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[MM_Form_Section type=’accountInfo’]

[MM_Form_Field type=’input’ name=’firstName’ customAttributes=’placeholder=”First Name”‘]

[MM_Form_Field type=’input’ name=’lastName’ customAttributes=’placeholder=”Last Name”‘]

[MM_Form_Field type=’input’ name=’email’ customAttributes=’placeholder=”Email Address”‘]

[MM_Form_Field type=’input’ name=’password’ customAttributes=’placeholder=”Password”‘]

[MM_Form_Field type=’input’ name=’phone’ isRequired=’false’ customAttributes=’placeholder=”Phone Number”‘]

[/MM_Form_Section] [MM_Form_Section type=’billingInfo’]

Billing Details

Visa, Master Card, American Express, Discover

[MM_Form_Field name=’ccNumber’ customAttributes=’placeholder=”Credit Card Number”‘]

[MM_Form_Field name=’ccSecurityCode’ customAttributes=’placeholder=”Security Code”‘]

[MM_Form_Field name=’ccExpirationDate’]

Billing Address

[MM_Form_Field name=’billingAddress’ customAttributes=’placeholder=”Billing Address”‘]

[MM_Form_Field name=’billingCity’ customAttributes=’placeholder=”Billing City”‘]

[MM_Form_Field name=’billingState’ customAttributes=’placeholder=”Billing State”‘]

[MM_Form_Field name=’billingZipCode’ customAttributes=’placeholder=”Billing Zip Code”‘]

[MM_Form_Field name=’billingCountry’]

[/MM_Form_Section] [MM_Form_Section type=’shippingInfo’]

Shipping Address

[MM_Form_Field name=’shippingMethod’]

Shipping is the same as billing[MM_Form_Field name=’shippingSameAsBilling’] [MM_Form_Subsection type=’shippingAddress’]

[MM_Form_Field name=’shippingAddress’ customAttributes=’placeholder=”Shipping Address”‘]

[MM_Form_Field name=’shippingCity’ customAttributes=’placeholder=”Shipping City”‘]

[MM_Form_Field name=’shippingState’ customAttributes=’placeholder=”Shipping State”‘]

[MM_Form_Field name=’shippingZipCode’ customAttributes=’placeholder=”Shipping Zip Code”‘]

[MM_Form_Field name=’shippingCountry’]

[/MM_Form_Subsection]

[/MM_Form_Section] [MM_Form_Section type=’coupon’]

Coupons

[MM_Form_Field name=’couponCode’] Apply Coupon

[MM_Form_Message type=’couponSuccess’] [MM_Form_Message type=’couponError’]

[/MM_Form_Section]

[MM_Order_Decision isShippable=’true’]

    • Shipping Price: [MM_Form_Data name=’shippingPrice’]

[/MM_Order_Decision] [MM_Order_Decision isDiscounted=’true’]

    • Discount: [MM_Form_Data name=’discount’]

[/MM_Order_Decision]

[MM_Form_Button type=’all’ label=’Create My Account Now’ color=’orange’]

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