chrome/test/data/autofill/heuristics/input/15_crbug_40687.html

   1 <!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN">
   2 <!-- https://secure.kneedraggers.com/cart/ -->
   3 <html>
   4   <head>
   5     <title></title>
   6   </head>
   7   <body>
   8     <form method="post" name="cart" id="cart_form" action="https://secure.kneedraggers.com/cart/">
   9       <div>
  10         <table border="0">
  11           <tbody>
  12             <tr>
  13               <td>
  14                 <div>
  15                   Your Billing Address:
  16                 </div><!--*******************************-->
  17                 <div>
  18                   <div>
  19                     <span>First Name</span>
  20                   </div>
  21                   <div>
  22                     <input maxlength="30" name="user[billing][firstname]" value="" id="BILL_FIRSTNAME">
  23                   </div>
  24                   <div></div>
  25                 </div><!--*******************************-->
  26                 <div>
  27                   <div>
  28                     <span>Last Name</span>
  29                   </div>
  30                   <div>
  31                     <input maxlength="30" name="user[billing][lastname]" value="" id="BILL_LASTNAME">
  32                   </div>
  33                   <div></div>
  34                 </div><!--*******************************-->
  35                 <div>
  36                   <div>
  37                     <span>Billing Address</span>
  38                   </div>
  39                   <div>
  40                     <input maxlength="35" name="user[billing][address_first]" value="" id="BILL_ADDRESS1">
  41                   </div>
  42                   <div></div>
  43                 </div><!--*******************************-->
  44                 <div>
  45                   <div>
  46                     <span>Billing Suite/Apt #</span>
  47                   </div>
  48                   <div>
  49                     <input maxlength="35" name="user[billing][address_second]" value="" id="BILL_ADDRESS2">
  50                   </div>
  51                   <div></div>
  52                 </div><!--*******************************-->
  53                 <div>
  54                   <div>
  55                     <span>Billing City</span>
  56                   </div>
  57                   <div>
  58                     <input maxlength="30" name="user[billing][city]" value="" id="BILL_CITY">
  59                   </div>
  60                   <div></div>
  61                 </div><!--*******************************-->
  62                 <div>
  63                   <div>
  64                     <span>State/Province</span>
  65                   </div>
  66                   <div>
  67                     <select name="user[billing][state]" disabled="disabled" id="SHIP_STATE">
  68                       <option value="">
  69                         Select State
  70                       </option>
  71                       <option>
  72                         --- Armed Forces ---
  73                       </option>
  74                       <option value="APO AA">
  75                         AA - Military
  76                       </option>
  77                       <option value="APO AE">
  78                         AE - Military
  79                       </option>
  80                       <option value="APO AP">
  81                         AP - Military
  82                       </option>
  83                       <option>
  84                         --- United States ---
  85                       </option>
  86                       <option value="AK">
  87                         Alaska
  88                       </option>
  89                       <option value="AL">
  90                         Alabama
  91                       </option>
  92                       <option value="AR">
  93                         Arkansas
  94                       </option>
  95                       <option value="AZ">
  96                         Arizona
  97                       </option>
  98                       <option value="CA" selected>
  99                         California
 100                       </option>
 101                       <option value="CO">
 102                         Colorado
 103                       </option>
 104                       <option value="CT">
 105                         Connecticut
 106                       </option>
 107                       <option value="DC">
 108                         District of Columbia
 109                       </option>
 110                       <option value="DE">
 111                         Delaware
 112                       </option>
 113                       <option value="FL">
 114                         Florida
 115                       </option>
 116                       <option value="GA">
 117                         Georgia
 118                       </option>
 119                       <option value="HI">
 120                         Hawaii
 121                       </option>
 122                       <option value="IA">
 123                         Iowa
 124                       </option>
 125                       <option value="ID">
 126                         Idaho
 127                       </option>
 128                       <option value="IL">
 129                         Illinois
 130                       </option>
 131                       <option value="IN">
 132                         Indiana
 133                       </option>
 134                       <option value="KS">
 135                         Kansas
 136                       </option>
 137                       <option value="KY">
 138                         Kentucky
 139                       </option>
