<html>
<head>
<title>Biodata Pelanggan</title>
</head>
<body >
<table width=50% bordercolor=red cellpadding=0 cellspacing=0 align=center
border=1 bgcolor=white>
<tr>
<center><b><h2>Silahkan Masukan Data Anda</h2></b></center>
<hr>
<form method="post" action="form_order2.php">
<pre>
Nama Pelanggan : <input type=text name="pelanggan" size=10>
Nama Barang : <input type=Checkbox name="brg1" value=Hardisk >Hardisk
(Rp.500.000,-)
<input type=Checkbox name="brg2" value=CDROM >CDROM (Rp.300.000,-)
<input type=Checkbox name="brg3" value=Mouse >Mouse (Rp.30.000,-)
<input type=Checkbox name="brg4" value=Printer >Printer (Rp.400.000,-)
Jumlah Beli : <input type="text" name="jumbel" size=2>
Diskon : <input type="radio" name="disc1" value="Tidak" unchecked>Tidak
<input type="radio" name="disc2" value="10%" unchecked>10%
<input type="radio" name="disc3" value="20%" unchecked>20%
<hr><localhost/ady/Clock.exe>
<center><input type=submit value=Cetak> <input type=reset value=Batal></center>
</pre>
</table>
</body>
</html>
