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

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

[MM_Form_Data name=’productDescription’]

Plan Price: [MM_Form_Data name=’productPriceDescription’]
Discount: [MM_Form_Data name=’discount’]
Total: [MM_Form_Data name=’totalPrice’]
What’s Included
  • Personalized Plan Goals
  • Simplified Meal Tracking
  • Reporting and Analytics

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

[MM_Order_Decision membershipId=’3′]

Please create a Group Code for your members to use:

[MM_Form_Field type=’custom’ id=’1′ isRequired=’true’]

[/MM_Order_Decision]
[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 name=’phone’ customAttributes=’placeholder=”Phone Number”‘]

[MM_Order_Decision membershipId=’2′]


[MM_Form_Field type=’custom’ id=’1′ isRequired=’false’]

[/MM_Order_Decision]

[/MM_Form_Section]
[MM_Form_Section type=’billingInfo’]

Billing Information

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’]

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

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

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

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

[MM_Form_Field name=’billingCountry’]

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

Shipping


[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’ customAttributes=’placeholder=”Enter Coupon Code”‘]
Apply Coupon

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

[/MM_Form_Section]

[MM_Form_Button type=’all’ label=’Sign Up’ color=’green’]

By clicking “Sign Up” you agree to our Terms of Use.

leanxmethod.com is secured with SSL encryption.

[/MM_Form]