Contact Valley Brook

Valley Brook Outreach Baptist Church
8323 Augusta Road
Pelzer, SC 29669
Phone: (864) 243-9305
Fax: (864) 243-9353
Overseer Curtis L. Johnson

To contact Valley Brook via email, please fill in the form below and you will be contacted shortly.

<% If Request.Form("flag") = "Y" Then strTo = "valleybbc@aol.com" strSubject = "Contact Form Submission From Valley Brook Website" strFname = Request.Form("fname") strBody = "" strBody = strBody & "This person has submitted a general contact request:" & vbCrLf & vbCrLf strBody = strBody & "Contact Information:" & vbCrLf & vbCrLf strBody = strBody & "First Name: " & strFname & vbCrLf strBody = strBody & "Middle Initial: " & Request.Form("mname") & vbCrLf strBody = strBody & "Last Name: " & Request.Form("lname") & vbCrLf strBody = strBody & "Email: " & Request.Form("email") & vbCrLf strBody = strBody & "Address: " & Request.Form("address") & vbCrLf strBody = strBody & "City: " & Request.Form("city") & vbCrLf strBody = strBody & "State: " & Request.Form("state") & vbCrLf strBody = strBody & "Zip: " & Request.Form("zip") & vbCrLf strBody = strBody & "Country: " & Request.Form("country") & vbCrLf strBody = strBody & "Phone: " & Request.Form("phone") & vbCrLf strBody = strBody & "Comments: " & Request.Form("msg") Call SendAdminEmail(strTo,strBody,strSubject) Response.Write " " Response.Write "Thank you " Response.Write strFname & " " Response.Write "for you submission. A Valley Brook representative will contact you shortly concerning your request." Response.Write " " Response.Write "   " Else %> * indicates required fields First Name * MI Last Name *   E-mail Address * Address City State AK AL AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Country Phone Number Message/Comment * <% End If %>