Order Page

	Figure $9.95
Lava Lamp $79.95
	Mug $12.95
T-Shirt $19.95
	Watch $39.95

Customer Information
First Name
Last Name
Address
City
State
Zip Code

Order Form
Items	Qty

Figures ($9.95 each)
Lava lamps ($79.95 each)
Mugs ($12.95 each)
T-Shirts ($19.95 each)
Watches ($39.95 each)

Sub-total
Tax
Total