1 UNKNOWN_TYPE | | | | _1-default
2 NAME_FIRST | | First Name | | _1-default
3 NAME_MIDDLE_INITIAL | | M.I. | | _1-default
4 NAME_LAST | | Last Name | | _1-default
5 ADDRESS_HOME_LINE1 | | Address 1 | | _1-default
6 ADDRESS_HOME_LINE2 | | Address 2 (Optional) | | _1-default
7 ADDRESS_HOME_CITY | | City | | _1-default
8 ADDRESS_HOME_STATE | | State | | _1-default
9 ADDRESS_HOME_ZIP | | ZIP Code | | _1-default
10 PHONE_HOME_WHOLE_NUMBER | | Phone Information | | _1-default
11 UNKNOWN_TYPE | | Use this as my billing address. | on | _1-default
12 UNKNOWN_TYPE | multiple-address | No | false | _1-default
13 UNKNOWN_TYPE | multiple-address | Yes | true | _1-default
14 UNKNOWN_TYPE | | Note Number | | _1-default
15 UNKNOWN_TYPE | | Access Code | | _1-default
16 UNKNOWN_TYPE | | Gift Card Number | | _1-default
17 UNKNOWN_TYPE | | Access Code | | _1-default
18 UNKNOWN_TYPE | | Please do not fill out the next field, it is a security measure to insure that this page is being visited by a human. | | _1-default
19 UNKNOWN_TYPE | | Enter a Promotion Code | | _1-default
20 UNKNOWN_TYPE | | Employee Number | | _1-default
21 UNKNOWN_TYPE | discount | % | | _1-default
22 UNKNOWN_TYPE | discount | % | | _1-default
23 UNKNOWN_TYPE | | CREDIT CARD | | _1-default
24 UNKNOWN_TYPE | | Card Number Information | | _1-default
25 UNKNOWN_TYPE | | | | _1-default
26 UNKNOWN_TYPE | | | | _1-default
27 UNKNOWN_TYPE | credit-ccv | Security Code Information | | _1-default
28 UNKNOWN_TYPE | | Yes, I would like to save my credit card information. | on | _1-default
29 UNKNOWN_TYPE | | BILL TO | | _1-default
30 NAME_FIRST | | First Name | | _1-default
31 NAME_MIDDLE_INITIAL | | M.I. | | _1-default
32 NAME_LAST | | Last Name | | _1-default
33 ADDRESS_HOME_LINE1 | | Address 1 | | _1-default
34 ADDRESS_HOME_LINE2 | | Address 2 (Optional) | | _1-default
35 ADDRESS_HOME_CITY | | City | | _1-default
36 ADDRESS_HOME_STATE | | State/Province | | _1-default
37 ADDRESS_HOME_ZIP | | ZIP/Postal Code | | _1-default
38 ADDRESS_HOME_COUNTRY | | Country | 0 | _1-default
39 EMAIL_ADDRESS | | E-mail Information Information | | _1-default
40 PHONE_HOME_WHOLE_NUMBER | | Phone Information Information | | _1-default
41 UNKNOWN_TYPE | | Send me e-mail updates about the latest trends, products and promotions online and in store. Yes! | on | _1-default