Easy Online Order Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=95 BGCOLOR="#CC99CC" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#993366" FACE="Times New Roman" ><B>Baby Making Kits</B></FONT><B>  </B><B> </B><B>|   </B><A HREF="index.htm" TARGET="_top" TITLE="Baby Making Kits"><U><B>home</B></U></A></div> <div> <A HREF="id49.htm" TARGET="_top" TITLE="Fabric Doll Teddy"><U>Fabric Doll & Teddy</U></A>   |   <A HREF="id50.htm" TARGET="_top" TITLE="Vinyl"><U>Vinyl</U></A>   |   <A HREF="id92.htm" TARGET="_top" TITLE="Porcelain Doll Kit Index"><U>Porcelain Doll Kit Index</U></A>   |   <A HREF="id17.htm" TARGET="_top" TITLE="Contact Us !!"><U>Contact Us !!</U></A>   |   <A HREF="id51.htm" TARGET="_top" TITLE="Ordering Info"><U>Ordering Info</U></A>   |   <B>Easy Online Order Form</B>   |   <A HREF="id91.htm" TARGET="_top" TITLE="Printable Order Form"><U>Printable Order Form</U></A>   |   <A HREF="id154.htm" TARGET="_top" TITLE="extras"><U>extras</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Visit other fun links!"><U>Visit other fun links!</U></A>   |   <A HREF="id283.htm" TARGET="_top" TITLE="Assorted Mermaid pics"><U>Assorted Mermaid pics</U></A>   |   <A HREF="id284.htm" TARGET="_top" TITLE="Assorted Fairies pics"><U>Assorted Fairies pics</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=385 BGCOLOR="#CC99CC" TEXT="#080000"> <div> <I>Easy Online Order Form</I></div> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Full Name,Address,Email,Phone,Item Name & Description,Skin tone,price,Shipping & Packing,Insurance,Expiration Date,Signature,Questions,MailingList,cc #"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your order!!"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="ORDER PLACED"><input type="hidden" name="tlx_EmailTo" value="dolls_n_more@yahoo.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Full Name:<br> <input type="text" name="Full Name" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Full Address, stree, city, state, zip:<br> <input type="text" name="Address" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Phone Number (if we have a question):<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Item Name & Description (if multiple items, please send sep. E-mail w Descr. & #'s):<br> <input type="text" name="Item Name & Description" size="30" maxlength="110"></td> </tr> <tr> <td align="left">Skin tone & Eye Color (if Appl.):<br> <input type="text" name="Skin tone" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Price ea:<br> <input type="text" name="price" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Shipping & Packing:<br> <input type="text" name="Shipping & Packing" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Insurance:<br> <input type="text" name="Insurance" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Expiration Date:<br> <input type="text" name="Expiration Date" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Signature: By typing your name here, you are approving the use of this Credit card for this order.:<br> <textarea name="Signature" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Questions or comments:<br> <input type="text" name="Questions" size="30" maxlength="100"></td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Credit Card number:<br> <input type="text" name="cc #" size="14" maxlength="14"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <div> Secure System</div> </td> </tr></table></body>