|
Server : Apache/2.4.62 System : FreeBSD fbsdweb2.web.rcn.net 14.1-RELEASE FreeBSD 14.1-RELEASE releng/14.1-n267679-10e31f0946d8 GENERIC amd64 User : www ( 80) PHP Version : 8.3.8 Disable Function : NONE Directory : /domains/enrgy/PMA/ |
Upload File : |
<html>
<head>
<meta HTTP-EQUIV="Content-Type" CONTENT="text/html; iso-8859-1">
<meta name="GENERATOR" content="Microsoft FrontPage 4.0">
<title>Order Form: Retail Competition - The Utility Experience in Four States</title>
</head>
<body background="../images/dprreg_files/linebg.gif" bgColor="#ffffff" link="#000099" style="font-family: Arial, Helvetica; font-size: 9pt" text="#000000" topMargin="1" vLink="#808080">
<table border="0" cellPadding="0" cellSpacing="0" width="620">
<tr>
<td bgColor="#FFFFFF" height="15"></td>
</tr>
</tbody>
</table>
<table border="0" cellPadding="0" cellSpacing="0" width="620">
<tbody>
<tr>
<td height="350" vAlign="top" width="108"><strong><map name="FPMap0">
<area href="dprreg.htm" shape="rect" coords="2, 327, 88, 339">
<area href="http://www.powermarketers.com" target="_parent" shape="rect" coords="0, 307, 89, 326">
<area href="http://www.powermarketers.com/adrates.html" shape="rect" coords="0, 291, 89, 309">
<area href="http://www.powermarketers.com/member~1.html" shape="rect" coords="0, 275, 89, 292">
<area href="http://www.retailenergy.com/mailis~1.html" shape="rect" coords="0, 259, 88, 276">
<area href="http://www.retailenergy.com/directories/drectory.htm" shape="rect" coords="0, 244, 89, 260">
<area href="hilites.html" shape="rect" coords="0, 228, 89, 244">
<area href="http://www.retailenergy.com/links/links.htm" shape="rect" coords="0, 212, 89, 228">
<area href="../pmamag.htm" shape="rect" coords="0, 196, 89, 212">
<area href="http://www.powermarketers.com/s-archiv.htm" shape="rect" coords="0, 179, 89, 194">
<area href="http://www.powermarketers.com/pmajobs.htm" shape="rect" coords="0, 163, 89, 179">
<area href="http://www.dtn.com/dtnonline/dtnergy/pma/pma.weather.cfm" shape="rect" coords="0, 147, 89, 164">
<area href="http://www2.dtnergy.com/pma/btu.plx" shape="rect" coords="0, 132, 88, 148">
<area href="http://www.dtn.com/dtnonline/dtnergy/pma/pma.gas.quotes.cfm" shape="rect" coords="0, 116, 89, 132">
<area href="http://www.dtn.com/dtnonline/dtnergy/pma/pma.quotes.cfm" shape="rect" coords="0, 100, 89, 116">
<area href="http://www.cpmenergy.com/krttoday.htm" shape="rect" coords="0, 84, 89, 100">
<area href="http://www.powermarketers.com/reuters/rmain.htm" shape="rect" coords="0, 68, 89, 84">
<area href="http://199.97.97.163/IMDS|PMAINTL0,PMAINTL1,PMAINTL2,PMAINTL3,PMAINTL4|index" shape="rect" coords="0, 53, 88, 68">
<area href="http://199.97.97.163/IMDS|PMANAT0,PMANAT1,PMANAT2,PMANAT3,PMANAT4|index" shape="rect" coords="0, 36, 89, 53"></map><img rectangle="(0,291) (89,309) http://www.powermarketers.com/adrates.html" rectangle="(0,275) (89,292) http://www.powermarketers.com/member~1.html" rectangle="(0,259) (88,276) http://www.retailenergy.com/mailis~1.html" rectangle="(0,244) (89,260) http://www.retailenergy.com/directories/drectory.htm" rectangle="(0,228) (89,244) ../pma/hilites.html" rectangle="(0,212) (89,228) http://www.retailenergy.com/links/links.htm" rectangle="(0,196) (89,212) ../pmamag.htm" rectangle="(0,179) (89,194) http://www.powermarketers.com/s-archiv.htm" rectangle="(0,163) (89,179) http://www.powermarketers.com/pmajobs.htm" rectangle="(0,147) (89,164) http://www.dtn.com/dtnonline/dtnergy/pma/pma.weather.cfm" rectangle="(0,132) (88,148) http://www2.dtnergy.com/pma/btu.plx" rectangle="(0,116) (89,132) http://www.dtn.com/dtnonline/dtnergy/pma/pma.gas.quotes.cfm" rectangle="(0,100) (89,116) http://www.dtn.com/dtnonline/dtnergy/pma/pma.quotes.cfm" rectangle="(0,84) (89,100) http://www.cpmenergy.com/krttoday.htm" rectangle="(0,68) (89,84) http://www.powermarketers.com/reuters/rmain.htm" rectangle="(0,53) (88,68) http://199.97.97.163/IMDS|PMAINTL0,PMAINTL1,PMAINTL2,PMAINTL3,PMAINTL4|index" rectangle="(0,36) (89,53) http://199.97.97.163/IMDS|PMANAT0,PMANAT1,PMANAT2,PMANAT3,PMANAT4|index" src="http://www.powermarketers.com/images/sidenav.gif" width="90" height="340" border="0" usemap="#FPMap0"></strong><br>
<img border="0" src="../images/line90.gif" width="90" height="4"> <br>
<p align="left"> </td>
<!--*************THIS ENDS THE LEFT SIDE BAR********-->
<!--********THIS STARTS THE GUTTER COLUMN**********-->
<td align="left" noWrap vAlign="top" width="32"></td>
<td align="left" vAlign="top" width="480"><form method="POST" name="EEI "Retail Competition" Publication Order" action="../_vti_bin/shtml.dll/PMA/eeircfrm.htm" onSubmit="" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" startspan U-File="../_private/eeiresults.txt"
S-Format="TEXT/CSV" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE"
S-Email-Format="TEXT/PRE" S-Email-Address="[email protected]"
B-Email-Label-Fields="TRUE" B-Email-Subject-From-Field="FALSE"
S-Email-Subject="EEI "Retail Competition" Publication Order"
S-Builtin-Fields="Date Time REMOTE_USER HTTP_USER_AGENT"
U-Confirmation-Url="eeicfrm.htm" --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot
bot="SaveResults" endspan i-checksum="43374" --><div align="center"><center><table border="0" cellPadding="3" cellSpacing="0" width="472">
<tr>
<td><u><strong>Online Order Form:</strong></u> <br>
<font size="6" color="#800080"><strong>Retail Competition</strong></font><br>
<font color="#808080"><strong>The Utility Experience in Four States</strong></font><ul>
<li><font size="2">To order online, please complete the order form below and then click on
the "Submit Order" button at the bottom of the form. If you prefer to
order by fax, please print out the completed form and fax it to: <strong>(703) 641-9265</strong>.<br>
<br>
</font></li>
<li><font size="2">Your account will be charged in the total amount of $300.00 USD per copy
of <font color="#800080"><strong>Retail Competition</strong></font> ordered. This
amount includes shipping/handling and sales taxes, where applicable.<br>
<br>
</font></li>
<li><font size="2">Next-day delivery is available for an additional shipping charge. To
arrange for next-day delivery, please call <strong>(703) 641-0613</strong>.</font></li>
</ul>
<p>Please provide the following ordering information:</p>
<table width="472" border="0">
<tr>
<td><strong>QTY</strong></td>
<td><strong>DESCRIPTION</strong></td>
</tr>
<tr>
<td valign="top"><input TYPE="TEXT" NAME="OrderingEEI_OrderQty0" SIZE="6" MAXLENGTH="6"></td>
<td valign="top"><div align="left"><p><input NAME="OrderingEEI_OrderDesc0" SIZE="45" value=""Retail Competition" EEI, 1999, 145 pages" style="font-family: Arial, Helvetica; font-size: 8pt"><br>
<font size="1">$300 USD per copy ordered.<em> Includes shipping/handling and applicable
sales taxes.</em></font></td>
</tr>
</table>
<table border="0" width="472">
<tr>
<td></td>
<td><strong>BILLING</strong></td>
</tr>
<tr>
<td><em>Credit card<br>
<font size="1">(select one)</font></em></td>
<td><select NAME="OrderingEEI_CardType" size="1">
<option selected>VISA </option>
<option>MasterCard </option>
<option>American Express </option>
</select> </td>
</tr>
<tr>
<td ALIGN="right"><em>Cardholder name</em></td>
<td><input TYPE="TEXT" NAME="OrderingEEI_CardHolderName" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><em>Card number</em></td>
<td><input TYPE="TEXT" NAME="OrderingEEI_CardNumber" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><em>Expiration date</em></td>
<td><input TYPE="TEXT" NAME="OrderingEEI_CardExpiration" SIZE="5" MAXLENGTH="5"> </td>
</tr>
</table>
<table width="472">
<tr>
<td></td>
<td><strong>SHIPPING ADDRESS</strong></td>
</tr>
<tr>
<td ALIGN="right"><em>Street address</em></td>
<td><input TYPE="TEXT" NAME="OrderingEEI_StreetAddress" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><em>Address (cont.)</em></td>
<td><input TYPE="TEXT" NAME="OrderingEEI_Address2" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><em>City</em></td>
<td><input TYPE="TEXT" NAME="OrderingEEI_City" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><em>State/Province</em></td>
<td><input TYPE="TEXT" NAME="OrderingEEI_State" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><em>Zip/Postal code</em></td>
<td><input TYPE="TEXT" NAME="OrderingEEI_ZipCode" SIZE="12" MAXLENGTH="12"> </td>
</tr>
<tr>
<td ALIGN="right"><em>Country</em></td>
<td><input TYPE="TEXT" NAME="OrderingEEI_Country" SIZE="25"> </td>
</tr>
<tr>
<td ALIGN="right" colspan="2" height="20"><em></em></td>
</tr>
<tr>
<td ALIGN="right"><em>E-mail Address</em></td>
<td><input type="text" name="OrderEEI_Email" size="35"></td>
</tr>
<tr>
<td ALIGN="right"><em>Telephone</em></td>
<td><input type="text" name="OrderEEI_Phone" size="20"></td>
</tr>
<tr>
<td ALIGN="right"><em>Fax:</em></td>
<td><input type="text" name="OrderEEI_Fax" size="20"></td>
</tr>
</table>
<div align="center"><center><p><input TYPE="submit" VALUE="Submit Order"> <input TYPE="RESET" VALUE="Reset Form"> </td>
</tr>
<tr>
<td></td>
</tr>
<tr>
<td width="436" valign="top"></td>
</tr>
</table>
</center></div>
</form>
</td>
</tr>
</table>
</body>
</html>