Hanumant Hospital
Donate
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Please Donate Here
 
<%if request.QueryString("mail")<>1 then%>
Donations made will be directly transferred to Hanumant Seva Medicare Trust
 All the fields marked by * are mandatory
Name*:
Address*:
City*:
State*:
Country*:
Zip*:
Telephone*:
E-Mail*:
I wish to direct my donation towards:
I wish to make a donation of Amount (Rs): (0.00 format)
I would like to make my donation in honor of someone special (In Memory Of):
 
<%else%>
<% ' ============================================ ' ' ======== For Sending mail ============== ' ' ============================================ ' txtName=request.form("txtName") txtAddress=request.form("txtAddress") txtCity=request.form("txtCity") txtState=request.form("txtState") txtCountry=request.form("txtCountry") txtZip=request.form("txtZip") txtTel=request.form("txtTel") txtEmail=request.form("txtEmail") txtDonation=request.form("txtDonation") txtAmount=request.form("txtAmount") txtSpecial=request.form("txtSpecial") btext = btext & "" btext = btext & "
Personal Details
Name " btext = btext & txtName btext = btext & "
Address " btext = btext & txtAddress btext = btext & "
City " btext = btext & txtCity btext = btext & "
State " btext = btext & txtState btext = btext & "
Country " btext = btext & txtCountry btext = btext & "
Zip " btext = btext & txtZip btext = btext & "
Telephone " btext = btext & txtTel btext = btext & "
Email " btext = btext & txtEmail btext = btext & "
I wish to direct my donation towards " btext = btext & txtDonation btext = btext & "
I wish to make a donation of Amount (Rs) " btext = btext & txtAmount btext = btext & "
I would like to make my donation in honor of someone special (In Memory Of) " btext = btext & txtSpecial btext = btext & "
" 'Connection with database Set connect_feed=server.createobject("Adodb.Connection") set connect_feed=makeconnection() connect_feed.open ' set rs_feed=server.CreateObject("adodb.recordset") str_feed="insert into han_donation(name,address,city,state,country,zip,telephone,email,donation,amount,memory,addedate) values ('" str_feed=str_feed&txtName&"','" str_feed=str_feed&txtAddress&"','" str_feed=str_feed&txtCity&"','" str_feed=str_feed&txtState&"','" str_feed=str_feed&txtCountry&"','" str_feed=str_feed&txtZip&"','" str_feed=str_feed&txtTel&"','" str_feed=str_feed&txtEmail&"','" str_feed=str_feed&txtDonation&"','" str_feed=str_feed&txtAmount&"','" str_feed=str_feed&txtSpecial&"','" str_feed=str_feed&dob2&"')" rs_feed.open str_feed,connect_feed,3 CloseConnection(connect_feed) %> <%'=btext%> <% dim oJMail Set oJMail = Server.CreateObject("JMail.SMTPMail") with oJMail .ServerAddress = "220.225.55.66" .ContentType = "text/html" .Sender = txtEmail .AddRecipient "information@hanumanthospital.com" .Subject = "Donation From www.hanumanthospital.com" .Body = btext .Execute end with Set oJMail = Nothing ' ============================================ ' ' ======== End of Sending mail =========== ' ' ============================================ ' ' ============================================ ' ' === For Sending Auto Response mail ====== ' ' ============================================ ' 'btext1 = btext1 & "" 'btext1 = btext1 & "Dear "&txtName&",

Thanks for cooperation. Support Team will contact soon.

" 'btext1 = btext1 & "Shree Hanumant Hospital
Nesvad-Devaliya Bypass,
National Highway No 8E,
PO Box No 32,
Mahuva 364 290,
District - Bhavnagar,
Gujarat,
India" 'btext1 = btext1 & "
Telephone No.:+91 2844 224444 / 222752
Email: Sanjeevani@hanumanthospital.com, Dr_Bhise@pidilite.com
lavina.fernandes@pidilite.com, ashwindhirajlal@hotmail.com" ' ' ' Set oJMail = Server.CreateObject("JMail.SMTPMail") ' with oJMail ' .ServerAddress = "mailrelay.terrasite.com" ' .ContentType = "text/html" ' .Sender = "information@hanumanthospital.com" ' .AddRecipient txtEmail ' .Subject = "Autoresponse from Hanumant Hospital" ' .Body = btext1 ' .Execute ' end with ' Set oJMail = Nothing ' ============================================ ' ' === End of Sending Auto Response mail ====== ' ' ============================================ ' %> <%'=btext1%>

Thank You, <% =txtName %>
We will get back to you


<%end if%>