<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%><% fromName="alpinelaserclinic.com" fromAddress="form@alpinelaserclinic.com" toName="Questions" toAddress="questions@" subject="ALC - Question" relay="smtp.1and1.com" %> ALC - Ask a Question <% Set Mail = Server.CreateObject("SMTPsvg.Mailer") Mail.FromName = "ALC Question" Mail.FromAddress= Request.Form("email") Mail.RemoteHost = "mrelay.perfora.net" Mail.AddRecipient "Alpine Laser Clinic", "webmaster@alpinelaserclinic.com" Mail.Subject = "ALC - Question" Mail.BodyText = Request.Form("question") sBodyText = "The following is feedback from my web site." & vbcrlf & vbcrlf sBodyText = sBodyText & "First Name: " & Request.Form("firstname") & vbCrLf sBodyText = sBodyText & "Last Name: " & Request.Form("lastname") & vbCrLf if Mail.SendMail then Response.Write "Your mail has been sent..." else Response.Write "Mail send failure. Error was " & Mail.Response end if %>
 
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Alpine Laser Clinic is glad to be able to answer your inquirys through e-mail. Please fill out the form below and click the submit button to send an inquiry.  
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