Skip to content
Permalink
main
Switch branches/tags

web-hack-mirror/mirror/2000/02/23/www.phonestore.com/eform.html

Go to file
 
 
Cannot retrieve contributors at this time
57 lines (15 sloc) 972 Bytes
Raw Blame
Open in GitHub Desktop
<!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML STRICT LEVEL 2//EN"><HTML VERSION="-//IETF//DTD HTML STRICT LEVEL 2//EN"><HEAD><TITLE>Order Form</TITLE></HEAD><BODY>
<FORM method=POST action="mailto:info@PhoneStore.com">
<P>Name<INPUT type=text name="Name" size=40></P>
<P>Email Address<INPUT type=text name="Email Address" size=30></P>
<P>Phone Number<INPUT type=text name="Phone Number" size=20></P>
<P>Fax Number<INPUT type=text name="Fax Number" size=20></P>
<P>Address<BR><TEXTAREA name="Address" cols=75 rows=5></TEXTAREA></P>
<P>Best Time to Call?/Questions?<BR><TEXTAREA name="Best Time to Call?/Questions?" cols=75 rows=4></TEXTAREA></P>
<P>We are in the process of allowing for total electronic ordering. For now please fill out this form and a representative will call you.</P>
<P></P>
<P><INPUT type=submit value="Submit"><INPUT type=reset value=Reset></P>
</FORM>
<P></P>
<P></P>
</BODY></HTML>