Qty	D E S C R I P T I O N	ITEM #	PRICE
each	Genuine PICASSO Jolly nice picture.	001	Free
each	Nearly New PICASSO Rodney painted it last week	002	Free
each	Limited Edition PICASSO Only 5,000 left	003	Free
each	Slightly Used PICASSO One careful owner (honestly!)	004	Free

Select Shipping Preferences

Priority Mail - N/A Next Day - N/A International - N/A International 48 hours - N/A International Next Day - N/A

Enter Customer Information Below

First Name	Last Name
Company Name (optional)
Address
City	County	Postal Code
Country
Phone:
Ship To Address  Check if shipping address is the same as mailing address above.
First Name	Last Name
Company Name (optional)
Address
City	County	Postal Code
Country
Payment Information
Select Pay Method:
Master Card
Visa	Free
American Express
Card Number	Expire Date
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Additional Instructions or comments:

This EzOrder Form is for demonstration purposes only and is an example of our template order form which you can add to your existing web site by inserting a simple link. The cost of this service is just £95 per annum. There are no other hidden costs. The EzOrder Form is hosted on the secure server of Instant Web Sites, seperate from your web site. As an EzOrder Form customer, you will be supplied with password protected administration access, to create, update and edit your order form. This puts you in complete control. Full information on the use of EzOrder Form is available here. To experience this product, please feel free to place a dummy order for a Dell Boy Fine Art picture. Of course, you wont actually be shipped anything and you dont need to enter any payment details. However, you will see what happens when an order is placed using EzOrder Form and you will be sent an automated confirmation Email to illustrate how this order form could work for you and your customers.