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Submitted URL: https://pureformen.smsb.co/8cJrjP
Effective URL: https://www.pureformen.com/7167385/checkouts/6922bf4e494bffaeaecf4425364d85bb
Submission: On February 18 via manual from CO — Scanned from DE
Effective URL: https://www.pureformen.com/7167385/checkouts/6922bf4e494bffaeaecf4425364d85bb
Submission: On February 18 via manual from CO — Scanned from DE
Form analysis 4 forms found in the DOM
POST https://payments.amazon.com/checkout/signin
<form action="https://payments.amazon.com/checkout/signin" method="post" accept-charset="utf-8"><button type="submit" class="kqsiVA9Jf8LJAbxw8Bau h7OYsWHrW5495r9beh2n IcgSIE7pEVZrlnAeRS6j cYVH7FBl1ZchXEbTxNla"><span class="Xrk_DudB6JJ3t2Kh2_cU">
Amazon Pay</span><span class="ElVMgDjOgshGFMIvg3se"><svg preserveAspectRatio="xMidYMid" class="qZgSr5RiiBCTAMfQYsty" style="height: 16px; width: 81.6px;">
<use xlink:href="#shopify-svg__payments-amazon-pay"></use>
</svg></span></button><input type="hidden" name="clientId" value="amzn1.application-oa2-client.431f25512eb249eab994e06bcda00456"><input type="hidden" name="merchantId" value="A394ZMWUNS8MT2"><input type="hidden" name="scope"
value="payments:widget payments:shipping_address"><input type="hidden" name="redirectURL" value="https://www.pureformen.com/7167385/amazon_payments/callback"><input type="hidden" name="sandbox" value="false"><input type="hidden"
name="isConnectedAuth" value="true"><input type="hidden" name="origin_url" value="https://www.pureformen.com"><input type="hidden" name="apst" value="iisVvBFREVh0k68FL6VNENsgsjOcgVbA%2BQybN83%2B6Q1m5%2FwnxSliXQ2CiTOK8VA%3D"><input type="hidden"
name="language" value="en-US"></form>POST /7167385/checkouts/6922bf4e494bffaeaecf4425364d85bb
<form data-customer-information-form="true" data-email-or-phone="false" class="edit_checkout animate-floating-labels" novalidate="novalidate" action="/7167385/checkouts/6922bf4e494bffaeaecf4425364d85bb" accept-charset="UTF-8" method="post"><input
type="hidden" name="_method" value="patch" autocomplete="off"><input type="hidden" name="authenticity_token" value="KUIaWubFTU7I4xzaoHiUSFIoy8gMLB34s_YLUsLa6iY76zVeE0sUysPC06rhi0PIFr1cQ29ETpZfQedlPrYEUw" autocomplete="off">
<input type="hidden" name="previous_step" id="previous_step" value="contact_information" autocomplete="off">
<input type="hidden" name="step" value="shipping_method" autocomplete="off">
<div class="step__sections">
<div class="section section--contact-information">
<div class="section__header">
<div class="layout-flex layout-flex--tight-vertical layout-flex--loose-horizontal layout-flex--wrap">
<h2 class="section__title layout-flex__item layout-flex__item--stretch" id="main-header" tabindex="-1"> Contact </h2>
<p class="layout-flex__item">
<span aria-hidden="true">Have an account?</span>
<a href="https://www.pureformen.com/account/login?checkout_url=https%3A%2F%2Fwww.pureformen.com%2F7167385%2Fcheckouts%2F6922bf4e494bffaeaecf4425364d85bb%3Fkey%3D029c1405a7688cacbb52cc4ba933f961%26step%3Dcontact_information">
<span class="visually-hidden">Have an account?</span>
Log in
</a>
</p>
</div>
</div>
<div class="section__content" data-section="customer-information" data-shopify-pay-validate-on-load="true">
<div class="fieldset">
<div data-shopify-pay-email-flow="true" class="field field--required field--active">
<div class="field__input-wrapper"><label class="field__label field__label--visible" for="checkout_email">Email</label>
<input placeholder="Email" autocapitalize="off" spellcheck="false" autocomplete="shipping email" data-shopify-pay-handle="true" data-autofocus="true" data-backup="customer_email" aria-describedby="checkout-context-step-one"
aria-required="true" class="field__input" size="30" type="email" name="checkout[email]" id="checkout_email">
</div>
</div>
</div>
<div class="fieldset-description" data-buyer-accepts-marketing="">
<div class="section__content">
<div class="checkbox-wrapper">
<div class="checkbox__input">
<input name="checkout[buyer_accepts_marketing]" type="hidden" value="0" autocomplete="off"><input class="input-checkbox" data-email-marketing="true" data-backup="buyer_accepts_marketing" type="checkbox" value="1" checked="checked"
name="checkout[buyer_accepts_marketing]" id="checkout_buyer_accepts_marketing">
</div>
<label class="checkbox__label" for="checkout_buyer_accepts_marketing"> Email me with news and offers </label>
</div>
</div>
</div>
</div>
</div>
<div class="section section--shipping-address" data-shipping-address="">
<div class="section__header">
<h2 class="section__title" id="section-delivery-title"> Shipping address </h2>
</div>
<div class="section__content">
<div class="fieldset">
<div class="address-fields" data-address-fields="">
<input class="visually-hidden" autocomplete="shipping given-name" tabindex="-1" aria-hidden="true" aria-label="no-label" data-autocomplete-field="first_name" data-honeypot="true" aria-required="true" size="30" type="text"
name="checkout[shipping_address][first_name]">
<input class="visually-hidden" autocomplete="shipping family-name" tabindex="-1" aria-hidden="true" aria-label="no-label" data-autocomplete-field="last_name" data-honeypot="true" aria-required="true" size="30" type="text"
name="checkout[shipping_address][last_name]">
<input class="visually-hidden" autocomplete="shipping address-line1" tabindex="-1" aria-hidden="true" aria-label="no-label" data-autocomplete-field="address1" data-honeypot="true" aria-required="true" size="30" type="text"
name="checkout[shipping_address][address1]">
<input class="visually-hidden" autocomplete="shipping address-line2" tabindex="-1" aria-hidden="true" aria-label="no-label" data-autocomplete-field="address2" data-honeypot="true" size="30" type="text"
name="checkout[shipping_address][address2]">
<input class="visually-hidden" autocomplete="shipping address-level2" tabindex="-1" aria-hidden="true" aria-label="no-label" data-autocomplete-field="city" data-honeypot="true" aria-required="true" size="30" type="text"
name="checkout[shipping_address][city]">
<input class="visually-hidden" autocomplete="shipping country" tabindex="-1" aria-hidden="true" aria-label="no-label" data-autocomplete-field="country" data-honeypot="true" aria-required="true" size="30" type="text"
name="checkout[shipping_address][country]">
<input class="visually-hidden" autocomplete="shipping address-level1" tabindex="-1" aria-hidden="true" aria-label="no-label" data-autocomplete-field="province" data-honeypot="true" aria-required="true" size="30" type="text"
name="checkout[shipping_address][province]">
<input class="visually-hidden" autocomplete="shipping postal-code" tabindex="-1" aria-hidden="true" aria-label="no-label" data-autocomplete-field="zip" data-honeypot="true" aria-required="true" size="30" type="text"
name="checkout[shipping_address][zip]">
<input class="visually-hidden" autocomplete="shipping tel" tabindex="-1" aria-hidden="true" aria-label="no-label" data-autocomplete-field="phone" data-honeypot="true" aria-required="true" size="30" type="text"
name="checkout[shipping_address][phone]">
<div class="field field--required field--show-floating-label" data-address-field="country" data-autocomplete-field-container="true">
<div class="field__input-wrapper field__input-wrapper--select"><label class="field__label field__label--visible" for="checkout_shipping_address_country">Country/region</label>
<select size="1" autocomplete="shipping country" data-backup="country" class="field__input field__input--select" aria-required="true" name="checkout[shipping_address][country]" id="checkout_shipping_address_country"
placeholder="Country/region">
<option data-code="US" data-pure-numeric-postal-code="false" value="United States">United States</option>
<option data-code="CA" data-pure-numeric-postal-code="false" value="Canada">Canada</option>
<option data-code="GB" data-pure-numeric-postal-code="false" value="United Kingdom">United Kingdom</option>
<option data-code="AU" data-pure-numeric-postal-code="true" value="Australia">Australia</option>
<option data-code="FR" data-pure-numeric-postal-code="true" value="France">France</option>
<option disabled="disabled" value="---">---</option>
<option data-code="AX" data-pure-numeric-postal-code="true" value="Aland Islands">Åland Islands</option>
<option data-code="AL" data-pure-numeric-postal-code="true" value="Albania">Albania</option>
<option data-code="DZ" data-pure-numeric-postal-code="true" value="Algeria">Algeria</option>
<option data-code="AD" data-pure-numeric-postal-code="false" value="Andorra">Andorra</option>
<option data-code="AO" data-pure-numeric-postal-code="false" value="Angola">Angola</option>
<option data-code="AI" data-pure-numeric-postal-code="false" value="Anguilla">Anguilla</option>
<option data-code="AG" data-pure-numeric-postal-code="false" value="Antigua And Barbuda">Antigua & Barbuda</option>
<option data-code="AR" data-pure-numeric-postal-code="false" value="Argentina">Argentina</option>
<option data-code="AM" data-pure-numeric-postal-code="true" value="Armenia">Armenia</option>
<option data-code="AW" data-pure-numeric-postal-code="false" value="Aruba">Aruba</option>
<option data-code="AU" data-pure-numeric-postal-code="true" value="Australia">Australia</option>
<option data-code="AT" data-pure-numeric-postal-code="false" value="Austria">Austria</option>
<option data-code="BS" data-pure-numeric-postal-code="false" value="Bahamas">Bahamas</option>
<option data-code="BH" data-pure-numeric-postal-code="true" value="Bahrain">Bahrain</option>
<option data-code="BD" data-pure-numeric-postal-code="true" value="Bangladesh">Bangladesh</option>
<option data-code="BB" data-pure-numeric-postal-code="false" value="Barbados">Barbados</option>
<option data-code="BE" data-pure-numeric-postal-code="true" value="Belgium">Belgium</option>
<option data-code="BZ" data-pure-numeric-postal-code="false" value="Belize">Belize</option>
<option data-code="BJ" data-pure-numeric-postal-code="false" value="Benin">Benin</option>
<option data-code="BM" data-pure-numeric-postal-code="false" value="Bermuda">Bermuda</option>
<option data-code="BT" data-pure-numeric-postal-code="false" value="Bhutan">Bhutan</option>
<option data-code="BO" data-pure-numeric-postal-code="false" value="Bolivia">Bolivia</option>
<option data-code="BA" data-pure-numeric-postal-code="true" value="Bosnia And Herzegovina">Bosnia & Herzegovina</option>
<option data-code="BW" data-pure-numeric-postal-code="false" value="Botswana">Botswana</option>
<option data-code="IO" data-pure-numeric-postal-code="false" value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option data-code="VG" data-pure-numeric-postal-code="false" value="Virgin Islands, British">British Virgin Islands</option>
<option data-code="BN" data-pure-numeric-postal-code="false" value="Brunei">Brunei</option>
<option data-code="BG" data-pure-numeric-postal-code="true" value="Bulgaria">Bulgaria</option>
<option data-code="BF" data-pure-numeric-postal-code="false" value="Burkina Faso">Burkina Faso</option>
<option data-code="KH" data-pure-numeric-postal-code="false" value="Cambodia">Cambodia</option>
<option data-code="CM" data-pure-numeric-postal-code="false" value="Republic of Cameroon">Cameroon</option>
<option data-code="CA" data-pure-numeric-postal-code="false" value="Canada">Canada</option>
<option data-code="CV" data-pure-numeric-postal-code="true" value="Cape Verde">Cape Verde</option>
<option data-code="KY" data-pure-numeric-postal-code="false" value="Cayman Islands">Cayman Islands</option>
<option data-code="TD" data-pure-numeric-postal-code="false" value="Chad">Chad</option>
<option data-code="CN" data-pure-numeric-postal-code="true" value="China">China</option>
<option data-code="CX" data-pure-numeric-postal-code="true" value="Christmas Island">Christmas Island</option>
<option data-code="CC" data-pure-numeric-postal-code="true" value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option data-code="KM" data-pure-numeric-postal-code="false" value="Comoros">Comoros</option>
<option data-code="CK" data-pure-numeric-postal-code="false" value="Cook Islands">Cook Islands</option>
<option data-code="CR" data-pure-numeric-postal-code="false" value="Costa Rica">Costa Rica</option>
<option data-code="HR" data-pure-numeric-postal-code="true" value="Croatia">Croatia</option>
<option data-code="CW" data-pure-numeric-postal-code="false" value="Curaçao">Curaçao</option>
<option data-code="CY" data-pure-numeric-postal-code="true" value="Cyprus">Cyprus</option>
<option data-code="CZ" data-pure-numeric-postal-code="false" value="Czech Republic">Czechia</option>
<option data-code="CI" data-pure-numeric-postal-code="false" value="Côte d'Ivoire">Côte d’Ivoire</option>
<option data-code="DK" data-pure-numeric-postal-code="true" value="Denmark">Denmark</option>
<option data-code="DJ" data-pure-numeric-postal-code="false" value="Djibouti">Djibouti</option>
<option data-code="DM" data-pure-numeric-postal-code="false" value="Dominica">Dominica</option>
<option data-code="DO" data-pure-numeric-postal-code="true" value="Dominican Republic">Dominican Republic</option>
<option data-code="EC" data-pure-numeric-postal-code="true" value="Ecuador">Ecuador</option>
<option data-code="EG" data-pure-numeric-postal-code="true" value="Egypt">Egypt</option>
<option data-code="SV" data-pure-numeric-postal-code="true" value="El Salvador">El Salvador</option>
<option data-code="GQ" data-pure-numeric-postal-code="false" value="Equatorial Guinea">Equatorial Guinea</option>
<option data-code="ER" data-pure-numeric-postal-code="false" value="Eritrea">Eritrea</option>
<option data-code="EE" data-pure-numeric-postal-code="true" value="Estonia">Estonia</option>
<option data-code="SZ" data-pure-numeric-postal-code="false" value="Eswatini">Eswatini</option>
<option data-code="ET" data-pure-numeric-postal-code="true" value="Ethiopia">Ethiopia</option>
<option data-code="FK" data-pure-numeric-postal-code="false" value="Falkland Islands (Malvinas)">Falkland Islands</option>
<option data-code="FO" data-pure-numeric-postal-code="true" value="Faroe Islands">Faroe Islands</option>
<option data-code="FJ" data-pure-numeric-postal-code="false" value="Fiji">Fiji</option>
<option data-code="FI" data-pure-numeric-postal-code="true" value="Finland">Finland</option>
<option data-code="FR" data-pure-numeric-postal-code="true" value="France">France</option>
<option data-code="GF" data-pure-numeric-postal-code="true" value="French Guiana">French Guiana</option>
<option data-code="PF" data-pure-numeric-postal-code="true" value="French Polynesia">French Polynesia</option>
<option data-code="TF" data-pure-numeric-postal-code="false" value="French Southern Territories">French Southern Territories</option>
<option data-code="GA" data-pure-numeric-postal-code="false" value="Gabon">Gabon</option>
<option data-code="GM" data-pure-numeric-postal-code="false" value="Gambia">Gambia</option>
<option data-code="GE" data-pure-numeric-postal-code="true" value="Georgia">Georgia</option>
<option data-code="DE" data-pure-numeric-postal-code="true" selected="selected" value="Germany">Germany</option>
<option data-code="GH" data-pure-numeric-postal-code="false" value="Ghana">Ghana</option>
<option data-code="GI" data-pure-numeric-postal-code="false" value="Gibraltar">Gibraltar</option>
<option data-code="GR" data-pure-numeric-postal-code="false" value="Greece">Greece</option>
<option data-code="GL" data-pure-numeric-postal-code="true" value="Greenland">Greenland</option>
<option data-code="GD" data-pure-numeric-postal-code="false" value="Grenada">Grenada</option>
<option data-code="GP" data-pure-numeric-postal-code="true" value="Guadeloupe">Guadeloupe</option>
<option data-code="GT" data-pure-numeric-postal-code="true" value="Guatemala">Guatemala</option>
<option data-code="GN" data-pure-numeric-postal-code="true" value="Guinea">Guinea</option>
<option data-code="GW" data-pure-numeric-postal-code="true" value="Guinea Bissau">Guinea-Bissau</option>
<option data-code="GY" data-pure-numeric-postal-code="false" value="Guyana">Guyana</option>
<option data-code="HT" data-pure-numeric-postal-code="true" value="Haiti">Haiti</option>
<option data-code="HN" data-pure-numeric-postal-code="false" value="Honduras">Honduras</option>
<option data-code="HK" data-pure-numeric-postal-code="false" value="Hong Kong">Hong Kong SAR</option>
<option data-code="HU" data-pure-numeric-postal-code="true" value="Hungary">Hungary</option>
<option data-code="IS" data-pure-numeric-postal-code="true" value="Iceland">Iceland</option>
<option data-code="IN" data-pure-numeric-postal-code="true" value="India">India</option>
<option data-code="ID" data-pure-numeric-postal-code="true" value="Indonesia">Indonesia</option>
<option data-code="IE" data-pure-numeric-postal-code="false" value="Ireland">Ireland</option>
<option data-code="IM" data-pure-numeric-postal-code="false" value="Isle Of Man">Isle of Man</option>
<option data-code="IL" data-pure-numeric-postal-code="true" value="Israel">Israel</option>
<option data-code="IT" data-pure-numeric-postal-code="false" value="Italy">Italy</option>
<option data-code="JM" data-pure-numeric-postal-code="true" value="Jamaica">Jamaica</option>
<option data-code="JP" data-pure-numeric-postal-code="false" value="Japan">Japan</option>
<option data-code="KE" data-pure-numeric-postal-code="true" value="Kenya">Kenya</option>
<option data-code="KI" data-pure-numeric-postal-code="false" value="Kiribati">Kiribati</option>
<option data-code="XK" data-pure-numeric-postal-code="true" value="Kosovo">Kosovo</option>
<option data-code="LV" data-pure-numeric-postal-code="false" value="Latvia">Latvia</option>
<option data-code="LS" data-pure-numeric-postal-code="true" value="Lesotho">Lesotho</option>
<option data-code="LR" data-pure-numeric-postal-code="true" value="Liberia">Liberia</option>
<option data-code="LI" data-pure-numeric-postal-code="true" value="Liechtenstein">Liechtenstein</option>
<option data-code="LT" data-pure-numeric-postal-code="true" value="Lithuania">Lithuania</option>
<option data-code="LU" data-pure-numeric-postal-code="true" value="Luxembourg">Luxembourg</option>
<option data-code="MO" data-pure-numeric-postal-code="false" value="Macao">Macao SAR</option>
<option data-code="MG" data-pure-numeric-postal-code="true" value="Madagascar">Madagascar</option>
<option data-code="MW" data-pure-numeric-postal-code="true" value="Malawi">Malawi</option>
<option data-code="MY" data-pure-numeric-postal-code="true" value="Malaysia">Malaysia</option>
<option data-code="MV" data-pure-numeric-postal-code="true" value="Maldives">Maldives</option>
<option data-code="ML" data-pure-numeric-postal-code="false" value="Mali">Mali</option>
<option data-code="MT" data-pure-numeric-postal-code="false" value="Malta">Malta</option>
<option data-code="MQ" data-pure-numeric-postal-code="true" value="Martinique">Martinique</option>
<option data-code="MR" data-pure-numeric-postal-code="false" value="Mauritania">Mauritania</option>
<option data-code="MU" data-pure-numeric-postal-code="false" value="Mauritius">Mauritius</option>
<option data-code="YT" data-pure-numeric-postal-code="true" value="Mayotte">Mayotte</option>
<option data-code="MD" data-pure-numeric-postal-code="false" value="Moldova, Republic of">Moldova</option>
<option data-code="MC" data-pure-numeric-postal-code="true" value="Monaco">Monaco</option>
<option data-code="MN" data-pure-numeric-postal-code="true" value="Mongolia">Mongolia</option>
<option data-code="ME" data-pure-numeric-postal-code="true" value="Montenegro">Montenegro</option>
<option data-code="MS" data-pure-numeric-postal-code="false" value="Montserrat">Montserrat</option>
<option data-code="MA" data-pure-numeric-postal-code="true" value="Morocco">Morocco</option>
<option data-code="MZ" data-pure-numeric-postal-code="true" value="Mozambique">Mozambique</option>
<option data-code="MM" data-pure-numeric-postal-code="true" value="Myanmar">Myanmar (Burma)</option>
<option data-code="NA" data-pure-numeric-postal-code="true" value="Namibia">Namibia</option>
<option data-code="NR" data-pure-numeric-postal-code="false" value="Nauru">Nauru</option>
<option data-code="NP" data-pure-numeric-postal-code="true" value="Nepal">Nepal</option>
<option data-code="NL" data-pure-numeric-postal-code="false" value="Netherlands">Netherlands</option>
<option data-code="NC" data-pure-numeric-postal-code="true" value="New Caledonia">New Caledonia</option>
<option data-code="NZ" data-pure-numeric-postal-code="true" value="New Zealand">New Zealand</option>
<option data-code="NI" data-pure-numeric-postal-code="true" value="Nicaragua">Nicaragua</option>
<option data-code="NE" data-pure-numeric-postal-code="true" value="Niger">Niger</option>
<option data-code="NG" data-pure-numeric-postal-code="true" value="Nigeria">Nigeria</option>
<option data-code="NU" data-pure-numeric-postal-code="false" value="Niue">Niue</option>
<option data-code="NF" data-pure-numeric-postal-code="true" value="Norfolk Island">Norfolk Island</option>
<option data-code="NO" data-pure-numeric-postal-code="true" value="Norway">Norway</option>
<option data-code="PA" data-pure-numeric-postal-code="true" value="Panama">Panama</option>
<option data-code="PG" data-pure-numeric-postal-code="true" value="Papua New Guinea">Papua New Guinea</option>
<option data-code="PY" data-pure-numeric-postal-code="true" value="Paraguay">Paraguay</option>
<option data-code="PH" data-pure-numeric-postal-code="true" value="Philippines">Philippines</option>
<option data-code="PN" data-pure-numeric-postal-code="false" value="Pitcairn">Pitcairn Islands</option>
<option data-code="PL" data-pure-numeric-postal-code="false" value="Poland">Poland</option>
<option data-code="PT" data-pure-numeric-postal-code="false" value="Portugal">Portugal</option>
<option data-code="QA" data-pure-numeric-postal-code="false" value="Qatar">Qatar</option>
<option data-code="RE" data-pure-numeric-postal-code="true" value="Reunion">Réunion</option>
<option data-code="RO" data-pure-numeric-postal-code="true" value="Romania">Romania</option>
<option data-code="RW" data-pure-numeric-postal-code="false" value="Rwanda">Rwanda</option>
<option data-code="WS" data-pure-numeric-postal-code="false" value="Samoa">Samoa</option>
<option data-code="SM" data-pure-numeric-postal-code="true" value="San Marino">San Marino</option>
<option data-code="ST" data-pure-numeric-postal-code="false" value="Sao Tome And Principe">São Tomé & Príncipe</option>
<option data-code="SA" data-pure-numeric-postal-code="false" value="Saudi Arabia">Saudi Arabia</option>
<option data-code="SN" data-pure-numeric-postal-code="true" value="Senegal">Senegal</option>
<option data-code="RS" data-pure-numeric-postal-code="true" value="Serbia">Serbia</option>
<option data-code="SC" data-pure-numeric-postal-code="false" value="Seychelles">Seychelles</option>
<option data-code="SL" data-pure-numeric-postal-code="false" value="Sierra Leone">Sierra Leone</option>
<option data-code="SG" data-pure-numeric-postal-code="true" value="Singapore">Singapore</option>
<option data-code="SX" data-pure-numeric-postal-code="false" value="Sint Maarten">Sint Maarten</option>
<option data-code="SK" data-pure-numeric-postal-code="false" value="Slovakia">Slovakia</option>
<option data-code="SI" data-pure-numeric-postal-code="true" value="Slovenia">Slovenia</option>
<option data-code="SB" data-pure-numeric-postal-code="false" value="Solomon Islands">Solomon Islands</option>
<option data-code="ZA" data-pure-numeric-postal-code="true" value="South Africa">South Africa</option>
<option data-code="GS" data-pure-numeric-postal-code="false" value="South Georgia And The South Sandwich Islands">South Georgia & South Sandwich Islands</option>
<option data-code="KR" data-pure-numeric-postal-code="false" value="South Korea">South Korea</option>
<option data-code="SS" data-pure-numeric-postal-code="false" value="South Sudan">South Sudan</option>
<option data-code="ES" data-pure-numeric-postal-code="true" value="Spain">Spain</option>
<option data-code="LK" data-pure-numeric-postal-code="true" value="Sri Lanka">Sri Lanka</option>
<option data-code="BL" data-pure-numeric-postal-code="true" value="Saint Barthélemy">St. Barthélemy</option>
<option data-code="SH" data-pure-numeric-postal-code="false" value="Saint Helena">St. Helena</option>
<option data-code="KN" data-pure-numeric-postal-code="false" value="Saint Kitts And Nevis">St. Kitts & Nevis</option>
<option data-code="LC" data-pure-numeric-postal-code="false" value="Saint Lucia">St. Lucia</option>
<option data-code="MF" data-pure-numeric-postal-code="true" value="Saint Martin">St. Martin</option>
<option data-code="PM" data-pure-numeric-postal-code="true" value="Saint Pierre And Miquelon">St. Pierre & Miquelon</option>
<option data-code="VC" data-pure-numeric-postal-code="false" value="St. Vincent">St. Vincent & Grenadines</option>
<option data-code="SR" data-pure-numeric-postal-code="false" value="Suriname">Suriname</option>
<option data-code="SJ" data-pure-numeric-postal-code="true" value="Svalbard And Jan Mayen">Svalbard & Jan Mayen</option>
<option data-code="SE" data-pure-numeric-postal-code="false" value="Sweden">Sweden</option>
<option data-code="CH" data-pure-numeric-postal-code="false" value="Switzerland">Switzerland</option>
<option data-code="TW" data-pure-numeric-postal-code="true" value="Taiwan">Taiwan</option>
<option data-code="TJ" data-pure-numeric-postal-code="true" value="Tajikistan">Tajikistan</option>
