Contact Fastabend

<% if Request.Querystring("isSubmitted") = "yes" then Dim name1, title1, company1, email1, phone1, subject1, message1 Dim objCDO name1 = Request.Querystring("name") title1 = Request.Querystring("title") company1 = Request.Querystring("company") email1 = Request.Querystring("email") phone1 = Request.Querystring("phone") subject1 = Request.Querystring("subject") message1 = Request.Querystring("message") Set objCDO = Server.CreateObject("CDONTS.NewMail") objCDO.From = "form@fastabend.com" objCDO.To = "sarahf@fastabend.com" objCDO.Cc = "" objCDO.Bcc = "" objCDO.Subject = "Contact Us Form" objCDO.Body = "Name: " & title1 & " " & name1 & " from "& company1 & " email: " & email1 & " phone: " & phone1 & " subject: " & subject1 & " message: " & message1 objCDO.BodyFormat = 1 objCDO.MailFormat = 1 objCDO.Send ConfirmMsg = "Your message has been sent" end if %> Contact Fastabend

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Thank you for your interest in Fastabend. Please fill out the form below and Sarah Fastabend will respond as quickly as possible. Thank you for your time.

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<% if ConfirmMsg <> "" then %> <%= ConfirmMsg %> <% end if %>

Fastabend
3741 Walnut Street
PMB 192
Philadelphia, PA 19104