Tennessee Manufactured Housing Foundation

<%@ Language=VBScript %> <% Dim oEmail Dim strEmailText Stat = 0 if (Request("regSubmit") <> "") then strEmailText = "A new TNMHF Assistance form has been submitted." & "
" strEmailText = strEmailText & " Do you currently live in a manufactured home?" & " " & request.form("currently") & "
" strEmailText = strEmailText & "How long?" & " " & request.form("howlong") & "
" strEmailText = strEmailText & "What year model?" & " " & request.form("modelyear") & "
" strEmailText = strEmailText & "Your name:" & " " & request.form("Contact_FullName") & "
" strEmailText = strEmailText & "Your address:" & " " & request.form("Contact_StreetAddress") & "
" strEmailText = strEmailText & "Address 2:" & " " & request.form("Contact_Address2") & "
" strEmailText = strEmailText & "City:" & " " & request.form("Contact_City") & "
" strEmailText = strEmailText & "State:" & " " & request.form("Contact_State") & "
" strEmailText = strEmailText & "Zip:" & " " & request.form("Contact_ZipCode") & "
" strEmailText = strEmailText & "Work phone:" & " " & request.form("Contact_WorkPhone") & "
" strEmailText = strEmailText & "Home phone:" & " " & request.form("Contact_HomePhone") & "
" strEmailText = strEmailText & "Email:" & " " & request.form("Contact_Email") & "
" strEmailText = strEmailText & "What are the circumstances requiring assistance?" & " " & request.form("circumstances") & "
" set oEmail = Server.CreateObject("CDO.Message") with oEmail .From = "assistance@tnmf.org" .To = "linda@tnmha.org" .Subject = "Tennessee Manufactured Housing Foundation Assistance Form" .HTMLBody = strEmailText .configuration.fields.item("http://schemas.microsoft.com/cdo/configuration/sendusing") = 2 .configuration.fields.item("http://schemas.microsoft.com/cdo/configuration/smtpserver") = "10.0.0.2" .configuration.fields.item("http://schemas.microsoft.com/cdo/configuration/smtpserverport") = 25 .configuration.fields.update .Send End With set oEmail = nothing Stat = 1 end if %> Tennessee Manufactured Housing Foundation

Thank you!

Thank you for your submission.
Your e-mail has been sent to the
Tennessee Manufactured Housing Foundation.

Please use this form to apply for assistance from the Tennessee Manufactured Housing Foundation.
Do you currently live in a manufactured home?	Yes No
How Long?
What year model?
Please provide the following contact information:
*Your Name:*
*Street address:*
*Address 2:*
*City:*
*State/Province*
*Zip/Postal code:*
*Work Phone:*
*Home Phone:*
*E-mail:*
What are the circumstances requiring assistance?