<form enctype="multipart/form-data" action="#" class="checkout woocommerce-checkout" method="post" name="checkout">
	<div id="customer_details" class="col2-set">
		<div class="col-1">
			<div class="woocommerce-billing-fields">

				<h3>Billing Details</h3>

				<p id="billing_first_name_field" class="form-row form-row form-row-first validate-required"><label class="" for="billing_first_name">First Name <abbr title="required" class="required">*</abbr></label><input type="text" value="" placeholder="" id="billing_first_name" name="billing_first_name" class="input-text "></p>

				<p id="billing_last_name_field" class="form-row form-row form-row-last validate-required"><label class="" for="billing_last_name">Last Name <abbr title="required" class="required">*</abbr></label><input type="text" value="" placeholder="" id="billing_last_name" name="billing_last_name" class="input-text "></p><div class="clear"></div>

				<p id="billing_company_field" class="form-row form-row form-row-wide"><label class="" for="billing_company">Company Name</label><input type="text" value="" placeholder="" id="billing_company" name="billing_company" class="input-text "></p>

				<p id="billing_email_field" class="form-row form-row form-row-first validate-required validate-email"><label class="" for="billing_email">Email Address <abbr title="required" class="required">*</abbr></label><input type="email" value="" placeholder="" id="billing_email" name="billing_email" class="input-text "></p>

				<p id="billing_phone_field" class="form-row form-row form-row-last validate-required validate-phone"><label class="" for="billing_phone">Phone <abbr title="required" class="required">*</abbr></label><input type="tel" value="" placeholder="" id="billing_phone" name="billing_phone" class="input-text "></p><div class="clear"></div>

				<p id="billing_country_field" class="form-row form-row form-row-wide validate-required validate-email"><label class="" for="billing_country">Country <abbr title="required" class="required">*</abbr></label><input type="text" value="" placeholder="" id="billing_country" name="billing_phone" class="input-text "></p><div class="clear"></div>

				<p id="billing_address_1_field" class="form-row form-row form-row-wide address-field validate-required"><label class="" for="billing_address_1">Address <abbr title="required" class="required">*</abbr></label><input type="text" value="" placeholder="Street address" id="billing_address_1" name="billing_address_1" class="input-text "></p>

				<p id="billing_address_2_field" class="form-row form-row form-row-wide address-field"><input type="text" value="" placeholder="Apartment, suite, unit etc. (optional)" id="billing_address_2" name="billing_address_2" class="input-text "></p>

				<p id="billing_city_field" class="form-row form-row form-row-wide address-field validate-required" data-o_class="form-row form-row form-row-wide address-field validate-required"><label class="" for="billing_city">Town / City <abbr title="required" class="required">*</abbr></label><input type="text" value="" placeholder="" id="billing_city" name="billing_city" class="input-text "></p>

				<p id="billing_state_field" class="form-row form-row form-row-first validate-required validate-email"><label class="" for="billing_state">State / County <abbr title="required" class="required">*</abbr></label><input type="text" value="" placeholder="" id="billing_state" name="billing_phone" class="input-text "></p>

				<p id="billing_postcode_field" class="form-row form-row form-row-last address-field validate-postcode validate-required" data-o_class="form-row form-row form-row-last address-field validate-required validate-postcode"><label class="" for="billing_postcode">Postcode / ZIP <abbr title="required" class="required">*</abbr></label><input type="text" value="" placeholder="" id="billing_postcode" name="billing_postcode" class="input-text "></p>

				<div class="clear"></div>

				<p class="form-row form-row-wide create-account"><input type="checkbox" value="1" name="createaccount" id="createaccount" class="input-checkbox"> <label class="checkbox" for="createaccount">Create an account?</label></p>

			</div>
		</div>

		<div class="col-2">
			<h3>Shipping Details</h3>
			<div class="woocommerce-shipping-fields">
				<h3 id="ship-to-different-address">
					<label class="checkbox" for="ship-to-different-address-checkbox">Ship to a different address?</label>
					<input type="checkbox" value="1" name="ship_to_different_address" class="input-checkbox" id="ship-to-different-address-checkbox">
				</h3>
				
				<p id="order_comments_field" class="form-row form-row notes"><label class="" for="order_comments">Order Notes</label><textarea cols="5" rows="2" placeholder="Notes about your order, e.g. special notes for delivery." id="order_comments" class="input-text " name="order_comments"></textarea></p>
			</div>
		</div>
	</div>

