[MM_Form type=’checkout’]
[MM_Form_Message type=’error’]
[MM_Form_Section type=’accountInfo’]

Account Information


[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=’firstName’ customAttributes=’placeholder=”First Name”‘]


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

[MM_Form_Field type=’custom’ id=’4′ isRequired=’true’]

[MM_Form_Field type=’custom’ id=’5′]

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

[/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_Form_Data name=’productName’ useAccessName=’false’]

[MM_Form_Data name=’productDescription’]

    • Membership Price: [MM_Form_Data name=’productPriceDescription’]

[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]

  • Total Cost: [MM_Form_Data name=’totalPrice’]
[MM_Order_Decision productId=”12″][MM_Form_Field type=’custom’ id=’9′ isRequired=’true’ class=”]I agree that this membership will auto-renew quarterly.[/MM_Order_Decision]
[MM_Order_Decision productId=”4″][MM_Form_Field type=’custom’ id=’9′ isRequired=’true’ class=”]I agree that this membership will auto-renew every 6 months.[/MM_Order_Decision]
[MM_Form_Button type=’all’ label=’Submit’ color=’light_blue’]

[/MM_Form]

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