order.html

You may place any fields in the order form, the following is just an example. The order email will contain the name and the value of each input in the form. Required fields must be followed by a hidden input field with the name "required".

<FORM action="/cgi-bin/ecommerce/progs/emailorder.pl?yourStoreID" method="post"> 

Name:             <INPUT Name="Name" size=30><INPUT type="hidden" name="required">
<BR>
Street:           <INPUT Name="Street" size=30>
<BR>
City:             <INPUT Name="City" size=30>
<BR>
State:            <INPUT Name="State" size=10>
<BR>
Zip:              <INPUT Name="Zip" size=10>
<BR>
Country:          <INPUT Name="Country" size=30>
<BR>
Telephone:        <INPUT Name="Phone" size=30><INPUT type="hidden" name="required">
<BR>
Fax:              <INPUT Name="Fax" size=30>
<BR>
E-mail:           <INPUT Name="e-mail" size=30><INPUT type="hidden" name="required">
<BR>>
Credit Card Type: <INPUT Name="credit_card" size=30>
<BR>
Credit Card #:    <INPUT Name="credit_card" size=30>
<BR>
Exp. Date:        <INPUT Name="card_exp" size=10>
<INPUT type="Submit" value="Place Order">
</FORM>