If Then within Subroutine that uses Parameters

Discussion in 'ASP .Net' started by dancer, Sep 13, 2007.

  1. dancer

    dancer Guest

    The following code works well. Upon Submit, It sends information to an
    email address. It also sends the same information to a database.
    If the user clicks "Submit" but has not changed the drop down selections
    from "Choose One" to another of the items, it notifies in red and exits the
    btnSendMail_onClick subroutine. --Just as I want.

    There is only one problem:
    Although it halts the SendMail subroutine, it sends the info to the database
    via the subroutine btn_SendDatabase_OnClick, even if "Choose One" is
    selected. If I try to put the same "If - then" code within the SendDatabase
    subroutine that I have within the SendMail subroutine, which alerts the user
    to choose, I get the error, " Name 'TheWhicheverVariableIsFirst' not
    declared"

    Who has the answer?
    --------------------------------------------------------------------------------------------------
    <%@ Page Language="VB" Debug = "true" ValidateRequest="false" %>
    <%@ Import Namespace="System.Web.Mail" %>

    <%@ Import Namespace="System.Data.Oledb" %>

    <script language="VB" runat="server">

    Sub SendMailandDatabase(Source As Object, E As EventArgs)


    btnSendMail_OnClick

    btnSendDatabase_OnClick

    End Sub



    Sub btnSendMail_OnClick

    Dim TheEmpName As String = EmpName.text

    Dim TheHomeNumber As String = HomeNumber.text

    Dim TheDateofAccident As String = DateofAccident.Text

    Dim TheNotifyDate As String = NotifyDate.Text

    Dim TheTimeAM As String = am.Text

    Dim TheTimePM As String = pm.Text

    Dim TheTime As String

    Dim Thedie As String = Die.SelectedItem.Text

    Dim TheLostDays As String = LostDays.SelectedItem.Text

    Dim TheStateOfInjury As String = StateOfInjury.Text

    Dim TheStreet As String = street.text

    Dim TheCity As String = city.text

    Dim TheAddressState as String = AddressState.Text

    Dim TheZip As String = Zip.text

    Dim Thebirth as String = Birth.Text

    Dim TheSSN As String = SSN.text

    Dim TheSex As String = Sex.SelectedItem.Text

    Dim TheMarital As String = Marital.SelectedItem.Text

    Dim TheContactNumber As String = ContactNumber.Text

    Dim TheJob As string = Job.SelectedItem.Text

    Dim ThePart As String = Part.Text

    Dim TheSupervisor As String = Supervisor.Text

    Dim TheHours As String = Hours.Text

    Dim TheDays As String = Days.Text

    Dim TheNature As String = nature.SelectedItem.Text

    'Dim TheNatureNew As String

    Dim TheDescription As String = Description.Text

    Dim TheCaused As String = Caused.Text

    Dim TheInitial As String = Initial.SelectedItem.Text

    Dim TheProvider As String = Provider.SelectedItem.Text

    Dim TheAdmitted As String = Admitted.SelectedItem.Text

    Dim TheProviderName as String = ProviderName.Text

    Dim TheProviderStreet as string = ProviderStreet.Text

    Dim TheProviderCity as string = ProviderCity.Text

    Dim TheProviderPhone as string = ProviderPhone.Text

    Dim Thefull as String = Full.Text

    Dim TheFullNew As String

    Dim TheOccur As String = Occur.SelectedItem.Text

    Dim TheWhere As String = Where.Text

    Dim TheAccidentStreet As String = AccidentStreet.Text

    Dim TheAccidentCity As String = AccidentCity.Text

    dim TheAccidentState as String = AccidentState.Text

    Dim TheAccidentZip as String = AccidentZip.Text

    Dim TheOtherClaims as String = OtherClaims.SelectedItem.Text

    Dim TheSafetyDevices as string = SafetyDevices.selectedItem.Text

    Dim TheDevicesUtilized as string = DevicesUtilized.selectedItem.Text

    Dim TheWitness as string = Witness.SelectedItem.Text

    Dim TheWitnessName as String = WitnessName.Text

    Dim TheReceivePay as String = ReceivePay.SelectedItem.Text

    Dim TheComments as String = Comments.Text

    Dim TheCommentsNew as String

    Dim ThePrevented as String = Prevented.Text

    Dim ThePreventedNew as String

    Dim TheSubmitter As String = Submitter.Text

    Dim TheTitle As String = Title.Text

    Dim TheToday As String = Today.Text

    Dim TheLocation As String = Location.SelectedItem.Text

    Dim myMessage As New MailMessage

    Dim myMail As SmtpMail

    Dim strEmail As String

    Dim UserMessage As String


    If TheTimeAm <> "" Then

    TheTime = TheTimeAm & " AM"

    ElseIf TheTimePM <> "" Then

    TheTime = TheTimePM & " PM"

    Else TheTime = ""

    End If

    If TheTime = "" then

    Response.Write("<font color=""red"">ERROR: You must enter a time</font>")

    Exit Sub

    End If

    If TheJob = "Choose One" Then

    Response.Write("<font color=""red"">ERROR: You must Choose a Job
    Description</font>")

    Exit Sub

    End If

    If TheNature = "Choose One" Then

    Response.Write("<font color=""red"">ERROR: You must Select the Nature of the
    Injury</font>")

    Exit Sub

    End If

    If TheLocation = "Choose One" Then

    Response.Write("<font color=""red"">ERROR: You must Choose a Wheeler's
    Division</font>")

    Exit Sub

    End If


    TheCommentsNew = TheComments.Replace(vbCrLf,"<br />")

    ThePreventedNew = ThePrevented.Replace(vbCrLf,"<br />")

    TheFullNew = TheFull.Replace(vbCrLf,"<br />")

    If Page.IsValid() Then


    Response.Write ("<font color=""red"">FORM HAS BEEN SENT TO
    RIVERSIDE</font>")


    myMessage.From = ""

    MyMessage.To = ";"

    myMessage.Subject = "Accident Form"

    ' This is the magic line. Without this the message will just appear

    ' as plain HTML and won't be rendered by the recipient's email client.

