Xmas eCard Order Form

Your Name (*)	Please enter your name
Your Email (*)	Please enter your email address
Your Company (*)	Please enter your company name
Your Tel (*)	Please enter a contact telephone number
Your Address (*)	Please enter your company address for billing purposes
Ecard
Additional Text		Your eCard page can have additional text - below the card - for a message (e.g. details of the charity you are donating to). If you would like additional text, please enter here.
PO Number		Enter a Purchase Order number if you have one.
Logo		If you have your logo ready, please upload it here. Jpg, Gif, Eps, Png, Bmp.
Send (*)	YesNo Please select yes or no	Do you want us to send out your ecard?
	If you selected yes above, please give us some additional information for the email to be sent out.
Contacts		If you have your contact list ready, upload here. Please send an Excel or CSV file with TWO columns - NAME & EMAIL.
From Name		The name of the person or company the email will be sent from.
From Email	Please enter a valid email address	The email address the eCard email will be sent from.
Subject Line		The Subject Line of the email to be sent
Send Date	Please enter a valid date	Do you have a preferred date for sending?
Additional Comments
Newsletter	Sign up to the Alienation Newsletter Invalid Input
How did you find us?	Invalid Input
Code (*)	Refresh Invalid Security Code	Please enter the code. Click refresh to display a different code if the one shown is not clear.

	Please note: By clicking on Submit above you are instructing Alienation Digital to proceed with your order and create a proof.