Confirm Details
function billing_details(payment) {
if (payment.billing_same.checked) {
payment.billing_firstname.value = payment.firstname.value;
payment.billing_surname.value = payment.surname.value;
payment.billing_email.value = payment.email.value;
payment.billing_telephone.value = payment.telephone.value;
payment.billing_fax.value = payment.fax.value;
payment.billing_address1.value = payment.address1.value;
payment.billing_address2.value = payment.address2.value;
payment.billing_town.value = payment.town.value;
payment.billing_county.value = payment.county.value;
payment.billing_postcode.value = payment.postcode.value;
payment.billing_country.value = payment.country.value;
}
else {
payment.billing_firstname.value = "";
payment.billing_surname.value = "";
payment.billing_email.value = "";
payment.billing_telephone.value = "";
payment.billing_fax.value = "";
payment.billing_address1.value = "";
payment.billing_address2.value = "";
payment.billing_town.value = "";
payment.billing_county.value = "";
payment.billing_postcode.value = "";
payment.billing_country.value = "";
}
}
function technical_details(payment) {
if (payment.technical_same.checked) {
payment.technical_firstname.value = payment.billing_firstname.value;
payment.technical_surname.value = payment.billing_surname.value;
payment.technical_email.value = payment.billing_email.value;
payment.technical_telephone.value = payment.billing_telephone.value;
payment.technical_fax.value = payment.billing_fax.value;
payment.technical_address1.value = payment.billing_address1.value;
payment.technical_address2.value = payment.billing_address2.value;
payment.technical_town.value = payment.billing_town.value;
payment.technical_county.value = payment.billing_county.value;
payment.technical_postcode.value = payment.billing_postcode.value;
payment.technical_country.value = payment.billing_country.value;
}
else {
payment.technical_firstname.value = "";
payment.technical_surname.value = "";
payment.technical_email.value = "";
payment.technical_telephone.value = "";
payment.technical_fax.value = "";
payment.technical_address1.value = "";
payment.technical_address2.value = "";
payment.technical_town.value = "";
payment.technical_county.value = "";
payment.technical_postcode.value = "";
payment.technical_country.value = "";
}
}
function admin_details(payment) {
if (payment.admin_same.checked) {
payment.admin_firstname.value = payment.technical_firstname.value;
payment.admin_surname.value = payment.technical_surname.value;
payment.admin_email.value = payment.technical_email.value;
payment.admin_telephone.value = payment.technical_telephone.value;
payment.admin_fax.value = payment.technical_fax.value;
payment.admin_address1.value = payment.technical_address1.value;
payment.admin_address2.value = payment.technical_address2.value;
payment.admin_town.value = payment.technical_town.value;
payment.admin_county.value = payment.technical_county.value;
payment.admin_postcode.value = payment.technical_postcode.value;
payment.admin_country.value = payment.technical_country.value;
}
else {
payment.admin_firstname.value = "";
payment.admin_surname.value = "";
payment.admin_email.value = "";
payment.admin_telephone.value = "";
payment.admin_fax.value = "";
payment.admin_address1.value = "";
payment.admin_address2.value = "";
payment.admin_town.value = "";
payment.admin_county.value = "";
payment.admin_postcode.value = "";
payment.admin_country.value = "";
}
}
function validateForm(payment)
{
if(""==document.forms.payment.firstname.value) { alert("You must specify your first name."); document.forms.payment.firstname.focus(); return false; }
if(""==document.forms.payment.surname.value) { alert("You must specify your surname."); document.forms.payment.surname.focus(); return false; }
if(""==document.forms.payment.email.value) { alert("You must specify your e-mail address."); document.forms.payment.email.focus(); return false; }
if(""==document.forms.payment.telephone.value) { alert("You must specify your telephone number."); document.forms.payment.telephone.focus(); return false; }
if(""==document.forms.payment.address1.value) { alert("You must specify your address."); document.forms.payment.address1.focus(); return false; }
if(""==document.forms.payment.town.value) { alert("You must specify your town."); document.forms.payment.town.focus(); return false; }
if(""==document.forms.payment.county.value) { alert("You must specify your county or state."); document.forms.payment.county.focus(); return false; }
if(""==document.forms.payment.country.value) { alert("You must specify your country."); document.forms.payment.country.focus(); return false; }
if(""==document.forms.payment.postcode.value) { alert("You must specify your post or zip code."); document.forms.payment.postcode.focus(); return false; }
if(""==document.forms.payment.username.value) { alert("You must enter a username."); document.forms.payment.username.focus(); return false; }
if(""==document.forms.payment.password1.value) { alert("You must enter a password."); document.forms.payment.password1.focus(); return false; }
if(""==document.forms.payment.terms.checked) { alert("You must agree to our terms and conditions."); document.forms.payment.terms.focus(); return false; }
}
Enter Your
Details
Domains
XdomainsX
Hosting
XhostingX
Additional Services
XextrasX
Your Order
Details
Sub Total (Today's Payment)
Z~
XtX
Total tax @ XtaxX %
Z~
Xtax_amountX
Grand Total
Z~
Xwith_taxX
Then on-going
monthly total
Z~
XmtX (Z~ XmX + tax)
Then on-going quarterly total
Z~
XqtX (Z~ XqX + tax)
Your Details
Company Name
First Name
Surname
E-Mail Address
Telephone Number
Fax Number
Address
Town/City
County/State
Postcode/ZIP
Country
Billing Contact Details
Click here if the billing contact details are
the same as above.
First Name
Surname
E-Mail Address
Telephone Number
Fax Number
Address
Town/City
County/State
Postcode/ZIP
Country
Technical Contact
Details
Click here if the billing contact details are the same as
above.
First Name
Surname
E-Mail Address
Telephone Number
Fax Number
Address
Town/City
County/State
Postcode/ZIP
Country
Admin Contact Details
Click here if the billing contact details are the same as
above.
First Name
Surname
E-Mail Address
Telephone Number
Fax Number
Address
Town/City
County/State
Postcode/ZIP
Country
Additional
Fields
You can collect
custom information using the fields below. Perhaps how the client found
your site or their web-forwarding address. This is up to you.
Username
Password
Confirm Password
Extra Field 1
Extra Field 2
Extra Field 3
Extra Field 4
Extra Field 5
Extra Field 6
Extra Field 7
Extra Field 8
Extra Field 9
Extra Field 10
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and conditions.
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