Im building a PHP form for a customer and i get some issue with the collecting datas into the Form has "Post" method, and the PHP section is complicated for me.
First, i want to use custom HTML template, which is displaying well, but it seems that the post collecting values are brooke. Also, the $headers datas seem to not be added (email is coming with no $from value, also no $to value).
I need help for this. Here is the html and php section. Please take a note, i'm not a JavaScript programmer, but i try to learn has my best knowlege and time goes. I've start from nothing.
Here is the Form HTML structure (reCaptcha is missing its normal):
<div class="col-md-offset-1 col-md-10 col-md-offset-1">
          <script type="text/javascript">
        var RecaptchaOptions = {
            lang : 'fr',
        };
        </script>
            <style type="text/css">
            .field-error .control-label,
            .field-error .help-block,
            .field-error .form-control-feedback {
                color: #ff0039;
            }
            .field-success .control-label,
            .field-success .help-block,
            .field-success .form-control-feedback {
                color: #2780e3;
            }
        </style>
    <form method="post" action="envoi_appel_de_service.php">                
    <p class="bg-primary lead" style="padding-top:7px; padding-left:10px; padding-bottom:7px; background-color:#337ab7 !important;"> <i class="fa fa-building"></i>  Informations sur l'adresse du service</p>
          <!-- Nom de la compagnie -->
          <div class="form-group row">
                <label for="nom_compagnie" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Nom de la compagnie</label>
                <div class="col-sm-8">
                    <input type="text" class="form-control" id="nom_compagnie" placeholder="Le nom de l'entreprise">
                </div>
          </div>
          <!-- Adresse -->
          <div class="form-group row">
                <label for="adresse" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Adresse</label>
                <div class="col-sm-8">
                    <input type="text" class="form-control" id="adresse" placeholder="Adresse de l'entreprise">
                </div>
          </div>
          <!-- Ville -->
          <div class="form-group row">
                <label for="ville" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Ville</label>
                <div class="col-sm-8">
                    <input type="text" class="form-control" id="ville" placeholder="Le nom de la ville de l'entreprise">
                </div>
          </div>
         <!-- Province -->
          <div class="form-group row">
                <label for="province" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;" id="province">Province</label>
                <div class="col-sm-5">
                    <select class="form-control">
                      <option>Alberta</option>
                      <option>Colombie-Britanique</option>
                      <option>Ile-du-Prince-Edouard</option>
                      <option>Manitoba</option>
                      <option>Nouveau-Brunswick</option>
                      <option>Nouvelle-Ecosse</option>
                      <option>Nunavut</option>
                      <option>Ontario</option>
                      <option selected="selected">Quebec</option>
                      <option>Saskatchewan</option>
                      <option>Terre-Neuve-Labrador</option>
                      <option>Territoires du Nord-Ouest</option>
                      <option>Yukon</option>
                      </select>
                 </div>
          </div>
            <!-- Code postale -->
          <div class="form-group row">
                <label for="code_postale" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Code postale</label>
                <div class="col-sm-4">
                    <input type="text" class="form-control" id="code_postale" placeholder="XXX XXX">
                </div>
          </div>
           <!-- Nom de la personne ressource -->
          <div class="form-group row">
                <label for="nom_responsable" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Nom du responsable</label>
                <div class="col-sm-8">
                    <input type="text" class="form-control" id="nom_responsable" placeholder="Nom de la personne ressource sur place">
                </div>
          </div>
           <!-- Telephone -->
          <div class="form-group row">
                <label for="telephone" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Téléphone</label>
                <div class="col-sm-8">
                    <input type="text" class="form-control" id="telephone" placeholder="X XXX XXX-XXX ext XXXX">
                </div>
