<table cellspacing=0 cellpadding=0 width="100%">
  <tr>
	<td>
	  <table border=0 align="center" cellspacing=0 width="100%">
		<tr>
		  <td colspan="4">&nbsp;</td>
		</tr>
		<tr class="contentbar2">
		  <td class="contentbar2" colspan=4>
			<b>&nbsp;[L]Shipping Address[/L]<b> <i>([L]primary[/L])</i>
		  </td>
		</tr>
		<tr>
		  <td colspan="4" class="contentbar1">&nbsp;</td>
		</tr>
		<tr>
		  <td align=right class="contentbar1">
			[error name=fname std_label="[L]First Name[/L]" required=1]
		  </td>
		  <td align=left class="contentbar1">
			<INPUT TYPE=text NAME=fname VALUE="[value fname]" size="20" maxlength="20">
		  </td>
		  <td align="right" class="contentbar1">[error name=lname std_label="[L]Last Name[/L]" required=1]</td>
		  <td align="left" class="contentbar1"><INPUT TYPE=text NAME=lname VALUE="[value lname]" size="20"></td>
		</tr>
		<tr>
		  <td align="right" class="contentbar1">
			[error name=company std_label="[L]Company[/L]" required="[scratch dealer]"]
		  </td>
		  <td align="left" class="contentbar1" colspan=3>
			<INPUT TYPE=text NAME=company VALUE="[value company]" size="20" maxlength="40">
		  </td>
		</tr>
		<tr>
		  <td align="right" class="contentbar1">[error name=address1 std_label="[L]Address[/L]" required=1]
		</td>
		<td align="left" colspan=3 class="contentbar1">
		  <INPUT TYPE=text NAME=address1 VALUE="[value address1]" size="40" maxlength="64">
		</td>
	  </tr>
	  <tr>
		<td class="contentbar1">&nbsp;</td>
		<td class="contentbar1" align="left" colspan=3>
		  <INPUT TYPE=text NAME=address2 VALUE="[value address2]" size="40" maxlength="64">
		</td>
	  </tr>
	  <tr class="contentbar1">
		<td align="right" class="contentbar1">
		  [error name=city std_label="[L]City[/L]" required=1]
		</td>
		<td class="contentbar1" colspan=3>
		  <INPUT TYPE=text NAME=city VALUE="[value city]" size="20" maxlength="20">
		</td>
	  </tr>
	  <tr>
		<td class="contentbar1" align=right>
			[error name=state std_label="[L]State/Province[/L]" required=1]
		</td>
		<td align="left" class="contentbar1" colspan=3>
		  [loop search="
			fi=state.txt
			sf=country
			se=[default country US]
			rf=state,name,country
			un=yes
			tf=sorder,name
			ml=100
		  "
		  option=state]
		  [on-match]<SELECT onChange="check_tax(this.form)" NAME=state><option value="">--[L]select state[/L]--
		  [/on-match]
		  [list]
		  [loop-change 1][condition][loop-param country][/condition]
		  <OPTGROUP LABEL="[data table=country col=name key='[loop-param country]']">
		  [/loop-change 1]
		  <OPTION VALUE="[loop-code]">[loop-pos 1]
		  [/list]
		  [on-match]</SELECT>[/on-match]
		  [no-match]<INPUT NAME=state VALUE="[value state]" SIZE=20>[/no-match]
		  [/loop]
		</td>
	  </tr>
	  <tr>
		<td align="right" class="contentbar1">
		  [error name=zip std_label="[L]Zip/Postal Code[/L]" required=1] 
		</td>
		<td class="contentbar1" colspan=3>
		  <INPUT TYPE=text NAME=zip VALUE="[value zip]" size="10" maxlength="10">
		</td>
	  </tr>
	  <tr>
		<td align="right" class="contentbar1">
		  [error name=email std_label="[L]Email Address[/L]" required=1]
		</td>
		<td class="contentbar1" colspan=3>
		  <INPUT TYPE=text NAME=email VALUE="[value email]" size="30">
		</td>
	  </tr>
	  <tr>
		<td align="right" class="contentbar1">
		  [L]Country[/L]
		</td>
		<td colspan="3" class="contentbar1">
		  <SELECT NAME=country onChange="this.form.submit()">
		  [if value country =~ /(^$|US|CA)/]
		  <OPTION VALUE="US"> [L]United States[/L]
		  <OPTION [selected country CA] VALUE="CA"> [L]Canada[/L]
		  <OPTION VALUE="JP"> [L]Other[/L]
		  [else]
		  [loop option=country search="
			ra=yes
			fi=country
			st=db
			rf=code,name
			ml=1000
			tf=name
		  "]
		  <OPTION VALUE="[loop-code]"> [loop-data country name] 
		  [/loop]
		  [/else]
		  [/if]
		  </SELECT>
		  <small>([L]will update display[/L])</small>
		</td>
	  </tr>
	  <tr>
		<td align="right" class="contentbar1">
		  [error name=phone_day std_label="[L]Daytime Phone[/L]" required=1]
		</td>
		<td class="contentbar1">
		  <INPUT TYPE=text NAME=phone_day VALUE="[value phone_day]" size="12" maxlength="20">
		</td>
		<td align="right" class="contentbar1">
		  [error name=phone_night std_label="[L]Evening Phone[/L]"]
		</td>
		<td align="left" class="contentbar1">
		  <INPUT TYPE=text NAME=phone_night VALUE="[value phone_night]" size="12" maxlength="20">
		</td>
	  </tr>
	  [if session ship_message]                                                       
	  <tr>
		<td class="contentbar1">&nbsp;</td>
		<td colspan="3" class="contentbar1">
		  <B>[L]Note[/L]:</B> [data session ship_message]
		</td>
	  </tr>
	  [/if]                                                   
	  <tr>
		<td align="right" class="contentbar1">
		  <b>[L]Shipping method[/L]</b>
		</td>
		<td colspan="3" class="contentbar1">
		  <SELECT NAME=mv_shipmode>
		  [shipping
			label=1
			mode=|[data table=country key='[default country US]' col=shipmodes]|
		  ]
		  </SELECT>
		</td>
	  </tr>
	  <tr>
		<td class="contentbar1">&nbsp;</td>
		<td colspan="3" class="contentbar1">
		  <i>[L]We need the <b>bold fields</b> to process your order[/L]</i>
		</td>
	  </tr>
	  <tr>
		<td class="contentbar1" colspan=4>&nbsp;</td>
	  </tr>
	  </table>
	</td>
  </tr>
</table>


