<%@LANGUAGE="VBSCRIPT"%> <% if ((Request.ServerVariables("Request_Method") = "POST") AND (inStr(Unescape(cStr(Request.ServerVariables("HTTP_REFERER"))),Unescape(Request.ServerVariables("SERVER_NAME")&Request.ServerVariables("SCRIPT_NAME"))) > 0)) then Dim myMail, myBody myBody = "You have received a new info request form via your corporate web site. The information received is as follows:" & vbCrLf & vbCrLf & "Full Name: " & Request.Form("name") & vbCrLf & vbCrLf & "E-Mail: " & Request.Form("email") & vbCrLf & vbCrLf & "Street Address: " & Request.Form("street") & vbCrLf & vbCrLf & "City: " & Request.Form("city") & vbCrLf & vbCrLf & "State: " & Request.Form("state") & vbCrLf & vbCrLf & "ZIP: " & Request.Form("zip") & vbCrLf & vbCrLf & "Company: " & Request.Form("company") & vbCrLf & vbCrLf & "Questions or comments? " & Request.Form("comments") & vbCrLf & vbCrLf & "Business Phone: " & Request.Form("bizphone") & vbCrLf & vbCrLf & "-- This e-mail is sent by an automated process, please do not respond to it --" Set myMail = Server.CreateObject ("CDONTS.NewMail") myMail.From = "info@healthybrands-inc.com" myMail.To = "m.maynard@healthybrands-inc.com" myMail.Subject = "HEALTHY BRANDS: New Web Site Request Form Received" myMail.Body = myBody myMail.Send set myMail=nothing Response.Redirect("../thanks.html") End If %> Healthy Brands. Contact Us.
Healthy Brands Healthy Brands. Healthy People. Healthy Businesses.
     
  If you would like to know more about our company, products, retail locations, or distribution, please complete the fields below and we will contact you directly.  
           
  Your full name: Your e-mail address:  
           
  Street Address: City:  
           
  State: ZIP:  
           
  Company: Business Phone:  
           
      Your comments or questions:  
         
           

Healthy Brands, Inc.
960 N. Tustin Street, Suite 390
Orange, CA  92867
Phone number: 866-991-5240

           
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