          </div>
          <!-- Adresse courriel -->
          <div class="form-group row">
                <label for="courriel" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Adresse courriel</label>
                <div class="col-sm-8">
                    <input type="email" class="form-control" id="courriel" placeholder="Adresse courriel valide">
                </div>
          </div>
        <p class="bg-primary lead" style="padding-top:7px; padding-left:10px; padding-bottom:7px; background-color:#A41313 !important;"> <i class="fa fa-print"></i>  Informations sur le produit</p>
         <!-- Marque -->
          <div class="form-group row">
                <label for="marque" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Marque</label>
                <div class="col-sm-6">
                    <input type="text" class="form-control" id="marque" placeholder="Marque du produit">
                </div>
          </div>
             <!-- Modèle -->
          <div class="form-group row">
                <label for="modele" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Numéro de modèle</label>
                <div class="col-sm-6">
                    <input type="text" class="form-control" id="modele" placeholder="Veuillez inscrire le numéro de modèle">
                </div>
          </div>
            <!-- Garantie -->
          <div class="form-group row">
                <label for="garantie" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Garantie</label>
                <div class="col-sm-6">
                    <input type="text" class="form-control" id="garantie" placeholder="Est-ce que le produit est sous garantie?">
                </div>
          </div>
          <!-- Description du problème -->
          <div class="form-group row">
                <label for="description" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Description du problème</label>
                <div class="col-sm-8">
                    <textarea class="form-control" rows="4" id="description"></textarea>
                </div>
          </div>
          <p class="bg-primary lead" style="padding-top:7px; padding-left:10px; padding-bottom:7px; background-color:#337ab7 !important;"> <i class="fa fa-calendar-o"></i>  Préférences pour le rendez-vous</p>
          <!-- Disponibilité -->
          <div class="form-group row">
                <label for="disponibilite" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Disponibilité</label>
                <div class="col-sm-8">
                    <input type="text" class="form-control" id="disponibilite" placeholder="Quel est le meilleur moment pour vous joindre?">
                </div>
          </div>
          <!-- Coordonnées -->
          <div class="form-group row">
                <label for="coordonnees" class="col-sm-4 form-control-label text-right" style="font-size:16px; line-height:16px; padding-top:10px;">Coordonnées</label>
                <div class="col-sm-8">
                    <input type="text" class="form-control" id="coordonnees" placeholder="Optionel">
                </div>
          </div>
            <p class="bg-primary lead" style="padding-top:7px; padding-left:10px; padding-bottom:7px; background-color:#A41313 !important;"> <i class="fa fa-lock"></i>  Sécurité Anti-Spam</p>
          <!-- Validation reCaptcha franco Google -->
          <div class="form-group row">
                <label for="input12" class="col-sm-4 form-control-label text-right" style="padding-top:28px !important;">Sécurité anti-spam</label>
                <div class="col-sm-8">
                <div class="g-recaptcha" data-sitekey="MASKING"></div>
                      </div>    
                </div>
          <!-- Soumettre -->
          <div class="form-group row">
                <label for="submit" class="col-sm-4 form-control-label text-right"> </label>
                <div class="col-sm-8">
                     <button name="submit" type="submit" value="submit" class="btn btn-primary">Soumettre</button>
                </div>
          </div>
          </form>
and here is the PHP section:
 <?php
 if (isset($_POST["submit"])) {
 $to = "MASKING";
 $from = $_POST['courriel'];
 $subject = "Réception d'un appel de service";
 $nom_compagnie = $_POST['nom_compagnie']; // required
 $adresse = $_POST['adresse']; // required
 $ville = $_POST['ville'];
 $province = $_POST['province'];
 $code_postale = $_POST['code_postale'];
 $nom_responsable = $_POST['nom_responsable'];
 $courriel = $_POST['courriel'];
 $marque = $_POST['marque'];
 $numero_modele = $_POST['numero_modele'];
 $garantie = $_POST['garantie'];
 $description = $_POST['description'];              
 $disponibilite = $_POST['disponibilite']; // required
 $coordonnees = $_POST['coordonnees']; // required
 $headers = 'From: '.$courriel."\r\n".
'Reply-To: '.$from."\r\n" .
