<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
"http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<title>Untitled Document</title>
</head>

<body>
<form name="form1" method="post" action="OrderForm.php">
<p>User Details </p>
<p>Please enter your details for this order. RQ will then contact you to comfirm your order and sort out payment details. </p>
<p>Account Name:
    <input type="text" name="account">
  new account? click here </p>
<p>E-mail Address:
    <input type="text" name="email">
</p>
<p>Telephone No:  
  <input type="text" name="telno">
</p>
<p>
  <input type="submit" name="Button" value="Place Order">
</p>
</form>
</body>
</html>
