<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(0) Dim arFormDBFields0(0) FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close FP_FormConfirmation "text/html; charset=windows-1252",_ "Form Confirmation",_ "Thank you for submitting the following information:",_ "shipping.htm",_ "Return to the form." End If End If %> Shipping Form

Shipping Form

Please print out this page and send it along with your equipment to be repaired

Name:
Address:
Address:
City-State-Zip
Day Phone #:
Night Phone #:
Model #:
Serial #:

Please describe the problems you are experiencing with your equipment.

Price of Repair	$
Shipping 48 states	$
Total	$

All payments in U.S. Dollars

Methods of payment:

<% Function FP_SaveFormFields(rs, rgFormFields, rgDBFields) On Error Resume Next Err.Clear Dim i For i = 0 To UBound(rgFormFields) FP_SaveFormField rs, rgFormFields(i), rgDBFields(i) Next Err.Clear End Function Function FP_SaveFormField(rs, strField, strDBField) On Error Resume Next Err.Clear If (Request.Form(strField)) = "" And rs(strDBField).Type <> adBoolean Then Exit Function End If FP_SaveFieldToDB rs, Request.Form(strField), strDBField Err.Clear End Function Function FP_SaveFieldToDB(rs, strField, strDBField) On Error Resume Next Err.Clear Select Case rs(strDBField).Type Case adInteger Or adBigInt Or adUnsignedTinyInt Or adUnsignedSmallInt Or adUnsignedInt Or adUnsignedBigInt rs(strDBField) = CInt(strField) Case adSingle Or adDecimal Or adNumeric rs(strDBField) = CSng(strField) Case adDouble rs(strDBField) = CDbl(strField) Case adCurrency rs(strDBField) = CCur(strField) Case adBoolean rs(strDBField) = CBool(strField) Case adDate Or adDBDate Or adDBTime or adDBTimeStamp rs(strDBField) = CDate(strField) Case Else rs(strDBField) = CStr(strField) End Select strError = "Cannot save value """ & strField & """ to database field """ & strDBField & """" FP_DumpError strErrorUrl, strError Err.Clear End Function Function FP_FormConfirmation(szCharset, szTitle, szmsg1, szUrl, szMsg2) Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.Write " " & szTitle & "" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.Write "

" & szTitle & "

" & vbCrLf Response.Write "

" & szMsg1 &"

" & vbCrLf Response.Write "

" & vbCrLf For Each item in Request.Form If item <> "VTI-GROUP" Then Response.Write "" & item & "" & ": " & Request.Form(item) & "
" & vbCrLf End If Next Response.Write "

" & vbCrLf Response.Write "

" & szMsg2 & "

" & vbCrLf Response.Write "" & vbCrLf Response.Write "" & vbCrLf Response.End End Function Function FP_DumpError(strErrorUrl, strMsg) If Err.Number <> 0 Then fp_conn.Close If strErrorUrl <> "" Then Response.Redirect strErrorUrl Else Response.Write " " & strMsg & "

" Response.Write "Error Description: " & Err.Description & "

" Response.Write "Error Number: " & Err.Number & "

" Response.Write "Error Source: " & Err.Source & "

" Response.End End If End if End Function %>

Sorry, No C.O.D.'s - All checks held for 21 days

If there is no problem found with your unit it will be returned with a bench charge of $25.00 plus postage. The balance of your payment will be refunded.

Six (6) months warranty on all labor and parts.

SHIP TO:

Multi-Tek Electronics

2279 Mahantongo Street

Pottsville, PA 17901

1-570-628-3628

E-Mail contact: Service@multiteke.com

Shipping Form