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September 7, 2016 13:45
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| <form name="checkout" method="post" class="checkout woocommerce-checkout" action="http://www.viraone.com/checkout/" enctype="multipart/form-data"> | |
| <div class="col2-set" id="customer_details"> | |
| <div class="col-1"> | |
| <div class="woocommerce-billing-fields"> | |
| <h3>Billing Details</h3> | |
| <span class="international">Outside Canada or the U.S.? <a href="mailto:[email protected]">Email us</a> to order.</span> | |
| <p class="form-row form-row form-row-first validate-required" id="billing_first_name_field"><label for="billing_first_name" class="">First Name <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="billing_first_name" id="billing_first_name" placeholder="" autocomplete="given-name" value="" /></p> | |
| <p class="form-row form-row form-row-last validate-required" id="billing_last_name_field"><label for="billing_last_name" class="">Last Name <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="billing_last_name" id="billing_last_name" placeholder="" autocomplete="family-name" value="" /></p><div class="clear"></div> | |
| <p class="form-row form-row form-row-wide" id="billing_company_field"><label for="billing_company" class="">Company Name</label><input type="text" class="input-text " name="billing_company" id="billing_company" placeholder="" autocomplete="organization" value="" /></p> | |
| <p class="form-row form-row form-row-first validate-required validate-email" id="billing_email_field"><label for="billing_email" class="">Email Address <abbr class="required" title="required">*</abbr></label><input type="email" class="input-text " name="billing_email" id="billing_email" placeholder="" autocomplete="email" value="" /></p> | |
| <p class="form-row form-row form-row-last validate-required validate-phone" id="billing_phone_field"><label for="billing_phone" class="">Phone <abbr class="required" title="required">*</abbr></label><input type="tel" class="input-text " name="billing_phone" id="billing_phone" placeholder="" autocomplete="tel" value="" /></p><div class="clear"></div> | |
| <p class="form-row form-row form-row-wide address-field update_totals_on_change validate-required" id="billing_country_field"><label for="billing_country" class="">Country <abbr class="required" title="required">*</abbr></label><select name="billing_country" id="billing_country" autocomplete="country" class="country_to_state country_select " ><option value="">Select a country…</option><option value="CA" >Canada</option><option value="US" selected='selected'>United States (US)</option></select><noscript><input type="submit" name="woocommerce_checkout_update_totals" value="Update country" /></noscript></p> | |
| <p class="form-row form-row form-row-wide address-field validate-required" id="billing_address_1_field"><label for="billing_address_1" class="">Address <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="billing_address_1" id="billing_address_1" placeholder="Street address" autocomplete="address-line1" value="" /></p> | |
| <p class="form-row form-row form-row-wide address-field" id="billing_address_2_field"><input type="text" class="input-text " name="billing_address_2" id="billing_address_2" placeholder="Apartment, suite, unit etc. (optional)" autocomplete="address-line2" value="" /></p> | |
| <p class="form-row form-row form-row-wide address-field validate-required" id="billing_city_field"><label for="billing_city" class="">Town / City <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="billing_city" id="billing_city" placeholder="" autocomplete="address-level2" value="" /></p> | |
| <p class="form-row form-row form-row-first address-field validate-required validate-state" id="billing_state_field"><label for="billing_state" class="">State <abbr class="required" title="required">*</abbr></label><select name="billing_state" id="billing_state" class="state_select " data-placeholder="" autocomplete="address-level1"> | |
