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<head>
  <meta charset="utf-8">
  <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
  <title>Checkout Form</title>
  <link rel="stylesheet" href="css/style.css">
  <!--[if lt IE 9]><script src="//html5shim.googlecode.com/svn/trunk/html5.js"></script><![endif]-->
</head>
<body>
  <form class="checkout">
    <div class="checkout-header">
      <h1 class="checkout-title">
        Checkout
        <span class="checkout-price">$10</span>
      </h1>
    </div>
    <p>
      <input type="text" class="checkout-input checkout-name" placeholder="Your name" autofocus>
      <input type="text" class="checkout-input checkout-exp" placeholder="MM">
      <input type="text" class="checkout-input checkout-exp" placeholder="YY">
    </p>
    <p>
      <input type="text" class="checkout-input checkout-card" placeholder="4111 1111 1111 1111">
      <input type="text" class="checkout-input checkout-cvc" placeholder="CVC">
    </p>
    <p>
      <input type="submit" value="Purchase" class="checkout-btn">
    </p>
  </form>

  <div class="about">
    <p class="about-links">
      <a href="http://www.cssflow.com/snippets/checkout-form" target="_parent">View Article</a>
      <a href="http://www.cssflow.com/snippets/checkout-form.zip" target="_parent">Download</a>
    </p>
    <p class="about-author">
      &copy; 2013 <a href="http://thibaut.me" target="_blank">Thibaut Courouble</a> -
      <a href="http://www.cssflow.com/mit-license" target="_blank">MIT License</a><br>
      Original PSD by <a href="http://dribbble.com/shots/960330-Checkout-Form-PSD" target="_blank">Umar Irshad</a>
    </p>
  </div>
</body>
</html>