<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> Ragland Strother & Lafitte
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<% 'Response.Write(Trim(Request.Form("submit"))) %> <% If Trim(Request.Form("submit")) <> "" Then %> <% Set cdoConfig = Server.CreateObject("CDO.Configuration") With cdoConfig.Fields .Item(cdoSendUsingMethod) = 2 .Item(cdoSMTPServer) = "mail.pixismedia.com" .Item(cdoSMTPAuthenticate) = cdoBasic .Item(cdoSendUserName) = "support@pixismedia.com" .Item(cdoSendPassword) = "08s1v" .Update End With Set cdoMessage = Server.CreateObject("CDO.Message") If Trim(Request.Form("dd_questiontype")) = "Commercial Insurance" Then strInsert = "For: " & Trim(Request.Form("dd_commercialtype")) ElseIf Trim(Request.Form("dd_questiontype")) = "Personal Insurance" Then strInsert = "For: " & Trim(Request.Form("dd_personaltype")) Else strInsert = "" End If strMessage = "Intrested In: " & Trim(Request.Form("dd_questiontype")) & vbcrlf & _ strInsert & vbcrlf & vbcrlf & _ "Questions I have: " & vbcrlf & Trim(Request.Form("tb_questions")) & vbcrlf & vbcrlf & vbcrlf & _ "My contact information" & vbcrlf & vbcrlf & _ "Name: " & Trim(Request.Form("tb_name")) & vbcrlf & _ "Title: " & Trim(Request.Form("tb_title")) & vbcrlf & _ "Company: " & Trim(Request.Form("tb_company")) & vbcrlf & _ "Address: " & Trim(Request.Form("tb_address")) & vbcrlf & _ "Address2: " & Trim(Request.Form("tb_address2")) & vbcrlf & _ "City: " & Trim(Request.Form("tb_city")) & vbcrlf & _ "State: " & Trim(Request.Form("tb_state")) & vbcrlf & _ "Zip: " & Trim(Request.Form("tb_zip")) & vbcrlf & _ "Country: " & Trim(Request.Form("tb_country")) & vbcrlf & _ "Phone: " & Trim(Request.Form("tb_phone")) & vbcrlf & _ "Email: " & Trim(Request.Form("tb_email")) With cdoMessage Set .Configuration = cdoConfig .From = Trim(Request.Form("tb_email")) .To = "janie@rslins.com" .Subject = "Request Info About " & Trim(Request.Form("dd_questiontype")) .TextBody = strMessage .Send End With Set cdoMessage = Nothing Set cdoConfig = Nothing %>

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<% End if %>