<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/' xmlns:georss='http://www.georss.org/georss' xmlns:gd='http://schemas.google.com/g/2005' xmlns:thr='http://purl.org/syndication/thread/1.0'><id>tag:blogger.com,1999:blog-2554301176535122648</id><updated>2011-11-03T23:54:12.995+08:00</updated><title type='text'>Exclusive Corner Order Form</title><subtitle type='html'></subtitle><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://exclusivecornerorderform.blogspot.com/feeds/posts/default'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/2554301176535122648/posts/default?max-results=100'/><link rel='alternate' type='text/html' href='http://exclusivecornerorderform.blogspot.com/'/><link rel='hub' href='http://pubsubhubbub.appspot.com/'/><author><name>Alyssa</name><uri>http://www.blogger.com/profile/16223037563957844036</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>1</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>100</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-2554301176535122648.post-4273112026271776224</id><published>2008-03-12T17:24:00.013+08:00</published><updated>2008-05-10T03:03:30.703+08:00</updated><title type='text'></title><content type='html'>Please be informed that remakes will take approx 1 week, oftenly faster, depending on availability of parts due to I don't usually keeps stock.
&lt;form action="http://www.freedback.com/mail.php" method="post" enctype="multipart/form-data" charset="UTF-8"&gt;

&lt;input id="acctid" type="hidden" value="tr9nd0ht4abdjsvs" name="acctid"&gt;
&lt;input id="formid" type="hidden" value="370430" name="formid"&gt;
&lt;input id="required_vars" type="hidden" value="name,email,field-0305d360d6d7a3d,field-70da532b8748d90,field-d8886953eca7ba8,field-26277d17b1bfb0e,field-9ec9f94f81d1487" name="required_vars"&gt;


&lt;table cellspacing="5" cellpadding="5" border="0"&gt;
&lt;tbody&gt;&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;Name:&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;input id="name" title="Your Google Toolbar can fill this in for you. Select AutoFill" style="BACKGROUND-COLOR: #ffffa0" size="40" name="name"&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;Email Address:&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;input id="email" title="Your Google Toolbar can fill this in for you. Select AutoFill" style="BACKGROUND-COLOR: #ffffa0" size="40" name="email"&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;1. Item Code, Colour Choice(If Any)&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;input id="field-0305d360d6d7a3d" size="40" name="field-0305d360d6d7a3d"&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;Quantity&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;select id="field-70da532b8748d90" name="field-70da532b8748d90"&gt; &lt;option value="1"&gt;1&lt;/option&gt; &lt;option value="2"&gt;2&lt;/option&gt; &lt;option value="3"&gt;3&lt;/option&gt; &lt;option value="4"&gt;4&lt;/option&gt; &lt;option value="5"&gt;5&lt;/option&gt; &lt;option value="6"&gt;6&lt;/option&gt; &lt;option value="7"&gt;7&lt;/option&gt; &lt;option value="8"&gt;8&lt;/option&gt; &lt;option value="9"&gt;9&lt;/option&gt; &lt;option value="10"&gt;10&lt;/option&gt;&lt;/select&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;2. Item Code, Colour Choice(If Any)&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;input id="field-cfe527d82f576f4" size="40" name="field-cfe527d82f576f4"&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;Quantity&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;select id="field-5fb2609f419b708" name="field-5fb2609f419b708"&gt; &lt;option value=""&gt;&lt;/option&gt; &lt;option value="1"&gt;1&lt;/option&gt; &lt;option value="2"&gt;2&lt;/option&gt; &lt;option value="3"&gt;3&lt;/option&gt; &lt;option value="4"&gt;4&lt;/option&gt; &lt;option value="5"&gt;5&lt;/option&gt; &lt;option value="6"&gt;6&lt;/option&gt; &lt;option value="7"&gt;7&lt;/option&gt; &lt;option value="8"&gt;8&lt;/option&gt; &lt;option value="9"&gt;9&lt;/option&gt; &lt;option value="10"&gt;10&lt;/option&gt;&lt;/select&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;3.Item Code, Colour Choice(If Any)

&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;input id="field-80937b2d10b5cef" size="40" name="field-80937b2d10b5cef"&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;Quantity&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;select id="field-9a6ee04f023af3e" name="field-9a6ee04f023af3e"&gt; &lt;option value=""&gt;&lt;/option&gt; &lt;option value="1"&gt;1&lt;/option&gt; &lt;option value="2"&gt;2&lt;/option&gt; &lt;option value="3"&gt;3&lt;/option&gt; &lt;option value="4"&gt;4&lt;/option&gt; &lt;option value="5"&gt;5&lt;/option&gt; &lt;option value="6"&gt;6&lt;/option&gt; &lt;option value="7"&gt;7&lt;/option&gt; &lt;option value="8"&gt;8&lt;/option&gt; &lt;option value="9"&gt;9&lt;/option&gt; &lt;option value="10"&gt;10&lt;/option&gt;&lt;/select&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;Attention To:&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;input id="field-d8886953eca7ba8" size="40" name="field-d8886953eca7ba8"&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;Delivery Address:&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;textarea id="field-26277d17b1bfb0e" name="field-26277d17b1bfb0e" rows="6" cols="40"&gt;&lt;/textarea&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;Mode of Delivery Preferred&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;input id="field-9ec9f94f81d1487_0" type="radio" value="Normal Mail (SGD$0.50, free for EC members)" name="field-9ec9f94f81d1487"&gt; Normal Mail (SGD$0.50, free for EC members)

&lt;input id="field-9ec9f94f81d1487_1" type="radio" value="Registered Mail (SGD$2.70)" name="field-9ec9f94f81d1487"&gt; Registered Mail (SGD$2.70)


&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td valign="top"&gt;
&lt;strong&gt;Add-Ons (If Any)&lt;/strong&gt;
&lt;/td&gt;
&lt;td valign="top"&gt;
&lt;select id="field-bb2cdfcdbc18ac7" name="field-bb2cdfcdbc18ac7"&gt; &lt;option value="NA"&gt;NA&lt;/option&gt; &lt;option value="Keychain ($1.50)"&gt;Keychain ($1.50)&lt;/option&gt; &lt;option value="HP Charm ($0.50)"&gt;HP Charm ($0.50)&lt;/option&gt;&lt;/select&gt;

&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td align="middle" colspan="2"&gt;
&lt;input type="submit" value=" Submit Form "&gt;
&lt;/td&gt;
&lt;/tr&gt;
&lt;/tbody&gt;&lt;/table&gt;
&lt;/form&gt;

&lt;p&gt;&lt;span style="color:#3333ff;"&gt;After submitting the your order form, You will recieved an email of the account number for the payment to be transfer. &lt;/span&gt;&lt;span style="color:#3333ff;"&gt;

&lt;/span&gt;&lt;span style="color:#3333ff;"&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style="color:#3333ff;"&gt;Orders will be sent out when payment is recieved. (Unless otherwise advised)&lt;/span&gt; &lt;/p&gt;&lt;p&gt;&lt;span style="color:#3333ff;"&gt;Please allow min 3 days for the delivery.&lt;/span&gt;&lt;/p&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/2554301176535122648-4273112026271776224?l=exclusivecornerorderform.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/2554301176535122648/posts/default/4273112026271776224'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/2554301176535122648/posts/default/4273112026271776224'/><link rel='alternate' type='text/html' href='http://exclusivecornerorderform.blogspot.com/2008/03/order-form-first-name-last-name-email.html' title=''/><author><name>Alyssa</name><uri>http://www.blogger.com/profile/16223037563957844036</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author></entry></feed>
