This is a simple order form which the reader may fill in and then call in or fax. To connect your order form to a FileMaker Pro database, you can use a number of resources included with Claris Home Page to connect this form.

Please enter the item numbers and prices of pieces you would like to order:Item Number   Price

Please enter your form of payment: Charge Card Check Cash

Please enter your mailing address information.

*
*(this is needed for us to call you back confirming your order)

Would you like to send your purchase to the above address?

Yes No (please put address below)

Would you like to be on our electronic mailing list?

Yes No

Please put your mailing address below

Please call (555) 555 5555 to place the order.

Or fax us this form at (555) 555 1212 and we will call you back to confirm your order.