    ' It'd be as if they did "View Source" on a web page.

    MyMessage.BodyFormat = MailFormat.Html



    myMessage.Body = "<h2>Wheeler's Express Accident Report Form</h2>" & vbCrLf
    _

    & " <p>" & vbCrLf _

    & "<html><body> <table width = ""750"" bgcolor=""#E9EDF4"" height=""25""
    border=""1"" cellpadding=""1"" cellspacing=""0""fontface=""Verdana""
    Size=""2"">" & vbCrLf _

    & "<td colspan=""3"" bgcolor=""maroon"" align=""center""> <font
    face=""Verdana"" Size=""2"" color=""white""><b> BASIC CLAIM
    FACTS</b></td></tr>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2""> Employee's Name: <b> " &
    TheEmpName & "</b></td>" & vbCrLf _

    & "<td colspan=""2""> <font face=""Verdana"" Size=""2"">Home Phone Number:
    <b>"& TheHomeNumber & "</b></td></tr>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2"">Date of Injury: <b>" &
    TheDateOfAccident & "<br>" & "</b></td>" & vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2"">Time of Injury: <b>" & TheTime &
    "<br>" & "</td></tr>" & "</b></tr>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2"">Date Employer Notified:<b> " &
    TheNotifyDate & "</b></td>" & vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2"">Did Employee Die?<b> " & Thedie &
    "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""1""> <font face=""Verdana"" Size=""2"">Has the Injured
    Employee Lost Days From Work?<b> " & TheLostDays & "</b></td>" & vbCrLf _

    & "<td colspan=""2""> <font face=""Verdana"" Size=""2"">What State Did
    Injury Occur? <b> " & TheStateOfInjury & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3"" bgcolor=""maroon"" align=""center""> <font
    face=""Verdana"" Size=""2"" color=""white""><b> EMPLOYER
    INFORMATION</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""> <font face=""Verdana"" Size=""2"">Employer Name:
    </td></tr>" & vbCrLf _

    & "<tr><td height=""35"" valign=""bottom"" colspan=""3""><font
    face=""Verdana"" Size=""2""> Work Location: <font face=""Verdana""
    Size=""1"">
    (street)&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp"
    & vbCrLf _

    &
    "(city)&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp(state)&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp(Zip)</td></tr>"
    & vbCrLf _

    & "<tr><td colspan=""3""> <font face=""Verdana"" Size=""2"">Nature of
    Business: </td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""> <font face=""Verdana"" Size=""2"">Employee FED ID:
    </td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""> <font face=""Verdana"" Size=""2"">Liberty Mutual
    Policy # &nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp" &
    vbCrLf _

    &
    "&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp
    Store# </td></tr>" & vbCrLf _

    & "<tr><td colspan=""1""> <font face=""Verdana"" Size=""2"">Employer Code:
    </td>" & vbCrLf _

    & "<td colspan=""2""> <font face=""Verdana"" Size=""2"">Employer Location
    Code: </td></tr>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2"">Employer SIC Code: </td>" &
    vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2"">Employer Type: </td></tr>" &
    vbCrLf _

    & "<tr><td colspan=""3"" bgcolor=""maroon"" align=""center""> <font
    face=""Verdana"" Size=""2"" color=""white""><b> INJURED EMPLOYEE
    </b></td></tr>" & vbCrLf _

    & "<tr><td colspan= ""3""><font face=""Verdana"" Size=""2""> Home Address:
    <b>" & TheStreet & "&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp" & TheCity &
    "&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp" & TheAddressState & "&nbsp&nbsp&nbsp" &
    TheZip & "</b></td></tr>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2"">Date of Birth:<b>" & TheBirth
    & "</b></td>" & vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2"">SSN:<b> " & TheSSN & "</b></td>" &
    vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2""><b> " & TheSex & "</b></td></tr>"
    & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2"">Marital Status:<b> " &
    TheMarital & "</b></td>" & vbCrLf _

    & "<tr><td colspan = ""3""> <font face=""Verdana"" Size=""2"">Phone Number
    where Employee can be contacted:<b> " & TheContactNumber & "</b></td></tr>"
    & vbCrLf _

    & "<tr><td><font face=""Verdana"" Size=""2"">Job Description:<b> " & TheJob
    & "</b></td></tr>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2"">Supervisor's Name:<b> " &
    TheSupervisor & "</b></td>" & vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2""> Hire Date: " & "</b></td></tr>" &
    vbCrLf _

    & "<td colspan=""2""> <font face=""Verdana"" Size=""2"">Work Per Week <b>" &
    TheHours & "</b>&nbsp&nbsp Hours <b>" & TheDays & "</b>&nbsp&nbsp Days </b>
    </td>" & vbCrLf _

