Yesterday you replied to me in one of the newsgroups. I
appreciate your
help. Front Page automatically inserts </form> just
below <form METHOD...>
when I click Save. Below is the HTML:
<form METHOD="POST"
ACTION="
https://oberon.safe-orders.net/kentdhawkins/cgi-
bin/formmail.cgi">
<input type="hidden" name="recipient"
value="(e-mail address removed)">
<input type="hidden" name="subject" value="Order">
<input type="hidden" name="return_link_url"
value="
http://www.kentdhawkins.com/">
<input type="hidden" name="return_link_title" value="Back
to Main Page">
<input type="hidden" name value="Email, Customer,
ADDRESS, City, State, Zip,
PaymentType">
<input type="hidden" name="env_report"
value="REMOTE_HOST,REMOTE_ADDR,HTTP_USER_AGENT">
<input type="hidden" name="title" value="Order Form
Results">
<table CELLSPACING="1" CELLPADDING="4" BORDER="2"
width="600">
<tr>
<td width="727" align="center">
<table CELLSPACING="1" CELLPADDING="4" BORDER="2"
width="545">
<tr>
<td width="882"><table CELLSPACING="0"
CELLPADDING="0" BORDER="0"
width="542" height="868">
<tr>
<td width="600" colspan="3" height="641">
<div align="center">
<center>
<p><strong><font size="4" face="Calisto MT">
<span lang="en-us"><font color="#FF0000">We
are having
difficulties with our form, please email
your order, instead
of
filling out the order form, to
<a
href="mailto:
[email protected]">
[email protected]<
/a>
Use this link to email credit card
information: </font>
<a
href="
https://oberon.safe-
orders.net/kentdhawkins/CreditCardForm.htm">
<font color="#FF0000">
https://oberon.safe-
orders.net/kentdhawkins/CreditCardForm.htm</font></a></spa
n></font></strong></p>
</center>
</div>
<div align="center">
<center>
<p><strong><font size="4" face="Calisto MT">
<img border="0"
src="images/BraceletsCharm/visa.gif"
width="48" height="26">
</font><font size="3" face="Calisto
MT">KENT D. HAWKINS
COMPANY
<img border="0"
src="images/BraceletsCharm/mastercard.gif"
width="44" height="26"></font><font size="4"
face="Calisto MT"><br>
</font><font size="2" face="Calisto
MT">1510 PINE<br>
Weatherford, OK 73096</font></strong></p>
</center>
</div>
<div align="center">
<center>
<p><strong><font size="4" face="Calisto
MT">Secured</font><font size="2" face="Calisto MT">
</font><font size="3" face="Calisto
MT">Order
Form</font></strong></p>
</center>
</div>
<div align="center">
<center>
<table border="0" width="661">
<tr>
<td align="right" width="99"><font
size="2"><b>Name:</b>
</font></td>
<td width="565">
<input type="text" size="79"
name="Customer"
style="text-decoration: blink"></td>
</tr>
<tr>
<td align="right" width="99"><font
size="2"><b>Address:</b>
</font></td>
<td width="565"><input type="text"
size="79"
name="ADDRESS"></td>
</tr>
<tr>
<td align="right" width="99"><font
size="2"><b>City:</b>
</font></td>
<td width="565"><input type="text"
size="25"
name="City"><strong><font size="2">State:</font><input
type="text" size="6"
name="State"><font size="2">Zip:</font></strong><font
size="2"><input
type="text" size="9" name="Zip"></font><font
size="1"><strong>Ebay
ID</strong> if one</font><input
type="text" size="11"
name="EbayID"></td>
</tr>
<tr>
<td align="right" width="99"><font
size="1"><b>E-mail:</b>
</font></td>
<td width="565"><font size="2">
<input type="text" size="32"
name="Email"
maxlength="40"><strong>Phone</strong></font><font
size="1"><strong>#</strong>AreaCodeFirst</font><input
type="text" size="29"
name="Telephone"></td>
</tr>
</table>
</center>
</div>
<table border="0" style="border-collapse:
collapse"
cellpadding="0" cellspacing="0">
<tr>
<td align="center" colspan="7"
width="651"></td>
</tr>
<tr>
<td>
<div align="center">
<center>
<p><font size="1"><b>Item
Number</b></font></td>
<td align="center" width="73"></p>
<div align="center">
<center>
<p><font
size="1"><b>Quantity</b></font></td>
<td align="center" width="70"></p>
<div align="center">
<center>