| <option value="">Select a state…</option><option value="AL" >Alabama</option><option value="AK" >Alaska</option><option value="AZ" >Arizona</option><option value="AR" >Arkansas</option><option value="CA" >California</option><option value="CO" >Colorado</option><option value="CT" >Connecticut</option><option value="DE" >Delaware</option><option value="DC" >District Of Columbia</option><option value="FL" >Florida</option><option value="GA" >Georgia</option><option value="HI" >Hawaii</option><option value="ID" >Idaho</option><option value="IL" >Illinois</option><option value="IN" >Indiana</option><option value="IA" >Iowa</option><option value="KS" >Kansas</option><option value="KY" >Kentucky</option><option value="LA" >Louisiana</option><option value="ME" >Maine</option><option value="MD" >Maryland</option><option value="MA" >Massachusetts</option><option value="MI" >Michigan</option><option value="MN" >Minnesota</option><option value="MS" >Mississippi</option><option value="MO" >Missouri</option><option value="MT" >Montana</option><option value="NE" >Nebraska</option><option value="NV" >Nevada</option><option value="NH" >New Hampshire</option><option value="NJ" >New Jersey</option><option value="NM" >New Mexico</option><option value="NY" >New York</option><option value="NC" >North Carolina</option><option value="ND" >North Dakota</option><option value="OH" >Ohio</option><option value="OK" >Oklahoma</option><option value="OR" >Oregon</option><option value="PA" >Pennsylvania</option><option value="RI" >Rhode Island</option><option value="SC" >South Carolina</option><option value="SD" >South Dakota</option><option value="TN" >Tennessee</option><option value="TX" >Texas</option><option value="UT" >Utah</option><option value="VT" >Vermont</option><option value="VA" >Virginia</option><option value="WA" >Washington</option><option value="WV" >West Virginia</option><option value="WI" >Wisconsin</option><option value="WY" >Wyoming</option><option value="AA" >Armed Forces (AA)</option><option value="AE" >Armed Forces (AE)</option><option value="AP" >Armed Forces (AP)</option></select></p> | |
| <p class="form-row form-row form-row-last address-field validate-required validate-postcode" id="billing_postcode_field"><label for="billing_postcode" class="">ZIP <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="billing_postcode" id="billing_postcode" placeholder="" autocomplete="postal-code" value="" /></p><div class="clear"></div> | |
| <p class="form-row form-row-wide create-account"> | |
| <input class="input-checkbox" id="createaccount" type="checkbox" name="createaccount" value="1" /> <label for="createaccount" class="checkbox">Create an account?</label> | |
| </p> | |
| <div class="create-account"> | |
| <p>Create an account by entering the information below. If you are a returning customer please login at the top of the page.</p> | |
| <p class="form-row form-row validate-required" id="account_password_field"><label for="account_password" class="">Account password <abbr class="required" title="required">*</abbr></label><input type="password" class="input-text " name="account_password" id="account_password" placeholder="Password" value="" /></p> | |
| <div class="clear"></div> | |
| </div> | |
| </div> | |
| </div> | |
| <div class="col-2"> | |
| <div class="woocommerce-shipping-fields"> | |
| <h3 id="ship-to-different-address"> | |
| <label for="ship-to-different-address-checkbox" class="checkbox">Ship to a different address?</label> | |
| <input id="ship-to-different-address-checkbox" class="input-checkbox" type="checkbox" name="ship_to_different_address" value="1" /> | |
| </h3> | |
| <div class="shipping_address"> | |
| <p class="form-row form-row form-row-first validate-required" id="shipping_first_name_field"><label for="shipping_first_name" class="">First Name <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="shipping_first_name" id="shipping_first_name" placeholder="" autocomplete="given-name" value="" /></p> | |
| <p class="form-row form-row form-row-last validate-required" id="shipping_last_name_field"><label for="shipping_last_name" class="">Last Name <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="shipping_last_name" id="shipping_last_name" placeholder="" autocomplete="family-name" value="" /></p><div class="clear"></div> | |
| <p class="form-row form-row form-row-wide" id="shipping_company_field"><label for="shipping_company" class="">Company Name</label><input type="text" class="input-text " name="shipping_company" id="shipping_company" placeholder="" autocomplete="organization" value="" /></p> | |
