<%@LANGUAGE="VBSCRIPT"%> <% If Request.ServerVariables("REQUEST_METHOD") = "POST" then msgBody = "Name : " & Request.Form("name") & VbCrLf msgBody = msgBody & "Surname : " & Request.Form("surname") & VbCrLf msgBody = msgBody & "Contact No. : " & Request.Form("contactno") & VbCrLf msgBody = msgBody & "Cell : " & Request.Form("cell") & VbCrLf msgBody = msgBody & "Fax : " & Request.Form("fax") & VbCrLf msgBody = msgBody & "EMail : " & Request.Form("email") & VbCrLf msgBody = msgBody & "Postal Address : " & Request.Form("postal") & VbCrLf msgBody = msgBody & "Quantity : " & Request.Form("quantity") Set Mailer = Server.CreateObject("SMTPsvg.Mailer") Mailer.FromName = Request.Form("name") Mailer.FromAddress= Request.Form("email") Mailer.RemoteHost = "pop3.gatorsa.co.za" Mailer.AddRecipient "Orders", "sales@gatorsa.co.za" Mailer.Subject = "GatorSA Order Form" Mailer.BodyText = msgBody if Mailer.SendMail then Response.Redirect("ThankYou.htm") else Response.Write "Mail send failure. Error was " & Mailer.Response end if End If %> GatorSA
ORDER FORM

Cell: (+27) 84 5622 967
Phone: (+27 31) 702 7497
Fax: (+27 31) 702 3659
Email: info@gatorsa.co.za
Technical: doug@gatorsa.co.za
Sales: greg@gatorsa.co.za
To print the order form and fax it to us - right click anywere on this page and select Print... from the Options. Alternatively Complete this form online and then Click on the Submit button , we will receive your order via email.
Name:
Surname:
Contact No:
Cell:
Fax:
Email:
Postal Address :
ORDER DETAILS
Quantity
Description
GATOR INLINE POOL SKIMMER

Cell: (+27) 84 5622 967
Phone: (+27 31) 702 7497
Fax: (+27 31) 702 3659
Email: info@gatorsa.co.za
Technical: doug@gatorsa.co.za
Sales: greg@gatorsa.co.za