<p><font size="1"><strong>Color
</strong></font>
<font size="1" face="Abadi MT
Condensed Light"><em>if
needed</em></font></td>
<td align="center" width="199"></p>
<div align="center">
<center>
<p><font size="1"><em><strong>Item
Name</strong></em></font></td>
<td align="center" width="98"></p>
<div align="center">
<center>
<p><font
size="1"><em><strong>Individual
Price</strong></em></font></td>
<td align="center" colspan="2"
width="109"></p>
<div align="center">
<center>
<p><font
size="2"><em><strong>Total</strong></em></font></td>
</tr>
<tr align="center">
<td width="82"></p>
<div align="center">
<p><font size="2"><em>
<input type="text"
size="10" maxlength="10"
name="#1 Item Number"></em></font></td>
<td align="center"
width="73"></p>
<center>
<div align="center">
<p><font size="2"><em>
<input type="text"
size="5" maxlength="3"
name="#1 Item Quantity"></em></font></td>
<td align="center"
width="70"></p>
<center>
<div align="center">
<p><font size="2"><em>
<input type="text"
size="13" maxlength="4"
name="#1 Item Color1"></em></font></td>
<td align="center"
width="199"></p>
<center>
<div align="center">
<p><font size="2"><em>
<input type="text"
size="35"
maxlength="50" name="#1 Item Name"></em></font></td>
<td align="center"
width="98"></p>
<center>
<div align="center">
<p><font
size="2"><em>
<input type="text"
size="7"
maxlength="20" name="#1 Item Price
Individual"></em></font></td>
<td align="center"
width="22"></p>
<center>
<div align="center">
<p><font
size="2"><em>$ </em></font>
</td>
<td
align="center" width="83"></p>
<center>
<div
align="center">
<p><font
size="2"><em>
<input
type="text" size="10"
maxlength="7" name="#1 Item Price
Combined"></em></font></td>
</tr>
<tr
align="center">
<td
width="82"></p>
<center>
<div
align="center">
<p><font
size="2"><em>
<input
type="text" size="10"
maxlength="10" name="#2 Item Number"></em></font></td>
<td
align="center"
width="73"></p>
<center>
<div
align="center">
<p><font
size="2"><em>
<input
type="text" size="5"
maxlength="3" name="#2 Item Quantity"></em></font></td>
<td
align="center"
width="70"></p>
<center>
<div
align="center">
<p><font
size="2"><em>
<input
type="text" size="13"
maxlength="4" name="#2 Item Color"></em></font></td>
<td
align="center"
width="199">
</p>
<center>
<div
align="center">
<p><font size="2"><em>
<input
type="text"
size="35" maxlength="50" name="#2 Item
Name"></em></font></td>
<td
align="center"
width="98">
</p>
<center>
<div
align="center">
<p><font size="2"><em>
<input type="text"
size="7" maxlength="20" name="#2 Item Price
Individual"></em></font></td>
<td
align="center"
width="22">
</p>
<center>
<div
align="center">
<p><font
size="2"><em>$
</em></font></td>
<td
align="center"
width="83">
</p>
<center>
<div align="center">
<p><font
size="2"><em>
<input type="text"
size="10" maxlength="7" name="#2 Item Price
Combined"></em></font></td>
</tr>
<tr align="center">
<td width="82"></p>
<center>
<div align="center">
<p><font
size="2"><em>
<input type="text"
size="10" maxlength="10" name="#3 Item
Number"></em></font></td>
<td align="center"
width="73">
</p>
<center>
<div
align="center">
<p><font
size="2">
<em>
<input
type="text" size="5" maxlength="3" name="#3 Item
Quantity"></em></font></td>
<td
align="center" width="70">
</p>
<center>
<div
align="center">
<p><font
size="2">
<em>
<input
type="text" size="13" maxlength="4" name="#3 Item
Color"></em></font></td>
<td
align="center" width="199">
</p>
<center>
<div
align="center">
<p>
<font
size="2">
<em>
<input
type="text" size="35" maxlength="50" name="#3 Item
Name1"></em></font></td>
<td
align="center" width="98">
</p>
<center>
<div
align="center">
<p>
<font
size="2">
<em>
<input
type="text" size="7" maxlength="20" name="#3 Item Price
Individual"></em></font></td>
<td
align="center" width="22">
</p>
<center>
<div
align="center">
<p>
<font
size="2">
<em>$
</em>
</font></td>
<td
align="center" width="83">
</p>
<center>
<div
align="center">
<p>
<font
size="2">
<em>
<input
type="text" size="10" maxlength="7" name="#3 Item Price
Combined"></em></font></td>
</tr>
<tr
align="center">
<td
width="82">
</p>
<center>
<div
align="center">
<p>
<font size="2">
<em>
<input type="text" size="10" maxlength="10" name="#4 Item
Number"></em></font></td>
<td
align="center" width="73">
</p>
<center>
<div
align="center">
<p>
<font size="2">
<em>
<input type="text" size="5" maxlength="3" name="#4 Item
Quantity"></em></font></td>
<td align="center" width="70">
</p>
<center>
<div align="center">
<p>
<font size="2">
<em>
<input type="text" size="13" maxlength="4" name="#4 Item
Color"></em></font></td>
<td align="center" width="199">
</p>
<center>
<div align="center">
<p>
<font size="2">
<em>
<input type="text" size="35" maxlength="50" name="#4 Item
Name"></em></font></td>
<td align="center" width="98">
</p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="7"
maxlength="20" name="#4
Item Price Individual"></em></font></td>
<td align="center" width="22"></p>
<center>
<div align="center">
<p><font size="2"><em>$ </em></font></td>
<td align="center" width="83"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="7" name="#4
Item Price Combined"></em></font></td>
</tr>
<tr align="center">
<td width="82"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="10" name="#5
Item Number"></em></font></td>
<td align="center" width="73"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="5"
maxlength="3" name="#5
Item Quantity"></em></font></td>
<td align="center" width="70"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="13"
maxlength="4" name="#5
Item Color"></em></font></td>
<td align="center" width="199"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="35"
maxlength="50" name="#5
Item Name"></em></font></td>
<td align="center" width="98"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="7"
maxlength="20" name="#5
Item Price Individual"></em></font></td>
<td align="center" width="22"></p>
<center>
<div align="center">
<p><font size="2"><em>$ </em></font></td>
<td align="center" width="83"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="7" name="#5
Item Price Combined"></em></font></td>
</tr>
<tr align="center">
<td width="82"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="10" name="#6
Item Number"></em></font></td>
<td align="center" width="73"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="5"
maxlength="3" name="#6
Item Quantity"></em></font></td>
<td align="center" width="70"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="13"
maxlength="4" name="#6
Item Color"></em></font></td>
<td align="center" width="199"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="35"
maxlength="50" name="#6
Item Name"></em></font></td>
<td align="center" width="98"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="7"
maxlength="20" name="#6
Item Price Individual"></em></font></td>
<td align="center" width="22"></p>
<center>
<div align="center">
<p><font size="2"><em>$ </em></font></td>
<td align="center" width="83"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="7" name="#6
Item Price Combined"></em></font></td>
</tr>
<tr align="center">
<td width="82"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="10" name="#7
Item Number"></em></font></td>
<td align="center" width="73"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="5"
maxlength="3" name="#7
Item Quantity"></em></font></td>
<td align="center" width="70"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="13"
maxlength="4" name="#7
Item Color"></em></font></td>
<td align="center" width="199"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="35"
maxlength="50" name="#7
Item Name"></em></font></td>
<td align="center" width="98"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="7"
maxlength="20" name="#7