    & "<tr><td><font face=""Verdana"" Size=""2""></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3"" bgcolor=""maroon"" align=""center""> <font
    face=""Verdana"" Size=""2"" color=""white""><b> INJURY OR ILLNESS
    </b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""> <font face=""Verdana"" Size=""2"">Which Part of
    the Body Was Injured? <b> " & ThePart & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> What was the
    Nature of Injury? <b>" & TheNature & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> Injury/Illness
    Description <b> " & TheDescription & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> Initial Medical
    Treatment: <b> " & TheInitial & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2"">What Type of
    Medical Provider Performed Treatment? <b>" & TheProvider & "</b></td></tr>"
    & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> Was Employee
    Admittted into a Hospital? <b>" & TheAdmitted & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> Medical Provider
    Name: <b>" & TheProviderName & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> Medical Provider
    Address: <b>" & TheProviderStreet & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> Medical Provider
    City State: <b>" & TheProviderCity & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> Medical Provider
    Phone: <b>" & TheProviderPhone & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> Give a Full
    Description of the Accident: <b>" & TheFullNew & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> What Caused The
    Injury? <b>" & TheCaused & "</b></td></tr>" & vbCrLf _

    & "<tr><td><font face=""Verdana"" Size=""2""> Did the Accident Occur at the
    Store or Plant? <b>" & TheOccur & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""2""> <font face=""Verdana"" Size=""2""> If No, where
    did the accident occur?<b>" & TheWhere & "</b></td>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2""> Accident Address <b>" &
    TheAccidentStreet & "</b></td></tr>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2""> Accident City <b>" &
    TheAccidentCity & "&nbsp" & TheAccidentState & "&nbsp" & TheAccidentZip &
    "</b></td></tr>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2""> Are Other Claims Involved?
    <b>" & TheOtherClaims & "</b></td>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2""> Safety Devices Provided? <b>"
    & TheSafetyDevices & "</b></td>" & vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2""> Safety Devices Utilized? <b>" &
    TheDevicesUtilized & "</b></td></tr>" & vbCrLf _

    & "<tr><td> <font face=""Verdana"" Size=""2""> Was There a Witness <b>" &
    TheWitness & "</b></td>" & vbCrLf _

    & "<td colspan=""2""> <font face=""Verdana"" Size=""2""> If yes, ListName
    <b>" & TheWitnessName & "</b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3"" bgcolor=""maroon"" align=""center""> <font
    face=""Verdana"" Size=""2"" color=""white""><b> DISABILITY STATUS
    </b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""> Did Employee
    Receive Pay for Date of Injury? <b>" & TheReceivePay & "</b></td></tr>" &
    vbCrLf _

    & "<tr><td colspan=""3"" bgcolor=""maroon"" align=""center""> <font
    face=""Verdana"" Size=""2"" color=""white""><b> ADDITIONAL COMMENTS &
    INFORMATION </b></td></tr>" & vbCrLf _

    & "<tr><td colspan=""3""><font face=""Verdana"" Size=""2""><b>" &
    TheCommentsNew & " </b></td></tr>" & vbCrLf _

    & "<tr> <td> <font face=""Verdana"" Size=""2"">Person submitting this form:
    " & "<b>" & theSubmitter & "</b></td>" & vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2"">Title: " & "<b>" & theTitle &
    "</b></td></tr>" & vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2"">Date: <b> " & Thetoday & "</b>" &
    vbCrLf _

    & "<td> <font face=""Verdana"" Size=""2"">Location: <b> " & TheLocation &
    "</b>" & vbCrLf _

    & "<tr> <td colspan=""3""> <font face=""Verdana"" Size=""2"">How can the
    above incident be prevented from happening again? " & "<b>" &
    ThePreventedNew & "</b></td>" & vbCrLf _

    & "</td><tr></table> </body>"




    ' Doesn't have to be local... just enter your

    ' SMTP server's name or ip address!

    'myMail.SmtpServer = "smtp.XXXXXX.com"

    myMail.SmtpServer = ""

    myMail.Send(myMessage)

    frmEmail.Visible = False

    UserMessage = "Has Been Sent."


    End If

    End Sub

    '*************SEND TO
    DATABASE***************************************************************************

    Sub btnSendDatabase_OnClick

    Dim strConn As String = ("Provider=Microsoft.Jet.Oledb.4.0;Data Source=" &
    Server.Mappath("~\Acc.mdb") & ";")


    Dim MySql AS String = "INSERT INTO
    Table1(TheEmpName,TheDateOfAccident,TheNotifyDate,TheToday,TheBirth," &
    vbcrlf _

    & "TheSSN, TheJob, TheSupervisor, ThePart, TheHours, TheDays, TheNature," &
    vbcrlf _

    & "TheDescription, TheInitial, TheProvider, TheAdmitted, TheProviderName,
    TheOccur," & vbcrlf _

    &
    "TheWhere,TheAccidentStreet,TheAccidentCity,TheAccidentState,TheAccidentZip,"
    & vbcrlf _

    & "TheOtherClaims, TheSafetyDevices, TheDevicesUtilized, TheWitness,
    TheWitnessName," & vbcrlf _

