Please print this form
to order
| Ordered By | Ship To (if other than ordered by) |
|---|---|
| Name:<%=Request.Form("OrderName")%> | Name:<%=Request.Form("ShipToName")%> |
| Address (No P.O. Boxes please) <%=Request.Form("Address1")%> <%=Request.form("Address2")%> |
Address (No P.O. Boxes please) <%=Request.Form("ShipToAddress1")%> <%Request.Form("ShipToAddress2")%> |
| City: <%Request.Form("City")%> State: <%=Request.Form("State")%> Zip: <%=Request.Form("Zip")%> |
City: <%=Request.Form("ShipToCity")
%> State: <%=Request.Form("ShipToState")%> Zip: <%=Request.Form("ShipToZip")%> |
| Phone: <%=Request.Form("Phone")%> | Phone: <%=Request.Form("ShipToPhone")%> |
| Customer Number (if known): <%=Request.Form("CustomerNumber")%> | Customer Number (if known):<%=Request.Form("ShipToCustomerNumber")%> |
| Order Code | Product Description | Quantity | Price Each | Total |
|---|---|---|---|---|
| <%=Request.Form("OrderCode1")%> | <%=Request.Form("ProductDesc1")%> | <%=Request.Form("Q1")%> | <%=Request.Form("Price1")%> | <%=Request.Form("Total1")%> |
| <%=Request.Form("OrderCode2")%> | <%=Request.Form("ProductDesc2")%> | <%=Request.Form("Q2")%> | <%=Request.Form("Price2")%> | <%=Request.Form("Total2")%> |
| <%=Request.Form("OrderCode3")%> | <%=Request.Form("ProductDesc3") %> | <%=Request.Form("Q3")%> | <%=Request.Form("Price3")%> | <%=Request.Form("Total3")%> |
| <%=Request.Form("OrderCode4")%> | <%=Request.Form("ProductDesc4")%> | <%=Request.Form("Q4")%> | <%=Request.Form("Price4")%> | <%=Request.Form("Total4")%> |
| <%=Request.Form("OrderCode5")%> | <%=Request.Form("ProductDesc5")%> | <%=Request.Form("Q5")%> | <%=Request.Form("Price5")%> | <%=Request.Form("Total5")%> |
| <%=Request.Form("OrderCode6")%> | <%=Request.Form("ProductDesc6")%> | <%=Request.Form("Q6")%> | <%=Request.Form("Price6")%> | <%=Request.Form("Total6")%> |
| <%=Request.Form("OrderCode7")%> | <%=Request.Form("ProductDesc7")%> | <%=Request.Form("Q7")%> | <%=Request.Form("Price7")%> | <%=Request.Form("Total7")%> |
| <%=Request.Form("OrderCode8")%> | <%=Request.Form("ProductDesc8")%> | <%=Request.Form("Q8")%> | <%=Request.Form("Price8")%> | <%=Request.Form("Total8")%> |
| Subtotal | <%dim SubT
dim Total1
dim Total2
dim Total3
dim Total4
dim Total5
dim total6
dim Total7
dim Total8
Total1 = CCur(Request.Form("Total1"))
response.write(vartype(total1) & " ") response.write Total1 & " " Total2 = CCur(Request.Form("Total2")) response.write Total2 & " " response.write (Total1 + Total2) & " " response.write (27.50 + 100.00) & " " Total3 = CCur(Request.Form("Total3")) Total4 = CCur(Request.Form("Total4")) Total5 = CCur(Request.Form("Total5")) Total6 = CCur(Request.Form("Total6")) Total7 = CCur(Request.Form("Total7")) Total8 = CCur(Request.Form("Total8")) SubT = Total1 SubT = SubT + Total2 Response.write SubT%> |
|---|---|
| TAX -California Residents Only - add in 7.25% | <%=Request.Form("CASalesTax")%> |
| Shipping Charges - see below | <%=Request.Form("ShippingCharges")%> |
| Total Enclosed | <%=Request.Form("GrandTotal")%> |
Barclay Labs
4780 Caterpiller Road, Unit A
Redding, CA 96003
(530) 244-4460
Open Mon - Thurs, 9 - 4 PST
Toll Free Order Line: (800) 845-4460
Fax: (530) 244-2924
E-Mail: payment9@massage-oil.com