<% dim from from = "UCMAS@yahoo.com" dim receipt '"rrshah_g@gear.elecon.com" receipt = "ucmasusa@yahoo.com" dim rs_Rec,Str set mail = server.CreateObject("softartisans.smtpmail") ' mail.FromAddress = from mail.FromName = "UCMAS-USA" ' mail.ContentType = 1 mail.AddRecipient receipt '"exp_order@gear.elecon.com" 'mail.AddBCC "exp_order@gear.elecon.com" mail.Subject = "Application Form For FRANCHISE" if request.Form("name") <> "" then mail.BodyText = "Name :" & request.form("name") & vbCrLf &_ "Date Of Birth :" & request.form("date1") & " " & request.form("month1") & " " & request.form("year") & vbCrLf &_ "SEX :" & request.form ("sex") & vbCrLf &_ "Marital Status :" & request.form("marital")& vbCrLf &_ "Residential Address :" & request.form("res_address") & vbCrLf &_ "Phone No :" & request.form("phone") & vbCrLf &_ "Cell :" & request.form("cell") & vbCrLf &_ "E-Mail :" & request.form("email") & vbCrLf &_ "Qualification :" & request.form("qualification") & vbCrLf &_ "Place Where You Wish to :" & request.form("place_district") & vbCrLf &_ "State :" & request.form("place_state") & vbCrLf &_ "City :" & request.form("place_city") & vbCrLf & vbCrLf &_ "Reason For Selecting Location :" & request.form("reason") & vbCrLf & vbCrLf &_ "Potentiality Of The Place" & vbCrLf &_ "No of Schools" & vbCrLf &_ "Private Schools :" & request.form("prvs") & vbCrLf &_ "Government Schools :" & request.form("govts") & vbCrLf &_ "No of Colleges" & vbCrLf &_ "Private Colleges :" & request.form("prvc") & vbCrLf &_ "Government Colleges :" & request.form("govtc") & vbCrLf &_ "Address :" & request.form("place_address") & vbCrLf &_ "Present Business Activity :" & request.form("activity") & vbCrLf &_ "if other specify :" & request.form("other_business") & vbCrLf &_ "Breif details :" & request.form("brief") & vbCrLf &_ "References" & vbCrLf &_ "References 1 :" & request.form("reference1") & vbCrLf &_ "References 2 :" & request.form("reference2") & vbCrLf &_ "Promotion Planned :" & request.form("promotionplan") & vbCrLf &_ "Any other specify :" & request.form("other_promotion") & vbCrLf &_ "Infrastructure :" & request.form("infra") & vbCrLf &_ "Squere Feet :" & request.form("sqfeet") & vbCrLf &_ "Location :" & request.form("location") & vbCrLf & vbCrLf &_ "Your Views About UCMAS Memory Technique :" & request.form("your_views") & vbCrLf & vbCrLf &_ "How Did You Come To Know UCMAS Memory Technique :" & request.form("know_about") & vbCrLf & vbCrLf &_ "Are You An UCMAS Franchise/CI if yes give detais :" & request.form("franci") mail.RemoteHost = "172.16.144.250" if mail.SendMail then Response.Write "Mail has been sent" else Response.Write "Error in sending mail" end if response.Redirect("franch_INQUIRY.asp") end if %>
Franchise - Application Form For Franchise


Application Form For FRANCHISE
 Name :
   
Date Of Birth :
 (ex 1995)
 SEX :
   
 Marital Status :
   
 Residential Address :
   
 Phone No :
   
Cell :
 E-Mail :
   
 Qualification :
   

Place Where You Wish to

City :

State :

District :

 
 Reason For Selecting Location :
   
 Potentiality Of The Place :

 

No Of Schools   Private Govt

No Of Colleges   Private Govt

 
 Address :
   
 Present Business Activity :
     
if other specify :
Breif details :
References :
References 1 :
References 2 :
 Promotion Planned :
     
Any other specify :
Infrastructure :
 Own   Rent
Squere Feet :
Location :
 Prime   Out
Your Views About UCMAS Memory Technique :
   
How Did You Come To Know UCMAS Memory Technique :
Are You An UCMAS Franchise/CI if yes givedetais :