Name : *
Email :  
Phone : *
Enquire : *
         
National Register of Personal Trainers
Register of Exercise Professionals
Fitness Professionals
Richard Draper - 07931 432331
Dragons Health Clubs - 01926 883679
Bizz Fitness - 01926 831181
XL's Fitness - 01926 338848
Esporta Health & Fitness Club / Rugby - 01788 554300
Cannons Health & Fitness Club / Leamington Spa - 01926 314 142
Physical Times Tel/Fax/Ans - 01926 481746

<% If Request.Form("Submit")= "Submit" then Set objSend = Server.CreateObject("CDONTS.Newmail") objSend.From = Request ("Email") objSend.To = "info@physicaltimes" objSend.Subject ="Email Response" 'Request ("Subject") strBodyHeader= "This form was sent via e-mail on " _ & Now & ". " & "

" strBody ="" strBody = strBodyHeader & strBody strBody=strBody & "Name: " & Request ("custname")& "
" strBody=strBody & "company: " & Request ("company")& "
" strBody=strBody & "Address: " & Request ("address")& "
" strBody=strBody & "Phone: " & Request ("phone")& "
" strBody=strBody & "Fax: " & Request ("fax")& "
" strBody=strBody & "Email: " & Request ("email")& "
" strBody=strBody & "inquiry: " & Request ("inquiry")& "
" 'Response.Write(strBody) objSend.Body = strBody objSend.Send set objSend = Nothing response.Redirect("thanks.htm") End If %>