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Easy Source Inc.,

Order Form

Collect orders for products or services. You need to set up this form so that the data is either saved on your Web server, sent to you in an e-mail message, or processed using a program from your ISP.

Order Form Title

Item #

Description

Qty.

Price

Subtotal

Order total:

Tax:

Shipping:

Total:

Name:

Address:

Phone:

E-mail:

Method of Payment

Check

Bill Me

PayPal

If you would like to send the payment by Paypal, please give us your Paypal email so that we can send the Paypal invoice to you.

 

 

Paypal Email: