" rows="4" id="comments">Pleas write your message</textarea>
      </p>        </td>
    </tr>
    <tr valign="top">
      <td class="style5"><div align="right" class="style11">From date:</div></td>
      <td class="style10"><select name="fromdate" id="fromdate">
        <option selected>Date
          <option value="From_01_date">01
          <option value="From_02_date">02
  <option value="From_03_date">03
  <option value="From_04_date">04
  <option value="From_05_date">05
  <option value="From_06_date">06
  <option value="From_07_date">07
  <option value="From_08_date">08
  <option value="From_09_date">09
  <option value="From_10_date">10
  <option value="From_11_date">11
  <option value="From_12_date">12
  <option value="From_13_date">13
  <option value="From_14_date">14
  <option value="From_15_date">15
  <option value="From_16_date">16
  <option value="From_17_date">17
  <option value="From_18_date">18
  <option value="From_19_date">19
  <option value="From_20_date">20
  <option value="From_21_date">21
  <option value="From_22_date">22
  <option value="From_23_date">23
  <option value="From_24_date">24
  <option value="From_25_date">25
  <option value="From_26_date">26
  <option value="From_27_date">27
  <option value="From_28_date">28
  <option value="From_29_date">29
  <option value="From_30_date">30
  <option value="From_31_date">31
      </select>
        <select name="frommonth" id="frommonth">
          <option selected>Month
          <option value="From_January">January
          <option value="From_February">February
  <option value="From_March">March
  <option value="From_April">April
  <option value="From_May">May
  <option value="From_Juni">Juni
  <option value="From_July">July
  <option value="From_August">August
  <option value="From_September">September
  <option value="From_October">October
  <option value="From_November">November
  <option value="From_December">December
      </select>
        <select name="fromyear" id="fromyear">
          <option selected>Year
          <option value="From_2007">2007
          <option value="From_2008">2008
      </select></td>
    </tr>
    <tr valign="top">
      <td class="style5"><div align="right" class="style11">To date: </div></td>
      <td class="style10"><select name="todate" id="todate">
        <option selected>Date
          <option value="To_01_date">01
          <option value="To_02_date">02
      <option value="To_03_date">03
      <option value="To_04_date">04
      <option value="To_05_date">05
      <option value="To_06_date">06
      <option value="To_07_date">07
      <option value="To_08_date">08
      <option value="To_09_date">09
      <option value="To_10_date">10
      <option value="To_11_date">11
      <option value="To_12_date">12
      <option value="To_13_date">13
      <option value="To_14_date">14
      <option value="To_15_date">15
      <option value="To_16_date">16
      <option value="To_17_date">17
      <option value="To_18_date">18
      <option value="To_19_date">19
      <option value="To_20_date">20
      <option value="To_21_date">21
      <option value="To_22_date">22
      <option value="To_23_date">23
      <option value="To_24_date">24
      <option value="To_25_date">25
      <option value="To_26_date">26
      <option value="To_27_date">27
      <option value="To_28_date">28
      <option value="To_29_date">29
      <option value="To_30_date">30
      <option value="To_31_date">31
          </select>
        <select name="tomonth" id="tomonth">
          <option selected>Month
          <option value="To_January">January
          <option value="To_February">February
      <option value="To_March">March
      <option value="To_April">April
      <option value="To_May">May
      <option value="To_Juni">Juni
      <option value="To_July">July
      <option value="To_August">August
      <option value="To_September">September
      <option value="To_October">October
      <option value="To_November">November
      <option value="To_December">December
        </select>
        <select name="toyear" id="toyear">
          <option selected>Year
          <option value="To_2007">2007
          <option value="To_2008">2008
      </select></td>
    </tr>
   
    <tr valign="top">
      <td colspan="2"><span class="style10">* All the prices are writen in &euro;uros.<br>
        * All the prices are calculated pro person.<br>
        * All group reservating prices by the deal.<br>
        * For every group reservation we have a discount.<br>
        *
        Price for sleeping, includes permission for using kitchen.<br>
        * There is secured parking for you vehicles.</span></td>
    </tr>
   
    <tr>
      <td colspan="4"><div align="center">
          <div align="center">
            <input type="submit" name="Submit" value="Send Reservation">
            <input name="Reset" type="reset" id="Reset" value="Reset reservation">
          </div>
    </tr>
  </table>
</form>

<?
$fp = fopen("rezultat.txt", "a");
fwrite($fp, $_POST['name'] . "," .
$_POST['mail'] . "," .
$_POST['phone'] . "," .
$_POST['from'] . "," .
$_POST['rooms'] . "," .
$_POST['howmuch'] . "," .
$_POST['days'] . "," .
$_POST['message'] . "," .
            $_POST['fromdate'] . "," .
$_POST['frommonth'] . "," .
$_POST['fromyear'] . "," .
$_POST['todate'] . "," .
$_POST['tomonth'] . "," .
$_POST['toyear'] . ",");
fclose($fp);

$recipient = "tvoj@email.com";
$subject = "REZERVACIJA !!!";
$forminfo =
($_POST['name'] . "\r" .
$_POST['mail'] . "\r" .
$_POST['phone'] . "\r" .
$_POST['from'] . "\r" .
$_POST['rooms'] . "\r" .
$_POST['howmuch'] . "\r" .
$_POST['days'] . "\r" .
$_POST['message'] . "\r" .
$_POST['fromdate'] . "\r" .
$_POST['frommonth'] . "\r" .
$_POST['fromyear'] . "\r" .
$_POST['todate'] . "\r" .
$_POST['tomonth'] . "\r" .
$_POST['toyear'] . "\r");
$formsend = mail("$recipient", "$subject", "$forminfo", "From: $email\r\nReply-to:$email");
?>

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<title>succesfuly</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<style type="text/css">
<!--
.style2 {font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; }
body {
background-color: #F4F4F4;
}
-->
</style>
</head>

<body>
<table width="400" border="0" cellspacing="0" cellpadding="5">
  <tr>
    <td> <p align="center" class="style2">Thank you. You have successfully submitted Your reservation. Pleas wait for request by Tvoje ime.<br>
      </p>
      <p align="left" class="style2">Your information sended:<br>
        <? echo nl2br($forminfo); ?></p>
      <p align="center" class="style2">Click <a href="http://www.hostelmiran.com/frame2.html">here</a> to back on Tvoje Ime home page </p>
   
  </tr>
</table>
<p align="center"></p>
</td>
</body>
</html>