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checkout.html
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<!DOCTYPE html>
<html lang="en">
<head>
<title>Pharma — Colorlib Template</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<link href="https://fonts.googleapis.com/css?family=Rubik:400,700|Crimson+Text:400,400i" rel="stylesheet">
<link rel="stylesheet" href="fonts/icomoon/style.css">
<link rel="stylesheet" href="css/bootstrap.min.css">
<link rel="stylesheet" href="css/magnific-popup.css">
<link rel="stylesheet" href="css/jquery-ui.css">
<link rel="stylesheet" href="css/owl.carousel.min.css">
<link rel="stylesheet" href="css/owl.theme.default.min.css">
<link rel="stylesheet" href="css/aos.css">
<link rel="stylesheet" href="css/style.css">
</head>
<body>
<div class="site-wrap">
<div class="site-navbar py-2">
<div class="search-wrap">
<div class="container">
<a href="#" class="search-close js-search-close"><span class="icon-close2"></span></a>
<form action="#" method="post">
<input type="text" class="form-control" placeholder="Search keyword and hit enter...">
</form>
</div>
</div>
<div class="container">
<div class="d-flex align-items-center justify-content-between">
<div class="logo">
<div class="site-logo">
<a href="index.html" class="js-logo-clone">Pharma</a>
</div>
</div>
<div class="main-nav d-none d-lg-block">
<nav class="site-navigation text-right text-md-center" role="navigation">
<ul class="site-menu js-clone-nav d-none d-lg-block">
<li><a href="index.html">Home</a></li>
<li class="active"><a href="shop.html">Store</a></li>
<li class="has-children">
<a href="#">Dropdown</a>
<ul class="dropdown">
<li><a href="#">Supplements</a></li>
<li class="has-children">
<a href="#">Vitamins</a>
<ul class="dropdown">
<li><a href="#">Supplements</a></li>
<li><a href="#">Vitamins</a></li>
<li><a href="#">Diet & Nutrition</a></li>
<li><a href="#">Tea & Coffee</a></li>
</ul>
</li>
<li><a href="#">Diet & Nutrition</a></li>
<li><a href="#">Tea & Coffee</a></li>
</ul>
</li>
<li><a href="about.html">About</a></li>
<li><a href="contact.html">Contact</a></li>
</ul>
</nav>
</div>
<div class="icons">
<a href="#" class="icons-btn d-inline-block js-search-open"><span class="icon-search"></span></a>
<a href="cart.html" class="icons-btn d-inline-block bag">
<span class="icon-shopping-bag"></span>
<span class="number">2</span>
</a>
<a href="#" class="site-menu-toggle js-menu-toggle ml-3 d-inline-block d-lg-none"><span
class="icon-menu"></span></a>
</div>
</div>
</div>
</div>
<div class="bg-light py-3">
<div class="container">
<div class="row">
<div class="col-md-12 mb-0">
<a href="index.html">Home</a> <span class="mx-2 mb-0">/</span>
<strong class="text-black">Checkout</strong>
</div>
</div>
</div>
</div>
<div class="site-section">
<div class="container">
<div class="row mb-5">
<div class="col-md-12">
<div class="bg-light rounded p-3">
<p class="mb-0">Returning customer? <a href="#" class="d-inline-block">Click here</a> to login</p>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-5 mb-md-0">
<h2 class="h3 mb-3 text-black">Billing Details</h2>
<div class="p-3 p-lg-5 border">
<div class="form-group">
<label for="c_country" class="text-black">Country <span class="text-danger">*</span></label>
<select id="c_country" class="form-control">
<option value="1">Select a country</option>
<option value="2">bangladesh</option>
<option value="3">Algeria</option>
<option value="4">Afghanistan</option>
<option value="5">Ghana</option>
<option value="6">Albania</option>
<option value="7">Bahrain</option>
<option value="8">Colombia</option>
<option value="9">Dominican Republic</option>
</select>
</div>
<div class="form-group row">
<div class="col-md-6">
<label for="c_fname" class="text-black">First Name <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_fname" name="c_fname">
</div>
<div class="col-md-6">
<label for="c_lname" class="text-black">Last Name <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_lname" name="c_lname">
</div>
</div>
<div class="form-group row">
<div class="col-md-12">
<label for="c_companyname" class="text-black">Company Name </label>
<input type="text" class="form-control" id="c_companyname" name="c_companyname">
</div>
</div>
<div class="form-group row">
<div class="col-md-12">
<label for="c_address" class="text-black">Address <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_address" name="c_address" placeholder="Street address">
</div>
</div>
<div class="form-group">
<input type="text" class="form-control" placeholder="Apartment, suite, unit etc. (optional)">
</div>
<div class="form-group row">
<div class="col-md-6">
<label for="c_state_country" class="text-black">State / Country <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_state_country" name="c_state_country">
</div>
<div class="col-md-6">