<option data-code="TZ" data-pure-numeric-postal-code="true" value="Tanzania, United Republic Of">Tanzania</option>
<option data-code="TH" data-pure-numeric-postal-code="false" value="Thailand">Thailand</option>
<option data-code="TL" data-pure-numeric-postal-code="false" value="Timor Leste">Timor-Leste</option>
<option data-code="TG" data-pure-numeric-postal-code="false" value="Togo">Togo</option>
<option data-code="TK" data-pure-numeric-postal-code="false" value="Tokelau">Tokelau</option>
<option data-code="TO" data-pure-numeric-postal-code="false" value="Tonga">Tonga</option>
<option data-code="TT" data-pure-numeric-postal-code="true" value="Trinidad and Tobago">Trinidad & Tobago</option>
<option data-code="TN" data-pure-numeric-postal-code="true" value="Tunisia">Tunisia</option>
<option data-code="TR" data-pure-numeric-postal-code="true" value="Turkey">Türkiye</option>
<option data-code="TM" data-pure-numeric-postal-code="true" value="Turkmenistan">Turkmenistan</option>
<option data-code="TC" data-pure-numeric-postal-code="false" value="Turks and Caicos Islands">Turks & Caicos Islands</option>
<option data-code="TV" data-pure-numeric-postal-code="false" value="Tuvalu">Tuvalu</option>
<option data-code="UM" data-pure-numeric-postal-code="true" value="United States Minor Outlying Islands">U.S. Outlying Islands</option>
<option data-code="UG" data-pure-numeric-postal-code="false" value="Uganda">Uganda</option>
<option data-code="AE" data-pure-numeric-postal-code="false" value="United Arab Emirates">United Arab Emirates</option>
<option data-code="GB" data-pure-numeric-postal-code="false" value="United Kingdom">United Kingdom</option>
<option data-code="US" data-pure-numeric-postal-code="false" value="United States">United States</option>
<option data-code="UY" data-pure-numeric-postal-code="true" value="Uruguay">Uruguay</option>
<option data-code="UZ" data-pure-numeric-postal-code="true" value="Uzbekistan">Uzbekistan</option>
<option data-code="VU" data-pure-numeric-postal-code="false" value="Vanuatu">Vanuatu</option>
<option data-code="VA" data-pure-numeric-postal-code="true" value="Holy See (Vatican City State)">Vatican City</option>
<option data-code="VN" data-pure-numeric-postal-code="true" value="Vietnam">Vietnam</option>
<option data-code="WF" data-pure-numeric-postal-code="true" value="Wallis And Futuna">Wallis & Futuna</option>
<option data-code="EH" data-pure-numeric-postal-code="false" value="Western Sahara">Western Sahara</option>
<option data-code="ZM" data-pure-numeric-postal-code="true" value="Zambia">Zambia</option>
</select>
<div class="field__caret">
<svg class="icon-svg icon-svg--color-adaptive-lighter icon-svg--size-10 field__caret-svg" role="presentation" aria-hidden="true" focusable="false">
<use xlink:href="#caret-down"></use>
</svg>
</div>
</div>
</div>
<div class="field--third field field--required hidden" data-address-field="province" data-autocomplete-field-container="true">
<div class="field__input-wrapper field__input-wrapper--select"><label class="field__label field__label--visible" for="checkout_shipping_address_province">Region</label>
<input placeholder="Region" autocomplete="shipping address-level1" autocorrect="off" data-backup="province" class="field__input" aria-required="true" type="text" name="checkout[shipping_address][province]"
id="checkout_shipping_address_province" disabled="disabled" hidden="hidden">
<div class="field__caret shown-if-js">
<svg class="icon-svg icon-svg--color-adaptive-lighter icon-svg--size-10 field__caret-svg" role="presentation" aria-hidden="true" focusable="false">
<use xlink:href="#caret-down"></use>
</svg>
</div>
</div>
</div>
<div class="field field--required field--half" data-address-field="first_name">
<div class="field__input-wrapper"><label class="field__label field__label--visible" for="checkout_shipping_address_first_name">First name</label>
<input placeholder="First name" autocomplete="shipping given-name" autocorrect="off" data-backup="first_name" class="field__input" aria-required="true" size="30" type="text" name="checkout[shipping_address][first_name]"
id="checkout_shipping_address_first_name">
</div>
</div>
<div class="field field--required field--half" data-address-field="last_name">
<div class="field__input-wrapper"><label class="field__label field__label--visible" for="checkout_shipping_address_last_name">Last name</label>
<input placeholder="Last name" autocomplete="shipping family-name" autocorrect="off" data-backup="last_name" class="field__input" aria-required="true" size="30" type="text" name="checkout[shipping_address][last_name]"
id="checkout_shipping_address_last_name">
</div>
</div>
<div data-address-field="address1" data-autocomplete-field-container="true" class="field field--required">
<div class="field__input-wrapper"><label class="field__label field__label--visible" for="checkout_shipping_address_address1">Street and house number</label>
<input placeholder="Street and house number" autocomplete="shipping address-line1" autocorrect="off" data-backup="address1" class="field__input" aria-required="true" size="30" type="text" name="checkout[shipping_address][address1]"
