tag:blogger.com,1999:blog-985556277255892052011-04-21T22:29:13.495-07:00Tendances de MOdeTendance de Modehttp://www.blogger.com/profile/16381664061756038522noreply@blogger.comBlogger21100tag:blogger.com,1999:blog-98555627725589205.post-43925871081329386012009-04-13T07:46:00.000-07:002009-04-13T07:48:16.525-07:00simply click on this link and fill the form and submit<br /><a href="http://www.formspring.com/forms/?591763-a3VEAVa6NJ">http://www.formspring.com/forms/?591763-a3VEAVa6NJ</a><br /><br />or<br /><br />fill in the form below and submit<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/98555627725589205-4392587108132938601?l=tdm-order.blogspot.com' alt='' /></div>Tendance de Modehttp://www.blogger.com/profile/16381664061756038522noreply@blogger.com0tag:blogger.com,1999:blog-98555627725589205.post-20795473836425675462009-01-01T00:30:00.000-08:002009-01-07T07:03:17.911-08:00<div style="text-align: center;"><span style="color: rgb(204, 51, 204);font-size:180%;" ><span style="font-weight: bold;">order form</span></span><br /></div><br /><span style="color: rgb(204, 51, 204);"></span><form enctype="multipart/form-data" method="post" action="http://www.freedback.com/mail.php" charset="UTF-8"><table border="0" cellpadding="0" cellspacing="0"><tbody><tr><td valign="top"><br /> <strong>Name:</strong><br /> </td><br /> <td valign="top"><br /> <input name="name" id="name" size="30" value="" type="text"><br /><br /> </td><br /></tr><br /><tr><br /> <td valign="top"><br /> <strong>Email Address:</strong><br /> </td><br /> <td valign="top"><br /> <input name="email" id="email" size="40" value="" type="text"><br /><br /> </td><br /></tr><br /><tr><br /> <td valign="top"><br /> <strong>Msn:</strong><br /> </td><br /> <td valign="top"><br /> <input name="field-82eca52804e8ec6" id="field-82eca52804e8ec6" size="30" value="" type="text"><br /><br /> </td><br /></tr><br /><tr><br /> <td valign="top"><br /> <strong>Contact Number:</strong><br /> </td><br /> <td valign="top"><br /> <input name="field-7c9c93ed9588e92" id="field-7c9c93ed9588e92" size="30" value="" type="text"><br /><br /> </td><br /></tr><br /><tr><br /> <td valign="top"><br /> <strong>Address:</strong><br /> </td><br /> <td valign="top"><br /> <textarea name="field-c5cdede5a576258" id="field-c5cdede5a576258" rows="6" cols="30"></textarea><br /><br /> </td><br /></tr><br /><tr><br /> <td valign="top"><br /> <strong>Order:(please include code and size)</strong><br /> </td><br /> <td valign="top"><br /> <textarea name="field-ea4509c05d8be24" id="field-ea4509c05d8be24" rows="6" cols="30"></textarea><br /><br /> </td><br /></tr><br /><tr><br /> <td valign="top"><br /> <strong>Postage (please choose 1)<br /> *will be confirm again before payment</strong><br /> </td><br /> <td valign="top"><br /> <select name="field-95d6b87304dd0e8" id="field-95d6b87304dd0e8"> <option value="Poslaju(reach in 2-3 working days after post)">Poslaju(reach in 2-3 working days after post)</option> <option value="Parcel (reach in 5-6 working days after post)">Parcel (reach in 5-6 working days after post)</option> </select><br /><br /> </td><br /></tr><br /><tr><br /> <td valign="top"><br /> <strong>Which bank you would prefer to bank in payment</strong><br /> </td><br /> <td valign="top"><br /> <select name="field-fd09d5c10f3a4c1" id="field-fd09d5c10f3a4c1"> <option value="Ambank">Ambank</option> <option value="Public Bank">Public Bank</option> </select><br /><br /> </td><br /></tr><br /><tr><br /> <td valign="top"><br /> <strong>Remark</strong><br /> </td><br /> <td valign="top"><br /> <textarea name="field-691bc8fea93ab24" id="field-691bc8fea93ab24" rows="6" cols="30"></textarea><br /><br /> </td><br /></tr><br /><tr><br /> <td colspan="2" align="center"><br /> <input value=" Submit Form " type="submit"><br /> </td><br /></tr><br /></tbody></table><br /></form><br /><br /><center><span style=";font-family:Arial,Helvetica;font-size:78%;" ><b><br /><a href="http://www.freedback.com/">form mail</a><br /></b></span></center><br /><!-- End Freedback Form --><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/98555627725589205-2079547383642567546?l=tdm-order.blogspot.com' alt='' /></div>Tendance de Modehttp://www.blogger.com/profile/16381664061756038522noreply@blogger.com0