Contact Us

<% 'CUT AND PASTE ALL OF THE BELOW INTO THE LAYOUT'S CONTENT AREA FOR THE SITE IN QUESTION %> <% If Len(Request.Form("submit")) > 0 Then viewform = "" fDisclaimer = "" If Len(Request.Form("Name")) > 0 Then fName = Request.Form("Name") Else strMessage = strMessage & "[»] You did not enter your name.
" End If If Len(Request.Form("Address")) > 0 Then fAddress = Request.Form("Address") Else strMessage = strMessage & "[»] You did not enter your street address.
" End If If Len(Request.Form("City")) > 0 Then fCity = Request.Form("City") Else strMessage = strMessage & "[»] You did not enter your city.
" End If If Len(Request.Form("State")) > 0 Then fState = Request.Form("State") Else strMessage = strMessage & "[»] You did not enter your state.
" End If If Len(Request.Form("Zip")) > 0 Then fZip = Request.Form("Zip") Else strMessage = strMessage & "[»] You did not enter your zip code.
" End If If Len(Request.Form("Email")) > 0 Then fEmail = Request.Form("Email") If Instr(fEmail, "@") = 0 Or Instr(fEmail, ".") = 0 Or Instr(fEmail, " ") > 0 Or Len(fEmail) < 7 Then strMessage = strMessage & "[»] Your email address appears to be invalid.
" End If Else strMessage = strMessage & "[»] You did not enter your email address.
" End If If Len(Request.Form("Phone")) > 0 Then fPhone = Request.Form("Phone") Else strMessage = strMessage & "[»] You did not enter your phone number.
" End If If Len(Request.Form("HowFound")) > 0 Then fHowFound = Request.Form("HowFound") Else strMessage = strMessage & "[»] You did not select a way that you found our site.
" End If If Len(Request.Form("LegalMatter")) > 0 Then fLegalMatter = Request.Form("LegalMatter") Else strMessage = strMessage & "[»] You did not select your type of legal matter.
" End If If Len(Request.Form("Description")) > 0 Then fDescription = Request.Form("Description") Else strMessage = strMessage & "[»] You did not enter a description of your incident.
" End If If Request.Form("Disclaimer") = "Yes" Then fDisclaimer = Request.Form("Disclaimer") Else strMessage = strMessage & "[»] You did not accept the contact form disclaimer." End If If Len(strMessage) = 0 Then on error resume next Set objCDONTS = Server.CreateObject("CDONTS.NewMail") objCDONTS.From = fSender objCDONTS.To = fRecipient 'objCDONTS.BCC = objCDONTS.Subject = "Contact Form Response From " & strSiteURL strBody = "The following information was submitted:" & vbCrLf strBody = strBody & "-----------------------" & vbCrLf strBody = strBody & "Date: " & FormatDateTime(Date, 1) & vbCrLf strBody = strBody & "-----------------------" & vbCrLf strBody = strBody & "Time: " & FormatDateTime(Now, 3) & vbCrLf strBody = strBody & "-----------------------" & vbCrLf strBody = strBody & "Name: " & fName & vbCrLf & vbCrLf strBody = strBody & "Address: " & vbCrLf & fAddress & vbCrLf & fCity & ", " & fState & " " & fZip & vbCrLf & vbCrLf strBody = strBody & "Email: " & fEmail & vbCrLf & vbCrLf strBody = strBody & "Phone: " & fPhone & vbCrLf & vbCrLf strBody = strBody & "How they found the site: " & fHowFound & vbCrLf & vbCrLf strBody = strBody & "Type Of Legal Matter: " & fDate & vbCrLf & vbCrLf strBody = strBody & "Description Of Incident: " & vbCrLf & fDescription & vbCrLf & vbCrLf strBody = strBody & "Disclaimer Accepted: " & fDisclaimer & vbCrLf & vbCrLf strBody = strBody & "-----------------------" & vbCrLf strBody = strBody & "Please contact this person within 2 business days. Thank you!" objCDONTS.Body = strBody objCDONTS.Send Set objCDONTS = Nothing %>

Thank you! Your submission was successful!

You submitted the following information on
<%= FormatDateTime(Date, 1) %> at <%= FormatDateTime(Now, 3) %>:

Name: <%= fName %>

Address:
<%= fAddress %>
<%= fCity %>, <%= fState %> <%= fZip %>

Email: <%= fEmail %>
Phone: <%= fPhone %>
How You Found Us: <%= fHowFound %>

Type Of Legal Matter: <%= fLegalMatter %>
Description Of Incident:
<%= fDescription %>

Someone from our offices will be contacting you shortly.

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<% Else 'UNSUCCESSFUL. PUT THE UNSUCCESSFUL MESSAGE HERE. %>

Your submission was not successful.

The following information was missing:

<%= strMessage %>

<% End If End If %> <% If Len(viewForm) > 0 Then %>

QUINLIVAN WEXLER LLP
6 Hutton Centre, Suite 1150
South Coast Metro, CA 92707
PH 714-241-1919
Fax 714-241-1199
Email info@qwllp.com

<% End If %> <% If (Len(Request.Form("Submit")) > 0 AND Len(strMessage) > 0) OR Len(viewForm) > 0 Then %>

Name:

Address:

City	ST	Zip

E-mail address:

Phone:

How did you find us?

Type Of Legal Matter

Describe briefly the issue, matter or incident concerning which you seek information or counseling:

Upon submission of this form to Quinlivan Wexler LLP, it will be directed to an attorney specializing in the practice area involved in your inquiry. You will be contacted within one business day of receipt.

DISCLAIMER: The materials included in this website are for general informational purposes only and are not legal advice. Information on our website is not intended to create, and receipt of it does not constitute, an attorney-client relationship. No person should act upon this information without seeking advice from professional counsel. Please do not send us confidential information until you speak with one of our lawyers and get authorization to send that information to us.

I have read the disclaimer and understand the terms set forth:
checked<% End If %>> Yes "Yes" Then %>checked<% End If %>> No

<% End If %>