Can someone help me with this form script.. this is a form that the results are sent via email...I also want to redirect the user to a thank you page once they have completed the form...what do I need to add in order for this to be accomplished?
Please help!
<!---BUILD --->
<script language="JavaScript">
<!--
function MM_findObj(n, d) { //v4.0
var p,i,x; if(!d) d=document; if((p=n.indexOf("?"
)>0&&parent.frames.length) {
d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[n];
for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers.document);
if(!x && document.getElementById) x=document.getElementById
; return x;
}
function MM_validateForm() { //v4.0
var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=MM_findObj(args);
if (val) { nm=val.name; if ((val=val.value)!=""
{
if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
} else if (test!='R') {
if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
min=test.substring(8,p); max=test.substring(p+1);
if (val<min || max<val) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
} } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
} if (errors) alert('The following error(s) occurred:\n'+errors);
document.MM_returnValue = (errors == '');
}
//-->
</script>
<cfset #adminemail# = "oasis@msn.com">
<cfparam name="action" default="">
<cfif #adminemail# is "">
<blockquote>
<strong>The destination e-mail address has not yet been configured.</strong>
</blockquote>
</cfif>
<cfif #action# is "">
<body bgcolor="#FFFFFF" text="#000000">
<table width="570" border="0" cellspacing="0" cellpadding="0">
<tr>
<td valign="top" height="45">
<div align="right"><img src="images/famb_banner.gif" width="287" height="26" alt="Family at Family Test"></div>
</td>
</tr>
<tr>
<td>
<div align="left"><img src="images/req_info_subhead.gif" width="259" height="31" alt="Request for Information"></div>
</td>
</tr>
<tr>
<td><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">You
are welcome to take advantage of classes.</font>
<p><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">It
is necessary to register for all classes. Please call <b>(###) #######</b>
or complete the e-mail form below. We will contact you to discuss class
times and availability. <br>
We look forward to hearing from you!</font> </p>
</td>
</tr>
<cfoutput><form method="POST" action="#thisscript#&action=send"></cfoutput>
<table cellspacing = 0 cellpadding = 2 width=100%>
<tr>
<td colspan=2><b><font color="003399" face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2">Contact
Information </font></b></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">Name:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="Name" size = 30 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">E-mail
Address:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="Email" size = 30 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">Street
Address:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="Address" size = 30 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">City:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="City" size = 30 >
</font></td>
</tr>
<tr>
<td align=right height="29" width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">State:</font></td>
<td height="29" width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="State" size = 2 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">Zip
Code:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="Zip" size = 10 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">Telephone:</font></td>
<td width="69%"><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
(
<input type=text name="PhoneA" size = 3 >
) -
<input type="text" name="PhoneB" size = 8 >
</font></td>
</tr>
<tr>
<td height="22">
<div align="right"><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">Due
Date:</font></div>
</td>
<td height="22"><b><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="date" size="10">
</font></b></td>
</tr>
<tr>
<td colspan=2 height="22"><b><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399"></font></b></td>
</tr>
<tr>
<td colspan=2 height="22"><b><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">Classes
you are interested in attending:</font></b></td>
</tr>
<tr>
<td colspan="2"><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="a" value="yes">
Care</font><b><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399"></font></b></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="b" value="yes">
