2008 PayPal Order Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#FFFFFF" TEXT="#080000" background="168fd5a3.jpg"> <div> <FONT SIZE="6" COLOR="#000000" FACE="Harrington" ><B>Strongs' Daylilies</B><B> </B></FONT><B>  </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="Strongs Daylilies"><B>home</B></A><B>         </B></div> <div> <A HREF="id28.htm" TARGET="_top" TITLE="Printable Order Form">Printable Order Form</A>   |   <B>2008 PayPal Order Form</B>      </div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000"> <bR> <bR> <bR> <bR> </td> <td valign="top" height=390 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><B>Order Form for payment through Credit Cards or Bank Account through PayPal</B></I><B> </B>  </div> <div> back to <A HREF="id23.htm" TARGET="_top" TITLE="Ordering Information"><B>Ordering Information</B></A></div> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="934343a0.jpg" border=0 width="52" height="58" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <B>2008 PayPal Order Form</B><B> </B></div> <bR> <bR> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Full Name,Mailing Address,Email,Phone Number,Order Form,Add Order Space,Subtotal:,Shipping,New Subtotal,Add PST and FINAL TOTAL,PayPal,comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you, your order has been sent."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="An online order form was submitted"><input type="hidden" name="tlx_EmailTo" value="mstrong@cogeco.ca"> <table cellpadding="5" cellspacing="1" border="0" align="center"> <tr> <td align="left">Full Name: <br> <input type="text" name="Full Name" size="50" maxlength="100"> </td> </tr> <tr> <td align="left">Mailing address, including postal code: <br> <input type="text" name="Mailing Address" size="50" maxlength="200"> </td> </tr> <tr> <td align="left">Email: <br> <input type="text" name="Email" size="50" maxlength="100"> </td> </tr> <tr> <td align="left">Phone number: <br> <input type="text" name="Phone Number" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Order Space: Example - 2 x Daylily Name @ $10.00 each = $20.00: <br> <textarea name="Order Form" rows="10" cols="80"></textarea> </td> </tr> <tr> <td align="left">Additional Order Space (if needed): <br> <textarea name="Add Order Space" rows="10" cols="80"></textarea> </td> </tr> <tr> <td align="left">Subtotal: <br> <input type="text" name="Subtotal:" size="50" maxlength="100"> </td> </tr> <tr> <td align="left">Shipping. Ontario $10.00, Other Provinces $15.00. Plus .75 each extra plant over 8: <br> <input type="text" name="Shipping" size="50" maxlength="100"> </td> </tr> <tr> <td align="left">New Subtotal: <br> <input type="text" name="New Subtotal" size="50" maxlength="100"> </td> </tr> <tr> <td align="left">Ont. residents add 8% PST. Final Total: <br> <input type="text" name="Add PST and FINAL TOTAL" size="50" maxlength="100"> </td> </tr> <tr> <td align="left">PayPal email address to be billed: <br> <input type="text" name="PayPal" size="50" maxlength="100"> </td> </tr> <tr> <td align="left">Additional Comments:: <br> <textarea name="comments" rows="10" cols="80"></textarea> </td> </tr> <tr> <td align="right"> <input type="reset"> <input type="submit" value="Send" name="tlx_send"> </td> </tr> </table> </form>  </div> </td> </tr></table></body>