<form id="SubmitAddEditCommerceShippingAddressForm" action="AddShippingAddressCmd" method="post" class="AjaxForm AddEdit-Form ready">
<input type="hidden" name="requesttype" value="ajax">
<input type="hidden" name="storeId" value="11301">
<input type="hidden" name="catalogId" value="16551">
<input type="hidden" name="langId" value="-11301">
<input type="hidden" name="orderId" id="orderId" value="7521594">
<input type="hidden" name="taskType" id="SubmitShippingAddress_Task" value="">
<input type="hidden" name="ajaxType" value="">
<div id="AddEditCommerceShippingAddress" class="box-container">
<div class="bodyArea">
<div class="boxFields">
<table id="ShippingInfoInputTable" cellspacing="0" cellpadding="0" border="0" class="inputTable">
<tbody>
<tr>
<td class="label required"><span>*First Name</span></td>
<td class="input">
<input type="text" name="firstName" id="AddEditShippingInfo_FirstName" class="AddEdit-ShippingInfoField" value="" maxlength="30">
</td>
</tr>
<tr>
<td class="label required"><span>*Last Name</span></td>
<td class="input">
<input type="text" name="lastName" id="AddEditShippingInfo_LastName" class="AddEdit-ShippingInfoField" value="" maxlength="30">
</td>
</tr>
<tr>
<td class="label required"><span>*Address Line 1</span></td>
<td class="input">
<input type="text" name="addressLine1" id="AddEditShippingInfo_Address1" class="AddEdit-ShippingInfoField" value="" maxlength="30">
</td>
</tr>
<tr>
<td class="label"><span>Address Line 2</span></td>
<td class="input">
<input type="text" name="addressLine2" id="AddEditShippingInfo_Address2" class="AddEdit-ShippingInfoField" value="" maxlength="30">
</td>
</tr>
<tr>
<td class="label required"><span>*City</span></td>
<td class="input">
<input type="text" name="city" id="AddEditShippingInfo_City" class="AddEdit-ShippingInfoField" value="" maxlength="30">
</td>
</tr>
<tr>
<td class="label required"><span>*State</span></td>
<td class="input">
<span class="select-element-wrapper">
<select name="state" id="AddEditShippingInfo_State" class="AddEdit-ShippingInfoField">
<option value="">--Select State--</option>
<option value="AA">
AA - Other Americas
</option>
<option value="AE">
AE - Military Facilities
</option>
<option value="AK">
AK - Alaska
</option>
<option value="AL">
AL - Alabama
</option>
<option value="AP">
AP - Intl Mail - Pacific
</option>
<option value="AR">
AR - Arkansas
</option>
<option value="AS">
AS - American Samoa
</option>
<option value="AZ">
AZ - Arizona
</option>
<option value="CA">
CA - California
</option>
<option value="CO">
CO - Colorado
</option>
<option value="CT">
CT - Connecticut
</option>
<option value="DC">
DC - District of Columbia
</option>
<option value="DE">
DE - Delaware
</option>
<option value="FL">
FL - Florida
</option>
<option value="FM">
FM - Micronesia
</option>
<option value="GA">
GA - Georgia
</option>
<option value="GU">
GU - Guam
</option>
<option value="HI">
HI - Hawaii
</option>
<option value="IA">
IA - Iowa
</option>
<option value="ID">
ID - Idaho
</option>
<option value="IL">
IL - Illinois
</option>
<option value="IN">
IN - Indiana
</option>
<option value="KS">
KS - Kansas
</option>
<option value="KY">
KY - Kentucky
</option>
<option value="LA">
LA - Louisiana
</option>
<option value="MA">
MA - Massachusetts
</option>
<option value="MD">
MD - Maryland
</option>
<option value="ME">
ME - Maine
</option>
<option value="MH">
MH - Marshall Isl
</option>
<option value="MI">
MI - Michigan
</option>
<option value="MN">
MN - Minnesota
</option>
<option value="MO">
MO - Missouri
</option>
<option value="MP">
MP - Northern Mariana Isls
</option>
<option value="MS">
MS - Mississippi
</option>
<option value="MT">
MT - Montana
</option>
<option value="NC">
NC - North Carolina
</option>
<option value="ND">
ND - North Dakota
</option>
<option value="NE">
NE - Nebraska
</option>
<option value="NH">
NH - New Hampshire
</option>
<option value="NJ">
NJ - New Jersey
</option>
<option value="NM">
NM - New Mexico
</option>
<option value="NV">
NV - Nevada
</option>
<option value="NY">
NY - New York
</option>
<option value="OH">
OH - Ohio
</option>
<option value="OK">
OK - Oklahoma
</option>
<option value="OR">
OR - Oregon
</option>
<option value="PA">
PA - Pennsylvania
</option>
<option value="PR">
PR - Puerto Rico
</option>
<option value="PW">
PW - Palau
</option>
<option value="RI">
RI - Rhode Island
</option>
<option value="SC">
SC - South Carolina
</option>
<option value="SD">
SD - South Dakota
</option>
<option value="TN">
TN - Tennessee
</option>
<option value="TX">
TX - Texas
</option>
<option value="UM">
UM - US Minor Outlying Isls
</option>
<option value="UT">
UT - Utah
</option>
<option value="VA">
VA - Virginia
</option>
<option value="VI">
VI - Virgin Islands
</option>
<option value="VT">
VT - Vermont
</option>
<option value="WA">
WA - Washington
</option>
<option value="WI">
WI - Wisconsin
</option>
<option value="WV">
WV - West Virginia
</option>
<option value="WY">
WY - Wyoming
</option>
</select>
</span>
</td>
</tr>
<tr>
<td class="label required"><span>*Zip Code</span></td>
<td class="input">
<input type="text" name="zipcode" id="AddEditShippingInfo_Zip" class="AddEdit-ShippingInfoField" value="" maxlength="5">
</td>
</tr>
<tr>
<td class="label required"><span>*Phone</span></td>
<td class="input">
<input type="text" name="phoneAreaCode" id="AddEditShippingInfo_Phone1" class="AddEdit-ShippingInfoField" value="" size="1" maxlength="3">
-
<input type="text" name="phoneExchange" id="AddEditShippingInfo_Phone2" class="AddEdit-ShippingInfoField" value="" size="1" maxlength="3">
-
<input type="text" name="phoneNumber" id="AddEditShippingInfo_Phone3" class="AddEdit-ShippingInfoField" value="" size="2" maxlength="4"><br>
<span class="input-notice">(Please include area code)</span>
</td>
</tr>
<tr>
<td class="label required" rowspan="2"><span>*Address Label</span></td>
<td class="input">
<input type="text" name="label" id="AddEditShippingInfo_Label" class="AddEdit-ShippingInfoField" value="" maxlength="20"> <br>
<span class="input-notice">(ex. Home, Office, Mom's, etc.)</span>
</td>
</tr>
<tr>
<td class="input">
<input type="checkbox" name="ssoShipToPOBox" id="AddEditShippingInfo_POBox" class="AddEdit-ShippingInfoField" value="true">
<span class="input-notice">This address is a P.O. Box.</span>
</td>
</tr>
</tbody>
</table>
<!-- /inputTable -->
</div>
<!-- /boxFields -->
</div>
<!-- /bodyArea -->
</div><!-- /AddEditCommerceShippingAddress -->
</form>
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