%%file(%%tmplatedir%%head-tags%%tmplext%%)%% %%file(%%tmplatedir%%header%%tmplext%%)%%

%%file(%%tmplatedir%%leftnav%%tmplext%%)%%

Checkout:  Billing info

%%IF(defined($lastname)) THEN(If you're not %%firstname%% %%lastname%%, Click here!)%%

Email:
Name:    Middle:
Last name:
Address
 
City
State / Province: %%state_list%%
ZIP / Postal code:
Country: %%country_list%%
DayTime phone:
Fax:
Night time phone:

Shipping Address:
Use my billing address above as the shipping address for this order.
I need to enter a different shipping address.

%%file(%%tmplatedir%%footer%%tmplext%%)%%