<% SendEmailTo = "pacenyemail@aol.com" Subject = "Bracelet Order" FromEmail = Request("Email_Address") FromName = Request("Full_Name") %> PACE Bracelets <% If Request("submitted") = "1" Then %> <% Mail.IsHTML = True Mail.Host = "smtp.dataholdings.net" Mail.AddAddress SendEmailTo Mail.From = FromEmail Mail.FromName = FromName Mail.Subject = Subject Mail.Body = "Bracelet Order"_ & "
Full Name: " & Request("Full_Name")_ & "
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Zip: " & Request("Zip")_ & "
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Quantity of bracelets ordering: " & Request("Quantity")_ & "" On Error Resume Next if not Mail.Send Then ErrStr = Err.Description Else arrTo.RemoveAll arrCc.RemoveAll arrBcc.RemoveAll arrFiles.RemoveAll End If On Error Goto 0 %>

PARENTS AGAINST CHILDHOOD EPILEPSY, Inc.



A Research and Education Fund





Thank you <%=Request("Full_Name")%>.

You have successfully placed your order for OUT PACE EPILEPSY bracelets.

Thanks again!








<% Else %>

PARENTS AGAINST CHILDHOOD EPILEPSY, Inc.

A Research and Education Fund



OUT PACE EPILEPSY Bracelets

Now you can show your support for children with epilepsy with OUT PACE EPILEPSY bracelets! They are purple rubber wristbands similar to the Livestrong bands that are debossed with the words: OUT PACE EPILEPSY. Give them to your family and friends and help raise awareness. Only $2.00 a bracelet plus shipping and handling.

To order OUT PACE EPILEPSY bracelets, please send a check to:

PACE
7 East 85th Street, Suite A3
New York, NY 10028

On the check memo line, please indicate how many bracelets you are ordering. Look on the table below for the total you should write on your check. If you would like to order more than what is listed or if you are outside of the United States, please click here and let us know how many bracelets you would like to order and what country you are from.



Quantity Subtotal S&H  Total
1 $2 $1  $3
2 $4 $1  $5
3 $6 $1  $7
4 $8 $1  $9
5 $10 $1  $11
6 $12 $1  $13
7 $14 $1  $15
8 $16 $1  $17
9 $18 $1  $19
10 $20 $1  $21
11 $22 $2  $24
12 $24 $2  $26
13 $26 $2  $28
14 $28 $2  $30
15 $30 $2  $32
16 $32 $2  $34
17 $34 $2  $36
18 $36 $2  $38
19 $38 $2  $40
20 $40 $2  $42
21 $42 $2  $44
22 $44 $2  $46
23 $46 $2  $48
24 $48 $2.50  $50.50
25 $50 $2.50  $52.50
26 $52 $2.50  $54.50
27 $54 $2.50  $56.50
28 $56 $2.50  $58.50
29 $58 $2.50  $60.50
30 $60 $2.50  $62.50
31 $62 $3  $65
32 $64 $3  $67
33 $66 $3  $69
34 $68 $3  $71
35 $70 $3  $73
36 $72 $3  $75
37 $74 $3  $77
38 $76 $3  $79
39 $78 $3  $81
40 $80 $3  $83
41 $82 $3  $85
42 $84 $3  $87
43 $86 $3  $89
44 $88 $3  $91
45 $90 $4  $94
46 $92 $4  $96
47 $94 $4  $98
48 $96 $4  $100
49 $98 $4  $102
50 $100 $4  $104

Let's OUT PACE EPILEPSY together. Thanks!
<% End If %>