| <p class="form-row form-row form-row-wide address-field update_totals_on_change validate-required" id="shipping_country_field"><label for="shipping_country" class="">Country <abbr class="required" title="required">*</abbr></label><select name="shipping_country" id="shipping_country" autocomplete="country" class="country_to_state country_select " ><option value="">Select a country…</option><option value="CA" >Canada</option><option value="US" selected='selected'>United States (US)</option></select><noscript><input type="submit" name="woocommerce_checkout_update_totals" value="Update country" /></noscript></p> | |
| <p class="form-row form-row form-row-wide address-field validate-required" id="shipping_address_1_field"><label for="shipping_address_1" class="">Address <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="shipping_address_1" id="shipping_address_1" placeholder="Street address" autocomplete="address-line1" value="" /></p> | |
| <p class="form-row form-row form-row-wide address-field" id="shipping_address_2_field"><input type="text" class="input-text " name="shipping_address_2" id="shipping_address_2" placeholder="Apartment, suite, unit etc. (optional)" autocomplete="address-line2" value="" /></p> | |
| <p class="form-row form-row form-row-wide address-field validate-required" id="shipping_city_field"><label for="shipping_city" class="">Town / City <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="shipping_city" id="shipping_city" placeholder="" autocomplete="address-level2" value="" /></p> | |
| <p class="form-row form-row form-row-first address-field validate-required validate-state" id="shipping_state_field"><label for="shipping_state" class="">State <abbr class="required" title="required">*</abbr></label><select name="shipping_state" id="shipping_state" class="state_select " data-placeholder="" autocomplete="address-level1"> | |
| <option value="">Select a state…</option><option value="AL" >Alabama</option><option value="AK" >Alaska</option><option value="AZ" >Arizona</option><option value="AR" >Arkansas</option><option value="CA" >California</option><option value="CO" >Colorado</option><option value="CT" >Connecticut</option><option value="DE" >Delaware</option><option value="DC" >District Of Columbia</option><option value="FL" >Florida</option><option value="GA" >Georgia</option><option value="HI" >Hawaii</option><option value="ID" >Idaho</option><option value="IL" >Illinois</option><option value="IN" >Indiana</option><option value="IA" >Iowa</option><option value="KS" >Kansas</option><option value="KY" >Kentucky</option><option value="LA" >Louisiana</option><option value="ME" >Maine</option><option value="MD" >Maryland</option><option value="MA" >Massachusetts</option><option value="MI" >Michigan</option><option value="MN" >Minnesota</option><option value="MS" >Mississippi</option><option value="MO" >Missouri</option><option value="MT" >Montana</option><option value="NE" >Nebraska</option><option value="NV" >Nevada</option><option value="NH" >New Hampshire</option><option value="NJ" >New Jersey</option><option value="NM" >New Mexico</option><option value="NY" >New York</option><option value="NC" >North Carolina</option><option value="ND" >North Dakota</option><option value="OH" >Ohio</option><option value="OK" >Oklahoma</option><option value="OR" >Oregon</option><option value="PA" >Pennsylvania</option><option value="RI" >Rhode Island</option><option value="SC" >South Carolina</option><option value="SD" >South Dakota</option><option value="TN" >Tennessee</option><option value="TX" >Texas</option><option value="UT" >Utah</option><option value="VT" >Vermont</option><option value="VA" >Virginia</option><option value="WA" >Washington</option><option value="WV" >West Virginia</option><option value="WI" >Wisconsin</option><option value="WY" >Wyoming</option><option value="AA" >Armed Forces (AA)</option><option value="AE" >Armed Forces (AE)</option><option value="AP" >Armed Forces (AP)</option></select></p> | |
