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<%@ Language=VBScript %>

<%
Option Explicit
%>

<%
dim strErrText, strAction

strAction = Request.QueryString("action")

Select Case strAction

	Case "err1" 
		strErrText = "<span style='color: red; font-weight: bold;'>Please fill in required fields.</span>"
	Case "err2"
		strErrText = strErrText & "<span style='color: red; font-weight: bold;'>Please fill in required fields.</span>"
	
End Select
%>

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html><head>

<!-- CHANGE THE NEXT THREE LINES -->

<title>The Sleep Center of Nevada</title>
<META name="Description" content="Place your website description in this area. This is read by some search engines.">
<META name="KeyWords" content="add, your, keywords and phrases in this area, separated, by, commas, this, is read by only a, few search, engines">

<!-- CHANGE THE ABOVE THREE LINES -->



<META http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<META name="Copyright" content="Allwebco Design Corporation http://allwebcodesign.com/">





<link rel="StyleSheet" href="coolstyle.css"  webstripperwas="coolstyle.css" type="text/css">

<script language="JavaScript" type="text/javascript" src="pop-closeup.js"  webstripperwas="pop-closeup.js" ></script>
<script language="JavaScript" type="text/javascript" src="javascripts.js"  webstripperwas="javascripts.js" ></script>
<script language="JavaScript" type="text/javascript" src="mouseover.js"  webstripperwas="mouseover.js" ></script>



</head>

<BODY BGCOLOR="#FFFFFF" TEXT="#000000" class="background-home">


<!-- START PAGE TABLE -->
<table cellpadding="0" cellspacing="0" border="0" width="100%"><tr><td align="center" valign="top">



<!-- LOGO AND MENU -->

<script language="JavaScript" type="text/javascript" src="header.js"  webstripperwas="header.js" ></script>

<script language="JavaScript" type="text/javascript" src="menu.js"  webstripperwas="menu.js" ></script>

<br><br><hr>





<br>






<!-- SPLIT TABLE -->
<table cellpadding="0" cellspacing="0" border="0" width="100%"><tr><td align="center" valign="top" class="sidebarwidth">




<script language="JavaScript" type="text/javascript" src="sidebar.js"  webstripperwas="sidebar.js" ></script>

<br>

</td><td align="left" valign="top">




<!-- CONTENT TABLE -->
<table cellpadding="0" cellspacing="10" border="0" width="700">
<tr><td width="60">&nbsp;</td><td valign="top">






<span class="title">Contact Us</span><br><br>Please use the following form to send us a <br>message.  Thank you!

<%
if strAction > "" then
	response.write strErrText
end if
%>

<form name="form1" method="post" action="send_it.asp">
                    <p>&nbsp;<font color=gold>*</font>Name: <br>
                      <input name="name" type="text" size="30" maxlength="30">
                      <br>
                      &nbsp;</p>
                    <p><font color=gold>*</font>Email address: <br>
                      <input name="email" type="text" size="30" maxlength="40">
                      <br>
                      &nbsp;</p>
                    <p>&nbsp;Phone: <br>
                      <input name="phone" type="text" size="20" maxlength="18">
                      &nbsp;&nbsp; 
                      <!-- <select name="phonetype">
      <option selected value="">Type....</option>
      <option value="residential">Residential</option>
      <option value="commercial">Commercial</option>
      <option value="govt-or-nonprofit">Gov't or Non-Profit</option>
    </select> -->
                      <br>
                      &nbsp;&nbsp;</p>
                    <p>Message: <br>
                      <textarea name="message" cols="30" rows="8"></textarea>
                    </p>
                    <p>
  <input type="submit" value="submit">
  <input type="reset" value="reset">
</form>

                  <p><font color="gold">* Fields marked with a " * " are required.</font></p><br>
</td><td width="275" valign="top" align="center">


<!-- TO REMOVE FORM DELETE TEXT BETWEEN THESE COMMENTS -->


<script language="JavaScript" type="text/javascript" src="contact.js"  webstripperwas="contact.js" ></script>


<br><br><br>


</td></tr></table>
<!-- END CONTENT TABLE -->








</td><td valign="top" width="40">
<!-- SPLIT TABLE -->

<img src="picts/spacer.gif" border="0" width="20" height="30" alt="image">

</td></tr></table>
<!-- SPLIT TABLE -->


<!-- COPYRIGHT FOOTER -->
<span class ="footer"><hr size=2 noshade width="650">
<script language="JavaScript" type="text/javascript" src="footer.js"></script>
</span>
<!-- COPYRIGHT FOOTER -->




</td></tr></table>
<!-- END PAGE TABLE-->

</BODY>
</HTML>