|
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/highlandlabs/cqi-bin/ALFA_DATA/alfasymlink/root/domains/familyplayhouse2/ |
Upload File : |
<html> <head> <meta http-equiv="content-type" content="text/html;charset=iso-8859-1"> <title>"Order Form"</title> <meta name="generator" content="Order Form"> </head> <body text="#0033ff" link="#990033" background="BkgndY.jpg"> <table cool width="785" height="301" border="0" cellpadding="0" cellspacing="0" gridx="16" showgridx usegridx gridy="16" showgridy usegridy> <tr height="48"> <td width="177" height="48" colspan="2"></td> <td width="511" height="48" colspan="4" valign="top" align="left" xpos="177"> <table border="4" cellpadding="0" cellspacing="2" width="400"> <tr> <td> <center> <font size="4"><b>Order form for Drama Materials</b></font></center> </td> </tr> </table> </td> <td width="96" height="128" rowspan="2"></td> <td width="1" height="48"><spacer type="block" width="1" height="48"></td> </tr> <tr height="80"> <td width="16" height="252" rowspan="3"></td> <td width="672" height="80" colspan="5" align="left" xpos="16" content valign="top" csheight="71">We accept the following payment methods: Credit Cards (MasterCard, Visa or American Express) PayPal, Billpoint or personal check/money order. <p>When you place an order, please state clearly the name and quantity of the item(s) and provide your name, shipping/billing address, phone and email address. </td> <td width="1" height="80"><spacer type="block" width="1" height="80"></td> </tr> <tr height="96"> <td width="256" height="96" colspan="2" align="left" xpos="16" content valign="top" csheight="43">You may order by telephone (610) 965-7992, fax (610) 966-6007, email or by mailing a check to:</td> <td width="32" height="96"></td> <td width="160" height="96" align="left" xpos="304" content valign="top" csheight="91">Family Playhouse <p>2773 Evergreen Circle</p> <p>Emmaus, PA 18049-1206 </td> <td width="320" height="172" colspan="2" rowspan="2"></td> <td width="1" height="96"><spacer type="block" width="1" height="96"></td> </tr> <tr height="76"> <td width="448" height="76" colspan="4" align="left" xpos="16" content valign="top" csheight="67">Domestic shipping/handling charge is $5 for the first item and $2 thereafter. Pennsylvania residents must add 6% state sales tax to the order. If you wish to order with credit card via secure transaction please select the product from the list and then type in the total sales amount to include shipping and sales tax in the following box. Click the button to initiate the transaction. Show tickets will be held at the door and are sold without PA sales tax.</td> <td width="1" height="76"><spacer type="block" width="1" height="76"></td> </tr> <tr height="1" cntrlrow> <td width="16" height="1"><spacer type="block" width="16" height="1"></td> <td width="161" height="1"><spacer type="block" width="161" height="1"></td> <td width="95" height="1"><spacer type="block" width="95" height="1"></td> <td width="32" height="1"><spacer type="block" width="32" height="1"></td> <td width="160" height="1"><spacer type="block" width="160" height="1"></td> <td width="224" height="1"><spacer type="block" width="224" height="1"></td> <td width="96" height="1"><spacer type="block" width="96" height="1"></td> <td width="1" height="1"></td> </tr> </table> <form name="x_Amount" method="post" action="mailto: [email protected]" enctype="text/plain"> <input type="hidden" value="3.0" name="x_Version"></td><input type="hidden" value="playhouse" name="x_Login"></td><input type="hidden" value="PAYMENT_FORM" name="x_Show_Form"><select name="x_Description" size="12" multiple> <option value="3-8 age group CD" selected>3-8 age group CD for $144.00 <option value="8-12 age group CD">8-12 age group CD for $182.00 <option value="Teen/Adult CD">Teen/Adult CD for $285.00 <option value="Patriotic CD">Patriotic CD for $185.00 <option value="Shakespeare CD">Shakespeare CD for $95.00 <option value="Christmas CD">Christmas CD for $185.00 <option value="Saint Bernadette CD">Saint Bernadette CD for $149.00 <option value="Three Musketeers CD">Three Musketeers CD for $49.00 <option value="Summer Camp">Summer Camp 00 for $225.00 <option value="Anne of Avonlea Tickets for $8/$5">Anne of Avonlea Tickets for $8/$5 <option value="Midsummer Nights Dream Tickets for $8/$5">Midsummer Nights Dream Tickets for $8/$5 <option value="The Secret Garden CD for $295.00">The Secret Garden CD for $295.00 </select></td><input type="text" size="17" name="x_Amount"><input type="hidden" value="amount goes here" name="x_Amount"></td><input type="hidden" value="19255" name="CUST_ID"></td><input type="hidden" value="587" name="x_Invoice_Num"></td><input type="submit" value="click here for secure payment form" </td> </form> </body> </html> </form> </body> </html> </form> </body> </html>> </form> <table cool width="781" height="201" border="0" cellpadding="0" cellspacing="0" gridx="16" showgridx usegridx gridy="16" showgridy usegridy> <tr height="1" cntrlrow> <td width="1" height="1"></td> <td width="352" height="1"><spacer type="block" width="352" height="1"></td> <td width="16" height="1"><spacer type="block" width="16" height="1"></td> <td width="80" height="1"><spacer type="block" width="80" height="1"></td> <td width="332" height="1"><spacer type="block" width="332" height="1"></td> </tr> <tr height="32"> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> <td width="352" height="32"></td> <td width="16" height="32"></td> <td width="80" height="32"></td> <td width="332" height="32"></td> </tr> <tr height="32"> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> <td width="352" height="32"></td> <td width="96" height="32" colspan="2" rowspan="1" valign="top" align="left" xpos="352" content csheight="32"> <center> <a href="index.html">Home</a></center> </td> <td width="332" height="32"></td> </tr> <tr height="136"> <td width="1" height="136"><spacer type="block" width="1" height="136"></td> <td width="352" height="136"></td> <td width="16" height="136"></td> <td width="80" height="136" colspan="1" rowspan="1" valign="top" align="left" xpos="368"><img height="103" width="40" src="AngelUp.gif"></td> <td width="332" height="136"></td> </tr> </table> </body> </html>