Basics (for 11-13)</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="c" value="yes">
Bootcamp </font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="d" value="yes">
feeding</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="e" value="yes">
Birthdays</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="f" value="yes">
Preparation</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="g" value="yes">
Support</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="h" value="yes">
Who Want More?</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="i" value="yes">
Class 2</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="j" value="yes">
Healthy </font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="k" value="yes">
Tours</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
CPR
<input type="checkbox" name="l" value="yes">
English
<input type="checkbox" name="m" value="yes">
Spanish</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="n" value="yes">
Massage</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="o" value="yes">
Support Group</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="p" value="yes">
Planning 2</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="q" value="yes">
Refresher</font></td>
</tr>
<tr>
<td colspan=2 height="23"><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="r" value="yes">
Sound</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="s" value="yes">
Class 3(for 3-8)</font></td>
</tr>
<tr>
<td colspan=2 height="22"> </td>
</tr>
</table>
<table cellspacing = 0 cellpadding = 2 width=100%>
<tr>
<td align=left colspan=2><b><font color="cc0000" face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2">Your
Comments Are Welcome:</font></b></td>
</tr>
<tr>
<td colspan=2 align=center>
<div align="left">
<textarea cols="40" rows="4" name="Comments"></textarea>
</div>
</td>
</tr>
</table>
<input type="submit" value="Submit" name="submit" onClick="MM_validateForm('Name','','R','Address','','R','City','','R','State','','R','Zip','','RisNum','PhoneA','','RisNum','PhoneB','','RisNum','Email','','NisEmail');return document.MM_returnValue">
<input type="reset" value="Clear This Form" name="reset">
<div align=center>
<p align="left"> </p>
<p align="center">
</p>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td><a href="#top"><img src="images/Back_top.gif" width="91" height="9" border="0" alt="Back to Top"></a></td>
</tr>
</table>
</form>
</div>
</td>
</tr>
<tr>
<td> </td>
</tr>
</table>
</cfif>
<cfif #action# is "send" and #adminemail# is not "">
<cfparam name="a" default="">
<cfparam name="b" default="">
<cfparam name="c" default="">
<cfparam name="d" default="">
<cfparam name="e" default="">
<cfparam name="f" default="">
<cfparam name="g" default="">
<cfparam name="h" default="">
<cfparam name="i" default="">
<cfparam name="j" default="">
<cfparam name="k" default="">
<cfparam name="l" default="">
<cfparam name="m" default="">
<cfparam name="n" default="">
<cfparam name="o" default="">
<cfparam name="p" default="">
<cfparam name="q" default="">
<cfparam name="r" default="">
<cfparam name="s" default="">
<cfmail to="#adminemail#" from="#email#" subject="Request ">
The following person is interested in obtaining information for the Classes:
NAME: #Name#
EMAIL ADDRESS: #Email#
STREET ADDRESS: #Address#
CITY, STATE, ZIP: #City#, #State# #Zip#
TELEPHONE NUMBER: #PhoneA# #PhoneNumber#
DUE DATE: #DATE#
CLASSES YOU ARE INTERESTED IN::
<cfif #a# IS 'YES' >Care </cfif>
<cfif #b# IS 'YES' >Basics (for 11-13) </cfif>
<cfif #c# IS 'YES' >Bootcamp </cfif>
<cfif #d# IS 'YES' >feeding</cfif>
<cfif #e# IS 'YES' >Birth </cfif>
<cfif #f# IS 'YES' >Preparation </cfif>
<cfif #g# IS 'YES' >Support </cfif>
<cfif #h# IS 'YES' >Want More </cfif>
<cfif #i# IS 'YES' >Class</cfif>
<cfif #j# IS 'YES' >Healthy </cfif>
<cfif #k# IS 'YES' >CPR</cfif>
<cfif #l# IS 'YES' >English</cfif>
<cfif #m# IS 'YES' >Spanish</cfif>
<cfif #n# IS 'YES' >Massage</cfif>
<cfif #o# IS 'YES' >Support Group</cfif>
<cfif #p# IS 'YES' >Planning</cfif>
<cfif #q# IS 'YES' >Preparation</cfif>
<cfif #r# IS 'YES' >Safe and Sound</cfif>
<cfif #s# IS 'YES' >Class (for 3-8)</cfif>
INQUIRY/COMMENTS:
#Comments#
</cfmail>
<p align="center"><img src="../images/famb_banner.gif" alt="TBA" width="287" height="26" border="0"></p>
<font face="verdana" size = "2" color="00308F">Thank you for your interest in </font>
<blockquote> </blockquote>
</cfif>
Please help!
