<%@ language = vbscript %> Feedback Form <% dim p1,p2,p3,p4,p5,p6,p7,p8,p9,p10,p11,p12,p13 p1=Request.form("name") p2=Request.form("org") p3=Request.form("add") p4=Request.form("city") p5=Request.form("state") p6=Request.form("country") p7=Request.form("zip") p8=Request.form("phone") p9=Request.form("fax") p10=Request.form("email") p11=Request.form("website") p12= "info@jaynix.com" p13 = request.form("details") dim objmail set objmail = CreateObject("CDONTS.NewMail") objmail.To = p12 objmail.From = p10 objmail.send set objmail = Nothing %>
 

 Feedback Form

Personal Information

                              
Name:   
Organization:   
Address:   
City:   
State:   
Country:   
Zip / Postal Code:   
Telephone:   
Fax:           *
E-mail:   
Web Site (if any):           *

           

Please feel free to specify your requirements / Comments

                

 
 Jaynix Engineering Corporation.
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