<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("contact_log_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "Results", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(10) Dim arFormDBFields0(10) arFormFields0(0) = "associate" arFormDBFields0(0) = "associate" arFormFields0(1) = "address" arFormDBFields0(1) = "address" arFormFields0(2) = "fax" arFormDBFields0(2) = "fax" arFormFields0(3) = "email" arFormDBFields0(3) = "email" arFormFields0(4) = "phone" arFormDBFields0(4) = "phone" arFormFields0(5) = "zip" arFormDBFields0(5) = "zip" arFormFields0(6) = "city" arFormDBFields0(6) = "city" arFormFields0(7) = "company" arFormDBFields0(7) = "company" arFormFields0(8) = "state" arFormDBFields0(8) = "state" arFormFields0(9) = "contact" arFormDBFields0(9) = "contact" FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 If Request.ServerVariables("REMOTE_HOST") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Remote_computer_name" End If If Request.ServerVariables("HTTP_USER_AGENT") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("HTTP_USER_AGENT"), "Browser_type" End If FP_SaveFieldToDB fp_rs, Now, "Timestamp" If Request.ServerVariables("REMOTE_USER") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_USER"), "User_name" End If fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close FP_FormConfirmation "text/html; charset=windows-1252",_ "Form Confirmation",_ "Thank you for submitting the following information:",_ "contact_log.asp",_ "Return to the form." End If End If %> Contact Record

Contact Record

  Please enter your associate ID and the contact information for the business you are working with.

Associate: 

Company Name:

Address:   

City:   State:    Zip:

Contact:   Phone:   Fax: 

email: