Order form example (from JavaScript For Rextex Ltd, 3rd edition)

BOOKING FORM

Please complete a free price quote for customized Web design & promotion services from REXTEC LTD

Please note every project is different, and we'll only be able to give you an accurate (no-budge) estimate after we've had a chance to speak with you personally and take a look at your materials.

Having said that, we can give you an estimate. Fill out as much information as you can, click "Submit your quote request", and we'll have an answer to you via e-mail (or telephone, if you prefer) within one business day.

Is there anything else you think we need to know in order to give you an accurate price quote?

Which of our services are you interested in? (Check all that apply.)

Website design Website maintenance Online promotion

Why do you want a Website? (Or, if you already have one, what do you use it for?)

Do you want to incorporate photos into your site?
yes no

Do you have one or more products you'd like to promote/sell on your site?
yes no

Are you a small business owner, or do you work for a large corporation?
small business owner employee

If you work for a corporation, what's the name?

I'd like to have the quota in:

Your first name:	Last name:

How would you like us to contact you (e-mail, phone, or both)?
e-mail
telephone