<table cellspacing=0 cellpadding=0 width="100%">
  <tr>
	<td>
	  <table border=0 align="center" cellspacing="0" cellpadding="4" width="100%">
		<tr>
		  <td colspan="4">&nbsp;</td>
		</tr>
		<tr class="titletab_small">
		  <td class="titletab_small" colspan=4>
			<b>&nbsp;[L]Shipping Address[/L]</b> <i>([L]primary[/L])</i>
		  </td>
		</tr>
		<tr>
		  <td colspan="4" class="contentbar1">&nbsp;</td>
		</tr>
		<tr>
		  <td align=right class="contentbar1">
			[error name=fname std_label="[L]First Name[/L]" required=1]
		  </td>
		  <td align=left class="contentbar1">
			<input type=text name=fname value="[evalue fname]" size="20" maxlength="20">
		  </td>
		  <td align="right" class="contentbar1">[error name=lname std_label="[L]Last Name[/L]" required=1]</td>
		  <td align="left" class="contentbar1"><input type=text name=lname value="[evalue lname]" size="20"></td>
		</tr>
		<tr>
		  <td align="right" class="contentbar1">
			[error name=company std_label="[L]Company[/L]" required="[scratch dealer]"]
		  </td>
		  <td align="left" class="contentbar1" colspan=3>
			<input type=text name=company value="[evalue company]" size="20" maxlength="40">
		  </td>
		</tr>
		<tr>
		  <td align="right" class="contentbar1">[error name=address1 std_label="[L]Address[/L]" required=1]
		</td>
		<td align="left" colspan=3 class="contentbar1">
		  <input type=text name=address1 value="[evalue address1]" size="40" maxlength="64">
		</td>
	  </tr>
	  <tr>
		<td class="contentbar1">&nbsp;</td>
		<td class="contentbar1" align="left" colspan=3>
		  <input type=text name=address2 value="[evalue address2]" size="40" maxlength="64">
		</td>
	  </tr>
	  <tr class="contentbar1">
		<td align="right" class="contentbar1">
		  [error name=city std_label="[L]City[/L]" required=1]
		</td>
		<td class="contentbar1" colspan=3>
		  <input type=text name=city value="[evalue city]" size="20" maxlength="20">
		</td>
	  </tr>
	  <tr>
		<td class="contentbar1" align=right>
			[error name=state std_label="[L]State/Province[/L]" required=1]
		</td>
		<td align="left" class="contentbar1" colspan=3>
		  [display name=state type=state_select value="[evalue state]"]
		</td>
	  </tr>
	  <tr>
		<td align="right" class="contentbar1">
		  [error name=zip std_label="[L]Zip/Postal Code[/L]" required=1] 
		</td>
		<td class="contentbar1" colspan=3>
		  <input type=text name=zip value="[evalue zip]" size="10" maxlength="10">
		</td>
	  </tr>
	  <tr>
		<td align="right" class="contentbar1">
		  [error name=email std_label="[L]Email Address[/L]" required=1]
		</td>
		<td class="contentbar1" colspan=3>
		  <input type=text name=email value="[evalue email]" size="30">
		</td>
	  </tr>
	  <tr>
		<td align="right" class="contentbar1">
		  [L]Country[/L]
		</td>
		<td colspan="3" class="contentbar1">
		  [display name=country type=country_select value="[evalue country]"]
		</td>
	  </tr>
	  <tr>
		<td align="right" class="contentbar1">
		  [error name=phone_day std_label="[L]Daytime Phone[/L]" required=1]
		</td>
		<td class="contentbar1">
		  <input type=text name=phone_day value="[evalue phone_day]" size="12" maxlength="20">
		</td>
		<td align="right" class="contentbar1">
		  [error name=phone_night std_label="[L]Evening Phone[/L]"]
		</td>
		<td align="left" class="contentbar1">
		  <input type=text name=phone_night value="[evalue phone_night]" size="12" maxlength="20">
		</td>
	  </tr>
	  [if session ship_message]                                                       
	  <tr>
		<td class="contentbar1">&nbsp;</td>
		<td colspan="3" class="contentbar1">
		  <b>[L]Note[/L]:</b> [data session ship_message]
		</td>
	  </tr>
	  [/if]                                                   
	  <tr>
		<td align="right" class="contentbar1">
		  <b>[L]Shipping method[/L]</b>
		</td>
		<td colspan="3" class="contentbar1">
		  [shipping widget=select]
		</td>
	  </tr>
	  <tr>
		<td class="contentbar1">&nbsp;</td>
		<td colspan="3" class="contentbar1">
		  <i>[L]We need the <b>bold fields</b> to process your order[/L]</i>
		</td>
	  </tr>
	  <tr>
		<td class="contentbar1" colspan=4>&nbsp;</td>
	  </tr>
	  </table>
	</td>
  </tr>
</table>


