tag:blogger.com,1999:blog-56652970938551602602011-04-21T20:54:23.563-07:00ourlovefor-shoppinghttp://www.blogger.com/profile/14202844510682497785noreply@blogger.comBlogger11100tag:blogger.com,1999:blog-5665297093855160260.post-27729360041306032692008-12-05T01:27:00.001-08:002008-12-05T01:38:00.762-08:00<span style="font-style: italic; font-weight: bold; color: rgb(255, 153, 255);font-family:arial;font-size:130%;" >Pls scroll down for order form (:</span><br /><br /><form enctype="multipart/form-data" method="post" action="http://www.freedback.com/mail.php" charset="UTF-8"><table style="width: 439px; height: 1333px;" border="0" cellpadding="5" cellspacing="5"><br /><br /><br /><tbody><tr><br /><td valign="top"><strong style="font-family: arial; color: rgb(255, 153, 255); font-style: italic;"><br /><span style="font-size:180%;"><span style="font-weight: bold;">Name:</span></span></strong><br /></td><br /><td valign="top"><br /><input name="name" id="name" size="40" value="" type="text"><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Mobile Number:</strong></span><br /></td><br /><td valign="top"><br /><input name="field-20596371cc08405" id="field-20596371cc08405" size="40" value="" type="text"><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Email Address:</strong></span><br /></td><br /><td valign="top"><br /><input name="email" id="email" size="40" value="" type="text"><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Payment Method:</strong></span><br /></td><br /><td valign="top"><br /><input name="field-eb0996b092fd0cd" id="field-eb0996b092fd0cd" size="40" value="" type="text"><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Item code/name:</strong></span><br /></td><br /><td valign="top"><br /><input name="field-f8188c62b79c891" id="field-f8188c62b79c891" size="40" value="" type="text"><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Size/colour of Item:</strong></span><br /></td><br /><td valign="top"><br /><input name="field-cfe4632c13999bc" id="field-cfe4632c13999bc" size="40" value="" type="text"><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Quantity:</strong></span><br /></td><br /><td valign="top"><br /><input name="field-8dc7da81401f15d" id="field-8dc7da81401f15d" size="40" value="" type="text"><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Alternative:</strong></span><br /></td><br /><td valign="top"><br /><input name="field-b03e66b0d6179bd" id="field-b03e66b0d6179bd" size="40" value="" type="text"><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Preferred Meetup Venue:</strong></span><br /></td><br /><td valign="top"><br /><input name="field-c48293f64883a54" id="field-c48293f64883a54" size="40" value="" type="text"><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Preferred Day For The Meetup:</strong></span><br /></td><br /><td valign="top"><br /><select name="field-49920154c6f63c9" id="field-49920154c6f63c9"> <option value="Monday">Monday</option> <option value="Tuesday">Tuesday</option> <option value="Wednesday">Wednesday</option> <option value="Thursday">Thursday</option> <option value="Friday">Friday</option> <option value="Saturday">Saturday</option> </select><br /><br /></td><br /></tr><br /><tr><br /><td valign="top"><br /><span style="font-size:180%;"><strong style="color: rgb(255, 153, 255); font-style: italic;">Comments:</strong></span><br /></td><br /><td valign="top"><br /><textarea name="field-f1702130389875b" id="field-f1702130389875b" rows="6" cols="40"></textarea><br /><br /></td><br /></tr><br /><tr><br /><td colspan="2" align="center"><br /><input value=" Submit Form " type="submit"><br /></td><br /></tr><br /></tbody></table><br /></form><br /><br /><!-- End Freedback Form --><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5665297093855160260-2772936004130603269?l=ourlovefor-shopping-orderform.blogspot.com' alt='' /></div>ourlovefor-shoppinghttp://www.blogger.com/profile/14202844510682497785noreply@blogger.com0