id="checkout_shipping_address_address1">
<p class="field__additional-info visually-hidden" data-address-civic-number-warning="">
<svg class="icon-svg icon-svg--size-16 field__message__icon" aria-hidden="true" focusable="false">
<use xlink:href="#info"></use>
</svg> Add a house number if you have one
</p>
</div>
</div>
<div data-address-field="address2" data-autocomplete-field-container="true" class="field field--optional">
<div class="field__input-wrapper"><label class="field__label field__label--visible" for="checkout_shipping_address_address2">Additional address (optional)</label>
<input placeholder="Additional address (optional)" autocomplete="shipping address-line2" autocorrect="off" data-backup="address2" class="field__input" size="30" type="text" name="checkout[shipping_address][address2]"
id="checkout_shipping_address_address2">
</div>
</div>
<div class="field field--required field--half" data-address-field="zip" data-autocomplete-field-container="true">
<div class="field__input-wrapper"><label class="field__label field__label--visible" for="checkout_shipping_address_zip">Postal code</label>
<input placeholder="Postal code" autocomplete="shipping postal-code" autocorrect="off" data-backup="zip" class="field__input field__input--zip" aria-required="true" size="30" type="text" name="checkout[shipping_address][zip]"
id="checkout_shipping_address_zip">
</div>
</div>
<div data-address-field="city" data-autocomplete-field-container="true" class="field field--required field--half">
<div class="field__input-wrapper"><label class="field__label field__label--visible" for="checkout_shipping_address_city">City</label>
<input placeholder="City" autocomplete="shipping address-level2" autocorrect="off" data-backup="city" class="field__input" aria-required="true" size="30" type="text" name="checkout[shipping_address][city]"
id="checkout_shipping_address_city">
</div>
</div>
<div data-address-field="phone" class="field field--required">
<div class="field__input-wrapper field__input-wrapper--icon-right"><label class="field__label field__label--visible" for="checkout_shipping_address_phone">Phone</label>
<input placeholder="Phone" autocomplete="shipping tel" autocorrect="off" data-backup="phone" data-phone-formatter="true" data-phone-formatter-country-select="[name='checkout[shipping_address][country]']"
data-placeholder-label-required="Phone" data-placeholder-label-optional="Phone (optional)" class="field__input field__input--numeric" aria-required="true" size="30" type="tel" name="checkout[shipping_address][phone]"
id="checkout_shipping_address_phone">
<div class="field__icon">
<div data-tooltip="true" id="phone_tooltip" class="tooltip-container"><button type="button" class="tooltip-control" data-tooltip-control="true" aria-label="More information" aria-describedby="tooltip-for-phone"
aria-controls="tooltip-for-phone" aria-pressed="false" placeholder="Phone"><svg class="icon-svg icon-svg--color-adaptive-lighter icon-svg--size-16 icon-svg--block icon-svg--center" role="presentation" aria-hidden="true"
focusable="false">
<use xlink:href="#question"></use>
</svg></button><span class="tooltip" role="tooltip" id="tooltip-for-phone">In case we need to contact you about your order</span></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="step__footer" data-step-footer="">
<button name="button" type="submit" id="continue_button" class="step__footer__continue-btn btn" aria-busy="false"><span class="btn__content" data-continue-button-content="true">Continue to shipping</span><svg
class="icon-svg icon-svg--size-18 btn__spinner icon-svg--spinner-button" aria-hidden="true" focusable="false">
<use xlink:href="#spinner-button"></use>
</svg></button>
<a class="step__footer__previous-link" href="https://www.pureformen.com/cart"><svg focusable="false" aria-hidden="true" class="icon-svg icon-svg--color-accent icon-svg--size-10 previous-link__icon" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 10 10"><path d="M8 1L7 0 3 4 2 5l1 1 4 4 1-1-4-4"></path></svg><span class="step__footer__previous-link-content">Return to cart</span></a>
</div>
<input type="hidden" name="checkout[client_details][browser_width]" value="1600"><input type="hidden" name="checkout[client_details][browser_height]" value="1200"><input type="hidden" name="checkout[client_details][javascript_enabled]"
value="1"><input type="hidden" name="checkout[client_details][color_depth]" value="24"><input type="hidden" name="checkout[client_details][java_enabled]" value="false"><input type="hidden" name="checkout[client_details][browser_tz]" value="-60">
</form>POST /7167385/checkouts/6922bf4e494bffaeaecf4425364d85bb
<form class="edit_checkout animate-floating-labels" action="/7167385/checkouts/6922bf4e494bffaeaecf4425364d85bb" accept-charset="UTF-8" method="post"><input type="hidden" name="_method" value="patch" autocomplete="off"><input type="hidden"
name="authenticity_token" value="canoXgCuIWaPkoBfNwz_aYIt4hUh3c1vn7oKJ-Tm65hjAMda9SB44oSzTy92_yjpxrh1nkK1ngFzDeYQGIoF7Q" autocomplete="off">
<input type="hidden" name="step" value="contact_information" autocomplete="off">
