<form id="shippingForm" name="shippingForm" action="order.do" onsubmit="return ccm.shipping.getShippingRequest();" novalidate="novalidate">

          <div g>
            <div g>
              <h4 g>
                Address
              </h4>
            </div>
            <div g>
              <div id="addressBookMessage" g g>
                <p>
                  <a id="addressBookButton" onclick="return ccm.shipping.addressBook.view.openAddressBookPanel();" href="#" tabindex="77">Select From Your Address Book</a>
                </p>
              </div>

              <div g>
                




  
  
  
    
      


  
      
      
  
  
  
  










<div id="shippingAddressFieldGroups">
  
  <div g id="shippingAddressFieldGroup1" g>

  
  
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup1-shippingFirstName"><span g>*</span>First name<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup1-shippingFirstName" name="shippingAddressFieldGroup1-shippingFirstName" maxlength="30" tabindex="32">
    </div>
    <div g>
      <label for="shippingAddressFieldGroup1-shippingLastName"><span g>*</span>Last Name<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup1-shippingLastName" name="shippingAddressFieldGroup1-shippingLastName" maxlength="30" tabindex="33">
    </div>
  </div>
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup1-shippingAddressLine1"><span g>*</span>House Number and Street<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup1-shippingAddressLine1" name="shippingAddressFieldGroup1-shippingAddressLine1" maxlength="35" tabindex="34">
    </div>
  </div>
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup1-shippingAddressLine2">House/Building Name<span g></span></label>
      <input type="text" id="shippingAddressFieldGroup1-shippingAddressLine2" name="shippingAddressFieldGroup1-shippingAddressLine2" maxlength="35" tabindex="35">
    </div>
  </div>
  
  
  
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup1-shippingCity"><span g>*</span>Town/City<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup1-shippingCity" name="shippingAddressFieldGroup1-shippingCity" maxlength="30" tabindex="36">
    </div>
 
  
  </div>
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup1-shippingPostalCode"><span g>*</span>Zip code<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup1-shippingPostalCode" name="shippingAddressFieldGroup1-shippingPostalCode" maxlength="15" tabindex="37"> 
      </div>
    </div>
    <select id="shippingAddressFieldGroup1-shippingState" name="shippingAddressFieldGroup1-shippingState" g tabindex="38"> 
      <option value=""> </option>
    </select> 
          
  </div>  
  
  <div g id="shippingAddressFieldGroup2" g>    
    
  
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup2-shippingFirstName"><span g>*</span>First name<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup2-shippingFirstName" name="shippingAddressFieldGroup2-shippingFirstName" maxlength="30" tabindex="39">
      </div>
      <div g>
        <label for="shippingAddressFieldGroup2-shippingLastName"><span g>*</span>Last Name<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup2-shippingLastName" name="shippingAddressFieldGroup2-shippingLastName" maxlength="30" tabindex="40">
      </div>
    </div>
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup2-shippingAddressLine1"><span g>*</span>House Number and Street<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup2-shippingAddressLine1" name="shippingAddressFieldGroup2-shippingAddressLine1" maxlength="35" tabindex="41">
      </div>
    </div>
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup2-shippingAddressLine2">Address line 2<span g></span></label>
        <input type="text" id="shippingAddressFieldGroup2-shippingAddressLine2" name="shippingAddressFieldGroup2-shippingAddressLine2" maxlength="35" tabindex="42">
      </div>
    </div>
    
    
    
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup2-shippingCity"><span g>*</span>Town/City<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup2-shippingCity" name="shippingAddressFieldGroup2-shippingCity" maxlength="30" tabindex="43">
      </div>
      <!-- Hides the state field for UK brands -->
      <div g>
        <label for="shippingAddressFieldGroup2-shippingState"><span g>*</span>County<span class="cssHide labelErrorMessage"></span></label>
        <select id="shippingAddressFieldGroup2-shippingState" name="shippingAddressFieldGroup2-shippingState" tabindex="44">
          <option value="">Select One</option>
        </select>
      </div>
    </div>
    <div g>
      <div g g>
        <label for="shippingAddressFieldGroup2-shippingPostalCode"><span g>*</span>Zip code<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup2-shippingPostalCode" name="shippingAddressFieldGroup2-shippingPostalCode" maxlength="15" tabindex="45"> 
      </div>
    </div>
  </div>
  
  <div g id="shippingAddressFieldGroup3" g>
      
  
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup3-shippingFirstName"><span g>*</span>First name<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup3-shippingFirstName" name="shippingAddressFieldGroup3-shippingFirstName" maxlength="30" tabindex="46">
    </div>
    <div g>
      <label for="shippingAddressFieldGroup3-shippingLastName"><span g>*</span>Last Name<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup3-shippingLastName" name="shippingAddressFieldGroup3-shippingLastName" maxlength="30" tabindex="47">
    </div>
  </div>
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup3-shippingAddressLine1"><span g>*</span>House Number and Street<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup3-shippingAddressLine1" name="shippingAddressFieldGroup3-shippingAddressLine1" maxlength="35" tabindex="48">
    </div>
  </div>
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup3-shippingAddressLine2">Address line 2<span g></span></label>
      <input type="text" id="shippingAddressFieldGroup3-shippingAddressLine2" name="shippingAddressFieldGroup3-shippingAddressLine2" maxlength="35" tabindex="49">
    </div>
  </div>
  
  
  
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup3-shippingCity"><span g>*</span>Town/City<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup3-shippingCity" name="shippingAddressFieldGroup3-shippingCity" maxlength="30" tabindex="50">
    </div>
    <!-- Hides the state field for UK brands -->
    
      <div g>
        <label for="shippingAddressFieldGroup3-shippingState"><span g>*</span>State<span class="cssHide labelErrorMessage"></span></label>
        <select id="shippingAddressFieldGroup3-shippingState" name="shippingAddressFieldGroup3-shippingState" tabindex="51">
          <option value="">Select One</option>
          
            <option value="-">----------------</option>
          
            <option value="AL">Alabama</option>
          
            <option value="AK">Alaska</option>
          
            <option value="AZ">Arizona</option>
          
            <option value="AR">Arkansas</option>
          
            <option value="CA">California</option>
          
            <option value="CO">Colorado</option>
          
            <option value="CT">Connecticut</option>
          
            <option value="DE">Delaware</option>
          
            <option value="DC">District of Columbia</option>
          
            <option value="FL">Florida</option>
          
            <option value="GA">Georgia</option>
          
            <option value="HI">Hawaii</option>
          
            <option value="ID">Idaho</option>
          
            <option value="IL">Illinois</option>
          
            <option value="IN">Indiana</option>
          
            <option value="IA">Iowa</option>
          
            <option value="KS">Kansas</option>
          
            <option value="KY">Kentucky</option>
          
            <option value="LA">Louisiana</option>
          
            <option value="ME">Maine</option>
          
            <option value="MD">Maryland</option>
          
            <option value="MA">Massachusetts</option>
          
            <option value="MI">Michigan</option>
          
            <option value="MN">Minnesota</option>
          
            <option value="MS">Mississippi</option>
          
            <option value="MO">Missouri</option>
          
            <option value="MT">Montana</option>
          
            <option value="NE">Nebraska</option>
          
            <option value="NV">Nevada</option>
          
            <option value="NH">New Hampshire</option>
          
            <option value="NJ">New Jersey</option>
          
            <option value="NM">New Mexico</option>
          
            <option value="NY">New York</option>
          
            <option value="NC">North Carolina</option>
          
            <option value="ND">North Dakota</option>
          
            <option value="OH">Ohio</option>
          
            <option value="OK">Oklahoma</option>
          
            <option value="OR">Oregon</option>
          
            <option value="PA">Pennsylvania</option>
          
            <option value="RI">Rhode Island</option>
          
            <option value="SC">South Carolina</option>
          
            <option value="SD">South Dakota</option>
          
            <option value="TN">Tennessee</option>
          
            <option value="TX">Texas</option>
          
            <option value="UT">Utah</option>
          
            <option value="VT">Vermont</option>
          
            <option value="VA">Virginia</option>
          
            <option value="WA">Washington</option>
          
            <option value="WV">West Virginia</option>
          
            <option value="WI">Wisconsin</option>
          
            <option value="WY">Wyoming</option>
          
            <option value="-">----------------</option>
          
            <option value="AS">American Samoa</option>
          
            <option value="GU">Guam</option>
          
            <option value="MP">Northern Mariana Islands</option>
          
            <option value="PR">Puerto Rico</option>
          
            <option value="VI">US Virgin Islands</option>
          
            <option value="-">----------------</option>
          
            <option value="AA">Armed Forces Americas</option>
          
            <option value="AE">Armed Forces Europe</option>
          
            <option value="AP">Armed Forces Pacific</option>
          
        </select> 
      </div>            
    
      <div g g>
        <label for="shippingAddressFieldGroup3-shippingCounty"><span g>*</span>County<span class="cssHide labelErrorMessage"></span></label>
        <select id="shippingAddressFieldGroup3-shippingCounty" name="shippingAddressFieldGroup3-shippingCounty" g tabindex="52"> 
          <option value="">Select One</option>
          