	<h3 id="order_review_heading">Your order</h3>

	<div class="woocommerce-checkout-review-order" id="order_review">
		<table class="shop_table woocommerce-checkout-review-order-table">
			<thead>
				<tr>
					<th class="product-name">Product</th>
					<th class="product-total">Total</th>
				</tr>
			</thead>
			<tbody>
				<tr class="cart_item">
					<td class="product-name">
						Wireless Audio System Multiroom 360&nbsp;
						<strong class="product-quantity">× 1</strong>													</td>
					<td class="product-total">
						<span class="amount">$1,999.00</span>
					</td>
				</tr>
				<tr class="cart_item">
					<td class="product-name">
						Tablet White EliteBook  Revolve 810 G2&nbsp;
						<strong class="product-quantity">× 1</strong>													</td>
					<td class="product-total">
						<span class="amount">$1,300.00</span>
					</td>
				</tr>
			</tbody>
			<tfoot>

				<tr class="cart-subtotal">
					<th>Subtotal</th>
					<td><span class="amount">$3,299.00</span></td>
				</tr>

				<tr class="shipping">
					<th>Shipping</th>
					<td data-title="Shipping">Flat Rate: <span class="amount">$300.00</span> <input type="hidden" class="shipping_method" value="international_delivery" id="shipping_method_0" data-index="0" name="shipping_method[0]"></td>
				</tr>

				<tr class="order-total">
					<th>Total</th>
					<td><strong><span class="amount">$3,599.00</span></strong> </td>
				</tr>
			</tfoot>
		</table>

		<div class="woocommerce-checkout-payment" id="payment">
			<ul class="wc_payment_methods payment_methods methods">
				<li class="wc_payment_method payment_method_bacs">
					<input type="radio" data-order_button_text="" checked="checked" value="bacs" name="payment_method" class="input-radio" id="payment_method_bacs">
					<label for="payment_method_bacs">Direct Bank Transfer</label>
					<div class="payment_box payment_method_bacs">
						<p>Make your payment directly into our bank account. Please use your Order ID as the payment reference. Your order won’t be shipped until the funds have cleared in our account.</p>
					</div>
				</li>
				<li class="wc_payment_method payment_method_cheque">
					<input type="radio" data-order_button_text="" value="cheque" name="payment_method" class="input-radio" id="payment_method_cheque">
					<label for="payment_method_cheque">Cheque Payment 	</label>
					<div style="display:none;" class="payment_box payment_method_cheque">
						<p>Please send your cheque to Store Name, Store Street, Store Town, Store State / County, Store Postcode.</p>
					</div>
				</li>
				<li class="wc_payment_method payment_method_cod">
					<input type="radio" data-order_button_text="" value="cod" name="payment_method" class="input-radio" id="payment_method_cod">

					<label for="payment_method_cod">Cash on Delivery</label>
					<div style="display:none;" class="payment_box payment_method_cod">
						<p>Pay with cash upon delivery.</p>
					</div>
				</li>
				<li class="wc_payment_method payment_method_paypal">
					<input type="radio" data-order_button_text="Proceed to PayPal" value="paypal" name="payment_method" class="input-radio" id="payment_method_paypal">

					<label for="payment_method_paypal">PayPal <img alt="PayPal Acceptance Mark" src="https://www.paypalobjects.com/webstatic/mktg/logo/AM_mc_vs_dc_ae.jpg"><a title="What is PayPal?" onclick="javascript:window.open('https://www.paypal.com/us/webapps/mpp/paypal-popup','WIPaypal','toolbar=no, location=no, directories=no, status=no, menubar=no, scrollbars=yes, resizable=yes, width=1060, height=700'); return false;" class="about_paypal" href="https://www.paypal.com/us/webapps/mpp/paypal-popup">What is PayPal?</a></label>
					<div style="display:none;" class="payment_box payment_method_paypal">
						<p>Pay via PayPal; you can pay with your credit card if you don’t have a PayPal account.</p>
					</div>
				</li>
			</ul>
			<div class="form-row place-order">

			    <p class="form-row terms wc-terms-and-conditions">
					<input type="checkbox" id="terms" name="terms" class="input-checkbox">
			        <label class="checkbox" for="terms">I’ve read and accept the <a target="_blank" href="index.php?page=terms-and-conditions">terms &amp; conditions</a> <span class="required">*</span></label>
			        <input type="hidden" value="1" name="terms-field">
			    </p>

				<input type="submit" data-value="Place order" value="Place order" class="button alt">
			</div>
		</div>
	</div>
</form>
