<% if request.querystring("submit") = "feedback" then 'This mean the form was submitted so lets check to see what was chosen/not and process dim MessageType, AMPM, AMPM_phone, Comments, UserName, UserEmail, UserTel, UserFAX, ContactRequested 'lets get all the variables in MessageType = request("MessageType") AMPM = request("AMPM") AMPM_phone = request("AMPM_phone") Comments = request("Comments") UserName = request("UserName") UserEmail = request("UserEmail") UserTel = request("UserTel") UserFAX = request("UserFAX") ContactRequested = request("ContactRequested") call process_form %> <% else %> Fantanarosa Insurance- Health Insurance
   


 
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 Thorndale Location
 P.O. Box 72219
 3532 E. Lincoln Hwy
 Thorndale, PA
 19372
 Ph: 610-384-2188

-----------------------

 Elverson Location
 28 W. Main Street
 Elverson, PA
 19520
 Ph: 610-913-6440


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