ÿþ<html> <head> <title>Hamburg Industries Inc., Order Form</title> </head> <body text="#000000" link="#000000" vlink="#000000" alink="#000000" style="font-family: Arial; font-size: 10pt" TOPMARGIN="0" LEFTMARGIN="35"> <div class="header-graphic"><a href="http://www.ocedarcommercial.com"><img src="_derived/HamburgAnnouncement1.jpg" /></a></div> <table WIDTH="926" body topmargin="0" leftmargin="0" CELLPADDING="0" CELLSPACING="0" BORDER="0" height="352"> <tr> <td valign="top" height="1" width="924" colspan="2">&nbsp;&nbsp;&nbsp;&nbsp;</td> </tr> <tr> <td valign="top" height="1" width="924" colspan="2"><map name="FPMap3"> <area href="mailto:sales@hamburgindustries.com" shape="rect" coords="755, 0, 914, 20"> <area href="index.htm" shape="rect" coords="130, 95, 185, 119"> <area href="aboutus.htm" shape="rect" coords="189, 95, 261, 119"> <area href="http://hamburgindustries.dynamiccatalog.com/UDS_OC_DC/default.asp?i=OC" shape="rect" coords="266, 95, 380, 119"> <area href="orderform.asp" shape="rect" coords="387, 95, 476, 119"> <area href="featureditems.htm" shape="rect" coords="482, 95, 596, 119"> <area href="termscreditapp.htm" shape="rect" coords="601, 95, 785, 119"> <area href="contactus.htm" shape="rect" coords="792, 95, 877, 119"></map><!--webbot bot="ImageMap" startspan text=" (755,0) (914, 20) {sales@hamburgindustries.com} {Arial} 8 P #000000 CT 0 mailto:sales@hamburgindustries.com" text=" (519,0) (765, 20) {Tel: 610-562-3031 Fax: 610-562-0209 Email:} {Arial} 8 P #000000 CT 0 " rectangle=" (130,95) (185,119) index.htm" rectangle=" (189,95) (261,119) aboutus.htm" rectangle=" (266,95) (380,119) http://hamburgindustries.dynamiccatalog.com/UDS_OC_DC/default.asp?i=OC" rectangle=" (387,95) (476,119) orderform.asp" rectangle=" (482,95) (596,119) featureditems.htm" rectangle=" (601,95) (785,119) termscreditapp.htm" rectangle=" (792,95) (877,119) contactus.htm" border="0" src="images/pgtop.gif" u-originalsrc="images/pgtop.gif" u-overlaysrc="_overlay/orderform.asp_txt_pgtop_2.gif" --><img border="0" src="_derived/contactus.htm_txt_pgtop.gif" ismap width="924" height="120" usemap="#FPMap3"><!--webbot bot="ImageMap" i-checksum="19088" endspan --></td> </tr> <tr> <td valign="top" height="29" width="34"></td> <td valign="top" bgcolor="#FFFFFF" height="29" width="888"> <table border="0" cellpadding="0" cellspacing="0" width="94%" height="1216"> <tr> <td width="100%" bgcolor="#FFFFFF" height="17"> &nbsp;&nbsp;&nbsp;&nbsp;</td> </tr> <tr> <td width="100%" bgcolor="#FFFFFF" height="17"> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td> </tr> <tr> <td width="100%" bgcolor="#FFFFFF" height="1179"> <!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript"><!-- function FrontPage_Form1_Validator(theForm) { if (theForm.T6.value == "") { alert("Please enter a value for the \"Salesperson\" field."); theForm.T6.focus(); return (false); } if (theForm.T6.value.length < 4) { alert("Please enter at least 4 characters in the \"Salesperson\" field."); theForm.T6.focus(); return (false); } var checkOK = "ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz’`R}aS~xÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f"; var checkStr = theForm.T6.value; var allValid = true; for (i = 0; i < checkStr.length; i++) { ch = checkStr.charAt(i); for (j = 0; j < checkOK.length; j++) if (ch == checkOK.charAt(j)) break; if (j == checkOK.length) { allValid = false; break; } } if (!allValid) { alert("Please enter only letter and whitespace characters in the \"Salesperson\" field."); theForm.T6.focus(); return (false); } if (theForm.T9.value == "") { alert("Please enter a value for the \"Bill To Company Name\" field."); theForm.T9.focus(); return (false); } if (theForm.T9.value.length < 4) { alert("Please enter at least 4 characters in the \"Bill To Company Name\" field."); theForm.T9.focus(); return (false); } if (theForm.T10.value == "") { alert("Please enter a value for the \"Bill To Street\" field."); theForm.T10.focus(); return (false); } if (theForm.T10.value.length < 4) { alert("Please enter at least 4 characters in the \"Bill To Street\" field."); theForm.T10.focus(); return (false); } if (theForm.T11.value == "") { alert("Please enter a value for the \"Bill To City\" field."); theForm.T11.focus(); return (false); } if (theForm.T11.value.length < 4) { alert("Please enter at least 4 characters in the \"Bill To City\" field."); theForm.T11.focus(); return (false); } var checkOK = "ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz’`R}aS~xÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ \t\r\n\f"; var checkStr = theForm.T11.value; var allValid = true; for (i = 0; i < checkStr.length; i++) { ch = checkStr.charAt(i); for (j = 0; j < checkOK.length; j++) if (ch == checkOK.charAt(j)) break; if (j == checkOK.length) { allValid = false; break; } } if (!allValid) { alert("Please enter only letter and 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= theForm.T14.value; var allValid = true; for (i = 0; i < checkStr.length; i++) { ch = checkStr.charAt(i); for (j = 0; j < checkOK.length; j++) if (ch == checkOK.charAt(j)) break; if (j == checkOK.length) { allValid = false; break; } } if (!allValid) { alert("Please enter only digit and whitespace characters in the \"Bill To Phone\" field."); theForm.T14.focus(); return (false); } if (theForm.T17.value == "") { alert("Please enter a value for the \"Ship To Company Name\" field."); theForm.T17.focus(); return (false); } if (theForm.T17.value.length < 4) { alert("Please enter at least 4 characters in the \"Ship To Company Name\" field."); theForm.T17.focus(); return (false); } if (theForm.T18.value == "") { alert("Please enter a value for the \"Ship To Street\" field."); theForm.T18.focus(); return (false); } if (theForm.T18.value.length < 4) { alert("Please enter at least 4 characters in the \"Ship To Street\" field."); theForm.T18.focus(); return (false); } if (theForm.T19.value == "") 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in the \"Ship To\" field."); theForm.T22.focus(); return (false); } return (true); } </script> <form method="POST" action="/formmail.php" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1"> <blockquote> <table body bgcolor="#F4EDB1" CELLPADDING="0" CELLSPACING="0" BORDER="0" width="759"> <tr> <td width="755" bgcolor="#FFFFFF" colspan="2"><font style="font-size: 10pt" face="Verdana">Please complete the following form to place an order.