[single_page]

First Name
[single_page_shipping_first_name class=”bigInput”]

Last Name
[single_page_shipping_last_name class=”bigInput”]

Address
[single_page_shipping_address1 class=”bigInput”]

Address2
[single_page_shipping_address2 class=”bigInput”]

City
[single_page_shipping_city class=”bigInput”]

State
[single_page_shipping_state class=”bigInput”]

Zip
[single_page_shipping_zip class=”bigInput”]

Country
[single_page_shipping_country class=”bigInput”]

Phone
[single_page_phone class=”bigInput”]

Email
[single_page_email class=”bigInput”]

Shipping same as billing
[shipping_same_as_billing class=”form-check-input”]

[single_page_billing_section]
First Name
[single_page_billing_first_name class=”bigInput”]

Last Name
[single_page_billing_last_name class=”bigInput”]

Address
[single_page_billing_address1 class=”bigInput”]

Address2
[single_page_billing_address2 class=”bigInput”]

City
[single_page_billing_city class=”bigInput”]

State
[single_page_billing_state class=”bigInput”]

Zip
[single_page_billing_zip class=”bigInput”]

Country
[single_page_billing_country class=”bigInput”]

[/single_page_billing_section]

Card Type
[single_page_credit_card_type class=”bigInput”]

Card Number
[single_page_credit_card_number class=”bigInput”]

CVV
[single_page_credit_card_cvv class=”bigInput”]

Expiration Month
[single_page_credit_card_month class=”bigInput”]

Expiration Year
[single_page_credit_card_year class=”bigInput”]

[single_page_opt_in]
[single_page_button text=”Check Out”]

[/single_page]