thruflo/gist:252425

## gistfile1.htm
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
	"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
<head>

    <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>

    <title>Design Museum Shop:
	Checkout &gt;

	1 Address Details</title>

	<link rel="stylesheet" href="/css/global.css?973" type="text/css" media="all" charset="utf-8" />
<link rel="stylesheet" href="/css/tools.css?973" type="text/css" media="all" charset="utf-8" />
<link rel="stylesheet" href="/css/typo.css?973" type="text/css" media="all" charset="utf-8" />
<link rel="stylesheet" href="/css/forms.css?973" type="text/css" media="all" charset="utf-8" />
<link rel="stylesheet" href="/css/navigation.css?973" type="text/css" media="all" charset="utf-8" />
<link rel="stylesheet" href="/css/layout.css?973" type="text/css" media="all" charset="utf-8" />

<link rel="stylesheet" href="/css/elements.css?973" type="text/css" media="all" charset="utf-8" />
<link rel="stylesheet" href="/rev/973/css/all.css?973" type="text/css" media="all" charset="utf-8" />
<link rel="stylesheet" href="/rev/973/css/screen.css?973" type="text/css" media="screen" charset="utf-8" />
<link rel="stylesheet" href="/rev/973/css/print.css?973" type="text/css" media="print" charset="utf-8" />
<link rel="stylesheet" href="/css/gecko.css?973" type="text/css" media="screen" charset="utf-8" />

	<!--[if IE]>
	<link rel="stylesheet" href="/css/ie.css" type="text/css" media="screen" charset="utf-8" />
	<![endif]-->
	<!--[if lt IE 7]>
	<link rel="stylesheet" href="/css/ie6.css" type="text/css" media="screen" charset="utf-8" />
	<![endif]-->

    <script src="/js/prototype.js?973" type="text/javascript" charset="utf-8"></script>
<script src="/js/scriptaculous-1.7/scriptaculous.js?load=effects,dragdrop?973" type="text/javascript" charset="utf-8"></script>
<script src="/js/site.js?973" type="text/javascript" charset="utf-8"></script>

<script src="/js/swfobject.js?973" type="text/javascript" charset="utf-8"></script>
<script src="/js/accordion.js?973" type="text/javascript" charset="utf-8"></script>


    <meta name="Author" content="designjunction.net" />
	<meta name="description" content="" />
</head>
<body id="" class="" >

<div id="page">
<div id="shop_messages">

</div>

	<div id="header" class="clearfix">
		<a id="branding" href="/"><img src="/media/itemtype/1/1/logo.gif" width="288" height="125" alt="Design Museum Shop" /></a>


	</div>
	<div id="wrapper" class="clearfix">

<div id="content" class="clearfix">
	<ul id="checkout_breadcrumb" class="clearfix">


		<li class="step_1 replace" style="width:px;"><h1>
		<span style="background-image:url(/media/itemtype/27/15/lbl_1_address_details.gif);"></span>1 Address details</h1></li>

		<li class="step_2 replace" style="width:217px;"><span style="background-image:url(/media/itemtype/27/15/lbl_2_order_summary.gif);"></span>2 Order summary</li>

		<li class="step_3 replace" style="width:222px;"><span style="background-image:url(/media/itemtype/27/15/lbl_3_payment_details.gif);"></span>3 Payment details</li>

	</ul>


<form action="/order/addresses" method="post" accept-charset="utf-8" class="clearfix">
	<div class="billing_wrapper">
			<h2 class="replace"><span></span>Billing Address</h2>


			<div class="errors">

			</div>
			<input name="billing_address_id" type="hidden" value="23995" />

						<label for="title">Title*</label>
			<select name="billing_address[title]" id="billing_title">

					<option value="Mr" selected="selected">Mr</option>
<option value="Mrs">Mrs</option>

<option value="Miss">Miss</option>
<option value="Ms">Ms</option>
<option value="Dr">Dr</option>
<option value="Prof">Prof</option>
<option value="Sir">Sir</option>
<option value="Rev">Rev</option>
<option value="Lady">Lady</option>
<option value="Lord">Lord</option>


			</select>

			<label for="billing_first_name">First name*</label>
			<input type="text" name="billing_address[firstname]" value="James" id="billing_first_name" class="" />

			<label for="billing_last_name">Last name*</label>
			<input type="text" name="billing_address[lastname]" value="Arthur" id="billing_last_name" class="" />

			<label for="billing_address_1">Address 1*</label>

			<input type="text" name="billing_address[address_1]" value="120" id="billing_address_1" class="" />

