JavaScript Order Form Version 2.1

This page illustrates a single page shopping cart. For modifications and custom work on this order form, please email javascript@zone0ne.com. Modifications are charged at a rate of $75 U.S. per hour. Most modifications can usually be completed in an hour.
Feature Benefit
Provides sub-total, tax, and total order amounts. End-user doesn't need to calculate their order amounts.
Required field checking Makes sure that the form is filled out correctly before submitting it to the server.
Order confirmation message with each selected line item and total order amount. Makes sure that the end-user didn't accidently submit their order.
Blank order checking Makes sure that the end-user has selected at least one item. Prevents blank orders from being sent. 

     First Name: 
      Last Name: 
        Address: 
        Address: 
           City: 
 State/Province: 
Zip/Postal Code: 
        Country: 
    Voice Phone: 
      Facsimile: 
 E-Mail Address:
Payment Method: Check: Visa: Master Card: Money Order
Card #: Expiration Date:

Select the line item(s) you want to order then enter the quantity.
Example Part # Description Qty Cost
photo_samp.gif - 1587 Bytes 4883 Papa Bear Humidor
Holds 100 Cigars		 $230.00
photo_samp.gif - 1587 Bytes 4433 Mama Bear Humidor
Holds 50 Cigars 		$180.00
photo_samp.gif - 1587 Bytes 2233 Baby Bear Humidor
Holds 20 Cigars 		$110.00
photo_samp.gif - 1587 Bytes 1122 Personal
Holds 2 Cigars 		$30.00
photo_samp.gif - 1587 Bytes 2244 Accessories Package
Deluxe Kit (Lighter Case, Cedar Dust, Cedar Sticks, and Aqua Blue Fluid in an oak box) 		$30.29
photo_samp.gif - 1587 Bytes 3433 Desk Accessories Item 501
Post-it Base		 $12.99
photo_samp.gif - 1587 Bytes 3433 Desk Accessories Item 507
Post-it Base		 $15.96


Sub Total: $
Tax Rate: 8.25% Total Tax: $
Total Order: $


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