[et_pb_section fb_built=”1″ _builder_version=”4.16″ background_color=”#FAFAFA” custom_padding=”0px||0px|||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row custom_padding_last_edited=”on|phone” _builder_version=”4.16″ background_color=”#F6F6F6″ custom_padding=”120px|30px|120px|30px” custom_padding_tablet=”” custom_padding_phone=”30px|30px|30px|30px” global_colors_info=”{}” column_structure=”1_2,1_2″ theme_builder_area=”post_content”][et_pb_column type=”1_2″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||” theme_builder_area=”post_content”][et_pb_code _builder_version=”4.16″ global_colors_info=”{}” theme_builder_area=”post_content”][MM_Form type=’checkout’][MM_Form_Message type=’error’] [MM_Form_Section type=’accountInfo’]
Account 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=’input’ name=’password’ customAttributes=’placeholder=”Password”‘]
[MM_Form_Field type=’input’ name=’phone’ isRequired=’false’ customAttributes=’placeholder=”Phone Number”‘]
[/MM_Form_Section] [MM_Form_Section type=’coupon’]
Gift Code
[MM_Form_Field name=’couponCode’] Apply Gift Code
[MM_Form_Message type=’couponSuccess’] [MM_Form_Message type=’couponError’] [/MM_Form_Section][/et_pb_code][/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||” theme_builder_area=”post_content”][et_pb_code _builder_version=”4.16″ global_colors_info=”{}” theme_builder_area=”post_content”]
[MM_Form_Data name=’productName’]
[MM_Form_Data name=’productDescription’]
[MM_Form_Field type=’hidden’ name=’phone’] [MM_Form_Field type=’hidden’ name=’billingAddress’] [MM_Form_Field type=’hidden’ name=’billingCity’] [MM_Form_Field type=’hidden’ name=’billingState’] [MM_Form_Field type=’hidden’ name=’billingZipCode’] [MM_Form_Field type=’hidden’ name=’billingCountry’] [MM_Form_Field type=’hidden’ name=’shippingAddress’] [MM_Form_Field type=’hidden’ name=’shippingCity’] [MM_Form_Field type=’hidden’ name=’shippingState’] [MM_Form_Field type=’hidden’ name=’shippingZipCode’] [MM_Form_Field type=’hidden’ name=’shippingCountry’][/MM_Form][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section]