<label for="c_postal_zip" class="text-black">Posta / Zip <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_postal_zip" name="c_postal_zip">
</div>
</div>
<div class="form-group row mb-5">
<div class="col-md-6">
<label for="c_email_address" class="text-black">Email Address <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_email_address" name="c_email_address">
</div>
<div class="col-md-6">
<label for="c_phone" class="text-black">Phone <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_phone" name="c_phone" placeholder="Phone Number">
</div>
</div>
<div class="form-group">
<label for="c_create_account" class="text-black" data-toggle="collapse" href="#create_an_account"
role="button" aria-expanded="false" aria-controls="create_an_account"><input type="checkbox" value="1"
id="c_create_account"> Create an account?</label>
<div class="collapse" id="create_an_account">
<div class="py-2">
<p class="mb-3">Create an account by entering the information below. If you are a returning customer
please login at the top of the page.</p>
<div class="form-group">
<label for="c_account_password" class="text-black">Account Password</label>
<input type="email" class="form-control" id="c_account_password" name="c_account_password"
placeholder="">
</div>
</div>
</div>
</div>
<div class="form-group">
<label for="c_ship_different_address" class="text-black" data-toggle="collapse"
href="#ship_different_address" role="button" aria-expanded="false"
aria-controls="ship_different_address"><input type="checkbox" value="1" id="c_ship_different_address">
Ship To A Different Address?</label>
<div class="collapse" id="ship_different_address">
<div class="py-2">
<div class="form-group">
<label for="c_diff_country" class="text-black">Country <span class="text-danger">*</span></label>
<select id="c_diff_country" class="form-control">
<option value="1">Select a country</option>
<option value="2">bangladesh</option>
<option value="3">Algeria</option>
<option value="4">Afghanistan</option>
<option value="5">Ghana</option>
<option value="6">Albania</option>
<option value="7">Bahrain</option>
<option value="8">Colombia</option>
<option value="9">Dominican Republic</option>
</select>
</div>
<div class="form-group row">
<div class="col-md-6">
<label for="c_diff_fname" class="text-black">First Name <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_diff_fname" name="c_diff_fname">
</div>
<div class="col-md-6">
<label for="c_diff_lname" class="text-black">Last Name <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_diff_lname" name="c_diff_lname">
</div>
</div>
<div class="form-group row">
<div class="col-md-12">
<label for="c_diff_companyname" class="text-black">Company Name </label>
<input type="text" class="form-control" id="c_diff_companyname" name="c_diff_companyname">
</div>
</div>
<div class="form-group row">
<div class="col-md-12">
<label for="c_diff_address" class="text-black">Address <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_diff_address" name="c_diff_address"
placeholder="Street address">
</div>
</div>
<div class="form-group">
<input type="text" class="form-control" placeholder="Apartment, suite, unit etc. (optional)">
</div>
<div class="form-group row">
<div class="col-md-6">
<label for="c_diff_state_country" class="text-black">State / Country <span
class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_diff_state_country" name="c_diff_state_country">
</div>
<div class="col-md-6">
<label for="c_diff_postal_zip" class="text-black">Posta / Zip <span
class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_diff_postal_zip" name="c_diff_postal_zip">
</div>
</div>
<div class="form-group row mb-5">
<div class="col-md-6">
<label for="c_diff_email_address" class="text-black">Email Address <span
class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_diff_email_address" name="c_diff_email_address">
</div>
<div class="col-md-6">
<label for="c_diff_phone" class="text-black">Phone <span class="text-danger">*</span></label>
<input type="text" class="form-control" id="c_diff_phone" name="c_diff_phone"
placeholder="Phone Number">
</div>
</div>
</div>
</div>
</div>
<div class="form-group">
<label for="c_order_notes" class="text-black">Order Notes</label>
<textarea name="c_order_notes" id="c_order_notes" cols="30" rows="5" class="form-control"
placeholder="Write your notes here..."></textarea>
</div>
</div>
</div>
<div class="col-md-6">
<div class="row mb-5">
<div class="col-md-12">
<h2 class="h3 mb-3 text-black">Coupon Code</h2>
<div class="p-3 p-lg-5 border">
<label for="c_code" class="text-black mb-3">Enter your coupon code if you have one</label>
<div class="input-group w-75">
<input type="text" class="form-control" id="c_code" placeholder="Coupon Code" aria-label="Coupon Code"
aria-describedby="button-addon2">
