[MM_Form_Message type=’error’]
Account Information
[MM_Form_Field type=’input’ name=’firstName’ customAttributes=’placeholder=”First Name”‘]
[MM_Form_Field type=’input’ name=’lastName’ customAttributes=’placeholder=”Last Name”‘]
[MM_Form_Field type=’input’ name=’email’ customAttributes=’placeholder=”Email Address”‘]
[MM_Form_Field type=’input’ name=’password’ customAttributes=’placeholder=”Password”‘]
[MM_Form_Field type=’input’ name=’phone’ isRequired=’false’ customAttributes=’placeholder=”Phone Number”‘]
[/MM_Form_Section]
[MM_Form_Section type=’coupon’]
Gift Code
[MM_Form_Field name=’couponCode’]
Apply Gift Code
[MM_Form_Message type=’couponSuccess’]
[MM_Form_Message type=’couponError’]
[/MM_Form_Section]
[MM_Form_Data name=’productName’]
[MM_Form_Data name=’productDescription’]
Redeem Gift
[/MM_Order_Decision]
[MM_Order_Decision isDiscounted=’false’]
Enter a valid gift code to redeem your gift
[/MM_Order_Decision]
[MM_Form_Field type=’hidden’ name=’phone’]
[MM_Form_Field type=’hidden’ name=’billingAddress’]
[MM_Form_Field type=’hidden’ name=’billingCity’]
[MM_Form_Field type=’hidden’ name=’billingState’]
[MM_Form_Field type=’hidden’ name=’billingZipCode’]
[MM_Form_Field type=’hidden’ name=’billingCountry’]
[MM_Form_Field type=’hidden’ name=’shippingAddress’]
[MM_Form_Field type=’hidden’ name=’shippingCity’]
[MM_Form_Field type=’hidden’ name=’shippingState’]
[MM_Form_Field type=’hidden’ name=’shippingZipCode’]
[MM_Form_Field type=’hidden’ name=’shippingCountry’]
[/MM_Form]