 140                       <option value="LA">
 141                         Louisiana
 142                       </option>
 143                       <option value="MA">
 144                         Massachusetts
 145                       </option>
 146                       <option value="MD">
 147                         Maryland
 148                       </option>
 149                       <option value="ME">
 150                         Maine
 151                       </option>
 152                       <option value="MI">
 153                         Michigan
 154                       </option>
 155                       <option value="MN">
 156                         Minnesota
 157                       </option>
 158                       <option value="MO">
 159                         Missouri
 160                       </option>
 161                       <option value="MS">
 162                         Mississippi
 163                       </option>
 164                       <option value="MT">
 165                         Montana
 166                       </option>
 167                       <option value="NC">
 168                         North Carolina
 169                       </option>
 170                       <option value="ND">
 171                         North Dakota
 172                       </option>
 173                       <option value="NE">
 174                         Nebraska
 175                       </option>
 176                       <option value="NH">
 177                         New Hampshire
 178                       </option>
 179                       <option value="NJ">
 180                         New Jersey
 181                       </option>
 182                       <option value="NM">
 183                         New Mexico
 184                       </option>
 185                       <option value="NV">
 186                         Nevada
 187                       </option>
 188                       <option value="NY">
 189                         New York
 190                       </option>
 191                       <option value="OH">
 192                         Ohio
 193                       </option>
 194                       <option value="OK">
 195                         Oklahoma
 196                       </option>
 197                       <option value="OR">
 198                         Oregon
 199                       </option>
 200                       <option value="PA">
 201                         Pennsylvania
 202                       </option>
 203                       <option value="RI">
 204                         Rhode Island
 205                       </option>
 206                       <option value="SC">
 207                         South Carolina
 208                       </option>
 209                       <option value="SD">
 210                         South Dakota
 211                       </option>
 212                       <option value="TN">
 213                         Tennessee
 214                       </option>
 215                       <option value="TX">
 216                         Texas
 217                       </option>
 218                       <option value="UT">
 219                         Utah
 220                       </option>
 221                       <option value="VA">
 222                         Virginia
 223                       </option>
 224                       <option value="VT">
 225                         Vermont
 226                       </option>
 227                       <option value="WA">
 228                         Washington
 229                       </option>
 230                       <option value="WI">
 231                         Wisconsin
 232                       </option>
 233                       <option value="WV">
 234                         West Virginia
 235                       </option>
 236                       <option value="WY">
 237                         Wyoming
 238                       </option>
 239                     </select>
 240                   </div>
 241                   <div></div>
 242                 </div><!--*******************************-->
 243                 <div>
 244                   <div>
 245                     <span>Billing Postal Code</span>
 246                   </div>
 247                   <div>
 248                     <input disabled="disabled" maxlength="30" name="user[billing][zip]" value="94043" id="BILL_POSTAL">
 249                   </div>
 250                   <div></div>
 251                 </div><!--*******************************-->
 252                 <div>
 253                   <div>
 254                     <span>Billing Country</span>
 255                   </div>
 256                   <div>
 257                     <select disabled="disabled" name="user[billing][country]" id="BILL_COUNTRY">
 258                       <option value="US" selected>
 259                         United States
 260                       </option>
 261                       <option value="CA">
 262                         Canada
 263                       </option>
 264                       <option value="AL">
 265                         Albania
 266                       </option>
 267                       <option value="AI">
 268                         Anguilla
 269                       </option>
 270                       <option value="AG">
 271                         Antigua
 272                       </option>
 273                       <option value="AR">
 274                         Argentina
 275                       </option>
 276                       <option value="AW">
 277                         Aruba
 278                       </option>
 279                       <option value="AU">
 280                         Australia
 281                       </option>
