Guys help please

[mosxbee]

Guys I'm making a website, and i'd like to replace the checkout page with sum like this, all i need is name, phone number, and city. If anyone could show me how to do so I'd really appreciate it.
Thank you

[rajweb]

Hey @mosxbee ,

so will you like to send me you email so that I can message you so that we can discuss about this

Thanks

[mosxbee]

can u provide the solution here please?