XPS_Checkout

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

[MM_Form_Section type=’accountInfo’]

Create Your Account

[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=’phone’ isRequired=’false’ customAttributes=’placeholder=”Phone Number”‘]

[MM_Form_Field type=’input’ name=’password’ customAttributes=’placeholder=”Password”‘]

(Please enter a unique password for processing your order. If you are enrolling in a Job Search Program Module, you will utilize this password to login later for accessing courses, handouts and bonus materials).

[/MM_Form_Section]
[MM_Form_Section type=’billingInfo’]

Enter Your 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’]

Enter Your Credit Card

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’]

[/MM_Form_Section]

[MM_Form_Data name=’productName’ useAccessName=’false’]

[MM_Form_Data name=’productDescription’]

Product 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’]
Total Price: [MM_Form_Data name=’totalPrice’]
[/MM_Order_Decision]

[MM_Member_Decision isMember=’true’]

[MM_Form_Field type=’input’ name=’gift’] Is this a gift?

[/MM_Member_Decision]
[MM_Form_Section type=’coupon’]

Coupons

[MM_Form_Field name=’couponCode’] Apply Coupon

[MM_Form_Message type=’couponSuccess’] [MM_Form_Message type=’couponError’]

[/MM_Form_Section]

[MM_Form_Field type=’custom’ id=’3′ isRequired=’true’ class=”] Please check the box to indicate you have read and agree to the Terms of Use before continuing.
[MM_Form_Button type=’all’ label=’Submit Order’ color=’orange’]

[/MM_Form]