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[MM_Form type='checkout']
[/MM_Form]
Product: [MM_Form_Data name="productName"]
[MM_Form_Data name="productDescription"] [MM_Form_Message type='error']
[MM_Form_Section type='accountInfo']
[/MM_Form_Section]
[MM_Form_Section type='billingInfo']
[/MM_Form_Section]
[MM_Form_Section type="shippingInfo"]
[/MM_Form_Subsection]
[/MM_Form_Section]
[MM_Form_Section type="coupon"]
[/MM_Form_Section]
[MM_Form_Field type='input' name='captcha']
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']
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']
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_Field name="couponCode"]
[MM_Form_Message type="couponSuccess"]
[MM_Form_Message type="couponError"]
Price: [MM_Form_Data name="totalPrice"]
[MM_Form_Field type='input' name='captcha']