AllWebCo Sample Online Order Form

NOTE: This form is only a sample and is not secure. No humans read the output of this form. Do NOT enter a valid credit card number or information into this form!
To order from us, go to Click Here

Name:
E-Mail:
Company:
Street Address:
City, State, Zip: ,
Phone:
Services Requested: If Other:
Comments:
Payment Type MasterCard Visa Amex
Credit Card number exp:




Code to add to your webpage:

 <form method=POST action="http://yourdomain.com/cgi-bin/cgiemail/forms/order.txt">
<INPUT TYPE=HIDDEN VALUE="http://yourdomain.com/your_thank_you_page.htm" name="success">
<INPUT TYPE=HIDDEN name="required-to" size=25 value="your_e-mail@yourdomain.com">
<INPUT TYPE=HIDDEN VALUE="Your e-mail Subject" name="subject">

 Create a file called order.txt and put it into your cgi-bin/cgiemail/forms/ directory. This is the information that will be mailed to the client who fills out the form. (see line #1 of the above code). Be sure to create a thank you page. (line #2)