 282                       <option value="AT">
 283                         Austria
 284                       </option>
 285                       <option value="BH">
 286                         Bahrain
 287                       </option>
 288                       <option value="BE">
 289                         Belgium
 290                       </option>
 291                       <option value="BM">
 292                         Bermuda
 293                       </option>
 294                       <option value="BA">
 295                         Bosnia and Herzegovina
 296                       </option>
 297                       <option value="BR">
 298                         Brazil
 299                       </option>
 300                       <option value="BN">
 301                         Brunei Darussalam
 302                       </option>
 303                       <option value="BG">
 304                         Bulgaria
 305                       </option>
 306                       <option value="CL">
 307                         Chile
 308                       </option>
 309                       <option value="CN">
 310                         China
 311                       </option>
 312                       <option value="CO">
 313                         Colombia
 314                       </option>
 315                       <option value="CR">
 316                         Costa Rica
 317                       </option>
 318                       <option value="HR">
 319                         Croatia
 320                       </option>
 321                       <option value="CY">
 322                         Cyprus
 323                       </option>
 324                       <option value="DK">
 325                         Denmark
 326                       </option>
 327                       <option value="EC">
 328                         Ecuador
 329                       </option>
 330                       <option value="EG">
 331                         Egypt
 332                       </option>
 333                       <option value="FI">
 334                         Finland
 335                       </option>
 336                       <option value="FR">
 337                         France
 338                       </option>
 339                       <option value="GB">
 340                         Great Britain / UK
 341                       </option>
 342                       <option value="GF">
 343                         French Guiana
 344                       </option>
 345                       <option value="PF">
 346                         French Polynesia
 347                       </option>
 348                       <option value="DE">
 349                         Germany
 350                       </option>
 351                       <option value="GR">
 352                         Greece
 353                       </option>
 354                       <option value="GU">
 355                         Guam
 356                       </option>
 357                       <option value="GT">
 358                         Guatemala
 359                       </option>
 360                       <option value="HN">
 361                         Honduras
 362                       </option>
 363                       <option value="HK">
 364                         Hong Kong
 365                       </option>
 366                       <option value="IS">
 367                         Iceland
 368                       </option>
 369                       <option value="IN">
 370                         India
 371                       </option>
 372                       <option value="IE">
 373                         Ireland
 374                       </option>
 375                       <option value="IT">
 376                         Italy
 377                       </option>
 378                       <option value="JM">
 379                         Jamaica
 380                       </option>
 381                       <option value="JP">
 382                         Japan
 383                       </option>
 384                       <option value="JO">
 385                         Jordan
 386                       </option>
 387                       <option value="KW">
 388                         Kuwait
 389                       </option>
 390                       <option value="MT">
 391                         Malta
 392                       </option>
 393                       <option value="MX">
 394                         Mexico
 395                       </option>
 396                       <option value="MA">
 397                         Morocco
 398                       </option>
 399                       <option value="NL">
 400                         Netherlands
 401                       </option>
 402                       <option value="NZ">
 403                         New Zealand
 404                       </option>
 405                       <option value="NI">
 406                         Nicaragua
 407                       </option>
 408                       <option value="NO">
 409                         Norway
 410                       </option>
 411                       <option value="OM">
 412                         Oman
 413                       </option>
 414                       <option value="PA">
 415                         Panama
 416                       </option>
 417                       <option value="PG">
 418                         Papua New Guinea
 419                       </option>
 420                       <option value="PY">
 421                         Paraguay
 422                       </option>
 423                       <option value="PE">
 424                         Peru
 425                       </option>
 426                       <option value="PL">
