<%@LANGUAGE="VBSCRIPT"%> <% If Request.Form <> "" Then Set myMail = CreateObject("CDONTS.NewMail") HTML = "*** Prince William Home Improvement Request Information Form ***

" HTML = HTML & "Contact Information
" HTML = HTML & "I am most interested in the following product or products: : " & Request.Form("Products") & "
" HTML = HTML & "Name: " & Request.Form("Name") & "
" HTML = HTML & "Address: " & Request.Form("Address") & "
" HTML = HTML & "Address 2: " & Request.Form("Address2") & "
" HTML = HTML & "Best way to contact me: " & Request.Form("contact_Me") & "
" HTML = HTML & "Best time: " & Request.Form("contact_time") & "
" HTML = HTML & "Telephone Number: " & Request.Form("phone") & "

" HTML = HTML & "Email Address: " & Request.Form("email") & "
" HTML = HTML & "How did you hear about us?: " & Request.Form("discover_us") & "
" HTML = HTML & "If there is additional information you need, use this box to ask! We will get back to you as soon as possible.
" & Request.Form("request") & "
" myMail.From = Request.Form("Email") mymail.To = "matt@mdatech.com" myMail.Subject = "Prince William Home Improvement Request Information Form " myMail.BodyFormat = 0 'sets to HTML format myMail.MailFormat = 0 myMail.Body = HTML myMail.Send Set myMail = Nothing Response.Redirect("thankyou.asp") End If %> Welcome to Prince William Home Improvement - Our Craftsmanship Shows
     
Request Information

 

Whether you have a question, or would like an estimate on any of our services, please fill out
the following form and we will contact you within one business day.

I am most interested in the following product or products:

   
Siding
{Check inside box}
Windows
{Check inside box}
Doors
{Check inside box}
Kitchen Remodling
{Check inside box}
Bathroom Remodling {Check inside box}
Decks {Check inside box}
Roofing
{Check inside box}
* Indicates required information
*Name:
Address:
 
Best way to contact me:
Best time:
*Daytime Phone Number:
*Email Address:


{Check inside box}
Yes, I'd like to receive email on
upcoming promotional discounts:

How did you hear about us?

 

If there is additional information you need, use this box to ask!
We will get back to you as soon as possible.

 

 

 

 

14910 Persistence Drive | Woodbridge, VA   22191 | Ph: 703-551-4229 or (800) 799-7944 | Fx: 703-492-1297