<!---BUILD --->
<script language="JavaScript">
<!--
function MM_findObj(n, d) { //v4.0
var p,i,x; if(!d) d=document; if((p=n.indexOf("?"
d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[n];
for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers.document);
if(!x && document.getElementById) x=document.getElementById
}
function MM_validateForm() { //v4.0
var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=MM_findObj(args);
if (val) { nm=val.name; if ((val=val.value)!=""
if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
} else if (test!='R') {
if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
min=test.substring(8,p); max=test.substring(p+1);
if (val<min || max<val) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
} } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
} if (errors) alert('The following error(s) occurred:\n'+errors);
document.MM_returnValue = (errors == '');
}
//-->
</script>
<cfset #adminemail# = "oasis@msn.com">
<cfparam name="action" default="">
<cfif #adminemail# is "">
<blockquote>
<strong>The destination e-mail address has not yet been configured.</strong>
</blockquote>
</cfif>
<cfif #action# is "">
<body bgcolor="#FFFFFF" text="#000000">
<table width="570" border="0" cellspacing="0" cellpadding="0">
<tr>
<td valign="top" height="45">
<div align="right"><img src="images/famb_banner.gif" width="287" height="26" alt="Family at Family Test"></div>
</td>
</tr>
<tr>
<td>
<div align="left"><img src="images/req_info_subhead.gif" width="259" height="31" alt="Request for Information"></div>
</td>
</tr>
<tr>
<td><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">You
are welcome to take advantage of classes.</font>
<p><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">It
is necessary to register for all classes. Please call <b>(###) #######</b>
or complete the e-mail form below. We will contact you to discuss class
times and availability. <br>
We look forward to hearing from you!</font> </p>
</td>
</tr>
<cfoutput><form method="POST" action="#thisscript#&action=send"></cfoutput>
<table cellspacing = 0 cellpadding = 2 width=100%>
<tr>
<td colspan=2><b><font color="003399" face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2">Contact
Information </font></b></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">Name:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="Name" size = 30 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">E-mail
Address:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="Email" size = 30 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">Street
Address:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="Address" size = 30 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">City:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="City" size = 30 >
</font></td>
</tr>
<tr>
<td align=right height="29" width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">State:</font></td>
<td height="29" width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="State" size = 2 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">Zip
Code:</font></td>
<td width="69%"> <font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="Zip" size = 10 >
</font></td>
</tr>
<tr>
<td align=right width="31%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif, Geneva" color="003399">Telephone:</font></td>
<td width="69%"><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
(
<input type=text name="PhoneA" size = 3 >
) -
<input type="text" name="PhoneB" size = 8 >
</font></td>
</tr>
<tr>
<td height="22">
<div align="right"><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">Due
Date:</font></div>
</td>
<td height="22"><b><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="text" name="date" size="10">
</font></b></td>
</tr>
<tr>
<td colspan=2 height="22"><b><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399"></font></b></td>
</tr>
<tr>
<td colspan=2 height="22"><b><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">Classes
you are interested in attending:</font></b></td>
</tr>
<tr>
<td colspan="2"><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="a" value="yes">
Care</font><b><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399"></font></b></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="b" value="yes">
Basics (for 11-13)</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="c" value="yes">