			<label for="billing_address_2" class="optional">Address 2</label>
			<input type="text" name="billing_address[address_2]" value="" id="billing_address_2" class="" />

			<label for="billing_town">Town/City*</label>
			<input type="text" name="billing_address[town]" value="London" id="billing_town" class="" />

			<label for="billing_county" class="optional">County/State</label>

			<input type="text" name="billing_address[county]" value="" id="billing_county" class="" />

			<label for="billing_postcode">Post code*</label>
			<input type="text" name="billing_address[postcode]" value="WC2E 9PA" id="billing_postcode" class="" />

			<label for="billing_country">Country*</label>
			<select name="billing_address[country]" id="billing_country" class="">

<option value="">Choose your country...</option>

<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>

<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>

<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegowina">Bosnia and Herzegowina</option>

<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma">Burma</option>
<option value="Burundi">Burundi</option>

<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>

<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>

<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>

<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="England">England</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Espana">Espana</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>

<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>

<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Great Britain">Great Britain</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>

<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and Mc Donald Islands">Heard and Mc Donald Islands</option>
<option value="Honduras">Honduras</option>

<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Iran">Iran</option>

<option value="Iraq">Iraq</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Korea (South)">Korea (South)</option>

<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>

<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>

<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>

<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>

<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Ireland">Northern Ireland</option>

<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>

<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>

<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa (Independent)">Samoa (Independent)</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Scotland">Scotland</option>

<option value="Senegal">Senegal</option>
<option value="Serbia and Montenegro">Serbia and Montenegro</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>

<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="South Korea">South Korea</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Helena">St. Helena</option>
<option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>

<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>

<option value="Tonga">Tonga</option>
<option value="Trinidad">Trinidad</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>

<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom" selected="selected">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option>

<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands (British)">Virgin Islands (British)</option>
<option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
<option value="Wales">Wales</option>
<option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>

<option value="Zimbabwe">Zimbabwe</option>


			</select>

			<label for="billing_contact_number">Contact number*</label>
			<input type="text" name="billing_address[contact_number]" value="02072400330" id="billing_contact_number" class="" />


			<p class="hint">*Please fill in all items in bold</p>

			<a href="/basket" class="back replace"><span></span>back</a>

	</div>
    <div class="click_and_collect_wrapper">

        <h2 class="replace" style="height:15px">
        <span style="background: url('/images/click_and_collect.png') no-repeat scroll top left;"></span>Click &amp; Collect</h2>
        <p>
          <input type="checkbox" class="check" value="1" name="click_and_collect"
          onclick="disable_shipping_address(this)" id="click_and_collect"/>
          <label for="click_and_collect">Yes, I would like to collect my order
          in store.</label>

        </p>
        <p>
        You can pickup your purchase(s) at the Design Museum Shop, Design Museum, 28 Shad Thames, London SE1 2YD UNITED KINGDOM.
        </p>
        <p>
        When you pick up your purchase(s), you'll be eligible for a half-price
        ticket to the museum. Simply present your order confirmation email at
        the front desk.
        </p>
        <p>
        NB: You must bring both your order confirmation email and the credit
        card you used to pay for the order when you collect.  Orders will be
        available to collect from 12.00 Noon to 4.30PM and only 2 hours after
        you have completed the checkout process.
        </p>

    </div>
	<div class="shipping_wrapper">
		<h2 class="replace"><span></span>Shipping Address</h2>
		<div class="duplicate_box clearfix"><input type="checkbox" class="check" name="shipping_equals_billing" value="1" id="same_billing" onclick="disable_shipping_address(this)" checked="checked" /><label for="same_billing" class="check" >Same as billing address?</label>
		</div>
<div id="disable_form" style="position: relative;">
			<div class="errors">

			</div>


			<input name="shipping_address_id" type="hidden" value="23996" />
			<label for="title">Title*</label>
			<select name="shipping_address[title]" id="shipping_title">

					<option value="Mr" selected="selected">Mr</option>
<option value="Mrs">Mrs</option>
<option value="Miss">Miss</option>
<option value="Ms">Ms</option>
<option value="Dr">Dr</option>

<option value="Prof">Prof</option>
<option value="Sir">Sir</option>
<option value="Rev">Rev</option>
<option value="Lady">Lady</option>
<option value="Lord">Lord</option>


			</select>

			<label for="shipping_first_name">First name*</label>

			<input type="text" name="shipping_address[firstname]" value="James" id="shipping_first_name" class="" />

			<label for="shipping_last_name">Last name*</label>
			<input type="text" name="shipping_address[lastname]" value="Arthur" id="shipping_last_name" class="" />

			<label for="shipping_address_1">Address 1*</label>
			<input type="text" name="shipping_address[address_1]" value="120" id="shipping_address_1" class="" />

			<label for="shipping_address_2" class="optional">Address 2</label>

			<input type="text" name="shipping_address[address_2]" value="" id="shipping_address_2" class="" />

			<label for="shipping_town">Town/City*</label>
			<input type="text" name="shipping_address[town]" value="London" id="shipping_town" class="" />

			<label for="shipping_county" class="optional">County/State</label>
			<input type="text" name="shipping_address[county]" value="" id="shipping_county" class="" />

			<label for="shipping_postcode">Post code*</label>

			<input type="text" name="shipping_address[postcode]" value="WC2E 9PA" id="shipping_postcode" class="" />

			<label for="shipping_country">Country*</label>
			<select name="shipping_address[country]" id="shipping_country" class="">

<option value="">Choose your country...</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>

<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>

<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>

<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegowina">Bosnia and Herzegowina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>

<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma">Burma</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>

<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>

<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>

<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>

<option value="England">England</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Espana">Espana</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>

<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>

<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Great Britain">Great Britain</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>

<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and Mc Donald Islands">Heard and Mc Donald Islands</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>

<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>

<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Korea (South)">Korea (South)</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>

<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>

<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>

<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>

<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>

<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Ireland">Northern Ireland</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>

<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>

<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>

<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa (Independent)">Samoa (Independent)</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Scotland">Scotland</option>
<option value="Senegal">Senegal</option>
<option value="Serbia and Montenegro">Serbia and Montenegro</option>
<option value="Seychelles">Seychelles</option>

<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="South Korea">South Korea</option>

<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Helena">St. Helena</option>
<option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>

<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad">Trinidad</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>

<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom" selected="selected">United Kingdom</option>

<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands (British)">Virgin Islands (British)</option>

<option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
<option value="Wales">Wales</option>
<option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>


			</select>


			<label for="shipping_contact_number">Contact number*</label>
			<input type="text" name="shipping_address[contact_number]" value="02072400330" id="shipping_contact_number" class="" />


</div>

		<input type="submit" value="Continue to checkout" class="accessibility" />
		<div class="clearfix">
			<button type="submit" name="submit" class="replace" id="continue_submit"><span></span>Continue</button>
		</div>

	</div>
		<script type="text/javascript">
    var oldShippingAddressCheckboxState = false;
		function disable_shipping_address(checkbox) {
      if (checkbox.id == 'click_and_collect') {
        if (checkbox.checked) {
          $('same_billing').disabled = true;
          oldShippingAddressCheckboxState = $('same_billing').checked;
          $('same_billing').checked = false;
        } else {
          $('same_billing').disabled = false;
          $('same_billing').checked = oldShippingAddressCheckboxState;
        }
      }
			var d = $('disable_form')
			if (checkbox.checked) {
				d.getElementsBySelector('input').each(function(input) {
					disable_input(input);
				});
				disable_input($('shipping_country'));
				disable_input($('shipping_title'));
				cover_form();
			} else if (!$('click_and_collect').checked && !$('same_billing').checked) {
				d.getElementsBySelector('input').each(function(input) {
					enable_input(input);
				});
				enable_input($('shipping_country'));
				enable_input($('shipping_title'));
				reveal_form();
			}
		}
		function cover_form() {
			var f = $('disable_form');

			var cover = $('shipping_form_cover');
			if (!cover) {
				cover = document.createElement('div');
				cover.id = "shipping_form_cover";
				cover.style.position = "absolute";
				cover.style.backgroundColor = "#ffffff";
				cover.style.width = f.getWidth() + 'px';
				cover.style.height = f.getHeight() + 'px';
				cover.style.top = "0";
				cover.style.opacity = 0.4;
				f.appendChild(cover);
			}
			cover.show();
		}
		function reveal_form() {
			var cover = $('shipping_form_cover');
			if (cover) cover.hide();
		}
		function disable_input(input) {
					input.old_value = input.value;
					input.value = '';
					input.old_class = input.className;
					input.className = '';
					input.disabled = true;
		}
		function enable_input(input) {
					if (input.old_value) {
						input.value = input.old_value;
						input.className = input.old_class;
					}
					input.disabled = false;
		}
		disable_shipping_address($('same_billing'))
		</script>
</form>

</div>

</div>
</div>


</body>

</html>