iSign Order form/TITLE> </HEAD>  <script type="text/javascript" src="http://s49.sitemeter.com/js/counter.js?site=s49isign"> </script> <noscript> <a href="http://s49.sitemeter.com/stats.asp?site=s49isign" target="_top"> <img src="http://s49.sitemeter.com/meter.asp?site=s49isign" alt="Site Meter" border="0"/></a> </noscript>  <BODY BGCOLOR="silver" TEXT="grey" LINK="Aqua"> <form action="gdform.php" method="post"> <input type="hidden" name="subject" value="Order Form Submission" /> <input type="hidden" name="redirect" value="upload/upload_form3.html" /> <CENTER> <FONT SIZE="+1" FACE="Arial" COLOR="black"> Please fill in the form and the file uploader will open after you submit your info. </FONT> </CENTER> <TABLE CELLPADDING=0 CELLSPACING=0 WIDTH=600 BORDER=0 VALIGN="TOP"> <TR> <TD> First Name:<BR> Last Name:<BR> Company Name: </TD> <TD> <input type="hidden" name="k_ip" value="38.107.179.221"> <input type="text" name="1Name" /><BR> <input type="text" name="2Name" /><BR> <input type="text" name="3company" /> </TD><BR> <TD> Phone: xxx-xxx-xxxx<BR> E-Mail: </TD> <TD> <input type="text" name="6phone" MAXLENGTH=12 SIZE=12/><BR> <input type="text" name="4email" /> </TD> </TR> </TABLE> <BR> <TABLE CELLPADDING=0 CELLSPACING=0 WIDTH=600 BORDER=0 VALIGN="TOP"> <TR> <TD> Address<BR> City<BR> State<BR> Zip Code </TD> <TD> <input type="text" name="5saddress1" /><BR> <input type="text" name="7scity" /><BR> <input type="text" name="8sstate" /><BR> <input type="text" name="9zip" MAXLENGTH=11 SIZE=11/> </TD> <TD> Project Name<BR> Purchase Order #<BR> Date Needed </TD> <TD> <input type="text" name="a-project" /><BR> <input type="text" name="b-po" MAXLENGTH=15 SIZE=12/><BR> <input type="text" name="c-needed" MAXLENGTH=12 SIZE=12/>mm/dd/yyyy </TD> </TR> </TABLE <BR> <HR ALIGN="CENTER" SIZE="1" WIDTH="90%"> Type of Job: Banner<INPUT TYPE="radio" NAME="d-job" VALUE="Banner"> Magnetic Signs<INPUT TYPE="radio" NAME="d-job" VALUE="Magnetic"> Cut Letting<INPUT TYPE="radio" NAME="d-job" VALUE="Letters"> Printed Decals<INPUT TYPE="radio" NAME="d-job" VALUE="decal"> Sign<INPUT TYPE="radio" NAME="d-job" VALUE="Sign"> Other<INPUT TYPE="radio" NAME="d-job" VALUE="other"> <BR> 1 Sided<INPUT TYPE="radio" NAME="e-sides" VALUE="onesided"> 2 Sided<INPUT TYPE="radio" NAME="e-sides" VALUE="twosided"> Type of Material: Coroplast<INPUT TYPE="radio" NAME="f-material" VALUE="Coroplast"> Wood<INPUT TYPE="radio" NAME="f-material" VALUE="wood"> PVC<INPUT TYPE="radio" NAME="f-material" VALUE="pvc"> Other<INPUT TYPE="radio" NAME="f-material" VALUE="other"> <p>Height<input type="text" name="g-hsize" /> x Width<input type="text" name="h-wsize" /> <B>Please specify inches or feet.</B></p> Details, Comments & Special Instructions: <BR> <textarea name="i-comments" WRAP=VIRTUAL ROWS=4 COLS=60"> Type comments & special instructions such as fonts, background & text colors here.</textarea> <BR> List file names(s) that you are going to upload: <BR> <textarea name="j-files" ROWS=3 COLS=60"> Make sure the file name and extensions are the same as what you upload</textarea> <BR><BR> <input type="submit" value="submit"/> </form> </BODY> </HTML>