Item Price Individual"></em></font></td>
<td align="center" width="22"></p>
<center>
<div align="center">
<p><font size="2"><em>$ </em></font></td>
<td align="center" width="83"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="7" name="#7
Item Price Combined"></em></font></td>
</tr>
<tr align="center">
<td width="82"></p>
<center>
<div align="center">
<p><font
size="2"><em><input
type="text" size="10" maxlength="10" name="#8 Item
Number"></em></font></td>
<td align="center" width="73"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="5"
maxlength="3" name="#8
Item Quantity"></em></font></td>
<td align="center" width="70"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="13"
maxlength="4" name="#8
Item Color"></em></font></td>
<td align="center" width="199"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="35"
maxlength="50" name="#8
Item Name"></em></font></td>
<td align="center" width="98"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="7"
maxlength="20" name="#8
Item Price Individual"></em></font></td>
<td align="center" width="22"></p>
<center>
<div align="center">
<p><font size="2"><em>$ </em></font></td>
<td align="center" width="83"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="7" name="#8
Item Price Combined"></em></font></td>
</tr>
<tr align="center">
<td width="82"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="10" name="#9
Item Number"></em></font></td>
<td align="center" width="73"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="5"
maxlength="3" name="#9
Item Quantity"></em></font></td>
<td align="center" width="70"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="13"
maxlength="4" name="#9
Item Color"></em></font></td>
<td align="center" width="199"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="35"
maxlength="50" name="#9
Item Name"></em></font></td>
<td align="center" width="98"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="7"
maxlength="20" name="#9
Item Price Individual"></em></font></td>
<td align="center" width="22"></p>
<center>
<div align="center">
<p><font size="2"><em>$ </em></font></td>
<td align="center" width="83"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="7" name="#9
Item Price Combined"></em></font></td>
</tr>
<tr align="center">
<td width="82"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="10" name="#10
Item Number"></em></font></td>
<td align="center" width="73"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="5"
maxlength="3" name="#10
Item Quantity"></em></font></td>
<td align="center" width="70"></p>
<center>
<div
align="center">
<p><font size="2"><em><input type="text" size="13"
maxlength="4" name="#10
Item Color"></em></font></td>
<td align="center" width="199"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="35"
maxlength="50" name="#10
Item Name"></em></font></td>
<td align="center" width="98"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="7"
maxlength="20" name="#10
Item Price Individual"></em></font></td>
<td align="center" width="22"></p>
<center>
<div align="center">
<p><font size="2"><em>$ </em></font></td>
<td align="center" width="83"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="7" name="#10
Item Price Combined"></em></font></td>
</tr>
<tr align="center">
<td
width="82"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="10" name="#11
Item Number"></em></font></td>
<td align="center" width="73"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="5"
maxlength="3" name="#11
Item Quantity"></em></font></td>
<td align="center" width="70"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="13"
maxlength="4" name="#11
Item Color"></em></font></td>
<td align="center" width="199"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="35"
maxlength="50" name="#11
Item Name"></em></font></td>
<td align="center" width="98"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="7"
