Order Form

by LDavis3858(at)aol.com

 Date:  Tue, 22 May 2001 21:08:08 EDT
 To:  hwg-basics(at)hwg.org
  todo: View Thread, Original

Hello All!

Attached I have an order form that I need help on. I do not know how to code
the information that enables the form to be submitted and sent back to me for
order processing. Any help would be greatly appreciated. Or if someone could
recommend an informational web site on this subject, that would be so
helpful. Thank you in advance for any help you can give.

Sincerely,
Lilli Ann Davis
RL Enterprizes, Inc.




Order Form

=09Please Place Your Order:
=09 =09 #
=09 Items =09 =09 =09 Item
=09 No. =09 =09 =09 Item Description =09 =09 =09 Price per
=09 Item (US$) =09 =09 =09 Total (US$) =09
=09 =09

=09 =09 =09 =09

=09 =09 =09 =09

=09 =09 =09 =09

=09 =09 =09 =09

=09 =09
=09 =09

=09 =09 =09 =09

=09 =09 =09 =09

=09 =09 =09 =09

=09 =09 =09 =09

=09 =09
=09 =09 This field can be used for additional
=09 explanations, i. e. shipping costs or
=09 other stuff. =09

=09 Shipping costs: UPS national $ 00.00 =09 =09 =09 Subtotal =09 =09 =09

=09 =09
=09 =09 Shipping =09 =09 =09

=09 =09
=09 =09 Tax =09 =09 =09

=09 =09
=09 =09 Total =09 =09 =09

=09 =09

=09Your Name and Shipping Address:
=09 =09

=09 Important: All fields are required for your order to be processed. =09
=09 =09 First Name =09 =09 =09 =09
=09 =09 Last Name =09 =09 =09 =09
=09 =09 Address =09 =09 =09 =09
=09 =09 City =09 =09 =09 =09
=09 =09 Zip Code =09 =09 =09 =09
=09 =09 State (if in US) =09 =09 =09 =20 =09 Select US State=20 =09 
Alabama=20 =09 Alaska=20 =09 Arizona=20 =09 Arkansas=20 =09 California=20 
=09 Colorado=20 =09 Connecticut=20 =09 Delaware=20 =09 Washington D.C.=20 
=09 Florida=20 =09 Georgia=20 =09 Hawaii=20 =09 Idaho=20 =09 Illinois=20 
=09 Indiana=20 =09 Iowa=20 =09 Kansas=20 =09 Kentucky=20 =09 Louisiana=20 
=09 Maine=20 =09 Maryland=20 =09 Massachusetts=20 =09 Michigan=20 =09 
Minnesota=20 =09 Mississippi=20 =09 Missouri=20 =09 Montana=20 =09 
Nebraska=20 =09 Nevada=20 =09 New Hampshire=20 =09 New Jersey=20 =09 New 
Mexico=20 =09 New York=20 =09 North Carolina=20 =09 North Dakota=20 =09 
Ohio=20 =09 Oklahoma=20 =09 Oregon=20 =09 Pennsylvania=20 =09 Rhode 
Island=20 =09 South Carolina=20 =09 South Dakota=20 =09 Tennessee=20 =09 
Texas=20 =09 Utah=20 =09 Vermont=20 =09 Virginia=20 =09 Washington=20 =09 
West Virginia=20 =09 Wisconsin=20 =09 Wyoming=20 =09 No Selection =09
=09 =09 Country =09 =09 =09 =20 =09 Select Country=20 =09 Afghanistan=20 
=09 Albania=20 =09 Algeria=20 =09 Andorra=20 =09 Angola=20 =09 Anguilla=20 
=09 Antigua and Barbuda =09 Argentina=20 =09 Armenia=20 =09 Aruba=20 =09 
Australia=20 =09 Austria=20 =09 Azerbaijan=20 =09 Azores=20 =09 Bahamas=20 
=09 Bahrain=20 =09 Bangladesh=20 =09 Barbados=20 =09 Belarus=20 =09 
Belgium=20 =09 Belize=20 =09 Benin=20 =09 Bermuda=20 =09 Bhutan=20 =09 
Bolivia=20 =09 Borneo=20 =09 Bosnia and Herzegovina =09 Botswana=20 =09 
Brazil =09 British Indian Ocean= Territories =09 Brunei=20 =09 Bulgaria =09 
Burkina Faso (Upper Volta) =09 Burundi=20 =09 Camaroon=20 =09 Cambodia 
(Kampuchea) =09 Canada=20 =09 Canary Islands =09 Cape Vere Islands =09 
Cayman Island =09 Central African Rep =09 Chad=20 =09 Chile=20 =09 China=20 
=09 Christmas Island =09 Colombia=20 =09 Comoros Islands =09 Congo, 
Democratic Repub= lic =09 of=20 =09 Costa Rica=20 =09 Cote D'ivoire=20 =09 
Croatia=20 =09 Cuba=20 =09 Cyprus=20 =09 Czech Republic=20 =09 Denmark=20 
=09 Djibouti=20 =09 Dominica=20 =09 Dominican Republic =09 East Timor=20 
=09 Ecuador=20 =09 Egypt=20 =09 El Salvador =09 Equatorial Guinea =09 
Eritria=20 =09 Estonia=20 =09 Ethiopia=20 =09 Falkland Islands =09 Faroe 
Islands =09 Fed Rep Yugoslavia=20 =09 Fiji=20 =09 Finland=20 =09 France=20 