</font></td> </tr> <tr> <td width="755" bgcolor="#FFFFFF" colspan="2">&nbsp;&nbsp;&nbsp;</td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Salesperson:</font><font face="Arial" color="#000000"><small><br> &nbsp;</small></font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Salesperson" S-Data-Type="String" B-Allow-Letters="TRUE" B-Allow-WhiteSpace="TRUE" B-Value-Required="TRUE" I-Minimum-Length="4" --><input type="text" name="T6" size="80"><br> &nbsp;</font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Customer Number:</font><font face="Arial" color="#000000"><small><br> (if known)</small></font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><input type="text" name="T7" size="80"><br> &nbsp;</font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Purchase Order #:<br> (if applicable)</font><font face="Arial" color="#000000"><small>&nbsp;</small></font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><input type="text" name="T8" size="80"><br> &nbsp;</font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td> <td width="612" bgcolor="#FFFFFF">&nbsp;</td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000"><b>Bill To</b></font></td> <td width="612" bgcolor="#FFFFFF"></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Company Name:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Bill To Company Name" B-Value-Required="TRUE" I-Minimum-Length="4" --><input type="text" name="T9" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Street:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Bill To Street" B-Value-Required="TRUE" I-Minimum-Length="4" --><input type="text" name="T10" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">City:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Bill To City" S-Data-Type="String" B-Allow-Letters="TRUE" B-Allow-WhiteSpace="TRUE" B-Value-Required="TRUE" I-Minimum-Length="4" --><input type="text" name="T11" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">State:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Bill To State" S-Data-Type="String" B-Allow-Letters="TRUE" B-Allow-WhiteSpace="TRUE" B-Value-Required="TRUE" I-Minimum-Length="2" --><input type="text" name="T12" size="50"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Zip Code:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Bill To Zip Code" S-Data-Type="String" B-Allow-Digits="TRUE" B-Allow-WhiteSpace="TRUE" B-Value-Required="TRUE" I-Minimum-Length="5" --><input type="text" name="T13" size="50"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Phone:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Bill To Phone" S-Data-Type="String" B-Allow-Digits="TRUE" B-Allow-WhiteSpace="TRUE" B-Value-Required="TRUE" I-Minimum-Length="4" --><input type="text" name="T14" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Fax:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><input type="text" name="T15" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Email (optional):</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><input type="text" name="T16" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF">&nbsp;</td> <td width="612" bgcolor="#FFFFFF"></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000"><b>Ship To</b></font></td> <td width="612" bgcolor="#FFFFFF"></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Company Name:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Ship To Company Name" B-Value-Required="TRUE" I-Minimum-Length="4" --><input type="text" name="T17" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Street:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Ship To Street" B-Value-Required="TRUE" I-Minimum-Length="4" --><input type="text" name="T18" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">City:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Ship To City" S-Data-Type="String" B-Allow-Letters="TRUE" B-Allow-WhiteSpace="TRUE" B-Value-Required="TRUE" I-Minimum-Length="4" --><input type="text" name="T19" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">State:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Ship To State" S-Data-Type="String" B-Allow-Letters="TRUE" B-Allow-WhiteSpace="TRUE" B-Value-Required="TRUE" I-Minimum-Length="2" --><input type="text" name="T20" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Zip Code:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Ship To Zip Code" S-Data-Type="String" B-Allow-Digits="TRUE" B-Allow-WhiteSpace="TRUE" B-Value-Required="TRUE" I-Minimum-Length="5" --><input type="text" name="T21" size="50"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Phone:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><!