RMD Products - Employment Application

<%@LANGUAGE="VBSCRIPT"%> <% If Request.Form.Count > 0 Then For I = 1 to Request.Form.Count Body = Body & Request.Form.Key(I) & " " _ & Request.Form.Item(I) & vbCRLF Next '*** send email notice Set Mailer = Server.CreateObject("SMTPsvg.Mailer") Mailer.RemoteHost = "mail.rmdproducts.com" Mailer.FromName = "rmdproducts.com" Mailer.FromAddress = "employment@rmdproducts.com" Mailer.AddRecipient "RMD Products, Inc.", "employment@rmdproducts.com" Mailer.Subject = "Employment Applicant from rmdproducts.com" Mailer.BodyText = Body Mailer.SendMail Set Mailer = Nothing Response.Redirect "thanks.asp" End If %> RMD Products - Employment Application

< home • apply for employment

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Thank you for your interested in employment with RMD Products, please fill out the form below and click "submit". A RMD representative will contact you shortly.

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First Name:
Last Name:
E-Mail Address:
Professional License No.:
Street Address:
City:
State:
Zip:
Country:
Telephone Number:
Cell Phone Number:
Work Number:
Any Message?
Best time to contact: