<%@ Language=VBScript %> <% Response.buffer = true If not IsEmpty (Request.Form("Submit")) Then 'Declaration of Variables Dim strSender 'the sender's email address or name Dim strRecipient 'the email address this mail will be sent to Dim strSubject 'the subject of the email being sent Dim strMessageText 'the body text (or HTML) of the email being sent Dim objMail 'the email object on the server 'Assignment of values to variables set strSender = Request.Form("Email") set strRecipient = Request.Form("Recipient") set strSubject = Request.Form("Subject") strMessageText = "

Individual Membership Application


"&_ "

The following person has applied for Individual membership in the JASP.

"&_ "

"&Request.Form("Name")&"
"&_ Request.Form("Organization")&"
"&_ Request.Form("Address")&"
"&_ Request.Form("City")&", "&Request.Form("State")&" "&Request.Form("Zip")&_ "

Home Phone: "&Request.Form("HomeTel")&_ "
Work Phone: "&Request.Form("WorkTel")&_ "
Fax: "&Request.Form("Fax")&_ "

E-Mail Address: "&Request.Form("Email")&"

"&_ "

He/She desires to become a member at the following level: "&Request.Form("MemLevel")&". " Response.Write("From: "&strSender&"
"&_ "To: "&strRecipient&"
"&_ "Subject: "&strSubject&"
"&_ "Body: "&strMessageText&"


") 'error checking for required parameters Dim strMailCheck If strSender = "" or isnull(strSender) Then strMailCheck = "0" Else strMailCheck = "1" End If Dim strNameCheck If Request.form("Name") = "" Then strNameCheck = "0" Else strNameCheck = "1" End If Dim strNumCheck If Request.form("HomeTel") = "" and Request.form("WorkTel") = "" Then strNumCheck = "0" Else strNumCheck = "1" End If If strMailCheck = "0" OR strNameCheck = "0" or strNumCheck = "0" then Response.Redirect ("InfoResponse.asp?mail="&strMailCheck&"&name="&strNameCheck&"&num="&strNumCheck&"") End If Set objMail = Server.CreateObject("CDONTS.NewMail")'creation of the mail object objMail.From = strSender 'defines source of email objMail.To = strRecipient 'defines destination of email objMail.Subject = strSubject 'defines subject line of email objMail.BodyFormat= 0 '0 = HTML, 1 = Text objMail.MailFormat = 0 '0 = MIME 1 = TEXT ' objMail.Importance = 2 '0=low system use, 1=normal, 2=right away objMail.Body = strMessageText 'puts whatever is in strMessageText in the body of the email objMail.Send 'sends the mail Set objMail = Nothing 'destroys the mail object Response.Redirect("AppResponse.asp") End If %> Japan-America Society of Pennsylvania - Application for Individual Membership
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Individual Membership Application

Upon reciept of dues, you will be placed on the mailing list immediately. Information supplied below will be included in the Membership Directory unless otherwise specified.

Name
Company/Organization
Address
City
State   Zip
Home #   Work #
Fax #
E-mail

Membership Dues:

please select your desired membership level from the list below.

$1000 Individual Benefactor
$250 Special Contributor
$100 Contributor
$50 Member
$15 Student

Dues are for one calendar year from the date of application/renewal.

To complete your application, dues payment may be made by major credit card via telephone.
Please contact the JASP at (412) 433-5021 to complete your application.



Japan-America Society of Pennsylvania • 600 Grant Street, Room 444 Pittsburgh, PA 15219-2703
Tel. 412 433-5021 • Fax. 412 433-5020 • jasp@us-japan.org