@var_include_html=hhnavftr.txt_@

New Order:     

Bill To:

 


@VAR_BILLNAME_@
@VAR_BILLADD1_@ @VAR_BILLADD2_@ @VAR_BILLADD3_@
@VAR_BILLCITYLINE_@
Ship To:

 


@VAR_SHIPNAME_@
@VAR_SHIPADD1_@ @VAR_SHIPADD2_@ @VAR_SHIPADD3_@
@VAR_SHIPCITYLINE_@
PO #:
Ship Via:
(Normal:@VAR_SHIPVIA_@)
Payment Method: On Account
Other@VAR_INCLUDE_HTML=paytypes.txt_@
      Card#
 
      Expires
Special Notes: