Account Information

First Name:
[MM_Form_Field type=’input’ name=’firstName’ customAttributes=’placeholder=”First Name”‘]

Last Name:
[MM_Form_Field type=’input’ name=’lastName’ customAttributes=’placeholder=”Last Name”‘]

Email:
[MM_Form_Field type=’input’ name=’email’ customAttributes=’placeholder=”Email Address”‘]

Password:
[MM_Form_Field type=’input’ name=’password’ customAttributes=’placeholder=”Password”‘]

Phone:
[MM_Form_Field type=’input’ name=’phone’ isRequired=’false’ customAttributes=’placeholder=”Phone Number”‘]

Business Name:
[MM_Form_Field type=’custom’ id=’2′ customAttributes=’placeholder=”Business Name”‘]

Customer Website:
[MM_Form_Field type=’custom’ id=’3′ customAttributes=’placeholder=”Customer Website”‘]

Client Email:
[MM_Form_Field type=’custom’ id=’4′ customAttributes=’placeholder=”Client Email”‘]

Customer Contact Phone:
[MM_Form_Field type=’custom’ id=’5′ customAttributes=’placeholder=”Customer Contact Phone”‘]

Organization Type:
[MM_Form_Field type=’custom’ id=’6′ customAttributes=’placeholder=”Organization Type”‘]

Number of Locations:
[MM_Form_Field type=’custom’ id=’7′ customAttributes=’placeholder=”Number of Locations”‘]

Capabilities Interested In:
[MM_Form_Field type=’custom’ id=’8′ customAttributes=’placeholder=”Capabilities Interested In”‘]

Name of CRM/Scheduling Platform/DMS:
[MM_Form_Field type=’custom’ id=’9′ customAttributes=’placeholder=”CRM/Scheduling Platform/DMS Name”‘]

Potential Onboarding Date:
[MM_Form_Field type=’custom’ id=’11’ customAttributes=’placeholder=”Potential Onboarding Date”‘]

Billing Details

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

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

Expiration Date:
[MM_Form_Field name=’ccExpirationDate’]

Billing Address

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

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

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

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

Country:
[MM_Form_Field name=’billingCountry’]

Shipping Address

Shipping Method:
[MM_Form_Field name=’shippingMethod’]

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