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<script type="text/javascript" src="/js/checkout.js?v=<?php echo $staticversion;?>"></script>
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<script>
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$(document).ready(function(){
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$("#state").val('<?php echo $getstateval;?>');
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$('#pin').keyup(function(){
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var pin_val = $(this).val();
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if(pin_val.length == 6){
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$.ajax({
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method: "GET",
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url: "<?php echo $base_url;?>shippings/getstate/"+pin_val,
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},'json')
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.done(function(msg){
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msg = eval('('+msg+')');
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if(msg=="{}")
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{
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$("#cities").empty();
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$("#state").val("");
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}
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else
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{
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$("#state").val(msg['state']);
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$("#cities").empty();
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for(var i in msg['cities']){
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var html = "<option value="+msg['cities'][i]+">"+msg['cities'][i]+"</option>"
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$("#cities").append(html);
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}
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}
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});
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}
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else{
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$("#cities").empty();
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$("#state").val("");
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}
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});
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});
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</script>
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<style>
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.link {
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background:none!important;
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color:#58d936;
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border:none;
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padding:0!important;
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font: inherit;
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/*border is optional*/
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border-bottom:1px solid #58d936;
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cursor: pointer;
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}
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#footer{
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position:fixed;
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/*height:50px;*/
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/*background-color:red;*/
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bottom:0px;
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left:0px;
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right:0px;
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margin-bottom:0px;
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}
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* {
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padding: 0;
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margin: 0;
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}
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select {
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width: 100%;
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appearance: none;
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-webkit-appearance: none;
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border: #58d936 solid 1px;
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color: #555555;
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border-radius: 6px;
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outline: none;
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padding: 4px;
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display: block;
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box-sizing: border-box;
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-webkit-box-sizing: border-box;
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-moz-box-sizing: border-box;
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/*font: normal 1.4em/1.2em Helvetica, Arial, sans-serif;*/
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/*margin: 2px 0 8px 0;*/
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margin: 2px 0 0px 0;
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background: url('../images/dropdown.PNG') no-repeat 99% 16px, #ffffff;
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background-size: 20px, 100%;
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}
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.shipping-cont {
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margin:7px 2px;
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padding: 12px 7px;
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background: white;
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}
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.shipping-cont form {
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padding: 0px 0;
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}
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.shipping-cont form fieldset {
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border: none;
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}
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.shipping-cont label span {
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color: red;
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}
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/*.shipping-cont input[type="submit"] {
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float: left;
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width: 100%;
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margin: 10px 0;
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background: #ff7201;
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color: #ffffff;
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font: normal 1.8em/1.2em Helvetica, Arial, sans-serif;
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text-align: center;
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padding: 5px 0;
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text-transform: uppercase;
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appearance: none;
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-webkit-appearance: none;
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-moz-appearance: none;
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border: none;
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}*/
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label{
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margin:0px;
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padding:0px;
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}
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input[type="text"],
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input[type="number"],
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input[type="date"],
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textarea {
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width: 100%;
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appearance: none;
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-webkit-appearance: none;
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-moz-appearance: none;
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border: #58d936 solid 1px;
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color: #555;
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border-radius: 6px;
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outline: none;
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padding: 5px;
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/*display: block;*/
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box-sizing: border-box;
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-webkit-box-sizing: border-box;
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-moz-box-sizing: border-box;
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font: normal 1.2em Helvetica, Arial, sans-serif;
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/*margin: 2px 0 8px 0;*/
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margin: 2px 0 0px 0;
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}
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textarea{
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resize: none;
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}
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.error_msg {
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padding: 5px 5px 5px 28px;
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display: block;
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border: #fc1f1f dashed 1px;
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color: #fc1f1f;
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font: normal 1.4em/1.2em Helvetica, Arial, sans-serif;
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margin: 0 5px;
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background-size: 20px;
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margin-bottom: 10px;
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}
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.form_submit{
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width:100%;
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}
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</style>
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<div class='container' style='margin-bottom:50px;'>
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<form method="post" action="#" name='form2' id='form2' class="address-form">
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<div class='row' style="padding-bottom:55px;">
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<div class='col-xs-12' style='padding:0px'>
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<div class="shipping-cont">
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<div id="error" class="error_msg" style="display:none">
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</div>
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<fieldset>
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<h4>Add New Address:
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<!-- <input type="submit" name="submit" value="Save" class='btn btn-success' id='form_submit' style='float:right;'/> -->
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</h4>
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<!-- <label>Name<span>*</span></label> -->
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<input type="text" id="name" name="name" placeholder="Enter name*" value="<?php echo $user_name;?>" required/>
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<!-- <label>Address<span>*</span></label> -->
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<textarea rows="2" id="line1" name="line1" placeholder="Address*" required></textarea>
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<div class='row' style='padding-bottom:5px'>
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<div class='col-xs-6' style='padding:0px 5px 0px 0px ;'>
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<datalist id="cities">
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</datalist>
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<input type="text" placeholder="City*" id="city" name="city" list="cities" required/>
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<!-- <label>Phone<span>*</span></label> -->
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<input type="text" id="phone" value="<?php echo $user_contact;?>" placeholder="Contact number*" name="phone" pattern="\d.{9,9}" required title="Invalid Phone number.."/>
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</div>
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<div class='col-xs-6' style='padding:0px 0px 0px 5px ;'>
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<!-- <label>State<span>*</span></label> -->
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<select id="state" name="state" required>
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<option value="">Select State</option>
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<option value="Andaman & Nicobar Island">Andaman & Nicobar Island</option>
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<option value="Andhra Pradesh">Andhra Pradesh</option>
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<option value="Arunachal Pradesh">Arunachal Pradesh</option>
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<option value="Assam">Assam</option>
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<option value="Bihar">Bihar</option>
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<option value="Chandigarh">Chandigarh</option>
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<option value="Chattisgarh">Chattisgarh</option>
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<option value="Dadra & Nagar Haveli">Dadra & Nagar Haveli</option>
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<option value="Daman & Diu">Daman & Diu</option>
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<option value="Delhi">Delhi</option>
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<option value="Goa">Goa</option>
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<option value="Gujarat">Gujrat</option>
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<option value="Haryana">Haryana</option>
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<option value="Himachal Pradesh">Himachal Pradesh</option>
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<option value="Jammu & Kashmir">Jammu & Kashmir</option>
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<option value="Jharkhand">Jharkhand</option>
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<option value="Karnataka">Karnataka</option>
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<option value="Kerala">Kerala</option>
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<option value="Lakshadweep">Lakshadweep</option>
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<option value="Madhya Pradesh">Madhya Pradesh</option>
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<option value="Maharashtra">Maharashtra</option>s
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<option value="Manipur">Manipur</option>
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<option value="Meghalaya">Meghalaya</option>
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<option value="Mizoram">Mizoram</option>
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<option value="Nagaland">Nagaland</option>
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<option value="Orissa">Orissa</option>
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<option value="Pondicherry">Pondicherry</option>
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<option value="Punjab">Punjab</option>
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<option value="Rajasthan">Rajasthan</option>
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<option value="Sikkim">Sikkim</option>
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<option value="Tamil Nadu">Tamil Nadu</option>
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<option value="Telangana">Telangana</option>
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<option value="Tripura">Tripura</option>
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<option value="Uttar Pradesh">Uttar Pradesh</option>
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<option value="Uttarakhand">Uttarakhand</option>
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<option value="West Bengal">West Bengal</option>
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</select>
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<!-- <label>Pincode<span>*</span></label> -->
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<input placeholder="Pincode*" required value='<?php echo $pinval;?>' type="text" id="pin" name="pin" pattern="\d.{5,5}" title="Invalid Pin" />
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</div>
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</div>
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</fieldset>
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</div>
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</div>
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<div class='row' style='padding:0px;' id='footer'>
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<div class='col-xs-12' style='background-color:white;padding:5px; width:100%;'>
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<h4>Total payable Amount: ₹ <?php echo number_format($totalPayable);?></h4>
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<input type="submit" value="Other Pay Option" class="link submit_check" data-name="other_option"></input>
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<input type="submit" value="Confirm Order via COD" class="btn btn-success pull-right submit_check" data-name="cod"></input>
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</div>
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</div>
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</form>
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</div>
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