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Rev Author Line No. Line
17794 naman 1
<script>
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	$(document).ready(function(){
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		$("#state").val('<?php echo $getstateval;?>');
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		$('#submitdata').click(function(){
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			if($('#pin').val().length!=6)
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			{
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				$("#pin").next().html('Invalid Pin');
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				$("#pin").css({"border":"red solid 1px"});
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			}
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			else
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			{
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				$("#pin").next().html('');
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				$("#pin").css({"border":"#58d936 solid 1px"});
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			}
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			if($('#phone').val().length!=10)
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			{
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				$("#phone").next().html('Invalid Phone Number');
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				$("#pin").css({"border":"red solid 1px"});
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			}
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			else
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			{
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				$("#phone").next().html('');
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				$("#pin").css({"border":"#58d936 solid 1px"});
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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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#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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a {
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  text-decoration: none;
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  -webkit-tap-highlight-color: rgba(0,0,0,0.1);
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  color: #000;
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}
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input,
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select,
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a,
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div {
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  -webkit-tap-highlight-color: rgba(0,0,0,0.2);
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}
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input:active,
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select:active,
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a:active,
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.btn:active {
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  background: rgba(0,0,0,0.2);
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}
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input {
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  outline: 0;
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  -webkit-appearance: none;
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  -moz-appearance: none;
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  -o-appearance: none;
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  appearance: none;
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}
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select {
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  -webkit-appearance: none;
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  -moz-appearance: none;
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  -o-appearance: none;
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  appearance: none;
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}
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* html .clearfix {
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  height: 1px;
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}
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select::-ms-expand {
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  display: none;
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  color: #ffffff;
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}
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select::selection {
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  background-color: black;
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}
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input[type="checkbox"]::-ms-check {
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  display: none;
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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: url(../images/error-notification.png) no-repeat 5px center;*/
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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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	<div class='row' style="padding-bottom:40px;">
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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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			<form method="post" action="<?php echo $base_url;?>shippings/add" name='form2' id='form2' class="address-form" 
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				<fieldset>
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					<legend>Add New Address: <input type="submit" name="submit" value="Save" class='btn btn-success' id='form_submit' style='float:right;'/></legend>
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					<label>Name<span>*</span></label>
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					<input type="text" id="" name="name" placeholder= "<?php echo $_COOKIE['name'];?>"/>
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					<label>Address<span>*</span></label>
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					<textarea rows="2" id="line1" name="line1" required></textarea>
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					<!-- <input type="text" id="line1" name="line1" required/> -->
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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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							<label>City<span>*</span></label>
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							<input type="text" id="city" name="city" required/>
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							<label>Phone<span>*</span></label>
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							<input type="text" id="phone" 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 &amp; Nicobar Island">Andaman &amp; 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 &amp; Nagar Haveli">Dadra &amp; Nagar Haveli</option>
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								<option value="Daman &amp; Diu">Daman &amp; 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 &amp; Kashmir">Jammu &amp; 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="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='<?php echo $_COOKIE['pin'];?>' 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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					<span style='color:red;'></span>
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				</fieldset>
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			</form>
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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: Rs. 1000000/-<br>
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					<a href="#" style='	padding-right:2px;color:blue;font-size:15px;'>Other Pay Option</a>
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					<button class='btn btn-success' style='float:right;'>Confirm Order via COD</button>
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				</div>
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			</div>
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</div>