[MM_Form type=’checkout’]
[MM_Form_Message type=’error’]

[MM_Form_Section type=’accountInfo’]

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=’billingInfo’]

Billing Details

Visa, Master Card, American Express, Discover


[MM_Form_Field name=’ccNumber’ customAttributes=’placeholder=”Credit Card Number”‘]


[MM_Form_Field name=’ccSecurityCode’ customAttributes=’placeholder=”Security Code”‘]


[MM_Form_Field name=’ccExpirationDate’]

Billing Address


[MM_Form_Field name=’billingAddress’ customAttributes=’placeholder=”Billing Address”‘]


[MM_Form_Field name=’billingCity’ customAttributes=’placeholder=”Billing City”‘]


[MM_Form_Field name=’billingState’ customAttributes=’placeholder=”Billing State”‘]


[MM_Form_Field name=’billingZipCode’ customAttributes=’placeholder=”Billing Zip Code”‘]


[MM_Form_Field name=’billingCountry’]

[/MM_Form_Section]
[MM_Form_Section type=’shippingInfo’]

Shipping Address


[MM_Form_Field name=’shippingMethod’]

Shipping is the same as billing
[MM_Form_Field name=’shippingSameAsBilling’]

[MM_Form_Subsection type=’shippingAddress’]


[MM_Form_Field name=’shippingAddress’ customAttributes=’placeholder=”Shipping Address”‘]


[MM_Form_Field name=’shippingCity’ customAttributes=’placeholder=”Shipping City”‘]


[MM_Form_Field name=’shippingState’ customAttributes=’placeholder=”Shipping State”‘]


[MM_Form_Field name=’shippingZipCode’ customAttributes=’placeholder=”Shipping Zip Code”‘]


[MM_Form_Field name=’shippingCountry’]

[/MM_Form_Subsection]

[/MM_Form_Section]
[MM_Form_Section type=’coupon’]

Coupons

[MM_Form_Field name=’couponCode’]
Apply Coupon

[MM_Form_Message type=’couponSuccess’]
[MM_Form_Message type=’couponError’]

[/MM_Form_Section]

[MM_Form_Data name=’productName’ useAccessName=’false’]

[MM_Form_Data name=’productDescription’]

    • Product Price:[MM_Order_Decision productId=’!5′][MM_Form_Data name=’productPriceDescription’][/MM_Order_Decision] [MM_Order_Decision productId=’5′] If you decide to continue, you pay $99 monthly (or $49 monthly if 50% savings coupon is used with purchase).  Cancel any time.[/MM_Order_Decision]

[MM_Order_Decision isShippable=’true’]

    • Shipping Price: [MM_Form_Data name=’shippingPrice’]

[/MM_Order_Decision]
[MM_Order_Decision isDiscounted=’true’]

    • Discount: [MM_Form_Data name=’discount’]

[/MM_Order_Decision]

  • Total Price: [MM_Form_Data name=’totalPrice’]

[MM_Member_Decision isMember=’true’][MM_Form_Field type=’input’ name=’gift’] Is this a gift?

[/MM_Member_Decision]

[MM_Form_Field type=’input’ name=’captcha’ style=’clean’]

[MM_Form_Button type=’all’ label=’Submit Order’ color=’orange’]

TERMS:  Inner Circle Membership can be cancelled at any time, and all future charges are stopped immediately. Slender Cider has a 60 day money back guarantee. Private and live sessions are non-refundable.  At Easy Willpower, we want you to succeed!

[/MM_Form]