<form method="post" action="/gp/buy/shipaddressselect/handlers/continue.html/ref=ox_shipaddress_add_new_addr?ie=UTF8&fromAnywhere=1&hasWorkingJavascript=" class="checkout-page-form">
<div id="identity-add-new-address" class="a-input-text-group a-spacing-medium">
<div id="enterAddressFullNameContainer" data-testid="" class="a-input-text-wrapper enterAddressFormField one-new-address-form-field identity-protect-from-errant"><input type="text" maxlength="50" id="enterAddressFullName" placeholder="Full name" name="enterAddressFullName"></div>
<div id="enterAddressAddressLine1Container" data-testid="" class="a-input-text-wrapper enterAddressFormField one-new-address-form-field identity-protect-from-errant"><input type="text" maxlength="60" id="enterAddressAddressLine1" placeholder="Address line 1" name="enterAddressAddressLine1"></div>
<div id="enterAddressAddressLine2Container" data-testid="" class="a-input-text-wrapper enterAddressFormField one-new-address-form-field identity-protect-from-errant"><input type="text" maxlength="60" id="enterAddressAddressLine2" placeholder="Address line 2" name="enterAddressAddressLine2"></div>
<div id="enterAddressCityContainer" data-testid="" class="a-input-text-wrapper enterAddressFormField one-new-address-form-field identity-protect-from-errant"><input type="text" maxlength="50" id="enterAddressCity" placeholder="City" name="enterAddressCity"></div>
<div id="enterAddressStateOrRegionContainer" data-testid="" class="a-input-text-wrapper enterAddressFormField one-new-address-form-field identity-protect-from-errant"><input type="text" maxlength="50" id="enterAddressStateOrRegion" placeholder="State/Province/Region" name="enterAddressStateOrRegion"></div>
<div id="enterAddressPostalCodeContainer" data-testid="" class="a-input-text-wrapper enterAddressFormField one-new-address-form-field identity-protect-from-errant"><input type="text" maxlength="20" id="enterAddressPostalCode" placeholder="ZIP" name="enterAddressPostalCode"></div>
<div data-inputid="enterAddressTaxId" class="a-row country-specific-config-container">
<div class="country-specific-config" data-labelcountryconfig="{"CN":{"label":"<b>Citizen ID Number: </b>"},"EC":{"label":"<b>ID: </b>"},"TW":{"label":"<b>ID Number: </b>"},"AR":{"label":"<b>CUIL: </b>"},"KR":{"label":"<b>Customs ID Number: </b>"},"ZA":{"label":"<b>ID Number: </b>"},"BR":{"label":"<b>CPF Number: </b>"},"IL":{"label":"<b>ID Number: </b>"},"QA":{"label":"<b>ID Number: </b>"},"PE":{"label":"<b>DNI: </b>"},"TR":{"label":"<b>ID Number: </b>"},"CL":{"label":"<b>RUT: </b>"},"DO":{"label":"<b>RNC: </b>"}}"></div>
</div>
<div id="enterAddressTaxIdContainer" data-hash(0x88655c54)="" data-testid="" class="a-input-text-wrapper enterAddressFormField one-new-address-form-field hidden country-specific-form-input-mobile initial-edit-value" style="display: none;"><input type="text" maxlength="50" id="enterAddressTaxId" name="enterAddressTaxId"></div>
<div id="enterAddressPhoneNumberContainer" data-testid="" class="a-input-text-wrapper enterAddressFormField one-new-address-form-field"><input type="text" maxlength="20" id="enterAddressPhoneNumber" placeholder="Phone number" name="enterAddressPhoneNumber"></div>
</div>
<div id="address-country-container" data-testid="" class="a-row"><div id="enterAddressCountryCodeContainer" data-testid="" class="a-row one-new-address-form-field a-spacing-medium">
<span class="a-dropdown-container"><select name="enterAddressCountryCode" data-a-native-class="enterAddressFormField" id="enterAddressCountryCode" class="a-native-dropdown enterAddressFormField"><option class="a-prompt" value="">Country: </option>
<option value="AF">Afghanistan</option>
<option value="AX">Aland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas, The</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BQ">Bonaire, Saint Eustatius and Saba</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, The Democratic Republic of the</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Cote D'ivoire</option>
<option value="HR">Croatia</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia, The</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and the McDonald Islands</option>
<option value="VA">Holy See</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KR">Korea, Republic of</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia, The Former Yugoslav Republic of</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="AN">Netherlands Antilles</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territories</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthelemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US" selected="">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select><span tabindex="-1" data-a-class="a-touch-select" class="a-button a-button-dropdown a-touch-select" id="a-autoid-0" aria-labelledby="a-autoid-0-announce" style="min-width: 0.942857142857143%;"><span class="a-button-inner"><span class="a-button-text a-declarative" data-action="a-dropdown-button" aria-haspopup="true" role="button" tabindex="0" id="a-autoid-0-announce"><span class="a-dropdown-prompt">United States</span></span><i class="a-icon a-icon-dropdown"></i></span></span></span>