| <p class="form-row form-row form-row-last address-field validate-required validate-postcode" id="shipping_postcode_field"><label for="shipping_postcode" class="">ZIP <abbr class="required" title="required">*</abbr></label><input type="text" class="input-text " name="shipping_postcode" id="shipping_postcode" placeholder="" autocomplete="postal-code" value="" /></p><div class="clear"></div> | |
| </div> | |
| <p class="form-row form-row notes" id="order_comments_field"><label for="order_comments" class="">Order Notes</label><textarea name="order_comments" class="input-text " id="order_comments" placeholder="Notes about your order, e.g. special notes for delivery." rows="2" cols="5"></textarea></p> | |
| </div> | |
| </div> | |
| </div> | |
| <h3 id="order_review_heading">Your order</h3> | |
| <div id="order_review" class="woocommerce-checkout-review-order"> | |
| <table class="shop_table woocommerce-checkout-review-order-table"> | |
| <thead> | |
| <tr> | |
| <th class="product-name">Product</th> | |
| <th class="product-total">Total</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr class="cart_item"> | |
| <td class="product-name"> | |
| Chocolate Chaga GoodStuff Smoothie Mix <strong class="product-quantity">× 1</strong> <dl class="variation"> | |
| <dt class="variation-Size">Size:</dt> | |
| <dd class="variation-Size"><p>150g (18 servings)</p> | |
| </dd> | |
| </dl> | |
| </td> | |
| <td class="product-total"> | |
| <span class="woocommerce-Price-amount amount"><span class="woocommerce-Price-currencySymbol">$</span> 22.00</span> </td> | |
| </tr> | |
| </tbody> | |
| <tfoot> | |
| <tr class="cart-subtotal"> | |
| <th>Subtotal</th> | |
| <td><span class="woocommerce-Price-amount amount"><span class="woocommerce-Price-currencySymbol">$</span> 22.00</span></td> | |
| </tr> | |
| <tr class="shipping"> | |
| <th>Shipping</th> | |
| <td data-title="Shipping"> | |
| International Delivery: <span class="woocommerce-Price-amount amount"><span class="woocommerce-Price-currencySymbol">$</span> 7.50</span> <input type="hidden" name="shipping_method[0]" data-index="0" id="shipping_method_0" value="legacy_international_delivery" class="shipping_method" /> | |
| </td> | |
| </tr> | |
| <tr class="order-total"> | |
| <th>Total</th> | |
| <td><strong><span class="woocommerce-Price-amount amount"><span class="woocommerce-Price-currencySymbol">$</span> 29.50</span></strong> </td> | |
| </tr> | |
| </tfoot> | |
| </table> | |
| <div id="payment" class="woocommerce-checkout-payment"> | |
| <ul class="wc_payment_methods payment_methods methods"> | |
| <li class="wc_payment_method payment_method_paypal"> | |
| <input id="payment_method_paypal" type="radio" class="input-radio" name="payment_method" value="paypal" checked='checked' data-order_button_text="Proceed to PayPal" /> | |
| <label for="payment_method_paypal"> | |
| PayPal <img src="https://www.paypalobjects.com/webstatic/en_CA/mktg/logo-image/AM_mc_vs_dc_ae.jpg" alt="PayPal Acceptance Mark" /><a href="https://www.paypal.com/ca/webapps/mpp/paypal-popup" class="about_paypal" onclick="javascript:window.open('https://www.paypal.com/ca/webapps/mpp/paypal-popup','WIPaypal','toolbar=no, location=no, directories=no, status=no, menubar=no, scrollbars=yes, resizable=yes, width=1060, height=700'); return false;" title="What is PayPal?">What is PayPal?</a> </label> | |
| <div class="payment_box payment_method_paypal" > | |
| <p>Pay via PayPal; you can pay with your credit card if you don’t have a PayPal account.</p> | |
| </div> | |
| </li> | |
| </ul> | |
| <div class="form-row place-order"> | |
| <noscript> | |
| Since your browser does not support JavaScript, or it is disabled, please ensure you click the <em>Update Totals</em> button before placing your order. You may be charged more than the amount stated above if you fail to do so. <br/><input type="submit" class="button alt" name="woocommerce_checkout_update_totals" value="Update totals" /> | |
| </noscript> | |
| <input type="submit" class="button alt" name="woocommerce_checkout_place_order" id="place_order" value="Place order" data-value="Place order" /> | |
| <input type="hidden" id="_wpnonce" name="_wpnonce" value="6e17960181" /><input type="hidden" name="_wp_http_referer" value="/checkout/" /> </div> | |
| </div> | |
| </div> | |
| </form> |
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