<input type="hidden" name="shiptophone" value="[% HTML.escape(shiptophone) %]">
<input type="hidden" name="shiptostreet" value="[% HTML.escape(shiptostreet) %]">
<input type="hidden" name="shiptozipcode" value="[% HTML.escape(shiptozipcode) %]">
<input type="hidden" name="shiptophone" value="[% HTML.escape(shiptophone) %]">
<input type="hidden" name="shiptostreet" value="[% HTML.escape(shiptostreet) %]">
<input type="hidden" name="shiptozipcode" value="[% HTML.escape(shiptozipcode) %]">