    & "ThePreventedNew, TheSubmitter, TheTitle, TheLocation)" & vbcrlf _

    & "VALUES(@TheEmpName, @TheDateOfAccident, @TheNotifyDate,@TheToday,
    @TheBirth," & vbcrlf _

    & "@TheSSN, @TheJob, @TheSupervisor, @ThePart, @TheHours, @TheDays,
    @TheNature," & vbcrlf _

    & "@TheDescription, @TheInitial, @TheProvider, @TheAmitted,
    @TheProviderName, @TheOccur," & vbcrlf _

    & "@TheWhere,@TheAccidentStreet,@TheAccidentCity,@TheAccidentState,
    @TheAccidentZip," & vbcrlf _

    & "@TheOtherClaims, @TheSafetyDevices, @TheDevicesUtilized, @TheWitness,
    @TheWitnessName," & vbcrlf _

    & "@ThePreventedNew,@TheSubmitter, @TheTitle, @TheLocation)"


    Dim MyConn as New OleDbConnection(strConn)

    Dim Cmd as New OleDbCommand(MySQL, MyConn)


    With Cmd.Parameters:

    ..Add(New OleDbParameter("@TheEmpName", EmpName.text))

    ..Add(New OleDbParameter("@TheDateOfAccident", DateOfAccident.Text))

    ..Add(New OleDbParameter("@TheNotifyDate", NotifyDate.Text))

    ..Add(New OleDbParameter("@TheToday", Today.Text))

    ..Add(New OleDbParameter("@TheBirth", Birth.Text))

    ..Add(New OleDbParameter("@TheSSN", SSN.Text))

    ..Add(New OleDbParameter("@TheJob", Job.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheSupervisor", Supervisor.Text))

    ..Add(New OleDbParameter("@ThePart", Part.Text))

    ..Add(New OleDbParameter("@TheHours", Hours.Text))

    ..Add(New OleDbParameter("@TheDays", Days.Text))

    ..Add(New OleDbParameter("@TheNature", Nature.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheDescription", Description.Text))

    ..Add(New OleDbParameter("@TheInitial", Initial.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheProvider", Provider.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheAdmitted", Admitted.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheTheProviderName", ProviderName.Text))

    ..Add(New OleDbParameter("@TheOccur", Occur.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheWhere", Where.Text))

    ..Add(New OleDbParameter("@TheAccidentStreet", AccidentStreet.Text))

    ..Add(New OleDbParameter("@TheAccidentCity", AccidentCity.Text))

    ..Add(New OleDbParameter("@TheAccidentState", AccidentState.Text))

    ..Add(New OleDbParameter("@TheAccidentZip", AccidentZip.Text))

    ..Add(New OleDbParameter("@TheOtherClaims", OtherClaims.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheSafetyDevices",
    SafetyDevices.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheDevicesUtilized",
    DevicesUtilized.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheWitness", Witness.SelectedItem.Text))

    ..Add(New OleDbParameter("@TheWitnessName", WitnessName.Text))

    ..Add(New OleDbParameter("@ThePreventedNew", Prevented.Text))

    ..Add(New OleDbParameter("@TheSubmitter", Submitter.Text))

    ..Add(New OleDbParameter("@TheTitle", Title.Text))

    ..Add(New OleDbParameter("@TheLocation", Location.SelectedItem.Text))



    end with

    MyConn.Open()

    cmd.ExecuteNonQuery()

    MyConn.Close

    End Sub

    '**************************************************************************************************8


    </script>

    <html>

    <head>

    <title>ASP.NET Email (HTML Format) Sample</title>

    </head>

    <body>


    <table width="750" bgcolor="#E9EDF4" table border="1" cellpadding="3">

    <h3><center><font face="Verdana">Wheeler's Express Accident Report
    Form</font></center></h3>



    <form method="post" id="frmEmail" runat="server">




    <%--____________________________________________________________________________--%>

    <%--Section 1--%>

    <tr><td colspan="3" bgcolor="maroon" align="center"> <font face="Verdana"
    Size="2" color="white"><b> BASIC CLAIM FACTS</b></td></tr>


    <td bgcolor="#E9EDF4" colspan="2">

    <font face="Verdana" Size="2">

    Employee's Name: <asp:textbox id="EmpName" runat=server columns="45"/>

    <asp:RequiredFieldValidator id="RequiredFiedlValidator1" display=dynamic
    runat="server" Text="The Employee name is required."

    ControlToValidate="EmpName"></asp:RequiredFieldValidator>

    </td>

    <%---------------------------------------------------------------------------%>

    <td align="right" valign="top">


    <font face="Verdana" Size="2">Home Phone Number

    <asp:TextBox id=HomeNumber runat="server"/>


    </td></tr>

    <%--____________________________________________________________________________--%>

    <%--ROW 2--%>


    <tr><td colspan="1" valign="center">

    <font face="Verdana" Size="2">Date of Injury </font>

    <asp:textbox id="DateofAccident" runat=server /></asp:textbox>

    <asp:RequiredFieldValidator id="RequiredFieldValidator2" runat="server"

    Text="The Date field is required" ControlToValidate="Dateofaccident">

    </asp:RequiredFieldValidator>

    </td><td colspan="2"><font face="Verdana" Size="2">Time of Injury
    <asp:textbox columns="6" id ="am" runat=server/>a.m.

