Online Order Form (This is test assignment)

Please enter your name, billing address and shipping address. please don't forget the order number from our online catalog listing. Thanks for shopping Abzal Inc.

Please complete all of the following:

First Name:
Last Name:
Address:
City: State:
Zip: Phone:

Check if Shipping Address is Different from Mailing Address.
Please enter the code for the product you wish to purchese:How do you like to pay?
Please enter the card number
Expiration date (01/00):

Please take care that everything is filled out correctly, then click "Submit Order." If you'd like, you can select the "Reset" bottom to start again. Clicking the "Submit Order" button will send your order to Abzal Inc and your credit card will be charged.

Go to Table Click Table 1