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

Personal Information

[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=’hidden’ name=’password’ isRequired=’false’ 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_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 Price: [MM_Form_Data name=’totalPrice’]
[MM_Form_Button type=’all’ label=’Submit Order’ color=’orange’]
[/MM_Form]