=09 French Guiana =09 French Polynesia =09 Fyro Macedonia=20 =09 Gabon=20 
=09 Gambia=20 =09 Georgia=20 =09 Germany=20 =09 Ghana=20 =09 Gibraltar=20 
=09 Greece=20 =09 Greenland=20 =09 Grenada=20 =09 Guadeloupe=20 =09 
Guatemala=20 =09 Guinea=20 =09 Guinea-Bissau=20 =09 Guyana=20 =09 Haiti=20 
=09 Honduras=20 =09 Hong Kong=20 =09 Hungary=20 =09 Iceland=20 =09 India=20 
=09 Indonesia=20 =09 Iran=20 =09 Iraq=20 =09 Ireland=20 =09 Israel=20 =09 
Italy=20 =09 Ivory Coast=20 =09 Jamaica=20 =09 Japan=20 =09 Jordan=20 =09 
Kazakhstan=20 =09 Kenya=20 =09 Kiribati=20 =09 Korea=20 =09 Kuwait=20 =09 
Kyrgyzstan=20 =09 Laos=20 =09 Latvia=20 =09 Lebanon=20 =09 Lesotho=20 =09 
Liberia=20 =09 Libya=20 =09 Liechtenstein=20 =09 Lithuania=20 =09 
Luxembourg=20 =09 Macao=20 =09 Madagascar=20 =09 Malawi=20 =09 Malaysia=20 
=09 Maldives=20 =09 Mali=20 =09 Malta=20 =09 Martinique=20 =09 
Mauritania=20 =09 Mauritius=20 =09 Mexico=20 =09 Moldova=20 =09 Monaco=20 
=09 Mongolia=20 =09 Montserrat=20 =09 Morocco=20 =09 Mozambique=20 =09 
Myanmar (Burma)=20 =09 Namibia=20 =09 Naura=20 =09 Nepal=20 =09 Netherlands 
=09 Netherlands Antilles =09 New Caledonia=20 =09 New Zealand=20 =09 
Nicaragua=20 =09 Niger=20 =09 Nigeria=20 =09 Niue=20 =09 Norway=20 =09 
Oman=20 =09 Pakistan=20 =09 Panama=20 =09 Papua New Guinea =09 Paraguay=20 
=09 Peru=20 =09 Philippines =09 Pitcairn Island=20 =09 Poland=20 =09 
Portugal=20 =09 Qatar=20 =09 Republic of Korea =09 Reunion Island=20 =09 
Romania=20 =09 Russia=20 =09 Rwanda=20 =09 Saint Barthelemy =09 Saint 
Croix=20 =09 Saint Helena =09 Saint Kitts and Nevis =09 Saint Lucia =09 
Saint Pierre and Miquelon =09 Saint Vincent and Grenadi =09 San Marino=20 
=09 Sao Tome and Principe =09 Saudi Arabia=20 =09 Senegal=20 =09 
Seychelles=20 =09 Sierra Leone=20 =09 Singapore=20 =09 Slovakia=20 =09 
Slovenia=20 =09 Solomon Islands =09 Somalia Northern Region =09 Somalia 
Southern Region =09 South Africa =09 South Sandwich Islands =09 Spain=20 
=09 Sri Lanka=20 =09 Sudan=20 =09 Suriname=20 =09 Swaziland=20 =09 
Sweden=20 =09 Switzerland=20 =09 Syria=20 =09 Taiwan=20 =09 Tajikistan=20 
=09 Tanzania=20 =09 Thailand=20 =09 Togo=20 =09 Tonga=20 =09 Trinidad and 
Tobago =09 Tunisia=20 =09 Turkey=20 =09 Turkmenistan =09 Turks and Caicos 
Islnd =09 Tuvalu=20 =09 Uganda=20 =09 Ukraine=20 =09 United Arab Emirates 
=09 United Kingdom=20 =09 Uruguay=20 =09 USA=20 =09 Uzbekistan=20 =09 
Vanuatu=20 =09 Vatican City=20 =09 Venezuela=20 =09 Vietnam =09 Virgin 
Islands (Unite= d Kingdom) =09 Wallis and Futuna Islands =09 Western Sahara 
=09 Western Samoa=20 =09 Yemen=20 =09 Zambia=20 =09 Zimbabwe (Rhodesia) =09
=09 =09 eMail =09 =09 =09
=09 Please type in your complete email address like this:
=09 myname(at)host.com =09
=09 =09 Phone =09 =09 =09 =09
=09 =09=09

=09=09 country code  - =09 =09 =09=09

=09=09  area code  - =09 =09 =09=09

=09=09  phone number (incl. ext.) =09 =09
=09
=09 =09=09

=09=09 =09 =09 =09=09

=09=09 =09 =09 =09=09

=09=09 =09 =09
=09 =09

=09Method of Payment
=09 =09

=09 Please choose your method of payment for this order: =09
=09 =09 Personal check =09 =09 =09 If you choose to pay by check please 
print this page,
=09 send your order via mail to this address and enclose the=
=09 check payment: =09 =09 my name, address, city, state, zip, country =09 =09
=09 =09 Cre= ditcard =09 =09 =09 =09
=09 =09=09VISA =09 =09 =09=09MasterCard =09 =09
=09
=09 =09=09AmericanExpress =09 =09 =09 =09
=09 =09
=09 =09 Name as shown on card: =09 =09 =09 =09
=09 =09 Credit Card No. =09 =09 =09 =09
=09 =09 Valid until: =09 =09 =09 =09

=09 =09

=09 =09 =09 =09

=09 =09
=09 =09

=09           &nbs=
p;            &n=
bsp;Please submit only ONCE =09 =09 =09

Thank you for choosing our company!

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