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<% If Request.QueryString("action") = "submit" Then %>
Thank You!
We will have a representative respond to your question/comments shortly.
<%
emailcontent = "CONTACT US FORM"&_
"The following information was submitted to you via your website " &_
""&Request.Form("Name")&"
"&_
""&Request.Form("EmailAddress")&"
"&_
""&Request.Form("PhoneNumber")&"
"&_
""&Request.Form("Comments")&"
"
Set Mail=Server.CreateObject("CDONTS.NewMail")
Mail.To="info@southfloridafootandanklecenters.com"
Mail.From="info@southfloridafootandanklecenters.com"
Mail.Subject= "SFFAC - Contact Us Form"
Mail.BodyFormat = 0
Mail.MailFormat = 0
Mail.Body=emailcontent
Mail.Send
Set Mail=nothing
%>
<% Else %>
Have a question or comment? We'd love to hear it!
Simply fill out the form below to drop us a line.
<% End If %> |
South Florida Foot
And Ankle Centers
Phone: (561) 793-6170
Fax: (561) 795-3683
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