Bootcamp </font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="d" value="yes">
feeding</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="e" value="yes">
Birthdays</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="f" value="yes">
Preparation</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="g" value="yes">
Support</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="h" value="yes">
Who Want More?</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="i" value="yes">
Class 2</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="j" value="yes">
Healthy </font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="k" value="yes">
Tours</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
CPR
<input type="checkbox" name="l" value="yes">
English
<input type="checkbox" name="m" value="yes">
Spanish</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="n" value="yes">
Massage</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="o" value="yes">
Support Group</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="p" value="yes">
Planning 2</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="q" value="yes">
Refresher</font></td>
</tr>
<tr>
<td colspan=2 height="23"><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="r" value="yes">
Sound</font></td>
</tr>
<tr>
<td colspan=2><font face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2" color="003399">
<input type="checkbox" name="s" value="yes">
Class 3(for 3-8)</font></td>
</tr>
<tr>
<td colspan=2 height="22"> </td>
</tr>
</table>
<table cellspacing = 0 cellpadding = 2 width=100%>
<tr>
<td align=left colspan=2><b><font color="cc0000" face="Verdana, Arial, Helvetica, sans-serif, Geneva" size="2">Your
Comments Are Welcome:</font></b></td>
</tr>
<tr>
<td colspan=2 align=center>
<div align="left">
<textarea cols="40" rows="4" name="Comments"></textarea>
</div>
</td>
</tr>
</table>
<input type="submit" value="Submit" name="submit" onClick="MM_validateForm('Name','','R','Address','','R','City','','R','State','','R','Zip','','RisNum','PhoneA','','RisNum','PhoneB','','RisNum','Email','','NisEmail');return document.MM_returnValue">
<input type="reset" value="Clear This Form" name="reset">
<div align=center>
<p align="left"> </p>
<p align="center">
</p>
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td><a href="#top"><img src="images/Back_top.gif" width="91" height="9" border="0" alt="Back to Top"></a></td>
</tr>
</table>
</form>
</div>
</td>
</tr>
<tr>
<td> </td>
</tr>
</table>
</cfif>
<cfif #action# is "send" and #adminemail# is not "">
<cfparam name="a" default="">
<cfparam name="b" default="">
<cfparam name="c" default="">
<cfparam name="d" default="">
<cfparam name="e" default="">
<cfparam name="f" default="">
<cfparam name="g" default="">
<cfparam name="h" default="">
<cfparam name="i" default="">
<cfparam name="j" default="">
<cfparam name="k" default="">
<cfparam name="l" default="">
<cfparam name="m" default="">
<cfparam name="n" default="">
<cfparam name="o" default="">
<cfparam name="p" default="">
<cfparam name="q" default="">
<cfparam name="r" default="">
<cfparam name="s" default="">
<cfmail to="#adminemail#" from="#email#" subject="Request ">
The following person is interested in obtaining information for the Classes:
NAME: #Name#
EMAIL ADDRESS: #Email#
STREET ADDRESS: #Address#
CITY, STATE, ZIP: #City#, #State# #Zip#
TELEPHONE NUMBER: #PhoneA# #PhoneNumber#
DUE DATE: #DATE#
CLASSES YOU ARE INTERESTED IN::
<cfif #a# IS 'YES' >Care </cfif>
<cfif #b# IS 'YES' >Basics (for 11-13) </cfif>
<cfif #c# IS 'YES' >Bootcamp </cfif>
<cfif #d# IS 'YES' >feeding</cfif>
<cfif #e# IS 'YES' >Birth </cfif>
<cfif #f# IS 'YES' >Preparation </cfif>
<cfif #g# IS 'YES' >Support </cfif>
<cfif #h# IS 'YES' >Want More </cfif>
<cfif #i# IS 'YES' >Class</cfif>
<cfif #j# IS 'YES' >Healthy </cfif>
<cfif #k# IS 'YES' >CPR</cfif>
<cfif #l# IS 'YES' >English</cfif>
<cfif #m# IS 'YES' >Spanish</cfif>
<cfif #n# IS 'YES' >Massage</cfif>
<cfif #o# IS 'YES' >Support Group</cfif>
<cfif #p# IS 'YES' >Planning</cfif>
<cfif #q# IS 'YES' >Preparation</cfif>
<cfif #r# IS 'YES' >Safe and Sound</cfif>
<cfif #s# IS 'YES' >Class (for 3-8)</cfif>
INQUIRY/COMMENTS:
#Comments#
</cfmail>
<p align="center"><img src="../images/famb_banner.gif" alt="TBA" width="287" height="26" border="0"></p>
<font face="verdana" size = "2" color="00308F">Thank you for your interest in </font>
<blockquote> </blockquote>
</cfif>