<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Session.LCID = 1033 Err.Clear strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("supportprograms_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "Results", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(10) Dim arFormDBFields0(10) Dim arFormValues0(10) arFormFields0(0) = "Title" arFormDBFields0(0) = "Title" arFormValues0(0) = Request("Title") arFormFields0(1) = "ProductOrService" arFormDBFields0(1) = "ProductOrService" arFormValues0(1) = Request("ProductOrService") arFormFields0(2) = "SalesContactRequested" arFormDBFields0(2) = "SalesContactRequested" arFormValues0(2) = Request("SalesContactRequested") arFormFields0(3) = "Company" arFormDBFields0(3) = "Company" arFormValues0(3) = Request("Company") arFormFields0(4) = "Email" arFormDBFields0(4) = "Email" arFormValues0(4) = Request("Email") arFormFields0(5) = "Phone" arFormDBFields0(5) = "Phone" arFormValues0(5) = Request("Phone") arFormFields0(6) = "Name" arFormDBFields0(6) = "Name" arFormValues0(6) = Request("Name") arFormFields0(7) = "SendCompanyLiterature" arFormDBFields0(7) = "SendCompanyLiterature" arFormValues0(7) = Request("SendCompanyLiterature") arFormFields0(8) = "Address" arFormDBFields0(8) = "Address" arFormValues0(8) = Request("Address") arFormFields0(9) = "SendServiceLiterature" arFormDBFields0(9) = "SendServiceLiterature" arFormValues0(9) = Request("SendServiceLiterature") FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 If Request.ServerVariables("REMOTE_HOST") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Remote_computer_name" End If If Request.ServerVariables("HTTP_USER_AGENT") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("HTTP_USER_AGENT"), "Browser_type" End If FP_SaveFieldToDB fp_rs, Now, "Timestamp" If Request.ServerVariables("REMOTE_USER") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_USER"), "User_name" End If fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close FP_FormConfirmation "text/html; charset=windows-1252",_ "Form Confirmation",_ "Thank you for submitting the following information:",_ "supportprograms.htm",_ "Return to the form." End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> Support Programs

Senior Companion Program 

NANA continues to work with the Community Action Program in training volunteers to visit nine seniors throughout the community.  We administer this program in identifying and matching volunteers with individuals who have asked to be part of this program. 


Multiple Sclerosis Support Group

NANA initiated a monthly MS support group in the summer of 2003 for individuals, families and caregivers to meet and facilitate the exchange of information and resources.  This program continues to thrive and provide an interface between state and regional organizations and patients dealing with the disease process.  Run by volunteers, it serves a very special group of patients in our region.


Information Request Form

If you would like more information on one of the above programs or any of NANA's services, select the items that apply, and then fill in your name and the best way to contact you.

Send information on the Senior Companion Program
Send information on the MS Support Group
Have a someone contact me

Name
Title
Company
Address
E-mail
Phone