<% If Request.Form.Count > 0 Then 'Form data has been received... Dim strStatus If request.form("email_address") = "" THEN Response.Write "email_address: " + request.form("email_address") 'The form was not entered correctly Response.redirect ("emailtest/re_submit.html") response.end STOP END IF If SendForm(strStatus) Then 'The form was emailled successfully Response.redirect ("emailtest/done.html") response.end STOP Else 'There was a problem sending the form Response.Write "The form couldn't be sent, the reason is:
" Response.Write strStatus End If Else 'No form received - display the form %> Herts and Essex Residential Landlord Registration Form

Home Button

Landlords Button

Property button

Contact button

Feedback Button

Register me as a Tenant
First Name:
*
Surname:
*
Address:
*

Town:

 *

County:

*  Postcode:   

Telephone number:

 *

Email address:

*

Type of property:

*
Flat Maisonette
House Semi-Detached Detached
No of bedrooms:
*
Studio 1 Bedroom
3 Bedrooms 4 Bedrooms 5 Bedroos +

Furnishings:

*
Un-Furnished Furnished

Price Range

  
Date you need
to move by: :
*
Currently renting
   Yes No
Other relevent information
  
How many
   Adults       How many Children
* Required fields
*

        

39 Hockerill Street      Bishops Stortford      Hertfordshire      CM23 2DH
t: 01279 900700     f: 01279 898783     e: info@hertsandessex.co.uk
www.blackbirddesign.co.uk

 

<% End If %>