<%@ Language=VBScript %> <%Response.Buffer = true%> <% 'If this is coming from the filled out form below... if Request.QueryString("process") = "1" then dim strFrom dim strSubject dim strBody strFrom = "Inquiry_Form" strSubject = "ChemAssociates Inquiry" strBody = "Here are the details of this latest Inquiry: " & vbcrlf & "" & vbcrlf & "" &_ "Organization = " & Request.Form("radioOrg") & "" & vbcrlf & "" & vbcrlf & "" &_ "Full Name = " & Request.Form("txtFullName") & "" & vbcrlf & "" & vbcrlf & ""&_ "Company = " & Request.Form("txtCompany") & "" & vbcrlf & "" & vbcrlf & ""&_ "Address1 = " & Request.Form("txtAddress1") & "" & vbcrlf & "" & vbcrlf & ""&_ "Address2 = " & Request.Form("txtAddress2") & "" & vbcrlf & "" & vbcrlf & ""&_ "City = " & Request.Form("txtCity") & "" & vbcrlf & "" & vbcrlf & ""&_ "State/Province = " & Request.Form("txtState") & "" & vbcrlf & "" & vbcrlf & ""&_ "Country = " & Request.Form("txtCountry") & "" & vbcrlf & "" & vbcrlf & ""&_ "Zip/Postal Code = " & Request.Form("txtZip") & "" & vbcrlf & "" & vbcrlf & ""&_ "Email Address = " & Request.Form("txtEmail") & "" & vbcrlf & "" & vbcrlf & ""&_ "Phone Number = " & Request.Form("txtPhone") & "" & vbcrlf & "" & vbcrlf & ""&_ "Fax Number = " & Request.Form("txtFax") & "" & vbcrlf & "" & vbcrlf & ""&_ "Products Offered = " & Request.Form("txtProducts") & "" & vbcrlf & "" & vbcrlf & ""&_ "Inquiry = " & Request.Form("txtInquiry") & "" Set objNewMail = Server.CreateObject("CDONTS.NewMail") objNewMail.to = "mbemiss@chemassociates.com" 'the From cannot have any spaces... objNewmail.from = replace(strFrom," ","_") objNewmail.subject = strSubject objNewmail.body = strBody objNewmail.send set objNewmail = nothing Response.Redirect("contact.asp?mode=success") end if %> Contact ChemAssociates
Contact Information

** Please use the above email address as our inquiry form is down for maintenance.
Inquiry Form
This form will help us answer your questions or respond to your comments quickly. If a particular field doesn't apply to you, please just type in "none" in the box.  ChemAssociates appreciates your time in filling out this form with all the necessary information.

When complete, please click the "Submit My Form" at the bottom of the page. This form is used only for the purpose of answering inquiries about products and services.  In no way will this form be released to 3rd party firms for advertising purposes.

Fields marked by an asterisk (*) are required:
USA Organization:
Not an USA Organization:
Individual/Other:
*Full Name:
*Company You Represent:
*Address:
*City:
*State or Province:
*Country:
*Zip or Postal Code:
*Email Address:
*Phone Number (include area code):
Fax Number (include area code):
Products Offered By Your Company:
*Your Inquiry:
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