 427                         Poland
 428                       </option>
 429                       <option value="PT">
 430                         Portugal
 431                       </option>
 432                       <option value="PR">
 433                         Puerto Rico
 434                       </option>
 435                       <option value="QA">
 436                         Qatar
 437                       </option>
 438                       <option value="RE">
 439                         Reunion
 440                       </option>
 441                       <option value="SA">
 442                         Saudi Arabia
 443                       </option>
 444                       <option value="SN">
 445                         Senegal
 446                       </option>
 447                       <option value="SI">
 448                         Slovenia
 449                       </option>
 450                       <option value="ZA">
 451                         South Africa
 452                       </option>
 453                       <option value="KR">
 454                         South Korea
 455                       </option>
 456                       <option value="ES">
 457                         Spain
 458                       </option>
 459                       <option value="SE">
 460                         Sweden
 461                       </option>
 462                       <option value="CH">
 463                         Switzerland
 464                       </option>
 465                       <option value="TW">
 466                         Taiwan
 467                       </option>
 468                       <option value="TT">
 469                         Trinidad and Tobago
 470                       </option>
 471                       <option value="TR">
 472                         Turkey
 473                       </option>
 474                       <option value="AE">
 475                         United Arab Emirates
 476                       </option>
 477                       <option value="VE">
 478                         Venezuela
 479                       </option>
 480                     </select>
 481                   </div>
 482                   <div></div>
 483                 </div><!--*******************************-->
 484                 <div>
 485                   <div>
 486                     <span>Phone Number</span>
 487                   </div>
 488                   <div>
 489                     <input maxlength="30" name="user[phone_first]" value="" id="PHONE1">
 490                   </div>
 491                   <div></div>
 492                 </div><!--*******************************-->
 493                 <div>
 494                   <div>
 495                     <span>Email Address</span>
 496                   </div>
 497                   <div>
 498                     <input maxlength="165" name="user[email]" value="" id="EMAIL">
 499                   </div>
 500                   <div></div>
 501                 </div><!--*******************************-->
 502                 <div>
 503                   <div>
 504                     <span>Confirm Email Address</span>
 505                   </div>
 506                   <div>
 507                     <input maxlength="165" name="user[email_confirm]" value="" id="EMAIL_CONFIRM">
 508                   </div>
 509                   <div></div>
 510                 </div><!--*******************************-->
 511               </td>
 512             </tr>
 513           </tbody>
 514         </table>
 515       </div>
 516       <div>
 517         <table border="0">
 518           <tbody>
 519             <tr>
 520               <td>
 521                 <div>
 522                   Your Payment Information:
 523                 </div><input name="payment[method]" type="hidden" id="PAY_METHOD_CC" value="creditcard">
 524                 <div>
 525                   <div>
 526                     <span>Credit Card Number</span>
 527                   </div>
 528                   <div>
 529                     <input type="text" name="payment[cc_number]" id="CC_NUMBER" value="" size="20" maxlength="19">
 530                   </div>
 531                   <div></div>
 532                 </div><!--*******************************-->
 533                 <div>
 534                   <div>
 535                     <span>Expiration Month</span>
 536                   </div>
 537                   <div>
 538                     <input type="text" name="payment[cc_expmo]" id="CC_EXPMO" size="3" maxlength="2" value=""> <font>MM (TWO DIGIT MONTH)</font>
 539                   </div>
 540                   <div></div>
 541                 </div><!--*******************************-->
 542                 <div>
 543                   <div>
 544                     <span>Expiration Year</span>
 545                   </div>
 546                   <div>
 547                     <input type="text" name="payment[cc_expyr]" id="CC_EXPYR" size="4" maxlength="4" value=""> <font>YYYY (FOUR DIGIT YEAR)</font>
 548                   </div>
 549                   <div></div>
 550                 </div><!--*******************************-->
 551                 <div>
 552                   <div>
 553                     <span>CVV2/Panel Code</span>
 554                   </div>
 555                   <div>
 556                     <input name="payment[sigpanel]" id="CC_SIGPANEL" value="" size="4" maxlength="4"> <font><a href="#">What's this?</a></font>
 557                   </div>
 558                   <div></div>
 559                 </div><!--*******************************-->
 560               </td>
 561             </tr>
 562           </tbody>
 563         </table>
 564       </div>
 565     </form>
 566   </body>
 567 </html>