<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Session.LCID = 1033 Err.Clear 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("registration_form_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(13) Dim arFormDBFields0(13) Dim arFormValues0(13) arFormFields0(0) = "register_URL" arFormDBFields0(0) = "register_URL" arFormValues0(0) = Request("register_URL") arFormFields0(1) = "register_ZipCode" arFormDBFields0(1) = "register_ZipCode" arFormValues0(1) = Request("register_ZipCode") arFormFields0(2) = "register_Country" arFormDBFields0(2) = "register_Country" arFormValues0(2) = Request("register_Country") arFormFields0(3) = "register_State" arFormDBFields0(3) = "register_State" arFormValues0(3) = Request("register_State") arFormFields0(4) = "register_Address2" arFormDBFields0(4) = "register_Address2" arFormValues0(4) = Request("register_Address2") arFormFields0(5) = "register_StreetAddress" arFormDBFields0(5) = "register_StreetAddress" arFormValues0(5) = Request("register_StreetAddress") arFormFields0(6) = "register_WorkPhone" arFormDBFields0(6) = "register_WorkPhone" arFormValues0(6) = Request("register_WorkPhone") arFormFields0(7) = "register_Title" arFormDBFields0(7) = "register_Title" arFormValues0(7) = Request("register_Title") arFormFields0(8) = "register_Organization" arFormDBFields0(8) = "register_Organization" arFormValues0(8) = Request("register_Organization") arFormFields0(9) = "register_FullName" arFormDBFields0(9) = "register_FullName" arFormValues0(9) = Request("register_FullName") arFormFields0(10) = "register_City" arFormDBFields0(10) = "register_City" arFormValues0(10) = Request("register_City") arFormFields0(11) = "register_Email" arFormDBFields0(11) = "register_Email" arFormValues0(11) = Request("register_Email") arFormFields0(12) = "register_FAX" arFormDBFields0(12) = "register_FAX" arFormValues0(12) = Request("register_FAX") FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 If Request.ServerVariables("HTTP_USER_AGENT") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("HTTP_USER_AGENT"), "Browser_type" End If If Request.ServerVariables("REMOTE_HOST") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Remote_computer_name" 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:",_ "registration_form.htm",_ "Return to the form." End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> Registration Form

Registration Form


Register with Eagle Business Consulting

Please provide the following contact information:

Name
User Name
Password
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL


Copyright © 2003 Eagle Business Consulting Corp.]. All rights reserved.
Revised: 12/02/09