tag:blogger.com,1999:blog-2040028994507859652011-04-21T16:22:36.634-07:00shoes4the-starshttp://www.blogger.com/profile/14371202436451849497noreply@blogger.comBlogger11100tag:blogger.com,1999:blog-204002899450785965.post-15053233637303720242008-10-12T17:56:00.000-07:002008-10-12T17:57:01.818-07:00<!-- Begin myContactForm.com Form HTML --><br /><form name="contactForm" method="post" action="http://www.mycontactform.com/sendform/sendform.php"><br /><input name="user" type="hidden" id="user" value="shoes4the-stars" /><input name="formid" type="hidden" id="formid" value="193469" /><br /><table width="100%" style="border: 1px solid #9999CC; margin: 0; padding: 0; background-color: #FFFFCC;"><tr><td><br /><table width="100%" border="0" cellspacing="0" cellpadding="5"><br /><tr bgcolor=""><td><font color="#000066" size="2" face="Arial"><i> Subject:<font color="#FF0000"> *</font></i></font></td><td><input name="subject" type="text" id="subject" size="20" maxlength="100" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;" /></td></tr><tr bgcolor=""><td><font color="#000066" size="2" face="Arial"><i>Name:<font color="#FF0000"> *</font></i></font></td><td><font color="#000066" size="2" face="Arial"><input name="q[1]" type="text" id="q[1]" value="" size="30" maxlength="150" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"></font></td></tr><br /><tr><td><font color="#000066" size="2" face="Arial"><i> E-mail Address:<font color="#FF0000"> *</font></i></font></td><td><input name="email" type="text" id="email" size="20" maxlength="100" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;" /></td></tr><tr bgcolor=""><td><font color="#000066" size="2" face="Arial"><i>Phone:</i></font></td><td><font color="#000066" size="2" face="Arial"><input name="q[6]" type="text" id="q[6]" value="(xxx) xxx - xxxx" size="30" maxlength="150" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><i>Mailing Address:</i></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><textarea name="q[2]" cols="30" rows="3" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"></textarea></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><i>Type of order:<font color="#FF0000"> *</font></i></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><select name="q[4]" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"><option value="Customised Shoes">Customised Shoes</option><option value="Pre-orders">Pre-orders</option><option value="MAgazine">MAgazine</option><option value="Cds/Albums">Cds/Albums</option><option value="Instock">Instock</option></select></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><i>Orders Description ( Please write clearly your Item No, Item Name, Price, Quantity, Colour & Size and url if spree) :<font color="#FF0000"> *</font></i></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><input name="q[5]" type="text" value="" size="20" maxlength="" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;" /></font></td></tr><br /><tr bgcolor=""><td><font color="#000066" size="2" face="Arial"><i>Number of items:<font color="#FF0000"> *</font></i></font></td><td><font color="#000066" size="2" face="Arial"><input name="q[7]" type="text" value="" size="10" maxlength="" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;" /></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><i>Mode of payment:<font color="#FF0000"> *</font></i></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><input name="q[8]" type="hidden" value="checkbox193469" /><input name="checkbox8[]" type="checkbox" value="Atm Transfer" />Atm Transfer<br /><input name="checkbox8[]" type="checkbox" value="Meet Up Payment (Kovan Only)" />Meet Up Payment (Kovan Only)<br /><input name="checkbox8[]" type="checkbox" value="I-Banking" />I-Banking</font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><i>Type of collection:<font color="#FF0000"> *</font></i></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><input name="q[3]" type="hidden" value="checkbox193469" /><input name="checkbox3[]" type="checkbox" value="Normal postage" />Normal postage<br /><input name="checkbox3[]" type="checkbox" value="Regisitered Postage" />Regisitered Postage<br /><input name="checkbox3[]" type="checkbox" value="Meet-up" />Meet-up</font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><i>Meet-up place(if you choose meet-up)</i></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><input name="q[9]" type="text" value="" size="14" maxlength="" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;" /></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><i>Grand total(Sum up the total cost of your items):<font color="#FF0000"> *</font></i></font></td></tr><br /><tr bgcolor=""><td colspan="2"><font color="#000066" size="2" face="Arial"><input name="q[10]" type="text" value="" size="20" maxlength="" style="font-family: Arial; font-size: 10px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;" /></font></td></tr><br /><tr><td colspan="2"><hr size="1" /></td></tr><br /><tr><td colspan="2"><input name="submit" type="submit" style="background-color: #CCCCCC; font-family: Arial; font-size: 14px; color: #000000; border-bottom:2px solid #000000; border-right:2px solid #000000; border-top:2px solid #000000; border-left:2px solid #000000" value="Submit" /> <input name="reset" type="reset" style="background-color: #CCCCCC; font-family: Arial; font-size: 14px; color: #000000; border-bottom:2px solid #000000; border-right:2px solid #000000; border-top:2px solid #000000; border-left:2px solid #000000" value="Reset" /> </td></tr><br /><tr><td><font color="#FF0000" size="1" face="Verdana, Arial, Helvetica, sans-serif"><b>*</b></font> <font size="1" face="Verdana, Arial, Helvetica, sans-serif">Required</font></td><td align="right"><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><a href="http://www.mycontactform.com"><strong>Create Email Forms</strong></a></font></td></tr><br /></table></td></tr></table></form><br /><!-- End myContactForm.com Form HTML --><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/204002899450785965-1505323363730372024?l=shoes4the-stars-orderform.blogspot.com' alt='' /></div>shoes4the-starshttp://www.blogger.com/profile/14371202436451849497noreply@blogger.com0