ORDER DATE: $date Name: $name Company: $company Email address: $email Billing address: $address City, State, Zip: $city, $state $zip Country: $country Daytime Phone: $phone_day Evening Phone: $phone_night Shipping Mode: code: [value mv_shipmode] ([shipping-desc]) Shipping Address: $s_address City, State, Zip: $s_city, $s_state $s_zip Shipping Country: $s_country Quan Code Description Price Extension ---- -------- ------------------------------- ------------- --------------- [item-list][row 80] [column width=5 gutter=1 align=right] [item-quantity] [/column] [column width=9 gutter=1] [item-code] [/column] [column width=32 gutter=1 align=left wrap=1] [item-description] [/column] [column width=14 gutter=1 align=r] [item-price] [/column] [column width=15 gutter=0 align=r] [item-subtotal] [/column] [/row] [/item-list] [row 80] [column width=5 align=right][/column] [column width=9 gutter=1][/column] [column width=32 align=R wrap=1]SUBTOTAL[/column] [column width=14 gutter=1][/column] [column width=15 gutter=0 align=r][subtotal][/column] [/row] [row 80] [column width=5 align=right][/column] [column width=9 gutter=1][/column] [column width=32 align=R wrap=1]SALES TAX[/column] [column width=14 gutter=1][/column] [column width=15 align=right gutter=0][salestax][/column] [/row] [row 80] [column width=5 align=right][/column] [column width=9 gutter=1][/column] [column width=32 align=R wrap=1][shipping_desc] SHIPPING[/column] [column width=14 gutter=1][/column] [column width=15 align=right gutter=0][shipping][/column] [/row] [row 80] [column width=5 align=right][/column] [column width=9 gutter=1][/column] [column width=32 align=R wrap=1]ORDER TOTAL[/column] [column width=14 gutter=1][/column] [column width=15 align = right gutter=0][total-cost][/column] [/row] Card Type: $cc_type Card Number: $cc_no Expiration: $cc_exp_m/$cc_exp_y