<div id = "i_inputbox">

 

 

 

 <div class = "ttyls"> <titletron>Clarity Series:<br> The Classic Kard.</titletron></div><br>

 <div class = "descript">Laser-Etched Clear Acrylic </div>

 

 <!-- Start of Form -->

 <!-- Note: target="paypal" was replaced with the variable target="_self" -->

 <!-- Note: shopping_url also added to code -->

 <!-- These two changes allow better functionality with IE and Firefox --> 

 <form id = "paypal" action="https://www.paypal.com/cgi-bin/webscr" method="post" onsubmit="this.target = '_self'; verify(this);return ReadForm(this, true);">

 <input type="hidden" name="add" value="1">

 <input type="hidden" name="cmd" value="_cart">

 <!--your email address goes here -->

 <input type="hidden" name="business" value="laserkards@mit.edu">

 <input type="hidden" name="item_name">

 <input type="hidden" name="item_number">

 <input type="hidden" name="amount">

 <input type="hidden" name="currency_code" value="USD">

 <input type="hidden" name="lc" value="US">

 <input type="hidden" name="shopping_url" value="http://www.laserkard.com/buy.pl">

 <input type="hidden" name="cancel_return" value="http://www.laserkard.com">

 <input type="hidden" name="return" value="http://www.laserkard.com">

 <input type="hidden" name="bn" value="PP-ShopCartBF:btn_cart_LG.gif:NonHosted">

 

 

 <!--   -->

 <input type="hidden" name="baseamt" value="00">

 <input type="hidden" name="basedes" value="Clarity Series: The Classic Kard">

 <!--   -->

 <input type="hidden" name="baseon0" value = "Email">

 <input type="hidden" name="baseos0">

 <input type="hidden" name="baseon1" value = "Phone">

 <input type="hidden" name="baseos1">

 <input type="hidden" name="baseon2" value = "Name">

 <input type="hidden" name="baseos2">

 <input type="hidden" name="baseon3" value = "Company">

 <input type="hidden" name="baseos3">

 <input type="hidden" name="baseon4" value = "Occupation">

 <input type="hidden" name="baseos4">

 <input type="hidden" name="baseon5" value = "Website">

 <input type="hidden" name="baseos5">

 <input type="hidden" name="baseon6" >

 <input type="hidden" name="baseos6">

 <input type="hidden" name="baseon7" >

 <input type="hidden" name="baseos7">

 <input type="hidden" name="baseon8" >

 <input type="hidden" name="baseos8">

 <input type="hidden" name="baseon9" >

 <input type="hidden" name="baseos9">

 <input type="hidden" name="baseitn">

 <!--   -->

 <input type="hidden" name="on0">

 <input type="hidden" name="os0">

 <input type="hidden" name="on1">

 <input type="hidden" name="os1">

 <input type="hidden" name="on2">

 <input type="hidden" name="os2">

 <input type="hidden" name="on3">

 <input type="hidden" name="os3">

 <input type="hidden" name="on4">

 <input type="hidden" name="os4">

 <input type="hidden" name="on5">

 <input type="hidden" name="os5">

 <input type="hidden" name="on6">

 <input type="hidden" name="os6">

 <input type="hidden" name="on7">

 <input type="hidden" name="os7">

 <input type="hidden" name="on8">

 <input type="hidden" name="os8">

 <input type="hidden" name="on9">

 <input type="hidden" name="os9">

 <!--   -->

 

 

 <!-- Start of Options  -->

 

     

     <input type="radio" name = "whatev"

 

 	value="40 cards @125.00"   CHECKED

 	onclick = "ReadForm (this.form, false);"

 	onload = "ReadForm (this.form, false);" >

 	40 cards &mdash; $125

 	

 	<br>

 	

     

     <input type="radio" name = "whatev"

 

 	value="4 cards @30.00"   

 	onclick = "ReadForm (this.form, false);"

 	onload = "ReadForm (this.form, false);" >

 	4 cards &mdash; $30

 	

 	<br>

 	

 

 

 

  &nbsp;

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 <!-- Start of Text Input Fields -->

 <br>

 Email:&nbsp;&nbsp;<br>

 <input type="text"  name="line_1b" size="20" id="Email" 

 ONFOCUS="clearDefault(this);" onKeyUp="stabForm('Email');smallRedraw('classic', 'Email');"

 

 >

 <!--   -->

 <br>

 <br>

 Phone:&nbsp;&nbsp;<br>

 <input type="text"  name="line_2b" size="20" id="Phone" 

 ONFOCUS="clearDefault(this);" onKeyUp="stabForm('Phone');smallRedraw('classic', 'Phone');"

 

 >

 <!--   -->

 <br>

 <br>

 Name:&nbsp;&nbsp;<br>

 <input type="text"  name="line_3b" size="20" id="Name" 

 ONFOCUS="clearDefault(this);" onKeyUp="stabForm('Name');smallRedraw('classic', 'Name');"

 

 >

 <!--   -->

 <br>

 <br>

 Company:&nbsp;&nbsp;<br>

 <input type="text"  name="line_4b" size="20" id="Company" 

 ONFOCUS="clearDefault(this);" onKeyUp="stabForm('Company');smallRedraw('classic', 'Company');"

 

 >

 <!--   -->

 <br>

 <br>

 Occupation:&nbsp;&nbsp;<br>

 <input type="text"  name="line_5b" size="20" id="Occupation" 

 ONFOCUS="clearDefault(this);" onKeyUp="stabForm('Occupation');smallRedraw('classic', 'Occupation');"

 

 >

 <!--   -->

 <br>

 <br>

 Website:&nbsp;&nbsp;<br>

 <input type="text"  name="line_6b" size="20" id="Website" 

 ONFOCUS="clearDefault(this);" onKeyUp="stabForm('Website');smallRedraw('classic', 'Website');"

 

 >

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 <br>

 

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 <br>

 Total Cost:&nbsp; &nbsp;

 <input class="nbor" type="text" name="tot" size="8" value="$125.00">

 <br>(Free Shipping)

 <br><br>            

 <input name="accept" type="checkbox" value="0"><br>

 I approve this design.  I understand that my card will appear exactly as it appears on the screen and agree that spelling and content are correct.

 

 

 <br><br>

 <div id = "buttoncon">

 <div id="crush">

 Sending Order.

 </div>

 

 <div id="vanish">

 <input type="image"  src="https://www.paypal.com/en_US/i/btn/btn_cart_LG.gif" name="submit" alt="cart add">

 </div>

 

 

 &nbsp;

 

 </div>

 

 </form>

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 </div>