To: nlp@vic.com
From: order@princevc.com
Subject: Screensaver Order Form (General)


Name:  [required-name]
E-mail: [required-email]
Snail Mail Address:
[snail_mail_address]
Phone: [required-phone]
Backgroud Color: [background_color]
Text Color: [text_color]
Typeface: [typeface]
Text for Title Screen: [title_text]
Title Screen Picture: [picture_for_title_screen]
Picture for 2nd Screen: [picture_2nd_screen]
Text for 2nd Screen:  [text_2nd_screen]
Picture for 3rd Screen: [picture_3rd_screen]
Text for 3rd Screen:  [text_3rd_screen]
Picture for 4th Screen: [picture_4th_screen]
Text for 4th Screen:   [text_4th_screen]
Picture for 5th Screen: [picture_5th_screen]
Text for 5th Screen:   [text_5th_screen]
Picture for 6th Screen: [picture_6th_screen]
Text for 6th Screen:   [text_6th_screen]
Number of Additional Screens: [number_of_additional_screens]
Description of additional screens: [additional_screens_description]
How to Send the Screensaver to Customer: [sendscreensaver]
How Customer Will Send Me The Pictures: [pictures_will_be_received]
Payment Method: [payment_method]
Total Payment: [total_cost]