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1 Checkout method

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2 billing information

First Name

Last Name

Company

Email Address

Address

city

State/Province

Zip/Postal Code

Country

Telephone

Fax

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3 shipping information

Address will go here. T: 012 345 678

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4 Shipping method

Flat Rate

Fixed $40.00

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5 payment information

Check / Money order

Credit Card (saved)

Name on Card

Credit Card Type

Credit Card Number

Expiration Date

Card Verification Number

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6 Order Review

	Product Name	Qty	Price
Grand Total			$4,722.00

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