tag:blogger.com,1999:blog-40760818388528403442011-07-07T23:23:17.486-07:00Shop till you drop - ORDER FORM;Dxiiaoxiihttp://www.blogger.com/profile/03615192915702396616noreply@blogger.comBlogger11100tag:blogger.com,1999:blog-4076081838852840344.post-53026754199874391472008-12-25T23:56:00.001-08:002010-08-02T09:02:04.132-07:00<form action="http://www.freedback.com/mail.php" method="post" enctype="multipart/form-data" charset="UTF-8"><span style="font-size:180%;color:#ff6600;">PLEASE SCROLL DOWN FOR THE ORDER FORM (:</span>
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<br /><table cellspacing="5" cellpadding="5" border="0"><p><p>Fill in what are your orders including the flavours of product you want to purchase & the total no. of pieces you'll be buying in the "quantity" box. <p></p><p></p><p>Thank you (: </p><p></p><p><span style="color:#ff0000;">*if in any case the order form cannot be sent, send me an e-mail with your orders.</span></p><p><span style="color:#ff0000;">sorry for any inconvenience caused.
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<br /><!-- Begin Freedback Form -->
<br /><form action="http://www.freedback.com/mail.php" charset="UTF-8" method="post" enctype="multipart/form-data">
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<br /><input id="acctid" type="hidden" value="cnbdncgebxpydfks" name="acctid">
<br /><input id="formid" type="hidden" value="498247" name="formid">
<br /><input id="required_vars" type="hidden" value="name,field-96e383b07642166,email,field-8c3111851129ea2,field-12e708f7191f4f3,field-ddcd779278ae74c,field-d12a1a3831f177f" name="required_vars">
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<br /><table cellspacing="5" cellpadding="5" border="0">
<br /><tbody><tr>
<br /><td valign="top">
<br /><strong>Name:</strong>
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<br /><input id="name" size="40" name="name">
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<br /></td>
<br /></tr>
<br /><tr>
<br /><td valign="top">
<br /><strong>Contact no.:</strong>
<br /></td>
<br /><td valign="top">
<br /><input id="field-96e383b07642166" size="40" name="field-96e383b07642166">
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<br /></td>
<br /></tr>
<br /><tr><td valign="top">
<br /><strong>Email Address:</strong>
<br /></td>
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<br /><input id="email" size="40" name="email">
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<br /></td>
<br /></tr>
<br /><tr>
<br /><td valign="top">
<br /><strong>Mode of payment:</strong>
<br /></td>
<br /><td valign="top">
<br /><select id="field-8c3111851129ea2" name="field-8c3111851129ea2"> <option value="Bank transfer">Bank transfer</option> <option value="Meetup">Meetup</option> <option value=""></option></select>
<br />Pls ignore meetup, thank you. Only Bank Transfer is accepted.
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<br /><strong>Mode of item collection</strong>
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<br /><select id="field-12e708f7191f4f3" name="field-12e708f7191f4f3"> <option value="Postage">Postage</option> <option value="Meetup">Meetup</option></select>
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<br /></td>
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<br /><strong>Your choice of product you want to purchase:</strong>
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<br /><textarea id="field-ddcd779278ae74c" name="field-ddcd779278ae74c" rows="6" cols="40"></textarea>
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<br /></td>
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<br /><tr><td valign="top">
<br /><strong>Quantity:</strong>
<br /></td>
<br /><td valign="top">
<br /><input id="field-d12a1a3831f177f" size="40" name="field-d12a1a3831f177f">
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<br /></td>
<br /></tr>
<br /><tr><td valign="top">
<br /><strong>Place preferred for meetup: (if meetup selected)</strong>
<br /></td>
<br /><td valign="top">
<br /><select id="field-d0d1b16383ef70a" name="field-d0d1b16383ef70a"> <option value="Bedok">Bedok</option> <option value="Tanah Merah">Tanah Merah</option> <option value="Others">Others</option></select>
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<br /><strong>If OTHERS, please state:</strong>
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<br /><input id="field-e314ac3b3321f3d" size="40" name="field-e314ac3b3321f3d">
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<br /></td>
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<br /><td valign="top">
<br /><strong>Address:</strong>
<br /></td>
<br /><td valign="top">
<br /><textarea id="field-19ad2dac3999f51" name="field-19ad2dac3999f51" rows="6" cols="40"></textarea>
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<br /></td>
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<br /><td align="middle" colspan="2">
<br /><input type="submit" value=" Submit Form ">
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<br /></tbody></table>
<br /></form>
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<br /><center><span style="font-family:Arial, Helvetica;font-size:78%;"><b>
<br /><a href="http://www.freedback.com/">create web form</a>
<br /></b></span></center>
<br /><!-- End Freedback Form -->
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<br /></tr><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p></p></table><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/4076081838852840344-5302675419987439147?l=shoppitout-orderform.blogspot.com' alt='' /></div>xiiaoxiihttp://www.blogger.com/profile/03615192915702396616noreply@blogger.com0