<% Dim objMail If (Request.Form("request")<>"") Then Set objMail = Server.CreateObject("CDONTS.NewMail") 'Collecting form information fname = Request.Form("first_name") lname = Request.Form("last_name") company = Request.Form("company") telephone = Request.Form("telephone") email = Request.Form("email") reffname = Request.Form("referral_first_name") reflname = Request.Form("referral_last_name") refcompany = Request.Form("referral_company") reftelephone = Request.Form("referral_telephone") refemail = Request.Form("referral_email") notes = Request.Form("notes") 'Build message body BodyString = BodyString & "REFERRAL CONTACT INFORMATION" & "
" & VbCrLf BodyString = BodyString & "- - - - - - - - - - - - - - - - - - - - - -" & "
" & VbCrLf BodyString = BodyString & "Referred by:  " & fname & " " & lname & "
" & VbCrLf BodyString = BodyString & "From:  " & company & "
" & VbCrLf BodyString = BodyString & "Phone:  " & telephone & "
" & VbCrLf BodyString = BodyString & "Email:  " & email & "
" & VbCrLf BodyString = BodyString & "" & "
" & VbCrLf BodyString = BodyString & "Referral contact name:  " & reffname & " " & reflname & "
" & VbCrLf BodyString = BodyString & "Referral company:  " & refcompany & "
" & VbCrLf BodyString = BodyString & "Referral phone  " & reftelephone & "
" & VbCrLf BodyString = BodyString & "Referral email:  " & refemail & "
" & VbCrLf BodyString = BodyString & "" & "
" & VbCrLf BodyString = BodyString & "Special instructions:  " & notes & "
" & VbCrLf BodyString = BodyString & "" & "
" & VbCrLf objMail.From = email objMail.Subject = "Adigo account referral from " & fname & " " & lname & " | " & company objMail.To = "support@adigo.com;" & email // objMail.Bcc = "cc@adigo.com;" objMail.BodyFormat = 0 objMail.MailFormat = 0 objMail.Body = BodyString objMail.Send Response.Redirect "thanks.html" Set objMail = Nothing End If %>



 
  Account referral form  









             
  Your first name*

   Your last name*


   Account referral details
Refer a new account to Adigo Telecom Group and receive a $250 AMEX gift card for each qualified account. Qualified accounts are new Adigo Conferencing customers who spend at least $500/month on conferencing for three consecutive months.

To submit a referral, please complete the form to the left; all items with asterisks are required.

To speak to an Adigo Telecom Group representative about this offer, please call 1 800 550-9373.
  
  Your company


    
  Your telephone number with area code*


        
  Your email*


          
  Referral contact first name*

   Referral contact last name*


      
  Referral company*


      
  Referral telephone number with area code*


          
  Referral email*


          
  Special instructions

      
             
   
         
             
  Copyright © 2008 Adigo Inc. All rights reserved. (888) 55-ADIGO