(103,1,1323283144,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(104,1,1323283269,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(105,1,1323283269,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(106,1,1323283302,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(107,1,1323283500,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(108,1,1323283506,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(109,1,1323283521,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(110,1,1323283610,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(111,1,1323283618,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(112,1,1323283629,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(113,1,1323284380,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(114,1,1323284394,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(115,1,1323284498,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(116,1,1323284674,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(117,1,1323284690,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(118,1,1323284702,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(119,1,1323284712,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(120,1,1323285730,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(121,1,1323285773,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(122,1,1323285797,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"mtbinary@gmail.com\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"949-842-4155\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"Mark\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"Mark\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"232 Testme Street\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"Tustin\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"CA\">CA</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"98027\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"Mark\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"232 Testme Street\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"232 Testme Street\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"Tustin\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"CA\">CA</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"98027\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(123,1,1323285832,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"mtbinary@gmail.com\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"949-842-4155\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"Mark\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"Mark\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"232 Testme Street\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"Tustin\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"CA\">CA</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"98027\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"Mark\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"232 Testme Street\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"232 Testme Street\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"Tustin\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"CA\">CA</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"98027\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(124,1,1323285984,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"mtbinary@gmail.com\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"949-842-4155\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"Mark\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"Mark\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"232 Testme Street\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"Tustin\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"CA\">CA</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"98027\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"Mark\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"232 Testme Street\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"232 Testme Street\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"Tustin\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"CA\">CA</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"98027\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(125,1,1323286136,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(126,1,1323292615,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"mtbinary@gmail.com\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"949-842-4155\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"Mark\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"Mark\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"343 Street St.\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"Tustin\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"CA\">CA</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"92705\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"Mark\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"343 Street St.\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"343 Street St.