maxlength="20" name="#11
Item Price Individual"></em></font></td>
<td align="center" width="22"></p>
<center>
<div align="center">
<p><font size="2"><em>$ </em></font></td>
<td align="center" width="83"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="7" name="#11
Item Price Combined"></em></font></td>
</tr>
<tr align="center">
<td width="82"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="10" name="#12
Item Number"></em></font></td>
<td align="center" width="73"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="5"
maxlength="3" name="#12
Item Quantity"></em></font></td>
<td align="center" width="70"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="13"
maxlength="4" name="#12
Item Color"></em></font></td>
<td align="center" width="199"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="35"
maxlength="50" name="#12
Item Name"></em></font></td>
<td align="center" width="98"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="7"
maxlength="20" name="#12
Item Price Individual"></em></font></td>
<td align="center" width="22"></p>
<center>
<div align="center">
<p><font size="2"><em>$ </em></font></td>
<td align="center" width="83"></p>
<center>
<div align="center">
<p><font size="2"><em><input type="text" size="10"
maxlength="7" name="#12
Item Price Combined"></em></font></td>
</tr>
</table>
</p>
</div>
</td>
</tr>
<tr align="center">
<td
width="597" align="right">
<div align="right">
<p><font size="2"><em><b>ORDER
SUBTOTAL:</b></em></font></td>
<td width="597" align="right"><b><font
size="3">$</font></b><td width="597"
align="right"><font size="2"><em><b><input type="text"
name="Order Subtotal"
size="9"></b></em></font></td>
</tr>
<tr align="center">
<td align="right" width="597"></p>
<div align="right">
<p><font size="2"><b>Shipping & Handling Charge
(required on all
orders)<br>
</b></font></td>
<td align="right" width="597"><font
size="3"><strong>$</strong></font></td><td align="right"
width="597"><font
size="2"><em><b><input type="text" name="Order S&H"
size="9"></b></em></font></td>
</tr>
<tr align="center">
<td width="597" align="right"></p>
<div align="right">
<p><b><em><font size="2"><font face="Arial Rounded MT
Bold">Shipping and
Handling <font color="#FF6600">$<span lang="en-
us">2.00</span> for 1st
bracelet;</font></font><font color="#FF6600"> <font
face="Arial Rounded MT
Bold">$.50 each bracelet thereafter up to 6.<br>
</font></font></font><font face="Arial Rounded MT Bold"
size="2"
color="#FF6600">BRACELETS-Over 6 please email for
charges.</font><font
face="Arial Rounded MT Bold" size="2" color="#FF0000"><br>
</font><font face="Arial Rounded MT Bold" size="2"
color="#0000FF">$<span
lang="en-us">2.00</span> up to 6 charms; Additional $.50
per 6 charms after
that<br>
</font><span lang="en-us"><font face="Arial Rounded MT
Bold" size="2"
color="#0000FF">Charms-Over 48 please email for
charges.</font><font
face="Arial Rounded MT Bold" size="2" color="#FF0000"><br>
</font></span><font color="#008000"><font face="Arial
Rounded MT Bold"
size="2">Guardian Angel Pins $<span lang="en-
us">2.00</span> for 1; more
than 1 please email for charges.</font><font
face="ACaslon Regular"
size="3"> </font><font face="ACaslon Regular"
size="4"><br>
</font></font></strong><font size="2"><br style="line-
height: 5px">
</font><font face="Arial Rounded MT Bold"
size="2"><font
color="#CC0099">Watches S&H $<span lang="en-
us">3.00</span> OR $<span
lang="en-us">5</span>.<span lang="en-us">5</span>0--2
Watches</font><br>
</font><font size="2"><br>
<font face="AGaramond Bold">International Shipping is
more. Email for
charges</font>.</font></p>
</em><center><em>
<div align="center">
<p align="right"><font size="2"><font face="Arial Rounded
MT Bold">Insurance
of $1.30 per $50 will be added unless the box below is
checked.<strong>
<font color="#FF0000">I understand that once the items
are shipped Kent D.