            <option value="-">----------------</option>
          
            <option value="AL">Alabama</option>
          
            <option value="AK">Alaska</option>
          
            <option value="AZ">Arizona</option>
          
            <option value="AR">Arkansas</option>
          
            <option value="CA">California</option>
          
            <option value="CO">Colorado</option>
          
            <option value="CT">Connecticut</option>
          
            <option value="DE">Delaware</option>
          
            <option value="DC">District of Columbia</option>
          
            <option value="FL">Florida</option>
          
            <option value="GA">Georgia</option>
          
            <option value="HI">Hawaii</option>
          
            <option value="ID">Idaho</option>
          
            <option value="IL">Illinois</option>
          
            <option value="IN">Indiana</option>
          
            <option value="IA">Iowa</option>
          
            <option value="KS">Kansas</option>
          
            <option value="KY">Kentucky</option>
          
            <option value="LA">Louisiana</option>
          
            <option value="ME">Maine</option>
          
            <option value="MD">Maryland</option>
          
            <option value="MA">Massachusetts</option>
          
            <option value="MI">Michigan</option>
          
            <option value="MN">Minnesota</option>
          
            <option value="MS">Mississippi</option>
          
            <option value="MO">Missouri</option>
          
            <option value="MT">Montana</option>
          
            <option value="NE">Nebraska</option>
          
            <option value="NV">Nevada</option>
          
            <option value="NH">New Hampshire</option>
          
            <option value="NJ">New Jersey</option>
          
            <option value="NM">New Mexico</option>
          
            <option value="NY">New York</option>
          
            <option value="NC">North Carolina</option>
          
            <option value="ND">North Dakota</option>
          
            <option value="OH">Ohio</option>
          
            <option value="OK">Oklahoma</option>
          
            <option value="OR">Oregon</option>
          
            <option value="PA">Pennsylvania</option>
          
            <option value="RI">Rhode Island</option>
          
            <option value="SC">South Carolina</option>
          
            <option value="SD">South Dakota</option>
          
            <option value="TN">Tennessee</option>
          
            <option value="TX">Texas</option>
          
            <option value="UT">Utah</option>
          
            <option value="VT">Vermont</option>
          
            <option value="VA">Virginia</option>
          
            <option value="WA">Washington</option>
          
            <option value="WV">West Virginia</option>
          
            <option value="WI">Wisconsin</option>
          
            <option value="WY">Wyoming</option>
          
            <option value="-">----------------</option>
          
            <option value="AS">American Samoa</option>
          
            <option value="GU">Guam</option>
          
            <option value="MP">Northern Mariana Islands</option>
          
            <option value="PR">Puerto Rico</option>
          
            <option value="VI">US Virgin Islands</option>
          
            <option value="-">----------------</option>
          
            <option value="AA">Armed Forces Americas</option>
          
            <option value="AE">Armed Forces Europe</option>
          
            <option value="AP">Armed Forces Pacific</option>
          
        </select> 
      </div>
  
  </div>
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup3-shippingPostalCode"><span g>*</span>Zip code<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup3-shippingPostalCode" name="shippingAddressFieldGroup3-shippingPostalCode" maxlength="15" tabindex="53"> 
      </div>
    </div>
  </div>  
   
   <div g id="shippingAddressFieldGroup4">   
    
  
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup4-shippingFirstName"><span g>*</span>First name<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup4-shippingFirstName" name="shippingAddressFieldGroup4-shippingFirstName" maxlength="30" tabindex="54">
    </div>
    <div g>
      <label for="shippingAddressFieldGroup4-shippingLastName"><span g>*</span>Last Name<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup4-shippingLastName" name="shippingAddressFieldGroup4-shippingLastName" maxlength="30" tabindex="55">
    </div>
  </div>
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup4-shippingAddressLine1"><span g>*</span>House Number and Street<span class="cssHide labelErrorMessage"></span></label>
      
        
          <input type="text" id="shippingAddressFieldGroup4-shippingAddressLine1" name="shippingAddressFieldGroup4-shippingAddressLine1" maxlength="35" onfocus="geolocate()" placeholder="" tabindex="56">
        