<input type="hidden" name="checkout[client_details][browser_width]" value="1600"><input type="hidden" name="checkout[client_details][browser_height]" value="1200"><input type="hidden" name="checkout[client_details][javascript_enabled]"
value="1"><input type="hidden" name="checkout[client_details][color_depth]" value="24"><input type="hidden" name="checkout[client_details][java_enabled]" value="false"><input type="hidden" name="checkout[client_details][browser_tz]" value="-60">
</form>POST /7167385/checkouts/6922bf4e494bffaeaecf4425364d85bb
<form class="edit_checkout animate-floating-labels" action="/7167385/checkouts/6922bf4e494bffaeaecf4425364d85bb" accept-charset="UTF-8" method="post"><input type="hidden" name="_method" value="patch" autocomplete="off"><input type="hidden"
name="authenticity_token" value="wf7hTGj3TGqQR1VVeJd8Ann_s6p8FhkltaGWCbAwbSnTV85InXkV7ptmmiU5ZKuCPWokIR9-SktZFno-TFyDXA" autocomplete="off">
<input type="hidden" name="step" value="contact_information" autocomplete="off">
<div class="fieldset">
<div class="field">
<div class="field__input-btn-wrapper">
<div class="field__input-wrapper"><label class="field__label field__label--visible" for="checkout_reduction_code">Discount code or gift card</label>
<input placeholder="Discount code or gift card" class="field__input" id="checkout_reduction_code" data-discount-field="true" autocomplete="off" aria-required="true" size="30" type="text" name="checkout[reduction_code]">
</div>
<button name="checkout[submit]" type="submit" id="checkout_submit" class="field__input-btn btn btn--disabled" aria-busy="false" disabled="disabled">
<span class="btn__content visually-hidden-on-mobile" aria-hidden="true"> Apply </span>
<span class="visually-hidden"> Apply Discount Code </span>
<svg class="icon-svg icon-svg--size-16 btn__icon shown-on-mobile" aria-hidden="true" focusable="false">
<use xlink:href="#arrow"></use>
</svg>
<svg class="icon-svg icon-svg--size-18 btn__spinner icon-svg--spinner-button" aria-hidden="true" focusable="false">
<use xlink:href="#spinner-button"></use>
</svg>
</button>
</div>
</div>
</div>
<input type="hidden" name="checkout[client_details][browser_width]" value="1600"><input type="hidden" name="checkout[client_details][browser_height]" value="1200"><input type="hidden" name="checkout[client_details][javascript_enabled]"
value="1"><input type="hidden" name="checkout[client_details][color_depth]" value="24"><input type="hidden" name="checkout[client_details][java_enabled]" value="false"><input type="hidden" name="checkout[client_details][browser_tz]" value="-60">
</form>Text Content
Skip to content Pure for Men INFORMATION Show order summary Hide order summary Sale price $56.98 Pure for Men INFORMATION 1. Cart 2. Information 3. Shipping 4. Payment EXPRESS CHECKOUT * ShopPay * Amazon Pay * * GooglePay OR CONTACT Have an account? Have an account? Log in Email Email me with news and offers SHIPPING ADDRESS Country/region United States Canada United Kingdom Australia France --- Åland Islands Albania Algeria Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Cambodia Cameroon Canada Cape Verde Cayman Islands Chad China Christmas Island Cocos (Keeling) Islands Comoros Cook Islands Costa Rica Croatia Curaçao Cyprus Czechia Côte d’Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Isle of Man Israel Italy Jamaica Japan Kenya Kiribati Kosovo Latvia Lesotho Liberia Liechtenstein Lithuania Luxembourg Macao SAR Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mayotte Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Panama Papua New Guinea Paraguay Philippines Pitcairn Islands Poland Portugal Qatar Réunion Romania Rwanda Samoa San Marino São Tomé & Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands South Africa South Georgia & South Sandwich Islands South Korea South Sudan Spain Sri Lanka St. Barthélemy St. Helena St. Kitts & Nevis St. Lucia St. Martin St. Pierre & Miquelon St. Vincent & Grenadines Suriname Svalbard & Jan Mayen Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tunisia Türkiye Turkmenistan Turks & Caicos Islands Tuvalu U.S. Outlying Islands Uganda United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Vietnam Wallis & Futuna Western Sahara Zambia Region First name Last name Street and house number Add a house number if you have one Additional address (optional) Postal code City Phone In case we need to contact you about your order Continue to shipping Return to cart Opens external website in a new window. Opens in a new window. Opens external website. Order details - Pure for Men - Checkout * Refund policy * Shipping policy * Privacy policy * Terms of service * Subscription policy * Contact information Pure for Men INFORMATION ORDER SUMMARY Shopping cart Product image Description Quantity Price 1 Bum Balm 1 $26.99 1 Stay Ready Fiber Capsules 120 Capsules 1 $29.99 Scroll for more items DISCOUNT CODE OR GIFT CARD Discount code or gift card Apply Apply Discount Code Cost summary Description Price Subtotal $56.98 Shipping Shipping costs Calculated at next step Estimated taxes $0.00 Total USD $56.98 Updated total price: $56.98