MIT Department of Alchemy
Publications Order Form

NOTE: This is a demonstration, it is not a real e-commerce site. MIT does not have a real Department of Alchemy, so don't take this too seriously.

This page shows how you can combine cgiemail with an OMARS custom payment page to build a simple e-commerce site. To learn how it works, read the source of this page and its companion pages and templates. Also consult our documentation: Using cgiemail for E-commerce.

Instructions: The items marked with a star (*), also labelled in red, are required. Click Submit when done. The information you enter here is protected by our privacy policy.

Citation for requested Publication:
* Author's Name:
* Title:
* Publication Type:

Personal Information:
* Your Email Address: (Required for confirmation email)
Phone number:

Send Publication To:
* Name:
* Street1:
   Street2:
* City: * State: * Zip:
* Country:
Payment Method:

* Pay by:

Please direct comments or questions to the store administrator, at <alchemy-pubs@mit.edu>.