</div></div>
<div aria-live="polite" class="a-row a-expander-container a-spacing-base a-expander-inline-container">
<a href="javascript:void(0)" data-action="a-expander-toggle" class="a-expander-header a-declarative a-expander-section-header a-padding-none a-spacing-base a-link-section-expander a-size-medium" data-a-expander-toggle="{"allowLinkDefault":true, "expand_prompt":"", "collapse_prompt":""}"><i class="a-icon a-icon-section-collapse"></i><span class="a-expander-prompt">Optional Delivery Preferences</span></a>
<div aria-expanded="true" class="a-expander-content a-padding-none a-expander-inline-content a-expander-inner">
<div class="" data-testid="">
<span class="a-dropdown-container"><select name="AddressType" id="AddressType" class="a-native-dropdown a-spacing-base">
<option value="OTH" selected="">Select your preference</option>
<option value="RES">Yes, deliver on weekends</option>
<option value="COM">No, don’t deliver on weekends</option>
</select><span tabindex="-1" data-a-class="enterDeliveryPrefsField" class="a-button a-button-dropdown a-spacing-base enterDeliveryPrefsField" id="a-autoid-1" aria-labelledby="a-autoid-1-announce" style="min-width: 0%;"><span class="a-button-inner"><span class="a-button-text a-declarative" data-action="a-dropdown-button" aria-haspopup="true" role="button" tabindex="0" id="a-autoid-1-announce"><span class="a-dropdown-prompt">Select your preference</span></span><i class="a-icon a-icon-dropdown"></i></span></span></span>
</div>
<div class="" data-testid="">
<div class="a-input-text-wrapper enterDeliveryPrefsField"><input type="text" maxlength="27" id="GateCode" placeholder="Security Access Code" name="GateCode"></div>
</div>
</div>
</div>
<span class="a-button a-button-primary" role="button" id="a-autoid-2" aria-labelledby="a-autoid-2-announce"><span class="a-button-inner"><input name="shipToThisAddress" data-testid="" class="a-button-input submit-button-with-name" type="submit" value="1" aria-labelledby="a-autoid-2-announce"><span class="a-button-text" aria-hidden="true" id="a-autoid-2-announce">Continue</span></span></span>
<input type="hidden" name="enterAddressIsDomestic" value="0"><input type="hidden" name="requestToken"><input type="hidden" name="purchaseId" value="106-0333725-4562604"><input type="hidden" name="isBilling" value="0"><input type="hidden" name="numberOfDistinctItems" value="1"><input type="hidden" name="hasWorkingJavascript" value="1"></form>
<form id="form-add-credit-card" method="post" action="/gp/buy/payselect/handlers/submit.html/ref=ox_pay_page_submit_new_payment">
<input type="hidden" name="hasWorkingJavascript" value="1"><input type="hidden" name="forceResponsive" value=""><input type="hidden" name="fromAnywhere" value="1"><input type="hidden" name="isDebug" value="">
<input type="hidden" name="handler" value="add-credit-card" id="newCCHandler">
<input type="hidden" name="newPaymentType" value="cc" id="newPaymentType">
<a data-testid="" href="javascript:void(0)" data-action="a-expander-toggle" class="a-expander-header a-declarative a-expander-inline-header a-spacing-base a-link-expander" data-a-expander-toggle="{"allowLinkDefault":true, "expand_prompt":"", "collapse_prompt":""}"><i class="a-icon a-icon-collapse"></i><span class="a-expander-prompt">
<span class="a-size-medium">
Add a credit or debit card
</span>
</span></a>
<hr class="a-divider-normal">
<div aria-expanded="true" class="a-expander-content a-expander-inline-content a-expander-inner">
<div id="cardErrors" class="a-box a-alert a-alert-error hidden a-spacing-base a-spacing-top-small"><div class="a-box-inner a-alert-container"><h4 class="a-alert-heading">There was a problem</h4><div class="a-alert-content">
<ul class="a-vertical">
<li id="addCreditCard_BadType" class="error-message hidden"><span class="a-list-item">
Card type does not match card number.
</span></li>
<li id="addCreditCard_NoName" class="error-message hidden"><span class="a-list-item">
Cardholder's name is required.
</span></li>
<li id="addCreditCard_NoType" class="error-message hidden"><span class="a-list-item">
Card type is required.
</span></li>
<li id="addCreditCard_BadIssueNumber" class="error-message hidden"><span class="a-list-item">
Maestro or Solo card issue number is not correct.
</span></li>
<li id="addCreditCard_RegisterFailed" class="error-message hidden"><span class="a-list-item">
</span></li>
<li id="addCreditCard_BadNumber" class="error-message hidden"><span class="a-list-item">
Card number is not correct.
</span></li>
<li id="addCreditCard_BadPincode" class="error-message hidden"><span class="a-list-item">
</span></li>
<li id="addCreditCard_BadNumberLength" class="error-message hidden"><span class="a-list-item">
Length of card number is not correct.
</span></li>
<li id="addCreditCard_BadExpiration" class="error-message hidden"><span class="a-list-item">
Expiration date is not correct.
</span></li>
<li id="addCreditCard_BadSecurityCode" class="error-message hidden"><span class="a-list-item">
Please enter a valid card verification number.
</span></li>
<li id="addCreditCard_CheckStatusTimeout" class="error-message hidden"><span class="a-list-item">
</span></li>
<li id="addCreditCard_NoNumber" class="error-message hidden"><span class="a-list-item">
Card number is required.
</span></li>
<li id="addCreditCard_Unknown" class="error-message hidden"><span class="a-list-item">
We're sorry, we weren't able to save your credit card information. Please enter it again or try using another form of payment.
</span></li>
<li id="addCreditCard_MarketPlaceFilter" class="error-message hidden"><span class="a-list-item">
This card is not supported in United States.
</span></li>
<li id="addCreditCard_BadMobileNumber" class="error-message hidden"><span class="a-list-item">
</span></li>
<li id="addCreditCard_BadStartDate" class="error-message hidden"><span class="a-list-item">
The start date for your Switch, Solo or Maestro card should precede the current date and occur within the last 3 years.
</span></li>
</ul>
</div></div></div>
<div class="a-row a-spacing-small a-size-base">
<span class="a-text-bold"> Enter your credit card information </span>
</div>
<div class="a-input-text-group a-spacing-base">
<div data-account-name="" data-testid="" class="a-input-text-wrapper first-child"><input type="text" id="ccName" placeholder="Name on card" name="name"></div>
<span class="a-declarative" data-action="check-card-type" data-check-card-type="{"url":"/gp/buy/payselect/handlers/get-credit-card-type.html","type":"cc"}">
<div data-testid="" class="a-input-text-wrapper last-child"><input type="tel" id="addCreditCardNumber" placeholder="Card number" name="addCreditCardNumber"></div>
</span>
</div>
<div class="a-row a-spacing-small">
<strong> Expiration date </strong>
</div>
<div class="a-row a-spacing-medium">
<div class="a-column a-span6 card-date">
<span class="a-dropdown-container"><select name="month" id="ccMonth" class="a-native-dropdown">
<option value="1">
01
</option>
<option value="2">
02
</option>
<option value="3">
03
</option>
<option value="4">
04
</option>
<option value="5">
05
</option>
<option value="6">
06
</option>
<option value="7">
07
</option>
<option value="8">
08
</option>
<option value="9">
09
</option>
<option value="10">
10
</option>
<option value="11">
11
</option>
<option value="12">
12
</option>
</select><span tabindex="-1" data-action="" data-testid="" class="a-button a-button-dropdown"><span class="a-button-inner"><span class="a-button-text a-declarative" data-action="a-dropdown-button" aria-haspopup="true" role="button" tabindex="0"><span class="a-dropdown-prompt">01</span></span><i class="a-icon a-icon-dropdown"></i></span></span></span>
</div>
<div class="a-column a-span6 card-date a-span-last">
<span class="a-dropdown-container"><select name="year" id="ccYear" class="a-native-dropdown">
<option value="2014" selected="">
2014
</option>
<option value="2015">
2015
</option>
<option value="2016">
2016
</option>
<option value="2017">
2017
</option>
<option value="2018">
2018
</option>
<option value="2019">
2019
</option>
<option value="2020">
2020
</option>
<option value="2021">
2021
</option>
<option value="2022">
2022
</option>
<option value="2023">
2023
</option>
<option value="2024">
2024
</option>
<option value="2025">
2025
</option>
<option value="2026">
2026
</option>
<option value="2027">
2027
</option>
<option value="2028">
2028
</option>
<option value="2029">
2029
</option>
<option value="2030">
2030
</option>
<option value="2031">
2031
</option>
<option value="2032">
2032
</option>
<option value="2033">
2033
</option>
<option value="2034">
2034
</option>
</select><span tabindex="-1" data-action="" data-testid="" class="a-button a-button-dropdown"><span class="a-button-inner"><span class="a-button-text a-declarative" data-action="a-dropdown-button" aria-haspopup="true" role="button" tabindex="0"><span class="a-dropdown-prompt">2014</span></span><i class="a-icon a-icon-dropdown"></i></span></span></span>
</div>
</div>
<span class="a-button a-spacing-base a-spacing-top-base a-button-primary" role="button"><span class="a-button-inner"><input id="ccAddCard" data-testid="" class="a-button-input" type="submit"><span class="a-button-text" aria-hidden="true">
Add your card
</span></span></span>
<hr class="a-spacing-base a-divider-normal">
</div>
</form>
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