chrome/test/data/autofill/heuristics/input/11_register_livejournal.com.html

   1 <html xmlns="http://www.w3.org/1999/xhtml" lang="en" xml:lang="en">
   2 <!--Form Location: https://www.livejournal.com/create.bml-->
   3 <head>
   4 <meta http-equiv="X-UA-Compatible" content="IE=EmulateIE7; IE=EmulateIE9">
   5
   6
   7 <title>Join LiveJournal</title>
   8 </head>
   9 <body class="logged-out">
  10     <div id="big-content-wrapper">
  11     <div id="content">
  12
  13
  14
  15
  16 <form method="POST">
  17 <input type="hidden" name="lj_form_auth" value="c0:1307415600:298:86400:nGwI3rWbYJ-0-odFZQxfRXvKiqke:0d2c361027511bd20ff670febbe70edf">
  18 <div id="tips_box_arrow">
  19 </div>
  20 <div id="tips_box">
  21 </div>
  22 <table class="create-form" cellspacing="0" cellpadding="3">
  23 <tr>
  24 <td class="field-name">Username:</td>
  25 <td>
  26 <input type="text" maxlength="16" value="" name="Widget[CreateAccount]_user" id="create_user" size="15" style="background: url(/img/userinfo.gif) no-repeat; background-color: #fff; background-position: 0px 1px; padding-left: 18px; color: #00C; font-weight: bold;">
  27 <img id="username_check" src="#" alt="Username available" title="Username available">
  28 <span id="username_error">
  29 <br>
  30 <span id="username_error_inner" class="formitemFlag">
  31 </span>
  32 </span>
  33 </td>
  34 </tr>
  35 <tr>
  36 <td class="field-name">Email Address:</td>
  37 <td>
  38 <input type="text" maxlength="50" value="" name="Widget[CreateAccount]_email" id="create_email" size="28">
  39 </td>
  40 </tr>
  41 <tr>
  42 <td class="field-name">Password:</td>
  43 <td>
  44 <input type="password" maxlength="31" value="" name="Widget[CreateAccount]_password1" id="create_password1" size="28">
  45 </td>
  46 </tr>
  47 <tr>
  48 <td class="field-name">Confirm Password:</td>
  49 <td>
  50 <input type="password" maxlength="31" value="" name="Widget[CreateAccount]_password2" id="create_password2" size="28">
  51 </td>
  52 </tr>
  53 <tr>
  54 <td class="field-name">Gender:</td>
  55 <td>
  56 <select name="Widget[CreateAccount]_gender" id="create_gender">
  57 <option value="" selected>
  58 </option>
  59 <option value="M">Male</option>
  60 <option value="F">Female</option>
  61 <option value="U">Unspecified/Other</option>
  62 </select>
  63 </td>
  64 </tr>
  65 <tr>
  66 <td class="field-name">Birthdate:</td>
  67 <td>
  68 <select name="Widget[CreateAccount]_bday_mm" class="select" id="create_bday_mm">
  69 <option value="1">January</option>
  70 <option value="2">February</option>
  71 <option value="3">March</option>
  72 <option value="4">April</option>
  73 <option value="5">May</option>
  74 <option value="6">June</option>
  75 <option value="7">July</option>
  76 <option value="8">August</option>
  77 <option value="9">September</option>
  78 <option value="10">October</option>
  79 <option value="11">November</option>
  80 <option value="12">December</option>
  81 </select>
  82 <input type="text" maxlength="2" value="" name="Widget[CreateAccount]_bday_dd" class="text" id="create_bday_dd" size="2">
  83 <input type="text" maxlength="4" value="" name="Widget[CreateAccount]_bday_yyyy" class="text" id="create_bday_yyyy" size="4">
  84 </td>
  85 </tr>
  86 <tr valign="top">
  87 <td class="field-name">Prove you're human:</td>
  88 <td>
  89 <noscript>
  90 <iframe frameborder="0" height="300" src="about:blank" width="500">
  91 </iframe>
  92 <textarea cols="40" name="recaptcha_challenge_field" rows="3">
  93 </textarea>
  94 <input name="recaptcha_response_field" type="hidden" value="manual_challenge">
  95 </noscript>
  96 </td>
  97 </tr>
  98 <tr valign="top">
  99 <td class="field-name">&#160;</td>
 100 <td>
 101 <input type="checkbox" checked value="1" name="Widget[CreateAccount]_news" id="create_news">
 102 <label for="create_news">
 103             Yes, send me LiveJournal announcements via email.
 104         </label>
 105         </td>
 106 </tr>
 107 <tr valign="top">
 108 <td class="field-name">&#160;</td>
 109 <td>
 110 <p class="tos-blurb">By creating a LiveJournal account, you agree to our <a href="http://www.livejournal.com/legal/tos.bml">Terms of Service</a> and <a href="http://www.livejournal.com/legal/privacy.bml">Privacy Policy</a>.</p>
 111 </td>
 112 </tr>
 113 <tr valign="top">
 114 <td class="field-name">&#160;</td>
 115 <td>
 116 <input type="submit" name="Widget[CreateAccount]_submit" value="Create Account" class="create-button">
 117 </td>
 118 </tr>
 119 </table>
 120 </form>
 121
 122
 123
 124
 125 </body>
 126 </html>