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Rev 6524 Rev 6664
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				<br>
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				<br>
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				<span> COD </span>
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				<span> COD </span>
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				<input type = 'checkbox' id = 'cod' name = 'cod'>
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				<input type = 'checkbox' id = 'cod' name = 'cod'>
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				<span> Prepaid </span>
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				<span> Prepaid </span>
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				<input type = 'checkbox' id = 'exp' name = 'exp'>
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				<input type = 'checkbox' id = 'exp' name = 'exp'>
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				<span> On Time Guarantee </span>
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				<input type = 'checkbox' id = 'otg' name = 'otg'>
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				<br><br>
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				<br><br>
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                <button type = "submit">Submit</button>
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                <button type = "submit">Submit</button>
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            </form>
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            </form>
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        </div>
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        </div>
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