rendered paste body<div class="body">
<h3 align="left" class="style2">Company Information </h3>
<p align="left" class="style2"> </p>
<p align="left">Company Name<span class="style5">*</span>:
<input name="cname" rows="1" cols="7" type="text" />
</p>
<p align="left">Company Telephone #<span class="style5">*</span>:
<input type="text" size="20" maxlength="13" name="ctelephone" value="(xxx)-(xxx)-(xxxx)"/>
</p>
<p align="left">Company Fax Telephone #<span class="style5">*</span>:
<input type="text" size="20" maxlength="13" name="faxnumber" value="(xxx)-(xxx)-(xxxx)"/>
</p>
<p align="left">
</p>
<p align="left">Company Email<span class="style5">*</span>:
<input type="text" size="20" maxlength="50" name="cemail" />
</p>
<p align="left">Vendor Permit Number<span class="style5">*</span>:
<input type="text" size="20" maxlength="50" name="vendorpn" />
</p>
<p align="left"> </p>
<p align="left"><span class="style9">Company Address</span></p>
<p align="left">Province<span class="style5">*</span>:
<select name="province">
<option value="choose" selected="selected">Choose
<option value="Alberta">AB</option>
<option value="Brtish Columbia">BC</option>
<option value="Newfoundland">NL</option>
<option value="Ontario">ON</option>
<option value="Quebec">QC</option>
</select></p>
<p align="left">Postal Code<span class="style5">*</span>:
<input type="text" size="20" maxlength="50" name="postalcode" />
</p>
<p align="left">City<span class="style5">*</span>:
<input type="text" size="20" maxlength="50" name="city" />
</p>
<p align="left">Street<span class="style5">*</span>:
<input type="text" size="20" maxlength="50" name="street" />
</p>
<p align="left"> </p>
<h3 align="left" class="style2">Shipping and Billing Information</h3>
<p align="left" class="style2"> </p>
<p align="left">Billing Address<span class="style5">*</span>:
<input type="text" size="20" maxlength="50" name="sbillingadd" />
</p>
<p align="left">Same as Company Address
<input type="checkbox" value="Billing is same as Company Address" name="addressame"><br /></p>
<p align="left">Shipping Address<span class="style5">*</span>:
<input type="text" size="20" maxlength="50" name="sshippingadd" />
</p>
<p align="left">Same as Company Address
<input type="checkbox" value="Shipping is same as Company Address" name="addressame">
<br /> </p>
<p align="left"></p>
<h3 align="left" class="style2">Contact Information</h3>
<p align="left" class="style2"> </p>
<p align="left">Contact Email<span class="style5">*</span>:
<input name="mail" type="text" />
</p>
<p align="left">Contact Name<span class="style5">*</span>:
<input type="text" name="cperson" />
</p>
<p align="left">What is the best way to contact you?</p>
<p align="left"><input type="radio" name="contactmethod" value="Phone" checked>
Phone<br>
<input type="radio" name="contactmethod" value="Fax">
Fax<br>
<input type="radio" name="contactmethod" value="Email">
Email
<p align="left">Message:<br />
<textarea name="message" rows="5" cols="20">
</textarea>
<p align="left"><br />
<input type="submit" name="Submit" />
<input type="reset" name="Clear" />
</p>