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[MM_Form type='checkout']
Product: [MM_Form_Data name="productName"]

[MM_Form_Data name="productDescription"] [MM_Form_Message type='error']

[MM_Form_Section type='accountInfo']

Contact Information

Let's create your Body Ecology U Account!

[MM_Member_Decision isMember='false'] [/MM_Member_Decision]
[MM_Form_Field type='input' name='firstName' customAttributes='placeholder="First Name"' isRequired='true']
[MM_Form_Field type='input' name='lastName' customAttributes='placeholder="Last Name"' isRequired='true']
[MM_Form_Field type='input' name='email' customAttributes='placeholder="Email Address"' isRequired='true']
[MM_Form_Field type='input' name='phone' isRequired='true' customAttributes='placeholder="Phone Number"']

[MM_Form_Field type='input' name='password' customAttributes='placeholder="Create a new password here"' isRequired='true']
[/MM_Form_Section] [MM_Form_Section type='billingInfo']

Billing Information

Fields marked with * are mandatory

[MM_Form_Field name='billingAddress' customAttributes='placeholder="Billing Address"' isRequired='true']
[MM_Form_Field name='billingCountry']
[MM_Form_Field name='billingCity' customAttributes='placeholder="Billing City"' isRequired='true']
[MM_Form_Field name='billingState' customAttributes='placeholder="Billing State"' isRequired='true']
[MM_Form_Field name='billingZipCode' customAttributes='placeholder="Billing Zip Code"' isRequired='true']

Payment Information

All fields are mandatory.

[MM_Form_Field name='ccNumber' customAttributes='placeholder="Credit Card Number"' class='ccbox']
[MM_Form_Field name='ccSecurityCode' customAttributes='placeholder="Security Code"' class='securitycodebox']
[MM_Form_Field name='ccExpirationDate']
[/MM_Form_Section] [MM_Form_Section type="shippingInfo"]

Shipping Information

[MM_Form_Field name="shippingSameAsBilling"] Shipping is the same as billing
[MM_Form_Subsection type="shippingAddress"]
[MM_Form_Field name="shippingAddress"]
[MM_Form_Field name="shippingCity"]
[MM_Form_Field name="shippingState"]
[MM_Form_Field name="shippingZipCode"]
[MM_Form_Field name="shippingMethod"]
[/MM_Form_Subsection]
[/MM_Form_Section] [MM_Form_Section type="coupon"]
[MM_Form_Field name="couponCode"]
[MM_Form_Message type="couponSuccess"] [MM_Form_Message type="couponError"]
[/MM_Form_Section]
Price: [MM_Form_Data name="totalPrice"]

[MM_Form_Field type='input' name='captcha']
[MM_Form_Button type='all' label='Buy Now' color='orange']
Here are the cards we accept
[/MM_Form]