eCommerce checkout - single step with order summary

Contact information

Email address

Shipping information

First name

Last name

Company name

Address

Appartament, suite, etc.

City

Country

Province

Postal code

Phone

Delivery method

Standard

4-10 business days

$5.00

Express

2-5 business days

$16.00

Payment

Credit card

PayPal

eTransfer

Card number

Name on card

Expiration date (MM/YY)

CVC

Order summary

black t-shirt

Black

Medium

$32.00

Quantity

white t-shirt

White

Medium

$32.00

Quantity

Subtotal

$64.00

Shipping

$5.00

Taxes

$5.52

Total

$75.52