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- <!--- This is an ordinary HTML page with a form to enter
- contact/credit card information --->
-
- <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2 Final//EN">
-
- <HTML>
- <HEAD>
- <TITLE>Online Store - Checkout</TITLE>
- </HEAD>
-
- <BODY BGCOLOR="#FFCC00" LINK="Maroon" background="images/storebg.gif" leftmargin=5 topmargin=0>
-
- <SPAN STYLE="position: absolute; left: 205px; top: 10px; width: 350px">
- <FONT FACE=" arial black,Helvetica bold,geneva,helvetica" SIZE="7" COLOR="##000000"><I>Check Out</I></FONT>
-
- <CFFORM ACTION="orderconfirm.cfm" METHOD="POST">
-
- <TABLE BORDER="0" CELLPADDING="3">
- <TR>
- <TD><CFINPUT TYPE="Text" NAME="FirstName" MESSAGE="Please enter your name!" REQUIRED="Yes" SIZE="15"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">First Name</FONT></TD>
- <TD COLSPAN="2"><CFINPUT TYPE="Text" NAME="LastName" MESSAGE="Please enter your name!" REQUIRED="Yes" SIZE="15"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">Last Name</FONT></TD>
- </TR>
- <TR>
- <TD COLSPAN="3"><CFINPUT TYPE="Text" NAME="Address" MESSAGE="Please enter your address!" REQUIRED="Yes" SIZE="25"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">Address</FONT></TD>
- </TR>
- <TR>
- <TD><CFINPUT TYPE="Text" NAME="City" MESSAGE="Please enter your city!" REQUIRED="Yes" SIZE="15"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">City</FONT></TD>
- <TD><CFINPUT TYPE="Text" NAME="State" MESSAGE="Please enter your state!" REQUIRED="Yes" SIZE="2"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">State</FONT></TD>
- <TD><CFINPUT TYPE="Text" NAME="Zip" MESSAGE="Please enter your zipcode!" VALIDATE="zipcode" REQUIRED="Yes" SIZE="10"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">ZIP Code</FONT></TD>
- </TR>
- </TABLE>
-
- <BR>
-
- <TABLE BORDER="0" CELLPADDING="3">
- </TR>
- <TD><CFINPUT TYPE="Text" NAME="Phone" MESSAGE="Please enter a valid phone number!" VALIDATE="telephone" REQUIRED="Yes" SIZE="15"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">Phone</FONT></TD>
- </TR>
- </TR>
- <TD><CFINPUT TYPE="Text" NAME="Fax" MESSAGE="Please enter a valid fax number (or leave it blank)!" VALIDATE="telephone" REQUIRED="No" SIZE="15"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">Fax</FONT></TD>
- </TR>
- <TR>
- <TD><CFINPUT TYPE="Text" NAME="Email" MESSAGE="Please enter your e-mail address!" REQUIRED="Yes" SIZE="20"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">E-mail</FONT></TD>
- <TR>
- </TABLE>
-
- <BR>
-
- <TABLE BORDER="0" CELLPADDING="3">
- <TR>
- <TD COLSPAN="2"><SELECT NAME="CardType" SIZE="1">
- <OPTION VALUE="0">
- <OPTION VALUE="A">American Express
- <OPTION VALUE="D">Discover/Novus
- <OPTION VALUE="M">MasterCard
- <OPTION VALUE="V">Visa
- </SELECT><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">Card Type</FONT></TD>
- <TD><SELECT NAME="Exp1" SIZE="1">
- <OPTION VALUE="01">1
- <OPTION VALUE="02">2
- <OPTION VALUE="03">3
- <OPTION VALUE="04">4
- <OPTION VALUE="05">5
- <OPTION VALUE="06">6
- <OPTION VALUE="07">7
- <OPTION VALUE="08">8
- <OPTION VALUE="09">9
- <OPTION VALUE="10">10
- <OPTION VALUE="11">11
- <OPTION VALUE="12">12
- </SELECT>
- <SELECT NAME="Exp2" SIZE="1">
- <OPTION VALUE="98">1998
- <OPTION VALUE="99">1999
- <OPTION VALUE="00">2000
- <OPTION VALUE="01">2001
- <OPTION VALUE="02">2002
- <OPTION VALUE="03">2003
- <OPTION VALUE="04">2004
- <OPTION VALUE="05">2005
- <OPTION VALUE="06">2006
- <OPTION VALUE="07">2007
- <OPTION VALUE="08">2008
- </SELECT><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">Expiration</FONT></TD>
- </TR>
- <TR>
- <TD COLSPAN="3"><CFINPUT NAME="CardNum" MESSAGE="Please enter a valid credit card number!" SIZE="25" VALIDATE="creditcard" REQUIRED="Yes"><BR>
- <FONT FACE="MS Sans Serif" SIZE="-2">Card Number</FONT></TD>
- </TR>
- </TABLE>
-
- <BR>
-
- <INPUT TYPE="SUBMIT" VALUE="Continue"> <INPUT TYPE="Reset">
- </CFFORM>
-
- <CF_ShowDoc ID=8>
-
- </SPAN>
-
- <CFINCLUDE TEMPLATE="_showcart.cfm">
-
- </BODY>
- </HTML>
-