\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"Tustin\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"CA\">CA</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"92705\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(127,1,1323294949,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(128,1,1323294954,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> <div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),(129,1,1323295284,3,0,0,'cart_payment - Snippet','<b>date() [<a href=\'function.date\'>function.date</a>]: It is not safe to rely on the system\'s timezone settings. Please use the date.timezone setting, the TZ environment variable or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected \'America/New_York\' for \'EST/-5.0/no DST\' instead</b><br /><br /> r<div id=\"main-content\" class=\"mc-left\">\n\n<script language=\"javascript\" type=\"text/javascript\">\n\n\nfunction  up_ship_state(){\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n}\n\nfunction  up_ship_form(){\n\n\ndocument.getElementById(\'firstname_s\').value = document.getElementById(\'firstname\').value;\ndocument.getElementById(\'lastname_s\').value = document.getElementById(\'lastname\').value;\ndocument.getElementById(\'address_s\').value = document.getElementById(\'address\').value;\ndocument.getElementById(\'address_s_2\').value = document.getElementById(\'address_2\').value;\ndocument.getElementById(\'city_s\').value = document.getElementById(\'city\').value;\ndocument.getElementById(\'zip_s\').value = document.getElementById(\'zip\').value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].value = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\ndocument.getElementById(\'state_s\').options[document.getElementById(\'state_s\').selectedIndex].text = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].text;\ndocument.getElementById(\'state_s\').value  = document.getElementById(\'state\').options[document.getElementById(\'state\').selectedIndex].value;\n\n\n}\n\nfunction validate_form(form){\n\nvar missing_field = 0;\n\nvar all_fields = new Array(\"checkerror\",\"email\",\"emailinvalid\",\"firstname\",\"lastname\",\"address\",\"city\",\"state\",\"zip\",\"firstname_s\",\"lastname_s\",\"address_s\",\"city_s\",\"state_s\",\"zip_s\",\"ccNum\",\"ccvv\",\"cc_type\",\"ccNumInvalid\");	\n\n\n	for (var i=0;i<all_fields.length;i++){		\n	document.getElementById(all_fields[i]+\'_error\').style.display = \'none\';\n	\n	}	\n\nif(!document.getElementById(\'email\').value ){\ndocument.getElementById(\'email_error\').style.display = \'block\';\nmissing_field = 1;\n}\nelse\n{\nvar reg = /^([A-Za-z0-9_\\-\\.])+\\@([A-Za-z0-9_\\-\\.])+\\.([A-Za-z]{2,4})$/;\n\n   var address = document.getElementById(\'email\').value;\n   if(reg.test(address) == false) {\n	document.getElementById(\'emailinvalid_error\').style.display = \'block\';\n	}\n}\n\nif(!document.getElementById(\'cc_type\').value){\n	document.getElementById(\'cc_type_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'phone\').value){\n	document.getElementById(\'phone_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname\').value){\n	document.getElementById(\'firstname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname\').value){\n	document.getElementById(\'lastname_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address\').value){\n	document.getElementById(\'address_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city\').value){\n	document.getElementById(\'city_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state\').value){\n	document.getElementById(\'state_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip\').value){\n	document.getElementById(\'zip_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'firstname_s\').value){\n	document.getElementById(\'firstname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'lastname_s\').value){\n	document.getElementById(\'lastname_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'address_s\').value){\n	document.getElementById(\'address_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'city_s\').value){\n	document.getElementById(\'city_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'state_s\').value){\n	document.getElementById(\'state_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'zip_s\').value){\n	document.getElementById(\'zip_s_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\n\nif(!document.getElementById(\'ccNum\').value){\n	document.getElementById(\'ccNum_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(!document.getElementById(\'ccvv\').value){\n	document.getElementById(\'ccvv_error\').style.display = \'block\';\nmissing_field = 1;\n}\n\nif(missing_field == \"1\"){\n	document.getElementById(\'checkerror_error\').style.display = \'block\';\n\nreturn false;\n}\n\n}\n</script>\n\n<form method=\"post\" name=\"websignupfrm\" action=\"[~7~]\"  onSubmit=\"return validate_form(this);\">\n		\n	<div id=\"yconfirm\">\n		<h4 style=\"margin-bottom: 3px\">Contact Information</h4>\n		<p style=\"font-size: 11px; line-hieght: 14px; font-style: italic\">All fields required unless indicated by *</p>\n            <ul>\n				