DNA & Your Ancestry Services

Select Service:

How many:
Credit Card
Debit Card
Bank Account
PayPal

Customer Name

Ship to address:

Sales Date:

This is a simple html UI for the order process and also getting the customer information to be used in the system. This allows for the customer to select what kit they want and where to deliver the product. I have elected to keep thigs simple so the user will not be confused. The inputs are clearly marked.