<% if request.Form("submitted") <> "" then subject="Message from NAKF contact form" message= "Name: " & request.Form("Name") & vbcrlf & _ "Address: " & request.Form("Address") & vbcrlf & _ "City: " & request.Form("City") & vbcrlf & _ "State: " & request.Form("State") & vbcrlf & _ "Name of Student (if not the same): " & request.Form("Name_of_student") & vbcrlf & _ "Age: " & request.Form("Age") & vbcrlf & _ "Karate: " & request.Form("Karate") & vbcrlf & _ "Sword: " & request.Form("Sword") & vbcrlf & _ "Day_Phone: " & request.Form("Day_Phone") & vbcrlf & _ "Evening_Phone: " & request.Form("Evening_Phone") & vbcrlf & _ "E-mail: " & request.Form("E-mail") & vbcrlf & _ "Greensburg: " & request.Form("Greensburg") & vbcrlf & _ "Williamsport: " & request.Form("Williamsport") & vbcrlf & _ "Irwin: " & request.Form("Irwin") & vbcrlf & _ "Mount Pleasant: " & request.Form("Mount_Pleasant") & vbcrlf & _ "Pittsburgh-Plum PA: " & request.Form("Pittsburgh-Plum PA") & vbcrlf & _ "Message sent at " & Now() & " from http://www.northamericankarateandfitness.com" & request.ServerVariables("SCRIPT_NAME") dim myMail set myMail = server.CreateObject("CDONTS.NewMail") MyMail.To ="mysabom@northamericankarateandfitness.com" MyMail.Cc="" MyMail.From="mysabom@northamericankarateandfitness.com" MyMail.Subject = subject MyMail.Body = message MyMail.Send set MyMail = nothing %>




Thank you for your Request!

Once the form is reviewed, we will contact you to set up the first available meeting.
Thank you and Tang Soo! <%else%>

Information Contact

Please fill out the form below if you or your child are interested in obtaining more information about Tang Soo Do (Karate) or Haidong Gumdo (Sword). Once the form is reviewed, we will contact you to set up the first available meeting. Thank you and Tang Soo!

Name Address
City State
Name of Student
(if not the same)

 
Age
 

 

Classes Requested (check all that apply):

Training Training

Location of Interest:

 

 

 

 

 

<% end if %>