PhP

 <?php

$server_name="sql12.freesqldatabase.com";

$username="sql12738410";

$password="nS8SynW1uW";

$database_name="sql12738410";

$conn=mysqli_connect($server_name,$username,$password,$database_name);

//now check the connection

if(!$conn)

{

 die("Connection Failed:" . mysqli_connect_error());

}

if(isset($_POST['save']))

{ 

  $Name = $_POST['Name'];

  $Email = $_POST['Email'];

  $Phone = $_POST['Phone'];

  $Service = $_POST['Service'];

  $Message = $_POST['Message'];

  $sql_query = "INSERT INTO Contact(Name,Email,Phone,Service,Message)

  VALUES ('$Name','$Email','$Phone','$Service','$Message')";

  if (mysqli_query($conn, $sql_query)) 

  {

  echo "New Details Entry inserted successfully !";

  } 

  else

     {

  echo "Error: " . $sql . "" . mysqli_error($conn);

  }

  mysqli_close($conn);

}

?>