| NETQUOTEVAR:DATETEXT | NETQUOTEVAR:CURRENTDATE |
| NETQUOTEVAR:ORDERNUMBERTEXT | NETQUOTEVAR:THEORDERNUMBER |
NETQUOTEDEL:DELIVERYINSTRUCTION| NETQUOTEVAR:DELIVERINSTRUCTION_LABEL | NETQUOTEVAR:DELIVERINSTRUCTION_TEXT |
NETQUOTEDEL:DELIVERYINSTRUCTION NETQUOTEDEL:PAYMENTPANEL NETQUOTEDEL:PAYMENTSENTSEPARATE| NETQUOTEVAR:PAYMENTMETHODTITLE: | NETQUOTEVAR:PAYMENTMETHODNAME |
NETQUOTEVAR:PURCHASEORDERNUMBER| NETQUOTEVAR:CREDITCARDTYPETITLE: | NETQUOTEVAR:CREDITCARDOPTIONS | <<<NETQUOTEVAR:SELECTONE |
| NETQUOTEVAR:CREDITCARDNUMBERTITLE: | ______________________________________ |
| NETQUOTEVAR:CREDITCARDISSUENUMBERTITLE: | _________ |
| NETQUOTEVAR:CREDITCARDCCV2TITLE: | _________ |
| NETQUOTEVAR:CREDITCARDEXPDATETITLE: | ____________ |
| NETQUOTEVAR:CREDITCARDSTARTDATETITLE: | ____________ |
| NETQUOTEVAR:SIGNATURETITLE: | X______________________________________ |
NETQUOTEDEL:PAYMENTSENTSEPARATE NETQUOTEDEL:PAYMENTOTHER| NETQUOTEVAR:PAYMENTMETHODTITLE: | NETQUOTEVAR:PAYMENTMETHODNAME NETQUOTEVAR:PSPPENDINGNOTICE |
NETQUOTEVAR:PURCHASEORDERNUMBER NETQUOTEDEL:PAYMENTCREDITCARD| NETQUOTEVAR:CREDITCARDTITLE: | NETQUOTEVAR:CREDITCARDTYPE |
NETQUOTEDEL:PAYMENTCREDITCARD NETQUOTEDEL:PAYMENTOTHER NETQUOTEDEL:PAYMENTPANEL| Terms and Conditions: | Accepted |