It's at work, so no, I don't.

Just create a few drop down lists on the first page and the list it pulls from on the second.

Basically, it reads like this:

Name: (combobox for user input)
Department: (drop down list. data pulled from second page)
Shift worked: (same setup as Department combobox)

Item1 (drop down)  QTY: (combobox set for numbers only)  EA/BX: (This is a drop down list, same as the others. It's asking whether user wants a Box or and Each of the item)
Item2                   QTY:                                               EA/BX
Item3                   QTY:                                               EA/BX
Item4                   QTY:                                               EA/BX
Item5                   QTY:                                               EA/BX


" Submit Order " button with macro attached.

I'll try and smuggle a copy out today...