--webbot bot="Validation" S-Display-Name="Ship To" S-Data-Type="String" B-Allow-Digits="TRUE" B-Allow-WhiteSpace="TRUE" B-Value-Required="TRUE" I-Minimum-Length="4" --><input type="text" name="T22" size="50"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Fax:</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><input type="text" name="T23" size="80"></font></td> </tr> <tr> <td width="143" bgcolor="#FFFFFF"><font style="font-size: 10pt" face="Verdana" color="#000000">Email (optional):</font></td> <td width="612" bgcolor="#FFFFFF"><font color="#000000"><input type="text" name="T24" size="80"></font></td> </tr> </table> <font face="Arial" size="2" color="#000000"> <div align="left"> <table border="0" cellpadding="0" cellspacing="0" width="80%"> <tr> <td width="100%" align="left">&nbsp;&nbsp;&nbsp;&nbsp;</td> </tr> <tr> <td width="100%" align="left">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td> </tr> </table> </div> <table border="0" cellpadding="0" cellspacing="0" width="703" height="302"> <tr> <td width="697" colspan="3" height="18"><font style="font-size: 10pt" face="Verdana" color="#000000"><b> Products Ordered:</b> </font></td> </tr> </font> <tr> <td width="116" align="left" height="16"><font size="2" color="#000000" face="Verdana">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</font></td> <font face="Arial" size="2" color="#000000"> <td width="455" align="left" height="16"></td> <td width="126" align="left" height="16"></td> </tr> <tr> <td width="116" align="center" height="18"><font style="font-size: 10pt" face="Verdana" color="#000000">Quantity: </font></td> <td width="455" align="center" height="18"><font style="font-size: 10pt" face="Verdana" color="#000000" size="2">Item Number and Description:</font></td> </font> <td width="126" align="center" height="18"><font style="font-size: 10pt" face="Verdana" color="#000000" size="2">Price</font><font face="Arial" size="2" color="#000000"><font style="font-size: 10pt" face="Verdana" color="#000000">: </font></td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T25" size="9"></font></td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T26" size="60"></font></td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T27" size="9"></font></td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T28" size="9"></font> </td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T29" size="60"></font> </td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T30" size="9"></font> </td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T31" size="9"></font> </td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T32" size="60"></font> </td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T33" size="9"></font> </td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T34" size="9"></font> </td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T35" size="60"></font> </td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T36" size="9"></font> </td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T37" size="9"></font> </td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T38" size="60"></font> </td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T39" size="9"></font> </td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T40" size="9"></font> </td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T41" size="60"></font> </td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T42" size="9"></font> </td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T43" size="9"></font> </td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T44" size="60"></font> </td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T45" size="9"></font> </td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T46" size="9"></font> </td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T47" size="60"></font> </td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T48" size="9"></font> </td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T49" size="9"></font> </td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T50" size="60"></font> </td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T51" size="9"></font> </td> </tr> <tr> <td width="116" align="center" height="25"><font color="#000000"><input type="text" name="T52" size="9"></font> </td> <td width="455" align="center" height="25"><font color="#000000"><input type="text" name="T53" size="60"></font> </td> <td width="126" align="center" height="25"><font color="#000000"><input type="text" name="T54" size="9"></font> </td> </tr> </table> <p><font style="font-size: 10pt" face="Verdana">Special Instructions:<small><br> <textarea rows="3" name="S1" cols="81"></textarea></small><br> <br> <font style="font-size: 10pt" face="Verdana">Confirm My Order By:<br> <input type="checkbox" name="C1" value="yes"><font style="font-size: 10pt" face="Verdana">Phone<br> <input type="checkbox" name="C2" value="yes"><font style="font-size: 10pt" face="Verdana">Fax<br> <input type="checkbox" name="C3" value="yes"><font style="font-size: 10pt" face="Verdana">Email (be sure to fill in the Email field above)</font></p> <p><font face="Arial" color="#000000"><small><input type="submit" value="Submit" name="B1" style="color: #FFFFFF; font-family: Verdana; font-size: 10pt; background-color: #000000"></small>&nbsp;&nbsp; <small><input type="reset" value="Reset" name="B2" style="background-color: #000000; color: #FFFFFF; font-family: Verdana; font-size: 10pt"></small></font></p> </blockquote> <input type="hidden" name="recipient" value="pfrilling@midnetmedia.com"> <input type="hidden" name="subject" value="Online Order Form Request"> <input type="hidden" name="subject" value="/thank-you.html"> </form> </font></font></td> </tr> <tr> <td width="100%" height="20"></td> </tr> </table> </td> </tr> </table> </body> </html>