Promotional Products by Bunny Graphics, Inc. - SECURE Ordering

<HTML> <HEAD> <TITLE>Ordering Form</TITLE> <META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1"> <META NAME="keywords" CONTENT="Insta Print, promotional products, advertising specialties, corporate advertising, corporate gifts, fund raisers, conventions, souvenirs, real estate, openings, commuter mugs, mouse pads, coffee mugs, sports bottles, magnets, pens, pencils, caps, calendars, Award, Auto Accessories, Badges, Buttons, Bags, Balls, Balloons, Banks-Savings, Banners, Pennants, Beverage Holders-Insulated, Bottles, Boxes, Bumper Stickers, Business Cards, Calculators, Hats, Cards, Cigars, Cameras, Candy, Clipboards, Clips-Utility, Clocks, Clothing, Coasters, Coin Holders, Coins, Tokens, Medallions, Computer Accessories, Computer Software, Containers, Corkscrews, Crystal Products, Cups, Cushions, Cases, Decals, Desk Accessories, Diaries, Electronic Devices, Emery Boards, Eyeglass Straps, Flags, Flashlights, Flying Saucers, Discs, Foam Novelties, Folders, Food Gifts, Frames, Games, Gift, Collections, Glasses-Drinking, Globes, Gloves, Golf Accessories, Headbands, Highlighter Sets, Humidors, Ice Scrapers, Inflatables, Jackets, Jars, Jewelry, Jugs, Key Tags, Knives, Lanterns, Lapel Pins, Lawn & Garden Accessories, Leather & Sim Leather Spec-Custom Made, License Plate Frames, Lighters, Lights, Lip Balm, Trophies, Luggage Tags, Magnets, Markers, Matches, Medals, Megaphones, Memo Pads, Memo Paper, Dispensers, Mugs & Steins, Office Supplies, Openers, Openers-Letter, Organizers, Paperweights, Phone Calling Cards, Picnic Coolers, Playing Cards, Plaques, Pocket Secretaries, Pointers, Portfolios, Puzzles, Tricks, Racks, Holders, Radios, Rainwear, Recorders, Recycled Products, Reflectors, Ribbons, Rulers, Shirts, Shoelaces, Signs, Displays, Sports Equipment & Accessories, Stockings, Straws, Stress Relievers, Sun Visors, Sunglasses, Sweaters, Tags, Tattoos, Thermometers, Ties, Tissues, Tools-Hardware, Towels, Toys, Travel Accessories, Travel Programs, Umbrellas, Uniforms, Watches, Yo-Yo's"> <META NAME="description" CONTENT="Bunny Graphics, Inc. - Promotional Products Supplier - Click here for over 20 professional years providing the latest in promotionalproducts used for corporate advertising and gifts, fund raisers, conventions,souvenirs, promotions, real estate, and new business openings. There are thousandsof promotional products which can be imprinted with your logo or message such ascoffee mugs, sports bottles, magnets, pens, pencils, caps, calendars, andmuch more!"> <META NAME="GENERATOR" CONTENT="Mozilla/3.01Gold (Win95; I; 16bit) [Netscape]"> </HEAD> <BODY BGCOLOR="#FFFFFF"> <H1>Order and E-Mail Information</H1> <P>You can send us your questions by e-mail at (<A HREF="mailto:trclark@bunnygraphicsinc.com">trclark@bunnygraphicsinc.com</A>) or call us Toll-Free at <B>(888) 317-7142</B>.</P> <P><IMG SRC="flyingma.gif" HEIGHT=50 WIDTH=50 ALIGN=LEFT>When e-mailing us please provide as much as possible the following information:</P> <BLOCKQUOTE> <P><IMG SRC="bluered.gif" HEIGHT=12 WIDTH=12 ALIGN=LEFT>Item Description<BR> <IMG SRC="bluered.gif" HEIGHT=12 WIDTH=12 ALIGN=LEFT>Quantity<BR> <IMG SRC="bluered.gif" HEIGHT=12 WIDTH=12 ALIGN=LEFT>Imprint to Read<BR> <IMG SRC="bluered.gif" HEIGHT=12 WIDTH=12 ALIGN=LEFT>Item Color and Imprint Color<BR> <IMG SRC="bluered.gif" HEIGHT=12 WIDTH=12 ALIGN=LEFT>Other Instructions<BR> <IMG SRC="bluered.gif" HEIGHT=12 WIDTH=12 ALIGN=LEFT>Please provide your name and a phone number we can reach you<BR> </P> </BLOCKQUOTE> <P> <HR></P> <UL> <H2>Product Ordering</H2> <P>You may order by calling us Toll-Free (888) 317-7142 or by faxing us this online order form at (562) 431-7579. You may also use the convenient online order form below.