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  1. <div class="FloatLeft">
  2.             <div class="FormContainer HorizontalFormContainer Clear">
  3.                 <dl>
  4.                     <dt>
  5.   <span style="visibility: visible" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">Email Address:</span>
  6. </dt>
  7. <dd>
  8.   <input type="hidden" value="1" class="FormFieldId"><input type="hidden" value="1" class="FormFieldFormId"><input type="hidden" value="singleline" class="FormFieldType"><input type="hidden" value="EmailAddress" class="FormFieldPrivateId">
  9.   <input type="text" value="david@abcwindowsupply.com" name="FormField[1][1]" id="FormField_1" class="Textbox Field200 FormField">
  10. </dd><dt>
  11.   <span style="visibility: visible" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">First Name:</span>
  12. </dt>
  13. <dd>
  14.   <input type="hidden" value="4" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="singleline" class="FormFieldType"><input type="hidden" value="FirstName" class="FormFieldPrivateId">
  15.   <input type="text" value="David" name="FormField[2][4]" id="FormField_4" class="Textbox Field200 FormField">
  16. </dd>
  17. <dt>
  18.   <span style="visibility: visible" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">Last Name:</span>
  19. </dt>
  20. <dd>
  21.   <input type="hidden" value="5" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="singleline" class="FormFieldType"><input type="hidden" value="LastName" class="FormFieldPrivateId">
  22.   <input type="text" value="Melton" name="FormField[2][5]" id="FormField_5" class="Textbox Field200 FormField">
  23. </dd>
  24. <dt>
  25.   <span style="visibility: hidden" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">Company Name:</span>
  26. </dt>
  27. <dd>
  28.   <input type="hidden" value="6" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="singleline" class="FormFieldType"><input type="hidden" value="CompanyName" class="FormFieldPrivateId">
  29.   <input type="text" value="" name="FormField[2][6]" id="FormField_6" class="Textbox Field200 FormField">
  30. </dd>
  31. <dt>
  32.   <span style="visibility: visible" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">Phone Number:</span>
  33. </dt>
  34. <dd>
  35.   <input type="hidden" value="7" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="singleline" class="FormFieldType"><input type="hidden" value="Phone" class="FormFieldPrivateId">
  36.   <input type="text" value="3039171568" name="FormField[2][7]" id="FormField_7" style="&quot;display: none;&quot;" class="Textbox Field200 FormField">
  37. </dd>
  38. <dt>
  39.   <span style="visibility: visible" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">Address Line 1:</span>
  40. </dt>
  41. <dd>
  42.   <input type="hidden" value="8" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="singleline" class="FormFieldType"><input type="hidden" value="AddressLine1" class="FormFieldPrivateId">
  43.   <input type="text" value="9527 W. Alameda Ave" name="FormField[2][8]" id="FormField_8" class="Textbox Field200 FormField">
  44. </dd>
  45. <dt>
  46.   <span style="visibility: hidden" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">Address Line 2:</span>
  47. </dt>
  48. <dd>
  49.   <input type="hidden" value="9" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="singleline" class="FormFieldType"><input type="hidden" value="AddressLine2" class="FormFieldPrivateId">
  50.   <input type="text" value="" name="FormField[2][9]" id="FormField_9" class="Textbox Field200 FormField">
  51. </dd>
  52. <dt>
  53.   <span style="visibility: visible" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">Suburb/City:</span>
  54. </dt>
  55. <dd>
  56.   <input type="hidden" value="10" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="singleline" class="FormFieldType"><input type="hidden" value="City" class="FormFieldPrivateId">
  57.   <input type="text" value="Lakewood" name="FormField[2][10]" id="FormField_10" class="Textbox Field200 FormField">
  58. </dd>
  59. <dt>
  60.   <span style="visibility: visible" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">Country:</span>
  61. </dt>
  62. <dd>
  63.   <input type="hidden" value="Choose a Country" class="FormFieldChoosePrefix"><input type="hidden" value="11" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="singleselect" class="FormFieldType"><input type="hidden" value="Country" class="FormFieldPrivateId">
  64.   <select size="1" name="FormField[2][11]" id="FormField_11" style="" class="Field200 FormField"><option value="">Choose a Country</option><option value="United States">United States</option><option value="Canada">Canada</option><option value="Mexico">Mexico</option></select>
  65. </dd>
  66. <dt>
  67.   <span style="visibility: visible" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">State/Province:</span>
  68. </dt>
  69. <dd>
  70.   <input type="hidden" value="Choose a State" class="FormFieldChoosePrefix"><input type="hidden" value="12" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="selectortext" class="FormFieldType"><input type="hidden" value="State" class="FormFieldPrivateId">
  71.   <noscript>
  72.   &lt;input type="text" name="FormField[2][12]" value="Colorado" class="Field200" style=""  /&gt;
  73. </noscript>
  74. <select style="" class="FormField JSHidden Field200" id="FormField_12" name="FormField[2][12]"><option value="">Choose a State</option>
