<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Err.Clear strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(0) Dim arFormDBFields0(0) Dim arFormValues0(0) FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close FP_FormConfirmation "text/html; charset=windows-1252",_ "Form Confirmation",_ "Thank you for submitting the following information:",_ "order_form_printable.htm",_ "Return to the form." End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> Order Form Printable

 

ORDER FORM

Business Name: _________________________________ Contact Name:  __________________________________

Address:____________________________________________________________________________________

Phone: ____________________ Fax: ________________________ E-Mail:_____________________________

Type Style 

All Caps or CAPS & Lower Case

Imprint Message (if you would like to imprint your logo, mail or e-mail your camera ready artwork to us)

   
   
   

IMPRINT ITEM DESCRIPTION AND CHARGES

Item No. Description Item Color Imprint Color Cost Per Unit Qty Total
             

SERVICE CHARGES

Artwork & Typography Charges Set-Up & Plate Charges Additional Imprint Charges Total
       
Subtotal  
Sales Tax  
Estimated Freight Charges (Approximately 15% of Product total cost)  
Total Charges  

Deposit is equivalent to 60% of the total price. (only with Credit Cards Purchases)

Deposit

 
If artwork is not provided, draw rough sketch on the back of this page Balance Due  
Credit Card #: Expiration Date:
Name as it appears on Credit Card:
Mailing Address for your Credit Card:

 

_________________________          _________________           _______________   

 Signature                                                                 Date                                                     Preferred Delivery Date

E-mail sales@vm-advertising.com or Fax your order to (916) 357-7466

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