    <asp:textbox columns="6" id= "pm" runat = server/> p.m.</td>

    </TD>

    </tr>



    <tr>

    <td>

    <font face="Verdana" Size="2">Date Employer Notified <asp:textbox
    id="Notifydate" runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorNotify" runat="server"

    Text="This field is required" ControlToValidate="NotifyDate">

    </asp:RequiredFieldValidator>


    </td>

    <td colspan="2"> <font face="Verdana" Size="2"> Did employee die?
    <asp:RadioButtonList id="Die" RepeatDirection="Horizontal" Runat=server>

    <asp:ListItem><font face="Verdana" Size="2">Yes</asp:ListItem>

    <asp:ListItem><font face="Verdana" Size="2">No</asp:ListItem>
    </asp:RadioButtonList>

    </td></tr>


    <tr><td> <font face="Verdana" Size="2"> Has the Injured Employee Lost Days
    From Work?

    <asp:RadioButtonList id="LostDays" font-name="verdana" font-size="10 pt"
    RepeatDirection="Horizontal" Runat=server>

    <asp:ListItem>Yes</asp:ListItem>

    <asp:ListItem>No</asp:ListItem> </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorLostDays"
    Display=Dynamic runat="server"

    Text="This field is required" ControlToValidate="LostDays">

    </asp:RequiredFieldValidator>




    <td colspan="3"><font face="Verdana" Size="2">What State did Injury Occur?
    <asp:textbox id="StateOfInjury" runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorStateofInjury"
    Display=Dynamic runat="server"

    Text="The State is required" ControlToValidate="StateOfInjury">

    </asp:RequiredFieldValidator>

    </td></tr>

    <%--SECTION3-----------------------------------------------------------------------------------%>

    <tr><td colspan="3" bgcolor="maroon" align="center"> <font face="Verdana"
    color="white" Size="2"><b> INJURED EMPLOYEE</b></td></tr>

    <tr><td colspan="3"> <font face="Verdana" Size="2"> Home address Street
    <asp:TextBox id="street" columns="90" runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorStreet"
    Display=Dynamic runat="server"

    Text="The Street is required" ControlToValidate="Street">

    </asp:RequiredFieldValidator>

    </td></tr>

    <tr><td> <font face="Verdana" Size="2"> City <asp:TextBox id="City"
    columns="40" runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorCity" Display=Dynamic
    runat="server"

    Text="The City is required" ControlToValidate="City">

    </asp:RequiredFieldValidator>

    </td><td> <font face="Verdana" Size="2"> State <asp:TextBox
    id="AddressState" columns="2" runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorADdressState"
    Display=Dynamic runat="server"

    Text="The State is required" ControlToValidate="AddressState">

    </asp:RequiredFieldValidator>


    </td> <td> <font face="Verdana" Size="2"> Zip <asp:TextBox id="Zip"
    runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorZip" Display=Dynamic
    runat="server"

    Text="The Zip field is required" ControlToValidate="Zip">

    </asp:RequiredFieldValidator>

    </td></tr>

    <tr><td> <font face="Verdana" Size="2">Date of Birth: <asp:textbox id=birth
    columns="10" runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorBirth" Display=Dynamic
    runat="server"

    Text="This field required" ControlToValidate="Birth">

    </asp:RequiredFieldValidator>

    </td><td><font face="Verdana" Size="2"> SSN:<asp:textbox id=SSN columns="11"
    runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorSSN" Display=Dynamic
    runat="server"

    Text="The SSN field is required" ControlToValidate="SSN">

    </asp:RequiredFieldValidator>


    </td><td><font face="Verdana" Size="2"> Check one<asp:RadioButtonList
    id="Sex" RepeatDirection="Horizontal" runat="server">

    <asp:ListItem><font face="Verdana" Size="2">Male</asp:ListItem>

    <asp:ListItem><font face="Verdana" Size="2">Female</asp:ListItem>
    </asp:RadioButtonList>

    </td></tr><td colspan="1"><font face="Verdana" Size="2"> Marital Status
    <asp:RadiobuttonList id=Marital RepeatDirection="Vertical"

    runat=server>

    <asp:ListItem> <font face="Verdana" Size="2"> Single </asp:ListItem>

    <asp:ListItem><font face="Verdana" Size="2"> Married </asp:ListItem>

    <asp:ListItem><font face="Verdana" Size="2"> Widowed </asp:ListItem>

    <asp:ListItem><font face="Verdana" Size="2">
    Divorced</asp:ListItem></asp:RadioButtonList>

    </td><td colspan="2"><font face="Verdana" Size="2"> Phone Number where
    Employee can be Contacted: <asp:TextBox id=contactnumber runat=server/>

    </td></tr><tr><td colspan="3"> <font face="Verdana" Size="2"> Job
    Description - Choose One <Asp:DropDownList id=Job runat=server>

    <asp:ListItem Text="Choose One"/>

    <asp:ListItem Text="Clerical"/>

    <asp:ListItem Text="Driver"/>

    <asp:ListItem Text="Door Manufacturing"/>

    <asp:ListItem Text="Installed Sales"/>

    <asp:ListItem Text="Manager"/>

    <asp:ListItem Text="Puller"/>

    <asp:ListItem Text="Sales"/>

    <asp:ListItem Text="Shop Tech"/>

    <asp:ListItem Text="Truss Manufacturing"/>

    <asp:ListItem Text="Yard Worker"/>

    <asp:ListItem Text="Warehouse Worker"/>

    <asp:ListItem Text="Window Manufacturing"/>

    </asp:DropDownList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorJob" Display=Dynamic
    runat="server"

