<!DOCTYPE form SYSTEM 'FormMail-2.0.dtd'>
<form name="srf">

<validate name="email" public="Your email address"  vtype="email">

<mail name="office" >

  <to>mgelula@uic.edu
  <to>dmoult1@uic.edu

  <reply-to>$email
  <Subject> Faculty Development Mailing List for $lastname, $firstname
  <body>
    DATE: $fm_date IP ADDRESS: $fm_ip
        web form: $fm_referer



	
	Submitted by:
		 $firstname $lastname, $email
	Comments: $other
	
	END
 </body>  
</mail>


<response name="rif" if="$Letter_2 OR $Letter_4 OR $Letter_5 OR $Letter_6 OR $update_record OR $certification OR $license_app">
<![CDATA[
<html>
<head>
<title>Thank You.</title>
</head>
	<body>
	<h1><font size="4" face="Arial, Helvetica, sans-serif">Thank You for Submitting your Your feedback.</font></h1>
	
	

	<p><font size="2" face="Arial, Helvetica, sans-serif">
 If you have further questions, contact  Faculty Development<br>
  attn: Mark Gelula, PhD<br>
  Director of Faculty Development - College of Medicine<br>
Medical Education, Chicago (M/C 591)<br>
982 CME<br>
phone: 312-996-2696<br> 
fax: 312-413-2048<br>
		<a href="mailto:mgelula@uic.edu">To send email, click here.</a><br>
		<a href="http://www.uic.edu/orgs/facdevel/index.html">To return to the UIC College of Medicine Faculty Development Website, click here.<br>
		http://www.uic.edu/orgs/facdevel/index.html</a>
	</font>
	
	</body>
</html>
]]>
</response>
<response name="r1" if="NOT($Letter_2 OR $Letter_4 OR $Letter_5 OR $Letter_6 OR $update_record OR $certification OR $license_app)">
<![CDATA[
<html>
<head>
<title>Thank You.</title>
</head>

<body>
<h1><font size="4" face="Arial, Helvetica, sans-serif">Thank you for submitting your feedback.</font></h1>

<P><font size="2" face="Arial, Helvetica, sans-serif"> You will receive a confirmation email with details of your feedback.</font>

<p><font size="2" face="Arial, Helvetica, sans-serif">
	If you have further questions, contact UIC College of Medicine Faculty Development<br>
	attn: Mark Gelula, PhD<br>
 Director of Faculty Development - College of Medicine<br>
Medical Education, Chicago (M/C 591)<br>
982 CME<br>
phone: 312-996-2696<br> 
fax: 312-413-2048<br>
		<a href="mailto:mgelula@uic.edu">To send email, click here.</a><br>
		<a href="http://www.uic.edu/orgs/facdevel/index.html">To return to the UIC College of Medicine Faculty Development Website, click here.<br>
		http://www.uic.edu/orgs/facdevel/index.html</a>
	</font>  
</body></html>
]]>
</response>

</form>
