[MM_Form type=’checkout’]
[MM_Form_Message type=’error’]

[MM_Form_Data name=’productName’]Sign Up:  Please enter your information below

Product Description:  [MM_Form_Data name=’productDescription’]:  Log Home Lodge

[MM_Form_Section type=’accountInfo’]

Account Information:

(* denotes required information)

[MM_Form_Field type=’input’ name=’firstName’]

[MM_Form_Field type=’input’ name=’lastName’]

[MM_Form_Field type=’input’ name=’email’]

[MM_Form_Field type=’input’ name=’password’]

[MM_Form_Field type=’input’ name=’phone’ isRequired=’false”]

Please fill out the captcha form below to show us you are human.  Then, tap “enter” to submit your registration.  We keep all info completely confidential and we hate spam as much more than you do!

[MM_Order_Decision isFree=’true’] [MM_Form_Field type=’input’ name=’captcha’ style=’clean’] [/MM_Order_Decision]

Please press “Enter” or “Return” on your keyboard to submit the form and signup!
[/MM_Form_Section] [MM_Form_Section type=’billingInfo’]

 

Billing Details

Visa, Master Card, American Express, Discover

[MM_Form_Field name=’ccNumber’]

[MM_Form_Field name=’ccSecurityCode’]

[MM_Form_Field name=’ccExpirationDate’]

Billing Address

[MM_Form_Field name=’billingAddress’]

[MM_Form_Field name=’billingCity’]

[MM_Form_Field name=’billingState’]

[MM_Form_Field name=’billingZipCode’]

[MM_Form_Field name=’billingCountry’]

[/MM_Form_Section] [MM_Form_Section type=’shippingInfo’]

Shipping Address

[MM_Form_Field name=’shippingMethod’]

Shipping is the same as billing[MM_Form_Field name=’shippingSameAsBilling’] [MM_Form_Subsection type=’shippingAddress’]

[MM_Form_Field name=’shippingAddress’]

[MM_Form_Field name=’shippingCity’]

[MM_Form_Field name=’shippingState’]

[MM_Form_Field name=’shippingZipCode’]

[MM_Form_Field name=’shippingCountry’]

[/MM_Form_Subsection]
[/MM_Form_Section] [MM_Form_Section type=’coupon’]

Coupons

[MM_Form_Field name=’couponCode’] Apply Coupon

[MM_Form_Message type=’couponSuccess’] [MM_Form_Message type=’couponError’]
[/MM_Form_Section]
[/MM_Form]