</P> </UL> <TR> <TD><DIV ALIGN="CENTER"><CENTER><TABLE BORDER="0" WIDTH="100%"> <TR> <TD WIDTH="50%"><FORM METHOD="POST" name="Order_form" action="formmail/formmail.cgi"> <input type="hidden" name="env_report" value="REMOTE_HOST,REMOTE_ADDR,REMOTE_USER,REMOTE_IDENT,HTTP_USER_AGENT"> <INPUT TYPE="HIDDEN" NAME="recipient" VALUE="order_form@bunnygraphicsinc.com"> <INPUT TYPE="HIDDEN" NAME="redirect" VALUE="http://www.bunnygraphicsinc.com/thanks.htm"> <input type="hidden" name="required" value="1_Name,7_Phone,9_EMail"><input type="hidden" name="sort" value="order:1_Name,2_Company_Name,3_Address,4_City,5_State,6_Zip_Code,7_Phone,8_Fax,9_EMail,10_Item_Description,11_Quantity,12_Unit_Price,13_Item_Color,14_Imprint_Color,15_Imprint_to_Read,16_Logo_Printed,17_Other_Instructions,18_Payment_Type,19_Card_Number,20_Name_On_Card,21_Expiration_Date,22_Found_us_by"> <INPUT TYPE="HIDDEN" NAME="Subject" VALUE="Product Ordering"><DIV ALIGN="LEFT"><TABLE BORDER="0" WIDTH="540"> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Name:</STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="1_Name"></TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Company Name: </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="2_Company_Name"></TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Address: </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="3_Address"></TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>City: </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="4_City"></TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>State: </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="20" NAME="5_State"></TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Zip Code: </STRONG> </TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="20" NAME="6_Zip_Code"></TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Phone: <BR> </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="7_Phone"></TD> <TD> </TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Fax: <BR> </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="8_Fax"></TD> <TD> </TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>E-Mail Address <BR> (required): </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="9_EMail"></TD> <TD> </TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Item Description: <BR> (Manufacturer & Product) </STRONG></TD> </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="10_Item_Description" </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Quantity: <BR> </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="20" NAME="11_Quantity"></TD> <TD> </TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Unit Price: <BR> </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="20" NAME="12_Unit_Price"></td> <TD> </TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Item Color: <BR> </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="20" NAME="13_Item_Color"></td> <TD> </TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Imprint Color: <BR> </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="20" NAME="14_Imprint_Color"></td> <TD> </TD> </TR> <TR> <TD ALIGN="right" VALIGN="top"><B><FONT FACE="arial"><FONT SIZE=-1>Imprint to Read:</FONT></FONT></B></TD> <TD><TEXTAREA NAME="15_Imprint_to_Read" ROWS="3" COLS="40" WRAP="physical"></TEXTAREA></TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Logo