<html>
<head><title>Girl Scout Cookies Order Form</title></head>
<body bgcolor=ffffcf>
<h1>Girl Scout Cookie Order


<!--#if expr="\"$QAorder\" != \"\"" -->
Acknowledgement
<!--#endif -->

</h1>

<!--#if expr="\"$QAorder\" = \"\"" -->

    <h2>Three ways to order:</h3>

    <ol>
    <li>Call Suzie Scout <b>212-555-1212</b>; order over the phone.
    <li>Send an email <a href=cookie.txt>order
        message</a> (copy/paste text) to Suzie at 
    <a href=mailto://suzie@troop122.org>suzie@troop122.org</a>.
    <li>Fill in and submit this web form.
    </ol>

<p>
<h2>Each box of cookies is $3.50.<br>
Shipping and Handling is $2.75 per box <br>
and $0.50 for each additional box.</h2>
<p>

<!--#else -->

<p>
<h2>Thank you for your order!</h2>
<p>
The following information has been sent to Suzie Scout via email:
<p>

<!--#endif -->

<form action=girlscoutcookies.html>
<table border=1>

<tr>
<th>Contact Info</th>
<th>Cookie Selection</th>
</tr>
<td>
<table border=0>
<tr> <td><strong>Your:<br></strong></td></tr>

<tr> <td>Name: </td> <td><input name=name  type=text length=35
<!--#if expr="\"$QAorder\" != \"\"" -->
value=<!--#echo var="QAname" -->
<!--#endif -->
></td> </tr>

<tr> <td>Phone:</td> <td><input name=phone type=text length=35
<!--#if expr="\"$QAorder\" != \"\"" -->
value=<!--#echo var="QAphone" -->
<!--#endif -->
></td> </tr>

<tr> <td>Email:</td> <td><input name=email type=text length=35
<!--#if expr="\"$QAorder\" != \"\"" -->
value=<!--#echo var="QAemail" -->
<!--#endif -->
></td> </tr>


</table>


<td>
  <table border=1>
  <tr>
  <th>Thin Mints</th>
  <th>Samoas</th>
  <th>Chalet Cream</th>
  <th>Snaps</th>
  </tr>

  <tr>
  <td align=center>
<!--#if expr="\"$QAorder\" != \"\"" -->
<!--#echo var="QAthinmint" -->
<!--#else -->
<select name=thinmint>
<option selected>0
<option>1
<option>2
<option>3
</select>
<!--#endif -->
</td>

  <td align=center>
<!--#if expr="\"$QAorder\" != \"\"" -->
<!--#echo var="QAsamoa" -->
<!--#else -->
<select name=samoa>
<option selected>0
<option>1
<option>2
<option>3
</select>
<!--#endif -->
</td>

  <td align=center>
<!--#if expr="\"$QAorder\" != \"\"" -->
<!--#echo var="QAchaletcream" -->
<!--#else -->
<select name=chaletcream>
<option selected>0
<option>1
<option>2
<option>3
</select>
<!--#endif -->
</td>

  <td align=center>
<!--#if expr="\"$QAorder\" != \"\"" -->
<!--#echo var="QAsnap" -->
<!--#else -->
<select name=snap>
<option selected>0
<option>1
<option>2
<option>3
</select>
<!--#endif -->
</td>

</tr>
</table><br>
<table border=1>
<tr><td align=center colspan=3>
<font color=blue size=+2>Low Fat</font></td></tr>
<tr>
  <th>Tag-A-Long</th>
  <th>Do-Si-Do</th>
  <th>Trefoil</b></th>
  </tr>
<tr>


  <td align=center>
<!--#if expr="\"$QAorder\" != \"\"" -->
<!--#echo var="QAtagalong" -->
<!--#else -->
<select name=tagalong>
<option selected>0
<option>1
<option>2
<option>3
</select>
<!--#endif -->
</td>

  <td align=center>
<!--#if expr="\"$QAorder\" != \"\"" -->
<!--#echo var="QAdosido" -->
<!--#else -->
<select name=dosido>
<option selected>0
<option>1
<option>2
<option>3
</select>
<!--#endif -->
</td>

  <td align=center>
<!--#if expr="\"$QAorder\" != \"\"" -->
<!--#echo var="QAtrefoil" -->
<!--#else -->
<select name=trefoil>
<option selected>0
<option>1
<option>2
<option>3
</select>
<!--#endif -->
</td>
</tr>
</table>

</table>
<center>
<!--#if expr="\"$QAorder\" != \"\"" -->
<h2>Return to Suzie Scout's <a href=/>Home Page</a></h2>
<!--#else -->
<input type=submit name="order" value="Submit Order Now!">
<!--#endif -->
</center>
</form>

<!--#if expr="\"$QAorder\" != \"\"" -->

<!--#set var="msg" value="Girl Scout Cookie Order: " -->
<!--#set var="msg" value="${msg} Name:  ${QAname}" -->
<!--#set var="msg" value="${msg} Phone:  ${QAphone}" -->
<!--#set var="msg" value="${msg} Email:  ${QAemail}" -->
<!--#set var="msg" value="${msg} thinmint:  ${QAthinmint}" -->
<!--#set var="msg" value="${msg} chaletcream:  ${QAchaletcream}" -->
<!--#set var="msg" value="${msg} do-si-do:  ${QAdosido}" -->
<!--#set var="msg" value="${msg} samoa:  ${QAsamoa}" -->
<!--#set var="msg" value="${msg} snap:  ${QAsnap}" -->
<!--#set var="msg" value="${msg} tagalong:  ${QAtagalong}" -->
<!--#set var="msg" value="${msg} trefoil:  ${QAtrefoil}" -->

<!--#exec cmd="echo $msg | Mail suzie@troop122.org" -->
<!--#endif -->



<!-- ---------- begin footer -----------  -->
<p><small><i> <hr>
<!--#config timefmt="%D %R"-->
<a href=
<!--#echo var="DOCUMENT_URI"--> >
<!--#echo var="DOCUMENT_NAME"-->
</a>    last modified: 
<!--#echo var="LAST_MODIFIED"-->
   by <a href=/~suzie>Suzie T. Scout</a>
</i></small>
<!-- ---------- end footer -----------  -->

</html>