        
      
    </div>
  </div>
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup4-shippingAddressLine2">Address line 2<span g></span></label>
      <input type="text" id="shippingAddressFieldGroup4-shippingAddressLine2" name="shippingAddressFieldGroup4-shippingAddressLine2" maxlength="35" tabindex="57">
    </div>
  </div>
  
  
  
  <div g>
    <div g>
      <label for="shippingAddressFieldGroup4-shippingCity"><span g>*</span>Town/City<span class="cssHide labelErrorMessage"></span></label>
      <input type="text" id="shippingAddressFieldGroup4-shippingCity" name="shippingAddressFieldGroup4-shippingCity" maxlength="30" tabindex="58">
    </div>
    <!-- Hides the state field for UK brands -->
    
      <div g>
        <label for="shippingAddressFieldGroup4-shippingState"><span g>*</span>State<span class="cssHide labelErrorMessage"></span></label>
        <select id="shippingAddressFieldGroup4-shippingState" name="shippingAddressFieldGroup4-shippingState" tabindex="59">
          <option value="">Select One</option>
          
            <option value="-">----------------</option>
          
            <option value="AL">Alabama</option>
          
            <option value="AK">Alaska</option>
          
            <option value="AZ">Arizona</option>
          
            <option value="AR">Arkansas</option>
          
            <option value="CA">California</option>
          
            <option value="CO">Colorado</option>
          
            <option value="CT">Connecticut</option>
          
            <option value="DE">Delaware</option>
          
            <option value="DC">District of Columbia</option>
          
            <option value="FL">Florida</option>
          
            <option value="GA">Georgia</option>
          
            <option value="HI">Hawaii</option>
          
            <option value="ID">Idaho</option>
          
            <option value="IL">Illinois</option>
          
            <option value="IN">Indiana</option>
          
            <option value="IA">Iowa</option>
          
            <option value="KS">Kansas</option>
          
            <option value="KY">Kentucky</option>
          
            <option value="LA">Louisiana</option>
          
            <option value="ME">Maine</option>
          
            <option value="MD">Maryland</option>
          
            <option value="MA">Massachusetts</option>
          
            <option value="MI">Michigan</option>
          
            <option value="MN">Minnesota</option>
          
            <option value="MS">Mississippi</option>
          
            <option value="MO">Missouri</option>
          
            <option value="MT">Montana</option>
          
            <option value="NE">Nebraska</option>
          
            <option value="NV">Nevada</option>
          
            <option value="NH">New Hampshire</option>
          
            <option value="NJ">New Jersey</option>
          
            <option value="NM">New Mexico</option>
          
            <option value="NY">New York</option>
          
            <option value="NC">North Carolina</option>
          
            <option value="ND">North Dakota</option>
          
            <option value="OH">Ohio</option>
          
            <option value="OK">Oklahoma</option>
          
            <option value="OR">Oregon</option>
          
            <option value="PA">Pennsylvania</option>
          
            <option value="RI">Rhode Island</option>
          
            <option value="SC">South Carolina</option>
          
            <option value="SD">South Dakota</option>
          
            <option value="TN">Tennessee</option>
          
            <option value="TX">Texas</option>
          
            <option value="UT">Utah</option>
          
            <option value="VT">Vermont</option>
          
            <option value="VA">Virginia</option>
          
            <option value="WA">Washington</option>
          
            <option value="WV">West Virginia</option>
          
            <option value="WI">Wisconsin</option>
          
            <option value="WY">Wyoming</option>
          
            <option value="-">----------------</option>
          
            <option value="AS">American Samoa</option>
          
            <option value="GU">Guam</option>
          
            <option value="MP">Northern Mariana Islands</option>
          
            <option value="PR">Puerto Rico</option>
          
            <option value="VI">US Virgin Islands</option>
          
            <option value="-">----------------</option>
          
            <option value="AA">Armed Forces Americas</option>
          
            <option value="AE">Armed Forces Europe</option>
          
            <option value="AP">Armed Forces Pacific</option>
          
        </select> 
      </div>
    
 
  </div>
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup4-shippingPostalCode"><span g>*</span>Zip code<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup4-shippingPostalCode" name="shippingAddressFieldGroup4-shippingPostalCode" maxlength="15" tabindex="60"> 
      </div>
    </div>
  </div>  
   