    Text="This field required" ControlToValidate="Job">

    </asp:RequiredFieldValidator>


    </td></tr><tr><td colspan="2"> <font face="Verdana" Size="2"> Supervisor's
    Name <Asp:TextBox id=Supervisor Columns = "40" runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorSupervisor"
    Display=Dynamic runat="server"

    Text="This field required" ControlToValidate="Supervisor">

    </asp:RequiredFieldValidator>


    </td><td> <font face="Verdana" Size="2">Time Worked Per Week Hours

    <asp:TextBox id=hours Columns="1" runat=server/><br>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorHours" Display=Dynamic
    runat="server"

    Text="This field required" ControlToValidate="Hours">

    </asp:RequiredFieldValidator>

    <font face="Verdana" Size="2">Days &nbsp<Asp:TextBox id=Days columns="1"
    runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorDays" Display=Dynamic
    runat="server"

    Text="This field required" ControlToValidate="Days">

    </asp:RequiredFieldValidator>


    <tr><td colspan="3" bgcolor="MAROON" align="center"> <font face="Verdana"
    Size="2" COLOR="WHITE"><b> INJURY OR ILLNESS</b></td></tr>

    </td></tr> <tr><td colspan="3"><font face="Verdana" Size="2"> Which part of
    the Body Was Injured? (If leg, hand or arm, specify left or right. If
    finger, specify which)

    <asp:textbox id="part" columns = "40" runat = server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorPart" Display=Dynamic
    runat="server"

    Text="This field required" ControlToValidate="Part">

    </asp:RequiredFieldValidator>

    </td></tr> <tr><td colspan="3">

    <font face="Verdana" Size="2"> What was the Nature of the Injury? - Choose
    one

    <asp:DropDownList id="nature" runat=server>

    <asp:ListItem Text="Choose One"/>

    <asp:ListItem Text="Abdominal Strain"/>

    <asp:ListItem Text="Ankle Sprain"/>

    <asp:ListItem Text="Back Strain"/>

    <asp:ListItem Text="Arm Strain"/>

    <asp:ListItem Text="Contusion"/>

    <asp:ListItem Text="Embedded Foreign Object"/>

    <asp:ListItem Text="Foot Fracture"/>

    <asp:ListItem Text="Foreign substance in eye"/>

    <asp:ListItem Text="Hand/Finger Fracture"/>

    <asp:ListItem Text="Hand/Finger Smash"/>

    <asp:ListItem Text="Laceration"/>

    <asp:ListItem Text="Leg Fracture"/>

    <asp:ListItem Text="Puncture Wound"/>

    <asp:ListItem Text="Repetitive Motion Injury"/>

    <asp:ListItem Text="Shoulder Strain"/>

    <asp:ListItem Text="Struck By Lumber"/>

    <asp:ListItem Text="Torn Tendon"/>

    <asp:ListItem Text="Other"/>

    </asp:DropDownList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorNature" runat="server"

    Text="You must answer this question" ControlToValidate="nature">

    </asp:RequiredFieldValidator>

    </td></tr><tr><td colspan="3" valign="center">

    <font face="Verdana" Size="2"> Injury/Illness Description:

    <asp:textbox TextMode="MultiLine" Rows="2" columns= "65" id="Description"
    runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorDescrip"
    runat="server"

    Text="You must answer this question" ControlToValidate="Description">

    </asp:RequiredFieldValidator>

    </td></tr><tr><td><font face="Verdana" Size="2"> Initial Medical Treatment:

    <asp:RadioButtonList font-name="verdana" font-size="10 pt" id=Initial
    runat="server">

    <asp:ListItem>ER Treated & Released</asp:ListItem>

    <asp:ListItem>Hospitalized less than 24 hours</asp:ListItem>

    <asp:ListItem>Hospitalized more than 24 hours</asp:ListItem>

    <asp:ListItem>Physician/Clinic</asp:ListItem>

    <asp:ListItem>Minor/Onsite</asp:ListItem>

    <asp:ListItem>None</asp:ListItem>

    </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorInitial"
    runat="server"

    Text="You must answer this question" ControlToValidate="Initial">

    </asp:RequiredFieldValidator>





    </td><td colspan="2" valign="top"><font face="Verdana" Size="2"> What Type
    of Medical Provider Performed Treatment?

    <asp:RadioButtonList font-name="verdana" font-size="10 pt" id=Provider
    runat="server">

    <asp:ListItem>Hospital</asp:ListItem>

    <asp:ListItem>Clinic</asp:ListItem>

    <asp:ListItem>Physician</asp:ListItem>


    </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorProvider"
    runat="server"

    Text="You must answer this question" ControlToValidate="Provider">

    </asp:RequiredFieldValidator>

    <br>

    <font face="Verdana" Size="2"> Was Employee admitted into a Hospital?