Printed: </STRONG></TD> <TD WIDTH="400"><SELECT NAME="16_Logo_Printed" SIZE="1"> <OPTION SELECTED>No</OPTION> <OPTION> Yes - To be E-Mailed</OPTION> <OPTION> Yes - To be Sent</OPTION> <OPTION> Yes - To be E-Mailed with Camera Ready Art </OPTION> <OPTION> Yes - To be Sent with Camera Ready Art </OPTION> </SELECT></TD> </TR> <TR> <TD ALIGN="right" VALIGN="top"><B><FONT FACE="arial"><FONT SIZE=-1>Other Instructions:</FONT></FONT></B></TD> <TD><TEXTAREA NAME="17_Other_Instructions" ROWS="3" COLS="40" WRAP="physical"></TEXTAREA></TD> </TR> <TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Payment Type: </STRONG></TD> <TD WIDTH="400"><SELECT NAME="18_Payment_Type" SIZE="1"> <OPTION SELECTED>Visa</OPTION> <OPTION> MasterCard </OPTION> <OPTION>Check</OPTION> </SELECT></TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Card Number: </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="19_Card_Number"></TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Name On Card: </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="20_Name_On_Card"></TD> <TD> </TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>Expiration Date: </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="20" NAME="21_Expiration_Date"></TD> <TD> </TD> </TR> <TR> <TD ALIGN="RIGHT" WIDTH="140"><STRONG>How did you hear about our site?: <BR> </STRONG></TD> <TD WIDTH="400"><INPUT TYPE="TEXT" SIZE="35" NAME="22_Found_us_by"></td> <TD> </TD> </TR> </TABLE> </DIV><P ALIGN="LEFT"><STRONG> </FONT></P> <P ALIGN="CENTER"><INPUT TYPE="SUBMIT" VALUE="SEND IT!"><INPUT TYPE="RESET" NAME="B1" VALUE="RESET"></P> </FORM> </TD> </TR> </TABLE> </CENTER></DIV></TD> </TR> </TABLE> </TD> </TR> <BLOCKQUOTE> <P>A Bunny Graphics representative will contact you to confirm the order and specifications before an actual order is placed...In addition to check we accept the following forms of payment:</P> </BLOCKQUOTE> <CENTER><P><IMG SRC="visa.gif" HEIGHT=45 WIDTH=70> <IMG SRC="mc.gif" HEIGHT=45 WIDTH=72> </P></CENTER> <CENTER><P><MAP NAME="FrontPageMap0"><AREA SHAPE="POLYGON" COORDS="15, 20, 34, 9, 36, 16, 80, 10, 82, 29, 37, 24, 35, 32" HREF="index_tr.htm" TARGET="Main"></MAP><IMG USEMAP="#FrontPageMap0" SRC="goback.gif" HEIGHT=40 WIDTH=87> <A HREF="index_tr.htm">Return to Bunny Graphics' HomePage </A></P></CENTER> <P><BR> </P> <ADDRESS>Homepage Created by Terry Clark at TRC Enterprises (<A HREF="mailto:webmaster@bunnygraphicsinc.com">webmaster@bunnygraphicsinc.com</A>) </ADDRESS> <CENTER><P><A HREF="http://freedomstarr.com/?CL4133230" target="_top"><IMG SRC="freedom.gif" ALT="Make BIG Money From Long Distance" BORDER=1 HEIGHT=40 WIDTH=400></A></P></CENTER> <P></P> <CENTER><P><A HREF="http://ad.linkexchange.com/5/X093644/gotoad.map" target="_top"><IMG ISMAP SRC="http://ad.linkexchange.com/5/X093644/logoshowad?free" ALT="LinkExchange" BORDER=1 HEIGHT=40 WIDTH=440></A> <BR> <FONT SIZE=-2><A HREF="http://www.linkexchange.com/" target="_top">LinkExchange Member</A></FONT><BR> </P></CENTER> <P></P> <center>  <table border="1" cellpadding="0" cellspacing="0" bgcolor="#AAAAAA"> <tr><td> <a href="http://ads.smartclicks.com/5/B076783/smartsite" target="_top"> <img src="http://ads.smartclicks.com/5/B076783/smartbanner" border="0" width="468" height="60" ismap></a></td></tr><tr><td> <a href="http://ads.smartclicks.com/5/XC0/B076783/clickbar" target="_top"> <img src ="http://ads.smartclicks.com/5/XC0/B076783/smartbar" border="0" width="468" height="16" lowsrc="http://ads.smartclicks.com/XC0/litebar.gif" ismap></a></td></tr></table>  </BODY> </HTML>