   
  <div g id="shippingAddressFieldGroup5" g>    
    
  
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup5-shippingLastName"><span g>*</span>Last Name<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup5-shippingLastName" name="shippingAddressFieldGroup5-shippingLastName" maxlength="30" tabindex="61">
      </div>
      <div g>
        <label for="shippingAddressFieldGroup5-shippingFirstName"><span g>*</span>First name<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup5-shippingFirstName" name="shippingAddressFieldGroup5-shippingFirstName" maxlength="30" tabindex="62">
      </div>
    </div>

    <div g>
      <div g>
        <label for="shippingAddressFieldGroup5-shippingPostalCode"><span g>*</span>Zip code<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup5-shippingPostalCode" name="shippingAddressFieldGroup5-shippingPostalCode" maxlength="15" tabindex="63"> 
      </div>
    </div>  

    <div g>
      <!-- Hides the state field for UK brands -->
      
        <div g>
          <label for="shippingAddressFieldGroup5-shippingState"><span g>*</span>State<span class="cssHide labelErrorMessage"></span></label>
          <select id="shippingAddressFieldGroup5-shippingState" name="shippingAddressFieldGroup5-shippingState" onchange="ccm.shipping.setStateDescription(this.options[this.selectedIndex].text);" tabindex="64">
            <option value="">Select One</option>
            
