<% if request.querystring("form")="filled" then call ThankYou else call ShowForm end if %> <% sub ShowForm %>

 

 
Our Contact Information:
 
Contact Person: Grant Philipo
Mailing Address: 3217 Gaucho Dr.
Las Vegas, NV 89109
Office # (702)796-0559
Fax# (702)893-0299
e-Mail risinginc@gmail.com

 

 
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Please fill up our form for any concerns or questions !

 

 

First Name        

Last Name        

Email Address   

Phone Number  

Fax Number      

Address            

                       

City                 

State               

Zip Code          

Would you like to receive future mailings from us ?   Yes No
 

Comments:
                       

 

 

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<% end sub %> <%sub ThankYou%> <% ' Below I am reading in the values from my form Fname = request.form("Fname") Lname = request.form("Lname") Email = request.form("Email") Phone = request.form("Phone") Fax = request.form("Fax") add1 = request.form("add1") add2 = request.form("add2") city = request.form("city") state = request.form("state") zip = request.form("zip") receivemail = request.form("receivemail") comments = request.form("comments") %> Thank you for filling up our contact form!

We will get back to you as soon as possible <% body = "a user Just filled out the form " & vbcrlf &vbcrlf body = body & "Name:" & Fname & " " & Lname &vbcrlf &vbcrlf body = body & "Email:" & Email &vbcrlf &vbcrlf body = body & "Phone:" & Phone &vbcrlf &vbcrlf body = body & "Fax:" & Fax &vbcrlf &vbcrlf body = body & "Address:" & add1 &vbcrlf &vbcrlf & add2 &vbcrlf &vbcrlf body = body & city & " " & state & " " body = body & zip &vbcrlf &vbcrlf &vbcrlf body = body & "receivemail:" & receivemail &vbcrlf &vbcrlf body = body & "Comments:" & Comments &vbcrlf &vbcrlf dim sendmail set sendmail = server.createobject("CDONTS.NewMail") sendmail.send "lasqar@hotmail.com" , "lasqar@hotmail.com" , "the form filled" , body %> <% end sub %>