<li><div class=\"error\" id=\'email_error\' >Enter Email</div>\n                    <div class=\"error\" id=\'emailinvalid_error\' >Invalid Email</div>\n                <label>Your Email: </label> <input type=\"text\" id=\"email\" name=\"email\" value=\"\"/></li>\n                \n                <li><div class=\"error\" id=\'phone_error\' >Enter Phone</div>\n                <label>Your Phone Number:</label><input type=\"text\" name=\"phone\" id=\"phone\"  value=\"\" /></li>\n            </ul>\n	</div>\n	\n	<div class=\"separator-line\"></div>\n	\n	 \n    <div id=\"yconfirm\">\n		<h4>Billing Address</h4>\n		\n            \n            <ul>\n              <li><div class=\"error\" id=\'firstname_error\' >Enter First Name</div>\n                <label>First Name:</label><input type=\"text\"  id=\"firstname\" name=\"firstname\"  value=\"\"></li>\n              \n              <li><div class=\"error\" id=\'lastname_error\' >Enter Last Name</div>\n				<label>Last Name:</label> <input type=\"text\"  id=\"lastname\" name=\"lastname\"  value=\"\"></li>\n\n				<li><div class=\"error\" id=\'address_error\' >Enter Address</div>\n				<label>Address:</label><input type=\"text\"  name=\"address\" id=\"address\"  value=\"\"></li>\n					\n				<li><label>Address 2 *</label><input type=\"text\"  name=\"address_2\" id=\"address_2\"  value=\"\"></li>\n					\n				<li><div class=\"error\" id=\'city_error\' >Enter City</div>\n				<label>City:</label><input type=\"text\"  name=\"city\" id=\"city\"  value=\"\"></li>\n				\n				<li><div class=\"error\" id=\'state_error\' >Select State</div>\n				<label>State:</label><select id=\"state\" name=\"state\" onChange=\'up_ship_state()\' class=\"state\">\n\n                  <option value=\"\">- State -</option> 					    <option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>                 \n                        \n                      \n                    </select></li>\n                    \n                    \n				\n				\n				<li><div class=\"error\" id=\'zip_error\' >Enter Zip</div>\n				<label>Zip:</label><input class=\"zipcode\" type=\"text\" name=\"zip\" id=\"zip\"  value=\"\"></li>\n            \n            </ul>\n        </div>\n\n		<div class=\"separator-line\"></div>\n\n		\n		<div id=\"yconfirm\">\n		  <h4 style=\"margin-bottom: 0px\">Shipping Address</h4>\n		  <p><input type=\"checkbox\" name=\"\" id=\"checkbox\" value=\"1\" onClick=\'up_ship_form()\'> (same as billing)</p>\n		  \n		  <ul>\n\n			<li><div class=\"error\" id=\'firstname_s_error\' >Enter First Name</div>\n			<label>First Name:</label><input type=\"text\"  id=\"firstname_s\" name=\"firstname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'lastname_s_error\' >Enter Last Name</div>\n			<label>Last Name:</label><input type=\"text\"  id=\"lastname_s\" name=\"lastname_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'address_s_error\' >Enter Address</div>\n			<label>Address:</label><input type=\"text\"  name=\"address_s\" id=\"address_s\"  value=\"\"></li>\n			\n			<li><label>Address 2 *</label><input type=\"text\"  name=\"address_s_2\" id=\"address_s_2\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'city_s_error\' >Enter City</div>\n			<label>City:</label><input type=\"text\"  name=\"city_s\" id=\"city_s\"  value=\"\"></li>\n			\n			<li><div class=\"error\" id=\'state_s_error\' >Select State</div>\n			<label>State:</label><select id=\"state_s\" name=\"state_s\"  class=\"state\">\n\n                 <option value=\"\">- State -</option>						<option value=\"AL\">AL</option>\n                        <option value=\"AK\">AK</option>\n                        <option value=\"AZ\">AZ</option>\n                        <option value=\"AR\">AR</option>\n                        <option value=\"CA\">CA</option>\n                        <option value=\"CO\">CO</option>\n                        <option value=\"CT\">CT</option>\n                        <option value=\"DC\">DC</option>\n                        \n                        <option value=\"DE\">DE</option>\n                        <option value=\"FL\">FL</option>\n                        <option value=\"GA\">GA</option>\n                        <option value=\"HI\">HI</option>\n                        <option value=\"ID\">ID</option>\n                        <option value=\"IL\">IL</option>\n                        <option value=\"IN\">IN</option>\n                        <option value=\"IA\">IA</option>\n                        <option value=\"KS\">KS</option>\n                        \n                        <option value=\"KY\">KY</option>\n                        <option value=\"LA\">LA</option>\n                        <option value=\"ME\">ME</option>\n                        <option value=\"MD\">MD</option>\n                        <option value=\"MA\">MA</option>\n                        <option value=\"MI\">MI</option>\n                        <option value=\"MN\">MN</option>\n                        <option value=\"MS\">MS</option>\n                        <option value=\"MO\">MO</option>\n                        \n                        <option