              <option value="-">----------------</option>
            
              <option value="AL">Alabama</option>
            
              <option value="AK">Alaska</option>
            
              <option value="AZ">Arizona</option>
            
              <option value="AR">Arkansas</option>
            
              <option value="CA">California</option>
            
              <option value="CO">Colorado</option>
            
              <option value="CT">Connecticut</option>
            
              <option value="DE">Delaware</option>
            
              <option value="DC">District of Columbia</option>
            
              <option value="FL">Florida</option>
            
              <option value="GA">Georgia</option>
            
              <option value="HI">Hawaii</option>
            
              <option value="ID">Idaho</option>
            
              <option value="IL">Illinois</option>
            
              <option value="IN">Indiana</option>
            
              <option value="IA">Iowa</option>
            
              <option value="KS">Kansas</option>
            
              <option value="KY">Kentucky</option>
            
              <option value="LA">Louisiana</option>
            
              <option value="ME">Maine</option>
            
              <option value="MD">Maryland</option>
            
              <option value="MA">Massachusetts</option>
            
              <option value="MI">Michigan</option>
            
              <option value="MN">Minnesota</option>
            
              <option value="MS">Mississippi</option>
            
              <option value="MO">Missouri</option>
            
              <option value="MT">Montana</option>
            
              <option value="NE">Nebraska</option>
            
              <option value="NV">Nevada</option>
            
              <option value="NH">New Hampshire</option>
            
              <option value="NJ">New Jersey</option>
            
              <option value="NM">New Mexico</option>
            
              <option value="NY">New York</option>
            
              <option value="NC">North Carolina</option>
            
              <option value="ND">North Dakota</option>
            
              <option value="OH">Ohio</option>
            
              <option value="OK">Oklahoma</option>
            
              <option value="OR">Oregon</option>
            
              <option value="PA">Pennsylvania</option>
            
              <option value="RI">Rhode Island</option>
            
              <option value="SC">South Carolina</option>
            
              <option value="SD">South Dakota</option>
            
              <option value="TN">Tennessee</option>
            
              <option value="TX">Texas</option>
            
              <option value="UT">Utah</option>
            
              <option value="VT">Vermont</option>
            
              <option value="VA">Virginia</option>
            
              <option value="WA">Washington</option>
            
              <option value="WV">West Virginia</option>
            
              <option value="WI">Wisconsin</option>
            
              <option value="WY">Wyoming</option>
            
              <option value="-">----------------</option>
            
              <option value="AS">American Samoa</option>
            
              <option value="GU">Guam</option>
            
              <option value="MP">Northern Mariana Islands</option>
            
              <option value="PR">Puerto Rico</option>
            
              <option value="VI">US Virgin Islands</option>
            
              <option value="-">----------------</option>
            
              <option value="AA">Armed Forces Americas</option>
            
              <option value="AE">Armed Forces Europe</option>
            
              <option value="AP">Armed Forces Pacific</option>
            
          </select> 
        </div>
      
    </div>  
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup5-shippingCity"><span g>*</span>Town/City<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup5-shippingCity" name="shippingAddressFieldGroup5-shippingCity" maxlength="30" tabindex="65">
      </div>
    </div>
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup5-shippingAddressLine1"><span g>*</span>House Number and Street<span class="cssHide labelErrorMessage"></span></label>
        <input type="text" id="shippingAddressFieldGroup5-shippingAddressLine1" name="shippingAddressFieldGroup5-shippingAddressLine1" maxlength="35" tabindex="66">
      </div>
    </div>
    <div g>
      <div g>
        <label for="shippingAddressFieldGroup5-shippingAddressLine2">Address line 2<span g></span></label>
        <input type="text" id="shippingAddressFieldGroup5-shippingAddressLine2" name="shippingAddressFieldGroup5-shippingAddressLine2" maxlength="35" tabindex="67">
      </div>
    </div>
    
  </div>
</div>
  
              </div>

              <div g>

                <div g>
                  <label for="shippingDayPhone"><span g>*</span>
                  Day phone (incl. area code)<span g></span></label>
                  
                    
                    
                    
                      <input type="tel" id="shippingDayPhone" name="shippingDayPhone" maxlength="15" tabindex="68">
                    
                  
                </div>
              </div>
              <div id="shippingBillingSameAsShippingContainer" g>
                <div g>
                  <input type="checkbox" id="shippingBillingSameAsShipping" name="shippingBillingSameAsShipping" onclick="ccm.shipping.setBillingSameAsShipping(this);" tabindex="69"> <label for="shippingBillingSameAsShipping">Use this address for my Billing information.<span g></span></label>
                </div>
              </div>
            </div>
          </div>

          <div g>
            <div g>
              <h4 g>
                Delivery
              </h4>
            </div>
            <div g>
              <div g>
                <div g></div>
                <label for="shippingShippingOptionsRo"><span g>*</span>
                Shipping method:<span g></span></label>
                <div id="shippingShippingOptionsRo" name="shippingShippingOptionsRo"><div id="selectedShippingMethod2012" g onclick="ccm.shipping.setShippingOption(this, '2012');"><input g type="radio" name="shippingOptions" id="shippingOptions2012" value="7" disabled="disabled" tabindex="70"><label for="shippingOptions2012" id="shippingOptionsRadioText2012" class="radioText ">7-9 business days  - $0.00</label></div><div id="selectedShippingMethod1304" class="radioDiv checked " onclick="ccm.shipping.setShippingOption(this, '1304');"><input style="float:left;margin:0px;height:18px;" type="radio" name="shippingOptions" id="shippingOptions1304" checked="" value="1" tabindex="71"><label for="shippingOptions1304" id="shippingOptionsRadioText1304" class="radioText checked">3-5 business days  - $7.00</label></div><div id="selectedShippingMethod2066" class="radioDiv  " onclick="ccm.shipping.setShippingOption(this, '2066');"><input style="float:left;margin:0px;height:18px;" type="radio" name="shippingOptions" id="shippingOptions2066" value="3" tabindex="72"><label for="shippingOptions2066" id="shippingOptionsRadioText2066" class="radioText ">2 business days  - $17.00</label></div><div id="selectedShippingMethod2064" class="radioDiv  " onclick="ccm.shipping.setShippingOption(this, '2064');"><input style="float:left;margin:0px;height:18px;" type="radio" name="shippingOptions" id="shippingOptions2064" value="5" tabindex="73"><label for="shippingOptions2064" id="shippingOptionsRadioText2064" class="radioText ">1 business day  - $22.00</label></div></div>
                <input type="hidden" id="selectedShippingOptionsRo" name="selectedShippingOptionsRo" value="" tabindex="74"> <input type="hidden" id="selectedShippingOptionsDTLId" name="selectedShippingOptionsDTLId" value="" tabindex="75">
                <p id="shippingMethodInfoMsg" g g>
                  You can enter your promo code for free shipping in the Payment step.
                </p>
              </div>
              <p g>
                Learn more about <a href="/buy/info.do?cid=2019" onclick="return gidLib.layeredPopup.openLayeredPopup({str:'/buy/info.do?cid=2019',id:'shippingOptions',width:398,height:265,title:'Shipping Options',style:{name:'universalPopup'}});ccm.shipping.addressBook.view.closeAddressBookPanel();return false;" tabindex="78">shipping options</a>.
              </p>

            </div>
          </div>
          <div g>
            <input type="submit" alt="Continue" name="submit" src="/assets/common/clear.gif" g id="shippingContinueButton" value="Continue" tabindex="76">
          </div>
        </form>