Hawkins Company is released from recovery of payment due
to loss or damage
during shipment.<br>
</font></strong>Insurance is not available on
international orders. <br>
</font><input type="radio" name="Insurance" value="No
Insurance"><strong>No
Insurance</strong><input type="text" name="Insurance"
size="11" value="$
1.30 " style="text-align: right"></font></td></p>
</div>
<p align="right"> </tr><tr align="center"><td
align="right" width="597"
height="78"><font size="3">ORDER TOTAL:</font> </td>
<td align="right" width="156"
height="78"><big><strong>$</strong></big></td>
<td align="right" width="128" height="78"><font
size="2"><input type="text"
name="Order Total" size="14"></font></td>
</tr>
</table>
</p>
<div align="right">
<table border="0" width="493" cellspacing="0"
cellpadding="0"
style="border-collapse: collapse">
<tr>
<td align="right" width="609">
<div align="center">
<center>
<div align="center">
<center>
<table width="386" height="232">
<tr>
<td width="380" align="center" height="228"><table
cellSpacing="1"
cellPadding="4" width="642" border="2">
<tr>
<td width="643"><table cellSpacing="1" cellPadding="4"
width="626"
border="2">
<tr>
<td width="788">
<div align="center">
<center>
<table width="599">
<tr>
<td bgColor="#b3bba6" width="593"><em>*</em><strong><font
face="Arial
Rounded MT Bold">Desired </font>Payment Method (Select
one):</strong>
<dl>
<dd>
<div align="center">
<center>
<p><input
type="radio" value="Check"
name="PaymentType"><strong>Check</strong> <input
type="radio" value="Money Order"
name="PaymentType"><strong>Money
Order</strong> <input type="radio" CHECKED
value="Mastercard"
name="PaymentType"><strong>Mastercard</strong><input
type="radio"
value="VISA" name="PaymentType"><strong>VISA
</strong><input type="radio"
value="PayPal" name="PaymentType"><strong>Paypal</p>
</center>
</div>
</dd>
<dd><font face="Times New Roman" size="2"><em>Money
orders receive ASAP
shipment in USA; checks have a 10 working day clearance
period after payment
is received. <br>
Payment from banks outside USA will have to wait until
notification of bank
clearance. Credit card and Paypal orders<span
lang="en-us">
</span>receive ASAP shipment.</em></font> </dd>
<dd><span lang="en-us">Please, Do Not Send Payment Via
Paypal Until We Have
Confirmed All Items Are Instock and we email the Paypal
account you are to
pay.</span> </dd>
</strong>
</dl>
</center>
</div>
</td>
</tr>
</table>
<div align="center">
<center>
<table border="1" width="571">
<tr>
<td align="center" colspan="2" width="1018"><br>
<b>Credit Card <span lang="en-us">Payment
</span>Information</b></span></b></td>
</tr>
<tr>
<td align="center" colspan="2" width="809"
valign="middle">
<div align="center">
<center>
<p></td>
</tr>
<tr align="center">
<td width="106"><font size="2"><em><strong>Exact Name (As
It Appears On
Card)</strong></em></font><b></td></b>
<td width="607"><input type="text" size="65" name="Name
On Card"></td>
</tr>
<tr align="center">
<td align="right" width="106"></p>
<div align="center">
<center>
<p><font size="2"><em><strong><b>Credit Card Number:
</b></strong></em></font><b></td>
<td align="center" width="607"></b></p>
<div align="center">
<center>
<p><input type="text" size="64" name="Payment-Card"
value=" - - -
Please leave hyphen between every 4 numbers"></td>
</tr>
<tr align="center">
<td align="right" width="106"></p>
<div align="center">
<center>
<p><em><font size="2"><b>Expiration Date:
</b></font></em><b></td>
<td align="center" width="607"></b></p>
<div align="center">
<center>
<p><em><input type="text" size="7" name="Payment-
CardMonth">/<input
type="text" size="7" name="Payment-CardYear"></td>
</tr>
<tr align="center">
<td align="right" width="106"></p>
<div align="center">
<center>
<p><strong><font size="2"><b>Number<span lang="en-us">s
On Back</span> Where
Signature Is:</b> </font></strong></em><strong></td>
<td align="center" width="607"></p>
<div align="center">
<center>
<p><em><input type="text"
size="18" name="Payment-BackNumber"></em></font></td>
</tr>
</table>
</p>
</center>
</div>
<div align="center">
<center>
<p><em><input type="submit" value="Click Here To Send
Info Directly to Kent
D. Hawkins Company" name="Email"></em> <br>
For questions please email: <a
href="mailto:
[email protected]">
[email protected]<
/a></p>
</center>
</div>
-----Original Message-----
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