Before you enter our secure environment...

  1. Please take a moment to review these instructions.
  2. Note that you can print the form and fax it to us if you prefer.
  3. Fields marked with asterisks on the secure form are required fields, the form will not be accepted without them.
  4. A verification copy of your submission will be emailed to you if you fill in the email field on the secure form.

Secure Order Form Example with Confirmation by Email

This page is an example of an entry page to a secure form. This is the place where you offer your customer choices, give instructions and a general explanation of what to expect. This will allow the secure form to be as free from blocks of text and clutter as possible.

The steps to a pleasent experience and a satisfied customer are:

  1. Explain what to expect in the secure environment and what to do next.
  2. Keep the form as clear and simple as possible.
  3. Allow the user to verify input and correct if necessary.
  4. Explain that the transaction is complete and that the next action will leave the secure environment.
  5. Thank the user by name and return to home page.