<form id="checkout_form" novalidate="novalidate" class="simple_form new_order" action="/checkout" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token" value="yFH/jReCNknJ6VLXibIpkjwpCDNVRC5aeaRsNidGssiBOKC27GEVYptvPLLJJu7Ip1GMzBILsVaG+QJO3pwlFw=="><div id="cart-header"><div id="tabs"><div class="tab tab-edit-link"><a href="https://www.supremenewyork.com/shop/cart">EDIT / VIEW CART</a></div><div class="tab tab-payment selected"><b>SHIPPING / PAYMENT</b></div><div class="tab tab-confirmation "><b>CONFIRMATION</b></div></div></div><div class="payment" id="cart-body"><div id="cart-address"><h2><b>billing/shipping information</b></h2><fieldset><p>must be the same as your credit card address</p><div class="input string required order_billing_name"><label class="string required control-label floaty" for="order_billing_name">name</label><input first_and_last="true" placeholder="name" class="string required" type="text" name="order[billing_name]" id="order_billing_name"></div><div class="input email required order_email"><label class="email required control-label floaty" for="order_email">email</label><input placeholder="email" class="string email required" type="email" name="order[email]" id="order_email"></div><div class="input string required order_tel"><label class="string required control-label floaty" for="order_tel">tel</label><input tel="true" placeholder="tel" class="string required" type="text" name="order[tel]" id="order_tel" maxlength="12"></div><div id="address_row"><div class="input string required order_billing_address"><label class="string required control-label floaty" for="bo">address</label><input id="bo" placeholder="address" autocomplete="new-password" autocorrect="off" autocapitalize="off" spellcheck="false" class="string required" type="text" name="order[billing_address]"></div><div class="input string optional order_billing_address_2"><label class="string optional control-label floaty" for="oba3">apt, unit, etc</label><input id="oba3" placeholder="apt, unit, etc" class="string optional" type="text" name="order[billing_address_2]"></div></div><div id="zip_city_state_row"><div class="input string required order_billing_zip"><label id="zip_label" class="string required control-label floaty" for="order_billing_zip">zip</label><input autocomplete="off" zipcode="true" size="5" placeholder="zip" class="string required" type="text" name="order[billing_zip]" id="order_billing_zip"></div><div class="input string required order_billing_city"><label class="string required control-label floaty" for="order_billing_city">city</label><input placeholder="city" class="string required" type="text" name="order[billing_city]" id="order_billing_city"></div><div class="input select optional order_billing_state"><label id="state_label" class="select optional control-label floaty" for="order_billing_state">state</label><select class="select optional" name="order[billing_state]" id="order_billing_state"><option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AS">AS</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="DC">DC</option>
<option value="FM">FM</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="GU">GU</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MH">MH</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="MP">MP</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PW">PW</option>
<option value="PA">PA</option>
<option value="PR">PR</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VI">VI</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option></select></div></div><div class="input select optional order_billing_country"><label class="select optional control-label floaty" for="order_billing_country">country</label><select class="select optional" name="order[billing_country]" id="order_billing_country"><option selected="selected" value="USA">USA</option>
<option value="CANADA">CANADA</option></select></div><input type="hidden" name="asec" id="asec" value="Rmasn"><input type="hidden" name="same_as_billing_address" id="same_as_billing_address" value="1"><input type="hidden" name="store_credit_id" id="store_credit_id" value=""><div class="input string optional store-address-checkbox"><div class="icheckbox_minimal" style="position: relative;"><input type="checkbox" name="store_address" id="store_address" value="1" class="checkbox" style="position: absolute; visibility: hidden;"><ins class="iCheck-helper" style="position: absolute; top: -20%; left: -20%; display: block; width: 140%; height: 140%; margin: 0px; padding: 0px; background-color: rgb(255, 255, 255); border: 0px; opacity: 0; background-position: initial initial; background-repeat: initial initial;"></ins></div><label class="string optional control-label" for="store_address" id="store-address">save address for future orders</label></div><div id="shipping-address"></div></fieldset></div><div id="cart-cc"><h2><b>credit card information</b></h2><fieldset><p class="errors">&nbsp;</p><div id="card_details"><div class="input string required credit_card_number"><label class="nlb string required sr-label floaty" for="nnaerb">number</label><input placeholder="number" id="nnaerb" name="credit_card[nlb]" class="string required" type="text"></div><div id="cvv_row"><div class="input string required credit_card_month"><label class="string required control-label floaty" for="credit_card_month">exp. date</label><select name="credit_card[month]" id="credit_card_month"><option value="01">01</option>
<option value="02">02</option>
<option selected="selected" value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option></select><select name="credit_card[year]" id="credit_card_year"><option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option></select></div><div id="rmae" class="input string required credit_card_verification_value"><label class="nclb string required sr-label floaty" for="orcer">CVV</label><input placeholder="CVV" id="orcer" name="credit_card[rvv]" class="string required" maxlength="4" size="4" type="text"></div></div></div><div id="cart-totals"><div><span class="label-total">cart total</span><span class="field" id="subtotal">$28</span></div><div><span class="label-total">shipping &amp; handling</span><span class="field" id="shipping">$10</span></div><div><span class="label-total">estimated sales tax</span><span class="field" id="tax">$3.95<span aria-label="The exact tax amount will be calculated based on the applicable state and local sales taxes and will be reflected when final payment is settled." class="tax-tooltip" role="tooltip"><em>i</em></span></span></div><div><span class="label-total"><strong>order total</strong></span><span><strong class="field" id="total">$41.95</strong></span></div></div><p><label class="has-checkbox terms"><input name="order[terms]" type="hidden" value="0"><div class="icheckbox_minimal" style="position: relative;"><input class="checkbox" type="checkbox" value="1" name="order[terms]" id="order_terms" style="position: absolute; visibility: hidden;"><ins class="iCheck-helper" style="position: absolute; top: -20%; left: -20%; display: block; width: 140%; height: 140%; margin: 0px; padding: 0px; background-color: rgb(255, 255, 255); border: 0px; opacity: 0; background-position: initial initial; background-repeat: initial initial;"></ins></div>I have read and agree to the <a href="http://www.supremenewyork.com/shop/terms">terms &amp; conditions</a>, and accept the return policy<span class="terms-error">please agree to the terms</span></label></p><input id="numbc" name="credit_card[vval]" type="text"></fieldset></div></div><div id="cart-footer"><div id="pay"><p style=""></p><input type="submit" name="commit" value="process payment" class="button " disable_with="please wait..."><a class="button cancel" href="http://www.supremenewyork.com/shop">cancel</a></div></div><input type="hidden" id="recaptcha-token" value="03AOLTBLRh92bG15hnj7y0gYb3htKXBqZKEON6meLQwK4DexitIef5iBmgIEl4sWBw3Q0hsHiuZDT5QtQ8hnagiVyd36HtW_ttuLocB_V_PSgiqoXVqtUIstnqZz05gOUyBEgEW1eiyhCAr-moqnwWJRpyhNV2g1brwAR2Bk7P8RsW6qKM9Txu6woHoQlC_aXP8tR__mYsqpd9zArdvbyswvQK_Gu32SOdZIA1mCdY0kCvxhyS7JNxoQJyyTCG5REm43yLp8GLBzsR6M4CejVBMwSIZ2xGvPXGhFZgMlOowihz12rJVmLek6o3txnkr5kHud-WZMENrR7O"></form