<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">



<html xmlns="http://www.w3.org/1999/xhtml">



	<head>

		<meta http-equiv="content-type" content="text/html;charset=utf-8" />

		<title>about us</title>

<style type="text/css">

@import url(../css/feature_film.css)handheld, screen;

</style>

	</head>



	<body>

		<form action="full-confirmation.html" method="get" name="FormName">

			<div id="box_96percent">



<div id="return_home">

				<a href="../index.html"><img src="../images/home.gif" alt="" border="0"/></a></div>

	

	<div class="form_white">Select Credit Card:</div>

				<div class="form_gray">

					<input type="radio" name="radiogroup" value="visa"/>VISA ; <input type="radio" name="radiogroup" value="mc"/>MC ;<input type="radio" name="radiogroup" value="amex"/>AMEX</div>

				<div class="form_white">

					Enter Account Number:<br/>

						<input class="text_field_white" type="text" name="cc1" size="1"/><input class="text_field_white" type="text" name="cc2" size="1"/><input class="text_field_white" type="text" name="cc3" size="1"/><input class="text_field_white" type="text" name="cc4" size="1"/><input class="text_field_white" type="text" name="cc5" size="1"/><input class="text_field_white" type="text" name="cc6" size="1"/><input class="text_field_white" type="text" name="cc7" size="1"/><input class="text_field_white" type="text" name="cc8" size="1"/><input class="text_field_white" type="text" name="cc9" size="1"/><input class="text_field_white" type="text" name="cc10" size="1"/><input class="text_field_white" type="text" name="cc11" size="1"/><input class="text_field_white" type="text" name="cc12" size="1"/><input class="text_field_white" type="text" name="cc13" size="1"/><input class="text_field_white" type="text" name="cc14" size="1"/><input class="text_field_white" type="text" name="cc15" size="1"/><input class="text_field_white_right" type="text" name="cc16" size="1"/>

					<div class="divider_white"></div>

					Enter Expiration Date:<br/>

							Month <input class="text_field_white" type="text" name="cc_month1" size="1"/><input class="text_field_white_right" type="text" name="cc_month2" size="1"/> Year <input class="text_field_white" type="text" name="year1" size="1"/><input class="text_field_white" type="text" name="year2" size="1"/><input class="text_field_white" type="text" name="year3" size="1"/><input class="text_field_white_right" type="text" name="year4" size="1"/>

					<div class="divider_white"></div>Billing ZIP/Postal Code:<br/>

					<input class="text_field_white" type="text" name="postal1" size="1"/><input class="text_field_white" type="text" name="postal2" size="1"/><input class="text_field_white" type="text" name="postal3" size="1"/><input class="text_field_white" type="text" name="postal4" size="1"/><input class="text_field_white_right" type="text" name="postal5" size="1"/>

				</div>

				

			<div class="form_gray">

					<span class="submit_button"><input type="image" src="../images/purchase-button.gif" alt=""/></span><span class="button_spacer"><a href="contents.html"><img src="../images/cancel-button.gif" alt="" border="0"/></a></span>

								<br />

					<div class="vertical_1px"></div>

			</div>

			</div>

		</form>

	</body>



</html>