    <asp:RadioButtonList font-name="verdana" font-size="10 pt" id=Admitted
    runat="server">

    <asp:ListItem>Yes</asp:ListItem>

    <asp:ListItem>No</asp:ListItem>

    </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorAdmitted"
    runat="server"

    Text="You must answer this question" ControlToValidate="Admitted">

    </asp:RequiredFieldValidator>

    </td></tr><tr><td colspan="3"><font face="Verdana" Size="2">Medical
    Provider - Name:

    <asp:TextBox Columns = "65" id=ProviderName runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorProviderName"
    runat="server"

    Text="You must answer this question" ControlToValidate="ProviderName">

    </asp:RequiredFieldValidator>

    </td></tr><tr><td colspan="3"><font face="Verdana" Size="2">Medical
    Provider - Address:

    <asp:TextBox Columns = "65" id=ProviderStreet runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorProviderStreet"
    runat="server"

    Text="You must answer this question" ControlToValidate="ProviderStreet">

    </asp:RequiredFieldValidator>

    </td></tr><tr><td colspan="3"><font face="Verdana" Size="2">Medical
    Provider - City State Zip:

    <asp:TextBox Columns = "65" id=ProviderCity runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorProviderCity"
    runat="server"

    Text="You must answer this question" ControlToValidate="ProviderCity">

    </asp:RequiredFieldValidator>

    </td></tr><tr><td colspan="3"><font face="Verdana" Size="2">Medical
    Provider - Phone:

    <asp:TextBox id=ProviderPhone runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorProviderPhone"
    runat="server"

    Text="You must answer this question" ControlToValidate="ProviderPhone">

    </asp:RequiredFieldValidator>





    </td></tr>

    <tr><td colspan="3" bgcolor="MAROON" align="center"> <font face="Verdana"
    Size="2" COLOR="WHITE"><strong>ACCIDENT DETAILS</strong></td></tr>

    </td></tr>

    <tr><td colspan="3"> <font face="Verdana" Size="2"> Give a Full Description
    of the Accident:<font Size="1"> (Be as Complete as Possible)

    <asp:TextBox TextMode="MultiLine" Rows="5" columns= "85" id=Full
    runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorFull" runat="server"

    Text="You must answer this question" ControlToValidate="Full">

    </asp:RequiredFieldValidator>

    </td></tr> <tr><td colspan="3"><font face="Verdana" Size="2"> What Caused
    the Injury?

    <asp:TextBox id= caused columns="85" runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorCaused" runat="server"

    Text="You must answer this question" ControlToValidate="Caused">

    </asp:RequiredFieldValidator>

    </td></tr> <tr><td><font face="Verdana" Size="2">Did the Accident Occur at
    the Store or Plant?

    <asp:RadioButtonList font-name="verdana" font-size="10 pt" id=Occur
    runat="server">

    <asp:ListItem>Yes</asp:ListItem>

    <asp:ListItem>No</asp:ListItem>

    </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorOccur" runat="server"

    Text="You must answer this question" ControlToValidate="Occur">

    </asp:RequiredFieldValidator>

    </td><td colspan="2" valign="top"> <font face="Verdana" Size="2"> If No,
    where did the accident occur?

    <asp:textBox Columns = "40" id=where runat=server/>

    </td></tr> <tr><td><font face="Verdana" Size="2"> Accident Address:

    <font face="Verdana" Size="2"> <br> Street <asp:TextBox columns="45"
    id=accidentStreet runat=server/>

    <br><asp:RequiredFieldValidator id="RequiredFieldValidatorAccidentStreet"
    Display=Dynamic runat="server"

    Text="Fill this in" ControlToValidate="AccidentStreet">

    </asp:RequiredFieldValidator>

    </td><td><font face="Verdana" Size="2"> City
    &nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp
    State <br><asp:TextBox columns="20" id = AccidentCity runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorAccidentCity"
    display=dynamic runat="server"

    Text="Fill in this field" ControlToValidate="AccidentCity">

    </asp:RequiredFieldValidator>

    <font face="Verdana" Size="2"> <asp:TextBox columns="2" id=AccidentState
    runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorAccidentState"
    Display=Dynamic runat="server"

    Text="You must fill in this field" ControlToValidate="AccidentState">

    </asp:RequiredFieldValidator>

    </td><td>

    <font face="Verdana" Size="2">Zip <br><asp:TextBox columns = "10"
    id=AccidentZip runat=server/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorAccidentZip"
    Display=Dynamic runat="server"

    Text="You must fill in this field" ControlToValidate="AccidentZip">

    </asp:RequiredFieldValidator>



    </td></tr> <tr><td valign="top"><font face="Verdana" Size="2"> Are Other WC
    Claims Involved?

    <asp:RadioButtonList font-name="verdana" font-size="10 pt" id=OtherClaims
    RepeatDirection="Horizontal" Display=dynamic runat="server">

    <asp:ListItem>Yes</asp:ListItem>

    <asp:ListItem>No</asp:ListItem>

    </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorOtherClaims"
    runat="server"

    Text="Required" ControlToValidate="OtherClaims">

    </asp:RequiredFieldValidator>

    </td><td Valign="top"><font face="Verdana" Size="2"> Safety Devices
    Provided?

    <asp:RadioButtonList font-name="verdana" font-size="10 pt" id=SafetyDevices
    RepeatDirection="horizontal" Display=dynamic runat="server">

    <asp:ListItem>Yes</asp:ListItem>

    <asp:ListItem>No</asp:ListItem>

    </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorSafetyDevices"
    Display=dynamic runat="server"

    Text="Required" ControlToValidate="SafetyDevices">

    </asp:RequiredFieldValidator>

    </td><td><font face="Verdana" Size="2"> Safety Devices Utilized?

