Enter Your Shipping Address checkout {Select Shipping Address}

Enter Your Shipping Address

Enter Your Billing Address checkout {Select Billing Address}

Enter Your Billing Address

@hidden_form_vars@
Name
Address value="@line1@">
2nd line (optional) value="@line2@">
City value="@city@">  State @state_widget@
Zip value="@zip_code@">
Phone value="@phone@"> checked >day     checked > evening