페이지 전면에 상담신청 기능을 넣고 싶습니다. 채택완료

<?
include_once('./common.php');
if($name){
$sql="INSERT INTO `cjlove_cj033`.`g5_write_free` (`wr_id`, `wr_num`, `wr_reply`, `wr_parent`, `wr_is_comment`, `wr_comment`, `wr_comment_reply`, `ca_name`, `wr_option`, `wr_subject`, `wr_content`, `wr_link1`, `wr_link2`, `wr_link1_hit`, `wr_link2_hit`, `wr_hit`, `wr_good`, `wr_nogood`, `mb_id`, `wr_password`, `wr_name`, `wr_email`, `wr_homepage`, `wr_datetime`, `wr_file`, `wr_last`, `wr_ip`, `wr_facebook_user`, `wr_twitter_user`, `wr_1`, `wr_2`, `wr_3`, `wr_4`, `wr_5`, `wr_6`, `wr_7`, `wr_8`, `wr_9`, `wr_10`) VALUES (NULL, '0', '', '0', '0', '0', '', '$name', '', '$s1-$s2-$s3', '$name   $s1-$s2-$s3', '', '', '0', '0', '0', '0', '0', '', '', '', '', '', '0000-00-00 00:00:00', '0', '', '', '', '', '', '', '', '', '', '', '', '', '', '');";
   sql_query($sql);
}

?>

<form method="post" action="">
 <input type="text" name="name">

 <input type="text" name="s1">-
  <input type="text" name="s2">-
   <input type="text" name="s3">
<input type="submit">
</form>
​