squeeze cd order form
	Please enter below your personal information and the number of units for each item you wish to purchase. Click the "Create Order Form" button to generate a completed order form which you can then print out and mail along with your cheque or money order.
Name:
Address:
City:
State:
Country:
Postal/Zip:
Telephone:
Fax:
Email:
Currency:	United Kingdom in £UK Overseas in £UK Overseas in $US
Quantity	Item
	Down in the Valley - CD Single  United Kingdom - £4.99 Overseas - Money Order £5.99 United States - Cheque $10.00
	Domino - Full-length CD  United Kingdom - £15.00 Overseas - Money Order £15.50 United States - Cheque $25.00

	squeeze cd order form
	Please print and send this order form with your cheque or money order payable in the amount of <%= CurrencySign %><%= TotalAmount %> to Quixotic Records, PO Box 12695, London SE10 9ZJ, U.K. Please allow 28 days for delivery. Squeeze's management have asked us to advise that the transactions will be much quicker and easier by money order.
Name:	<%= Request.Form("Name") %>
Address:	<%= Request.Form("Address") %>
City:	<%= Request.Form("City") %>
State:	<%= Request.Form("State") %>
Country:	<%= Request.Form("Country") %>
Postal/Zip:	<%= Request.Form("Postal") %>
Telephone:	<%= Request.Form("Telephone") %>
Fax:	<%= Request.Form("Fax") %>
Email:	<%= Request.Form("Email") %>

Item	Qty	Each	Total
Down in the Valley - CD Single	<%= ValleyQty %>	<%= CurrencySign %><%= ValleyEach %>	<%= CurrencySign %><%= ValleyAmount %>
Domino - Full-length CD	<%= DominoQty %>	<%= CurrencySign %><%= DominoEach %>	<%= CurrencySign %><%= DominoAmount %>
		Total	<%= CurrencySign %><%= TotalAmount %>
Original Programming by Alexander Deligtisch, www.spliteye.com

<% Select Case Request.Form("Currency") Case "UK Pounds" SelectOne = " selected" Case "Overseas Pounds" SelectTwo = " selected" Case "Overseas US Dollars" SelectThree = " selected" End Select %>

	squeeze cd order form
	Please enter below your personal information and the number of units for each item you wish to purchase. Click the "Create Order Form" button to generate a completed order form which you can then print out and mail along with your cheque or money order. Note: Many fields are required, so that we may deliver your order accurately. Please fill out all address fields and at least one of the Phone, Fax and Email fields so you may be contacted if necessary to complete your order.
Name:	" name="Name">
Address:	" name="Address">
City:	" name="City">
State:	" name="State">
Country:	" name="Country">
Postal/Zip:	" name="Postal">
Telephone:	" name="Telephone">
Fax:	" name="Fax">
Email:	" name="Email">
Currency:	>United Kingdom in £UK >Overseas in £UK >Overseas in $US
Quantity	Item
	Down in the Valley - CD Single  United Kingdom - £4.99 Overseas - Money Order £5.99 United States - Cheque $10.00
	Domino - Full-length CD  United Kingdom - £15.00 Overseas - Money Order £15.50 United States - Cheque $25.00