<% If Request.Form("btnSend").Count > 0 Then Set objMessage = CreateObject("CDO.Message") objMessage.Sender = Request.Form("born2praize@comcast.net") objMessage.Name = Request.Form("Name") objMessage.Address = Request.Form("Address") objMessage.City = Request.Form("City") objMessage.State = Request.Form("State") objMessage.Zip = Request.Form("Zip") objMessage.HomePhone = Request.Form("HmPhone") objMessage.CellPhone = Request.Form("CellPhone") objMessage.WorkPhone = Request.Form("WkPhone") objMessage.Email = Request.Form("Email") objMessage.ChName1 = Request.Form("ChName1") objMessage.ChAge1 = Request.Form("ChAge1") objMessage.ChName2 = Request.Form("ChName2") objMessage.ChAge2 = Request.Form("ChAge2") objMessage.ChName3 = Request.Form("ChName3") objMessage.ChAge3 = Request.Form("ChAge3") objMessage.Marital = Request.Form("Marital") objMessage.Send Response.Redirect("forminfo.asp") End If %>

The Family Matters Conference
Registration $15.00

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Address
City
State
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Home Phone
Cell Phone
Work Phone
Email Address
# of Children

Age

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Age

Age
Marital Status
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For more information call (301) 577-0071

 

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