  75. <option value="Alabama">Alabama</option>
  76. <option value="Alaska">Alaska</option>
  77. <option value="American Samoa">American Samoa</option>
  78. <option value="Arizona">Arizona</option>
  79. <option value="Arkansas">Arkansas</option>
  80. <option value="Armed Forces Africa">Armed Forces Africa</option>
  81. <option value="Armed Forces Americas">Armed Forces Americas</option>
  82. <option value="Armed Forces Canada">Armed Forces Canada</option>
  83. <option value="Armed Forces Europe">Armed Forces Europe</option>
  84. <option value="Armed Forces Middle East">Armed Forces Middle East</option>
  85. <option value="Armed Forces Pacific">Armed Forces Pacific</option>
  86. <option value="California">California</option>
  87. <option selected="selected" value="Colorado">Colorado</option>
  88. <option value="Connecticut">Connecticut</option>
  89. <option value="Delaware">Delaware</option>
  90. <option value="District of Columbia">District of Columbia</option>
  91. <option value="Federated States Of Micronesia">Federated States Of Micronesia</option>
  92. <option value="Florida">Florida</option>
  93. <option value="Georgia">Georgia</option>
  94. <option value="Guam">Guam</option>
  95. <option value="Hawaii">Hawaii</option>
  96. <option value="Idaho">Idaho</option>
  97. <option value="Illinois">Illinois</option>
  98. <option value="Indiana">Indiana</option>
  99. <option value="Iowa">Iowa</option>
  100. <option value="Kansas">Kansas</option>
  101. <option value="Kentucky">Kentucky</option>
  102. <option value="Louisiana">Louisiana</option>
  103. <option value="Maine">Maine</option>
  104. <option value="Marshall Islands">Marshall Islands</option>
  105. <option value="Maryland">Maryland</option>
  106. <option value="Massachusetts">Massachusetts</option>
  107. <option value="Michigan">Michigan</option>
  108. <option value="Minnesota">Minnesota</option>
  109. <option value="Mississippi">Mississippi</option>
  110. <option value="Missouri">Missouri</option>
  111. <option value="Montana">Montana</option>
  112. <option value="Nebraska">Nebraska</option>
  113. <option value="Nevada">Nevada</option>
  114. <option value="New Hampshire">New Hampshire</option>
  115. <option value="New Jersey">New Jersey</option>
  116. <option value="New Mexico">New Mexico</option>
  117. <option value="New York">New York</option>
  118. <option value="North Carolina">North Carolina</option>
  119. <option value="North Dakota">North Dakota</option>
  120. <option value="Northern Mariana Islands">Northern Mariana Islands</option>
  121. <option value="Ohio">Ohio</option>
  122. <option value="Oklahoma">Oklahoma</option>
  123. <option value="Oregon">Oregon</option>
  124. <option value="Palau">Palau</option>
  125. <option value="Pennsylvania">Pennsylvania</option>
  126. <option value="Puerto Rico">Puerto Rico</option>
  127. <option value="Rhode Island">Rhode Island</option>
  128. <option value="South Carolina">South Carolina</option>
  129. <option value="South Dakota">South Dakota</option>
  130. <option value="Tennessee">Tennessee</option>
  131. <option value="Texas">Texas</option>
  132. <option value="Utah">Utah</option>
  133. <option value="Vermont">Vermont</option>
  134. <option value="Virgin Islands">Virgin Islands</option>
  135. <option value="Virginia">Virginia</option>
  136. <option value="Washington">Washington</option>
  137. <option value="West Virginia">West Virginia</option>
  138. <option value="Wisconsin">Wisconsin</option>
  139. <option value="Wyoming">Wyoming</option>
  140. </select>
  141.  
  142. </dd>
  143. <dt>
  144.   <span style="visibility: visible" class="Required FormFieldRequired">*</span> <span class="FormFieldLabel">Zip/Postcode:</span>
  145. </dt>
  146. <dd>
  147.   <input type="hidden" value="13" class="FormFieldId"><input type="hidden" value="2" class="FormFieldFormId"><input type="hidden" value="singleline" class="FormFieldType"><input type="hidden" value="Zip" class="FormFieldPrivateId">
  148.   <input type="text" value="80226" name="FormField[2][13]" id="FormField_13" style="width:40px;" class="Textbox Field45 FormField">
  149. </dd>
  150.  
  151.  
  152.                     <dt style="display: none">&nbsp;</dt>
  153.                     <dd style="display: none">
  154.                         <label>
  155.                             <input type="checkbox" value="1" id="save_billing_address" name="save_billing_address">
  156.                             Save this address in my address book
  157.                         </label>
  158.                     </dd>
  159.  
  160.                     <dt style="">&nbsp;</dt>
  161.                     <dd style="">
  162.                         <label>
  163.                             <input type="checkbox" checked="checked" value="1" id="ship_to_billing_new" name="ship_to_billing_new">
  164.                             I also want to ship to this address
  165.                         </label>
  166.                     </dd>
  167.                 </dl>
  168.  
  169.  
  170.  
  171.  
  172.                 <p class="Submit">
  173.                     <input type="submit" value="Bill &amp; Ship to this Address" class="billingButton"> <span style="display: none" class="LoadingIndicator"><img alt="" src="https://www.window-cleaning-supply.com/templates/default/images/Loading.gif"></span>
  174.                 </p>
  175.             </div>
  176.         </div>
  177.  
  178.  
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