electionsign.net - Online Order Form<02s/title> <script language="JavaScript">  </script> <script language="JavaScript" fptype="dynamicanimation">  </script> <script language="JavaScript1.2" fptype="dynamicanimation" src="animate.js"> </script> <meta name="Microsoft Border" content="tlrb"> </head> <body bgcolor="#FFFFFF" onload="FP_preloadImgs(/*url*/'button62.jpg', /*url*/'button61.jpg'); dynAnimation()"><form action="./formmail.php" method="POST" enctype="multipart/form-data"> <input type="hidden" name="recipients" value="pgsign4@yahoo.com"><p> <strong><u>Product Specification and Information</u><br> </strong><em>If ordering more then one type of product please use a separate form for each item. To submit your own artwork please click </em> <a href="UPLOADYOUROWN.htm"> <img border="0" id="img20" src="button63.jpg" alt="UPLOAD YOUR OWN DESIGN " fp-style="fp-btn: Soft Tab 6; fp-proportional: 0; fp-orig: 0" fp-title="UPLOAD YOUR OWN DESIGN " onmouseover="FP_swapImg(1,0,/*id*/'img20',/*url*/'button61.jpg')" onmouseout="FP_swapImg(0,0,/*id*/'img20',/*url*/'button63.jpg')" onmousedown="FP_swapImg(1,0,/*id*/'img20',/*url*/'button62.jpg')" onmouseup="FP_swapImg(0,0,/*id*/'img20',/*url*/'button61.jpg')" width="200" height="25"></a></p> </form> <p align="center"> <font color="#008000"><u>Thank you for your order please make sure all contact information for this order is correct. we will contact you with the next business day to confirm your information and get payment information.</u></font><form action="./formmail.php" method="POST" name="FrontPage_Form2" onsubmit="return FrontPage_Form2_Validator(this)" language="JavaScript" enctype="multipart/form-data"> <input type="hidden" name="recipients" value="electionsign@yahoo.com"> <table cellpadding="0" cellspacing="0" width="536" height="211">  <tr> <td valign="top" width="330"><font color="#0000FF">Type in the text you like to have.</font><br> Line 1: <input type="text" size="30" name="Line1Text0" value="VOTE FOR & ELECT"><br> Line 2: <input type="text" size="30" name="Line2Text0" value="WENDELL"><br> <br> Line 3: <input type="text" size="30" name="Line3Text0" value="HAMMOND"><br> <br> Line 4: <input type="text" size="30" name="Line4Text0" value="ALDERMAN"> <br> Line 5: <input type="text" size="30" name="Line5Text1" value="WARD 1"></td> <td valign="top" height="211" width="206"> <p align="center"><br> <img border="0" src="images/SAMPLE2.jpg" width="200" height="150"><br> <br> <input type="text" size="10" name="layout" value="Layout #2"></td> </tr> </table> <p align="center">Type in Disclaimer or <font color="#FF0000"><u>Clear Selection for None</u></font>:( Disclaimer will print in small size text below last line) :<INPUT NAME="Disclaimeroptional" VALUE="PAID POLITICAL ADVERTISING BY CANDIDATE" size="61"> <br> <font color="#FF0000">Most elections laws require <u>DISCLAIMER</u> please check your local laws.<br> </font></p> <p>Background Color <select name="BackgroundColor" size="1"> <option>White</option> <option>Yellow</option> </select> <b> <input type="radio" value="One Sided" name="Sides"></b>1-SIDED <b> <input type="radio" value="Double Sided" checked name="Sides"></b>2-SIDED<b><br> <br> </b>Text Color <select name="TextColor" size="1"> <option>LT-Yellow 102</option> <option>Dark Yellow 130</option> <option>Fire Red 185</option> <option>Royal Blue 301</option> <option>Reflex Blue</option> <option>Plum 259</option> <option>Process Blue</option> <option>Orange 172</option> <option>Violet C</option> <option>Burgundy 202</option> <option>Dark Green 343</option> <option>Kelly Green 347</option> <option>Black</option> </select> <b><br> <br> Quantity:</b> <input type="text" name="quantity" size="13"> Size <select size="1" name="Size"> <option>plastic 12x18</option> <option>plastic 12x24</option> <option selected>plastic 18x24</option> </select> <br> <font color="#FF0000"><br> <input type="radio" name="wire" value="Need Wire stakes" checked></font>NEED WIRE STAND <font color="#FF0000"> <input type="radio" name="Sides" value="Do Not need wire stakes"></font>DO NOT NEED STAND <b> <br> Quantity </b>(<font size="2">Wirestakes if chose needed</font>)<b>:</b> <input type="text" name="quantityWirestakes" size="12"> <br> </p> <p><strong><u>Contact Information</u></strong></p> <p>Name: <input type="text" size="45" name="Name"><font color="#FF00FF">* Required field</font><br> Shipping Address: <input type="text" size="45" name="Address"><font color="#FF00FF">* Required field</font><br> City/State: <input type="text" size="45" name="City_State"><font color="#FF00FF">* Required field</font><br> Zip: <input type="text" size="19" name="Zip"><font color="#FF00FF">* Required field</font><br> Home Phone: <input type="text" size="20" name="HomePhone"><font color="#FF00FF">* Required field</font><br> Cell Phone: <input type="text" name="CellPhone" size="20"><font color="#FF00FF">* Optional field</font><br> E-Mail Address: <input type="text" size="45" name="SenderEmail"><font color="#FF00FF">* Required field<br> </font><font color="#FF0000">Attention: Make sure your contact information is correct. Upon submission, we will contact you to <br> confirm this order.</font></p> <p>Additional Comments: <textarea name="AdditionalComments" rows="3" cols="50"></textarea></p> <p><font color="#FF0000" size="2">Note: This is not an automatic order. The order will be official after we have confirm payment for this order!</font></p> <input type="submit" name="CoroOrderForm" value="Submit To ElectionSign"> </p> <input type="hidden" name="recipients" value="electionsign@yahoo.com"> </FORM> </p> <p align="center"> </p> <p align="center"> <img alt="hex4.jpg" src="images/creditcards.jpg" align="top" width="336" height="53"></p> </body> </html>