'X-Mailer: PHP/' . phpversion();
 $message = "
 <!DOCTYPE HTML PUBLIC \"-//W3C//DTD HTML 4.01 Transitional//EN\">
<html>
<head>
<title>Appel de service (rempli sur le site internet)</title>
<style type=\"text/css\">
h1,h2,h3,h4,h5,h6 {
    font-family: Cambria, \"Hoefler Text\", \"Liberation Serif\", Times, \"Times New Roman\", serif;
    color: #272727;
}
</style>
</head>
<body>
<h2 style=\"font-size: 1.25em; font-family: Gotham, ʼHelvetica Neueʼ, Helvetica, Arial, sans-serif;\">Vous avez reçu une demande dʼappel de service en ligne.</h2>
<table width=\"500\" border=\"1\" cellpadding=\"5\" cellspacing=\"2\">
  <tbody>
    <tr>
      <td colspan=\"2\" align=\"left\" valign=\"middle\" bgcolor=\"#84BDEC\"><h3>Inations sur lʼadresse du service</h3></td>
    </tr>
    <tr>
      <td width=\"155\" align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Nom de la compagnie</td>
      <td width=\"313\" align=\"left\" valign=\"middle\">$nom_compagnie</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Adresse</td>
      <td align=\"left\" valign=\"middle\">$adresse</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Ville</td>
      <td align=\"left\" valign=\"middle\">$ville</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Province</td>
      <td align=\"left\" valign=\"middle\">$province</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Code postale</td>
      <td align=\"left\" valign=\"middle\">$code_postale</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Nom du responsable</td>
      <td align=\"left\" valign=\"middle\">$nom_responsable</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Téléphone</td>
      <td align=\"left\" valign=\"middle\">$telephone</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Adresse courriel</td>
      <td align=\"left\" valign=\"middle\">$courriel</td>
    </tr>
  </tbody>
</table>
<br>
<table width=\"500\" border=\"1\" cellpadding=\"5\" cellspacing=\"2\">
  <tbody>
    <tr>
      <td colspan=\"2\" align=\"left\" valign=\"middle\" bgcolor=\"#84BDEC\"><h3>Informations sur le produit</h3></td>
    </tr>
    <tr>
      <td width=\"155\" align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Marque</td>
      <td width=\"313\" align=\"left\" valign=\"middle\">$marque</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Numéro de modèle</td>
      <td align=\"left\" valign=\"middle\">$numero_modele</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Garantie</td>
      <td align=\"left\" valign=\"middle\">$garantie</td>
    </tr>
    <tr bgcolor=\"#D5D5D5\">
      <td colspan=\"2\" align=\"left\" valign=\"middle\">Description du problème :</td>
    </tr>
    <tr>
      <td height=\"75\" colspan=\"2\" align=\"left\" valign=\"top\">$description</td>
    </tr>
  </tbody>
</table>
<br>
<table width=\"500\" border=\"1\" cellpadding=\"5\" cellspacing=\"2\">
  <tbody>
    <tr>
      <td colspan=\"2\" align=\"left\" valign=\"middle\" bgcolor=\"#84BDEC\"><h3>Préférences pour le rendez-vous</h3></td>
    </tr>
    <tr>
      <td width=\"155\" align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Disponibilité</td>
      <td width=\"313\" align=\"left\" valign=\"middle\">$disponibilite</td>
    </tr>
    <tr>
      <td align=\"left\" valign=\"middle\" bgcolor=\"#D5D5D5\">Coordonnées</td>
      <td align=\"left\" valign=\"middle\">$coordonnees</td>
    </tr>
  </tbody>
</table>
</body>
</html>
 ";
 // Always set content-type when sending HTML email
 mail($to, $courriel, $message, $headers,
 "From: $from\n" . 
        "MIME-Version: 1.0\n" . 
        "Content-type: text/html; charset=iso-8859-1"); 
 }
 ?> 
Has you can see, all values are empty, headers too. Im stuck and had no idea why it doesn't work. If someone can help me with this please, thanks a lot.
 
    