<div class="input-group-append">
<button class="btn btn-primary btn-sm px-4" type="button" id="button-addon2">Apply</button>
</div>
</div>
</div>
</div>
</div>
<div class="row mb-5">
<div class="col-md-12">
<h2 class="h3 mb-3 text-black">Your Order</h2>
<div class="p-3 p-lg-5 border">
<table class="table site-block-order-table mb-5">
<thead>
<th>Product</th>
<th>Total</th>
</thead>
<tbody>
<tr>
<td>Bioderma <strong class="mx-2">x</strong> 1</td>
<td>$55.00</td>
</tr>
<tr>
<td>Ibuprofeen <strong class="mx-2">x</strong> 1</td>
<td>$45.00</td>
</tr>
<tr>
<td class="text-black font-weight-bold"><strong>Cart Subtotal</strong></td>
<td class="text-black">$350.00</td>
</tr>
<tr>
<td class="text-black font-weight-bold"><strong>Order Total</strong></td>
<td class="text-black font-weight-bold"><strong>$350.00</strong></td>
</tr>
</tbody>
</table>
<div class="border mb-3">
<h3 class="h6 mb-0"><a class="d-block" data-toggle="collapse" href="#collapsebank" role="button"
aria-expanded="false" aria-controls="collapsebank">Direct Bank Transfer</a></h3>
<div class="collapse" id="collapsebank">
<div class="py-2 px-4">
<p class="mb-0">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>
</div>
</div>
<div class="border mb-3">
<h3 class="h6 mb-0"><a class="d-block" data-toggle="collapse" href="#collapsecheque" role="button"
aria-expanded="false" aria-controls="collapsecheque">Cheque Payment</a></h3>
<div class="collapse" id="collapsecheque">
<div class="py-2 px-4">
<p class="mb-0">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>
</div>
</div>
<div class="border mb-5">
<h3 class="h6 mb-0"><a class="d-block" data-toggle="collapse" href="#collapsepaypal" role="button"
aria-expanded="false" aria-controls="collapsepaypal">Paypal</a></h3>
<div class="collapse" id="collapsepaypal">
<div class="py-2 px-4">
<p class="mb-0">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>
</div>
</div>
<div class="form-group">
<button class="btn btn-primary btn-lg btn-block" onclick="window.location='thankyou.html'">Place
Order</button>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- </form> -->
</div>
</div>
<div class="site-section bg-secondary bg-image" style="background-image: url('images/bg_2.jpg');">
<div class="container">
<div class="row align-items-stretch">
<div class="col-lg-6 mb-5 mb-lg-0">
<a href="#" class="banner-1 h-100 d-flex" style="background-image: url('images/bg_1.jpg');">
<div class="banner-1-inner align-self-center">
<h2>Pharma Products</h2>
<p>Lorem, ipsum dolor sit amet consectetur adipisicing elit. Molestiae ex ad minus rem odio voluptatem.
</p>
</div>
</a>
</div>
<div class="col-lg-6 mb-5 mb-lg-0">
<a href="#" class="banner-1 h-100 d-flex" style="background-image: url('images/bg_2.jpg');">
<div class="banner-1-inner ml-auto align-self-center">
<h2>Rated by Experts</h2>
<p>Lorem, ipsum dolor sit amet consectetur adipisicing elit. Molestiae ex ad minus rem odio voluptatem.
</p>
</div>
</a>
</div>
</div>
</div>
</div>
<footer class="site-footer">
<div class="container">
<div class="row">
<div class="col-md-6 col-lg-3 mb-4 mb-lg-0">
<div class="block-7">
<h3 class="footer-heading mb-4">About Us</h3>
<p>Lorem ipsum dolor sit amet, consectetur adipisicing elit. Eius quae reiciendis distinctio voluptates
sed dolorum excepturi iure eaque, aut unde.</p>
</div>
</div>
<div class="col-lg-3 mx-auto mb-5 mb-lg-0">
<h3 class="footer-heading mb-4">Quick Links</h3>
<ul class="list-unstyled">
<li><a href="#">Supplements</a></li>
<li><a href="#">Vitamins</a></li>
<li><a href="#">Diet & Nutrition</a></li>
<li><a href="#">Tea & Coffee</a></li>
</ul>
</div>
<div class="col-md-6 col-lg-3">
<div class="block-5 mb-5">
<h3 class="footer-heading mb-4">Contact Info</h3>
<ul class="list-unstyled">
<li class="address">203 Fake St. Mountain View, San Francisco, California, USA</li>
<li class="phone"><a href="tel://23923929210">+2 392 3929 210</a></li>
<li class="email">[email protected]</li>
</ul>
</div>
</div>
</div>
<div class="row pt-5 mt-5 text-center">
<div class="col-md-12">
<p>
<!-- Link back to Colorlib can't be removed. Template is licensed under CC BY 3.0. -->
Copyright ©
<script>document.write(new Date().getFullYear());</script> All rights reserved | This template is made
with <i class="icon-heart" aria-hidden="true"></i> by <a href="https://colorlib.com" target="_blank"
class="text-primary">Colorlib</a>
<!-- Link back to Colorlib can't be removed. Template is licensed under CC BY 3.0. -->
</p>
</div>
</div>
</div>
</footer>
</div>
<script src="js/jquery-3.3.1.min.js"></script>
<script src="js/jquery-ui.js"></script>
<script src="js/popper.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/owl.carousel.min.js"></script>
<script src="js/jquery.magnific-popup.min.js"></script>
<script src="js/aos.js"></script>
<script src="js/main.js"></script>
</body>
</html>