    <asp:RadioButtonList font-name="verdana" font-size="10 pt"
    id=DevicesUtilized RepeatDirection="Horizontal" runat="server">

    <asp:ListItem>Yes</asp:ListItem>

    <asp:ListItem>No</asp:ListItem>

    </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorDevicesUtilized"
    Display=dynamic runat="server"

    Text="Required" ControlToValidate="DevicesUtilized">

    </asp:RequiredFieldValidator>

    </td></tr><tr><td><font face="Verdana" Size="2"> Was There a Witness?

    <asp:RadioButtonList font-name="verdana" font-size="10 pt" id=Witness
    RepeatDirection="Horizontal" Display=dynamic runat="server">

    <asp:ListItem>Yes</asp:ListItem>

    <asp:ListItem>No</asp:ListItem>

    </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorWitness"
    runat="server"

    Text="You must answer this question" ControlToValidate="Witness">

    </asp:RequiredFieldValidator>

    </td><td valign = "top"><font face="Verdana" Size="2">

    If Yes, List Name: <asp:Textbox id="WitnessName" columns="40" runat=server/>

    </td></tr>

    <tr><td colspan="3" bgcolor="MAROON" align="center">

    <font face="Verdana" Size="2" COLOR="WHITE"><strong>DISABILITY
    STATUS</strong></td></tr>

    </td><td colspan="3"><font face="Verdana" Size="2"> Did Employee Receive Pay
    for Date of Injury?

    <asp:RadioButtonList RepeatDirection="Horizontal" font-name="verdana"
    font-size="10 pt" id=ReceivePay runat="server">

    <asp:ListItem>Yes</asp:ListItem>

    <asp:ListItem>No</asp:ListItem>

    </asp:RadioButtonList>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorReceivePay"
    runat="server"

    Text="You must answer this question" ControlToValidate="ReceivePay">

    </asp:RequiredFieldValidator>

    </td></tr>

    <tr><td colspan="3" bgcolor="MAROON" align="center">

    <font face="Verdana" Size="2" COLOR="WHITE"><strong>ADDITIONAL COMMENTS &
    INFORMATION</strong></td></tr>

    <tr><td colspan="3"><font face="Verdana" Size="2"> Additional Comments

    <asp:textbox TextMode= "Multiline" Rows= "5" columns= "80"

    id="comments" runat=server width="730" height="40"/>

    </td></tr>

    <tr><td colspan="3"><font face="Verdana" Size="2">How can the above incident
    be prevented from happening again?

    <asp:textbox id=Prevented Textmode="Multiline" Rows = "3" Columns="80"
    width="730" runat=server/>

    <tr><td><font face="Verdana" Size="2"><br> Name of person submitting this
    form:

    <asp:textbox id="Submitter" valign="top" runat=server columns="40"/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorSubmit" runat="server"

    Text="You must enter name" ControlToValidate="Submitter">

    </asp:RequiredFieldValidator>

    <font face="Verdana" Size="2"><br>Title: <asp:textbox id="Title"
    valign="top" runat=server columns="40"/>

    </td><td> <font face="Verdana" Size="2"> Wheeler's Division - Choose One
    <Asp:DropDownList id=Location runat=server>

    <asp:ListItem Text="Choose One"/>

    <asp:ListItem Text="Riverside Truss Plant"/>

    <asp:ListItem Text="Riverside Door Plant"/>

    <asp:ListItem Text="Riverside Office"/>

    <asp:ListItem Text="Rome Store"/>

    <asp:ListItem Text="Calhoun Store"/>

    <asp:ListItem Text="Dalton Store"/>

    <asp:ListItem Text="Austell Store"/>

    <asp:ListItem Text="Morrow Store"/>

    <asp:ListItem Text="Installed Sales"/>

    <asp:ListItem Text="Newnan Store"/>

    <asp:ListItem Text="Cartersville Store"/>

    <asp:ListItem Text="Winder Store"/>

    <asp:ListItem Text="Jasper Store"/>

    <asp:ListItem Text="Chelsea Store"/>

    <asp:ListItem Text="Madison Store"/>

    <asp:ListItem Text="Peterson Products"/>

    <asp:ListItem Text="Lawrenceville"/>

    <asp:ListItem Text="OAR Window Shop"/>

    <asp:ListItem Text="Charlotte - Hoskins Rd"/>

    <asp:ListItem Text="Charlotte - Westinghouse Blvd"/>

    <asp:ListItem Text="Sales Support Center"/>

    <asp:ListItem Text="Land Development"/>

    </asp:DropDownList>


    </td><td><br>

    <font face="Verdana" Size="2">Date<br><asp:textbox id="Today" runat=server
    columns="10"/>

    <asp:RequiredFieldValidator id="RequiredFieldValidatorToday" runat="server"

    Text="You must enter today's date" ControlToValidate="Today">

    </asp:RequiredFieldValidator>





    </Table>




    <tr>

    <td>

    <asp:Button id="btnSendMail" text="Submit" OnClick="SendMailandDatabase"
    runat="server" />

    </td>

    </tr>

    <td valign=top> <table cellpadding=20><tr><td>

    <asp:ValidationSummary ID="valSum" runat="server" ShowMessageBox="true"
    ShowSummary="false" HeaderText="You must enter more information"
    Font-Name="verdana" Font-Size="12" /> </td>



    </form>





    </body>

    </html>
    dancer, Sep 13, 2007
    #1
    1. Advertising

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