Hellenic Society of South Africa

<% response.buffer=true%> Hellenic Society of South Africa <% if request("Submit") = "Submit Details" then strTo = "hellenic-chambersa@3i.co.za" strcc = "debbie@ion.co.za" strSubject = "JOIN FORM: Chamber of Commerce" strfrom= Request.Form("txtemail") strBody = " First Name : " & Request.Form("txtFirstName") & "
" & _ " Last Name : " & Request.Form("txtLastName") & "
" & _ " Sex : " & Request.Form("txtsex") & "
" & _ " Title : " & Request.Form("title")& "
" & _ " Age : " & Request.Form("txtage")& "
" & _ " Home Address : " & Request.Form("txthaddress")& "
" & _ " Home Code : " & Request.Form("txttelhcode")& "
" & _ " Home Phone : " & Request.Form("txttelhnumber") & "
" & _ " Work Code : " & Request.Form("txtTelWCode") & " " & "
" & _ " Work Number : " & Request.Form("txtTelWNumber")& "
" & _ " Cell : " & Request.Form("txtCell")& "
" & _ " Email : " & Request.Form("txtEmail") & "
" & _ " Company Name : " & Request.Form("txtCompanyName")& "
" & _ " Company Address : " & Request.Form("txtCompanyAddress") & "" set objMail = server.CreateObject("CDONTS.NewMail") objMail.mailformat = 0 objMail.bodyFormat = 0 objMail.Subject = strsubject objMail.Body = strbody objMail.To = strto objMail.cc = strcc objMail.From = strfrom objmail.Send set objMail = nothing response.redirect("thankyouchamber.html") end if %>

Please complete the form below to join the Hellenic Chamber of Commerce Society

PERSONAL DETAILS
FIRST NAME
LAST NAME
SEX	Male	Female
TITLE	Mr	Mrs	Miss	Ms	Dr
HOME ADDRESS
TEL (h)	( )
TEL (w)	( )
TEL (cell)
E-MAIL

BUSINESS DETAILS
COMPANY NAME
COMPANY ADDRESS
Once your form has been submitted we will contact you via e-mail or telephonically to confirm your details.