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Rev 17900 Rev 17914
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	});
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	});
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</script>
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</script>
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<style>
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<style>
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.link {
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     background:none!important;
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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 #444;
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     cursor: pointer;
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}
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#footer{
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#footer{
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    position:fixed;
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    position:fixed;
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    /*height:50px;*/
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    /*height:50px;*/
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    /*background-color:red;*/
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    /*background-color:red;*/
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    bottom:0px;
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    bottom:0px;
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</style>
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</style>
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<div class='container' style='margin-bottom:50px;'>
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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='row' style="padding-bottom:55px;">
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		<div class='col-xs-12' style='padding:0px'>
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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 class="shipping-cont">
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			<div id="error" class="error_msg" style="display:none">
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				<div id="error" class="error_msg" style="display:none">
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       		</div>
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       		</div>
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			<form method="post" action="#" name='form2' id='form2' class="address-form"
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				<fieldset>
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			<fieldset>
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					<h4>Add New Address:
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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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				 <!-- <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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				</h4>
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					<!-- <label>Name<span>*</span></label> -->
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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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				<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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				<!-- <label>Address<span>*</span></label> -->
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					<textarea rows="2" id="line1" name="line1" placeholder="Address*" required></textarea>
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				<textarea rows="2" id="line1" name="line1" placeholder="Address*" 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='row' style='padding-bottom:5px'>
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						<div class='col-xs-6' style='padding:0px 5px 0px 0px ;'>
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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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							<datalist id="cities">
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						<datalist id="cities">
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							</datalist>
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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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						<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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						<!-- <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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						<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>
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						<div class='col-xs-6' style='padding:0px 0px 0px 5px ;'>
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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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						<!-- <label>State<span>*</span></label> -->
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							<select id="state" name="state" required>
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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="">Select State</option>
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								<option value="Andaman &amp; Nicobar Island">Andaman &amp; Nicobar Island</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="Andhra Pradesh">Andhra Pradesh</option>
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								<option value="Arunachal Pradesh">Arunachal 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="Assam">Assam</option>
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								<option value="Bihar">Bihar</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="Chandigarh">Chandigarh</option>
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								<option value="Chattisgarh">Chattisgarh</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="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="Daman &amp; Diu">Daman &amp; Diu</option>
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								<option value="Delhi">Delhi</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="Goa">Goa</option>
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								<option value="Gujarat">Gujrat</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="Haryana">Haryana</option>
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								<option value="Himachal Pradesh">Himachal Pradesh</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="Jammu &amp; Kashmir">Jammu &amp; Kashmir</option>
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								<option value="Jharkhand">Jharkhand</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="Karnataka">Karnataka</option>
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								<option value="Kerala">Kerala</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="Lakshadweep">Lakshadweep</option>
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								<option value="Madhya Pradesh">Madhya Pradesh</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="Maharashtra">Maharashtra</option>s
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								<option value="Manipur">Manipur</option>
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							<option value="Manipur">Manipur</option>
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								<option value="Meghalaya">Meghalaya</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="Mizoram">Mizoram</option>
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								<option value="Nagaland">Nagaland</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="Orissa">Orissa</option>
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								<option value="Pondicherry">Pondicherry</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="Punjab">Punjab</option>
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								<option value="Rajasthan">Rajasthan</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="Sikkim">Sikkim</option>
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								<option value="Tamil Nadu">Tamil Nadu</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="Telangana">Telangana</option>
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								<option value="Tripura">Tripura</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="Uttar Pradesh">Uttar Pradesh</option>
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								<option value="Uttarakhand">Uttarakhand</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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							<option value="West Bengal">West Bengal</option>
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							</select>
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						</select>
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							<!-- <label>Pincode<span>*</span></label> -->
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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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						<input placeholder="Pincode*" required value='<?php echo $pinval;?>' type="text" id="pin" name="pin" pattern="\d.{5,5}" title="Invalid Pin" />
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						</div>
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					</div>
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					</div>
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				</fieldset>
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				</div>
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			</form>
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			</fieldset>
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		</div>
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		</div>
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	</div>
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	</div>
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	<div class='row' style='padding:0px;' id='footer'>
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	<div class='row' style='padding:0px;' id='footer'>
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		<div class='col-xs-12' style='background-color:white;padding:5px; width:100%;'>
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		<div class='col-xs-12' style='background-color:white;padding:5px; width:100%;'>
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			<h4>Total payable Amount: &#8377; <?php echo number_format($totalPayable);?></h4>
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			<h4>Total payable Amount: &#8377; <?php echo number_format($totalPayable);?></h4>
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			<a href="#" style='padding-right:2px;color:blue;font-size:15px;' data-name="other_option" class="submit_check"><u>Other Pay Option</u></a>
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			<input type="submit" value="Other Pay Option" class="link submit_check" data-name="other_option"></input>
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			<button class="btn btn-success pull-right submit_check" data-name="cod">Confirm Order via COD</button>
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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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	</div>
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	</div>
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	</form>
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</div>
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</div>
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