FORM

Remote website form. v2

<% if request.form("Country") = "" or request.form("Country") = "U.S." or request.form("Country") = "U.S.A" or request.form("Country") = "United States" then Frm = "USA" else Frm = request.form("Country") end if %>
Title:
First Name:
Last Name:
Address 1:
Address 2:
City:
State: Zip:
Country:
Phone:
Email:
Confirm email:
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