value=\"MT\">MT</option>\n                        <option value=\"NE\">NE</option>\n                        <option value=\"NV\">NV</option>\n                        <option value=\"NH\">NH</option>\n                        <option value=\"NJ\">NJ</option>\n                        <option value=\"NM\">NM</option>\n                        <option value=\"NY\">NY</option>\n                        <option value=\"NC\">NC</option>\n                        <option value=\"ND\">ND</option>\n                        \n                        <option value=\"OH\">OH</option>\n                        <option value=\"OK\">OK</option>\n                        <option value=\"OR\">OR</option>\n                        <option value=\"PA\">PA</option>\n                        <option value=\"RI\">RI</option>\n                        <option value=\"SC\">SC</option>\n                        <option value=\"SD\">SD</option>\n                        <option value=\"TN\">TN</option>\n                        <option value=\"TX\">TX</option>\n                        \n                        <option value=\"UT\">UT</option>\n                        <option value=\"VT\">VT</option>\n                        <option value=\"VA\">VA</option>\n                        <option value=\"WA\">WA</option>\n                        <option value=\"WV\">WV</option>\n                        <option value=\"WI\">WI</option>\n                        <option value=\"WY\">WY</option>\n                    </select> </li>\n                    \n\n	        <li><div class=\"error\" id=\'zip_s_error\' >Enter Zip</div>\n            <label>Zip:</label><input class=\"zipcode\" type=\"text\"  name=\"zip_s\" id=\"zip_s\"  value=\"\"></li>\n            \n        </ul>\n      </div>\n\n\n	<div class=\"separator-line\"></div>\n                    \n		<div id=\"yconfirm\">\n         <h4>Credit card details</h4>\n            <ul>\n            \n            <li><div class=\"error\" id=\'cc_type_error\' >Select Credit Card Type</div>\n              <label>Credit Card Type:</label><select id=\"cc_type\" name=\"cc_type\" class=\"card\">\n\n						<option value=\"\" >- Select Credit Card Type -</option>\n                        <option value=\"Visa\">Visa</option>\n						<option value=\"Mastercard\">Mastercard</option>\n						<option value=\"Discover\">Discover</option>    \n						<option value=\"American Express\">American Express</option>   \n                    </select><br />\n              <img src=\"assets/templates/ecommerce/images/icon-creditcards_127x23.gif\" alt=\"Mastercard, Visa, Discover, Amex\" style=\"padding-top: 3px\"/></li>\n              \n            <li><div class=\"error\" id=\'ccNumInvalid_error\' >Invalid Card Number</div>\n				<div class=\"error\" id=\'ccNum_error\' >Enter Card Number</div>\n				<label>Credit Card Number:</label><input type=\"text\" id=\"ccNum\" name=\"ccNum\" value=\"\" />\n				<!-- <span>Example: 1234 1234 1234 1234</span>	--></li>\n              \n			<li><div class=\"error\" id=\'ccvv_error\' >Enter CVV2 Number</div>\n                <label>Credit Verification Code:</label><input class=\"cvv\" type=\"text\" id=\"ccvv\" name=\"ccvv\" value=\"\" maxlength=\"4\" /><br />\n                <label>&nbsp;</label><img src=\"assets/templates/ecommerce/images/icon-cvc_37x23.gif\" width=\"37\" height=\"23\" alt=\"CVC example\" style=\"padding-top: 3px\" /></li>\n				\n				\n			<li><label class=\"cc\">Expiration Date:*</label>\n					<select id=\"card_expire_month\" name=\"card_expire_month\" class=\"date\">\n\n						  <option value=\"01\">Jan</option>\n						  <option value=\"02\">Feb</option>\n	\n						  <option value=\"03\">Mar</option>\n						  <option value=\"04\">Apr</option>\n						  <option value=\"05\">May</option>\n						  <option value=\"06\">Jun</option>\n						  <option value=\"07\">Jul</option>\n						  <option value=\"08\">Aug</option>\n	\n						  <option value=\"09\">Sep</option>\n						  <option value=\"10\">Oct</option>\n						  <option value=\"11\">Nov</option>\n						  <option value=\"12\">Dec</option>\n\n                        \n                     </select>\n\n                    <select id=\"card_expire_year\" name=\"card_expire_year\" class=\"date\">\n              \n                     <option value=\"11\" >2011</option><option value=\"12\" >2012</option><option value=\"13\" >2013</option><option value=\"14\" >2014</option><option value=\"15\" >2015</option><option value=\"16\" >2016</option><option value=\"17\" >2017</option><option value=\"18\" >2018</option><option value=\"19\" >2019</option>                        \n                    </select></li>\n	\n			</ul>\n        </div>\n	\n	\n	\n	<div class=\"separator-line\"></div>\n\n	<div id=\"yconfirm\">\n\n    <ul>\n        <input type=\"hidden\" name=\"attempts\" value=\"\" />\n        \n        <li><div class=\"error\" id=\"checkerror_error\">Please check for errors above in red</div>\n        <label>&nbsp;</label><input type=\"submit\" name=\"payment\" id=\"process_button\" value=\"Go to Verify Order\" /></li>\n     </ul>\n\n  </div>\n\n\n	</form>\n	</div>\n	\n'),