Fast and friendly "Mail in" order form.
![]() | ||||||||||||||||||||||||||||||
This is your order form. To complete this transaction, please print and mail or fax this page to: ' ); win2.document.writeln( ''+company+' '+address1+' '+address2+' '+city+', '+state+', '+zip+' '+country+' ' ); win2.document.writeln( ' Phone: '+phone+' Fax: '+fax+' ' ); win2.document.writeln( ' | ||||||||||||||||||||||||||||||
' );
win2.document.writeln( '
Payment Information ' ); for( var i=0; i<3; i++ ) { if( document.BigForm.cctype[i].checked == "1" ) { win2.document.write( document.BigForm.cctype[i].value ); } } win2.document.writeln( ': '+document.BigForm.accountNum.value+', Expires: '+document.BigForm.expires.value+' ' ); win2.document.writeln( 'Contact Information ' ); win2.document.writeln( 'Name on Card: '+document.BigForm.name.value+' ' ); win2.document.writeln( 'Billing Address: '+document.BigForm.address1.value+' ' ); win2.document.writeln( 'Billing Address: '+document.BigForm.address2.value+' ' ); win2.document.writeln( 'City: '+document.BigForm.city.value+' ' ); win2.document.writeln( 'State: '+document.BigForm.state.value+' ' ); win2.document.writeln( 'Zip: '+document.BigForm.zip.value+' ' ); win2.document.writeln( ' |