chrome/test/data/autofill/heuristics/input/15_crbug_74918.html

   1 <!-- https://personal.vanguard.com/us/CreateMessageServlet?FW_Event=evTopicSel&FW_Event2=Topic10&FW_Event3=NO_SELECTION -->
   2 <form name="CreateMessage" method="post" action="/us/CreateMessageServlet?FW_Event=evSend&amp;handlerType=AuthSendMail&amp;pageType=CreateMessage" id="CreateMessage">
   3   <p>
   4     Use this form to send us a message that only Vanguard can view. Do not use this form to initiate account transactions or brokerage trades; we are unable to process transactions or trades submitted through this form.
   5   </p>
   6   <table>
   7     <tr>
   8       <td>
   9         <table>
  10           <tr>
  11             <td>
  12               <!--XSL:DIS-->
  13               <p>
  14                 <b>Category</b>
  15               </p><!--EndDIS-->
  16             </td>
  17             <td colspan="3">
  18               <select name="TopicList" size="1" onchange="onChangeTopicSelection(document.CreateMessage.TopicList[document.CreateMessage.TopicList.selectedIndex].value, choice)">
  19                 <option value="" selected>
  20                   Select one
  21                 </option>
  22                 <option value="Topic1">
  23                   Mailing Address Change
  24                 </option>
  25                 <option value="Topic2">
  26                   Fund Information
  27                 </option>
  28                 <option value="Topic3">
  29                   How to open an Account
  30                 </option>
  31                 <option value="Topic4">
  32                   IRA Inquiries
  33                 </option>
  34                 <option value="Topic5">
  35                   Money Transfer Options
  36                 </option>
  37                 <option value="Topic11">
  38                   My Personal Information
  39                 </option>
  40                 <option value="Topic6">
  41                   Question about a Transaction
  42                 </option>
  43                 <option value="Topic7">
  44                   Statements
  45                 </option>
  46                 <option value="Topic8">
  47                   Tax Related
  48                 </option>
  49                 <option value="Topic9">
  50                   Web Account Access
  51                 </option>
  52                 <option value="Topic10" selected>
  53                   Other
  54                 </option>
  55               </select>
  56             </td>
  57           </tr>
  58           <tr>
  59             <td>
  60               <!-- XSL: DIS v1.00 -->
  61               <p>
  62                 <b>From</b>
  63               </p><!-- End of chunk -->
  64             </td>
  65             <td>
  66               <input type="text" name="Name" size="32" maxlength="100" value="">
  67             </td>
  68             <td nowrap>
  69               <!-- XSL: DIS v1.00 -->
  70               <p>
  71                 <b>Daytime Phone</b>
  72               </p><!-- End of chunk -->
  73             </td>
  74             <td nowrap>
  75               <input type="text" name="DayPhone" size="20" maxlength="30" value="">
  76             </td>
  77           </tr>
  78           <tr>
  79             <td>
  80               <!-- XSL: DIS v1.00 -->
  81               <p>
  82                 <b>Subject</b>
  83               </p><!-- End of chunk -->
  84             </td>
  85             <td>
  86               <input type="text" name="Subject" size="32" maxlength="100" value="">
  87             </td>
  88             <td nowrap>
  89               <!-- XSL: DIS v1.00 -->
  90               <p>
  91                 <b>Evening Phone</b>
  92               </p><!-- End of chunk -->
  93             </td>
  94             <td>
  95               <input type="text" name="EvePhone" size="20" maxlength="30" value="">
  96             </td>
  97           </tr>
  98           <tr>
  99             <td>
 100               <!-- XSL: DIS v1.00 -->
 101               <p>
 102                 <b>Account</b>
 103               </p><!-- End of chunk -->
 104             </td>
 105             <td colspan="3">
 106               <select name="AccountList" size="1" onchange="onChangeSelection(document.CreateMessage.AccountList[document.CreateMessage.AccountList.selectedIndex].value)">
 107                 <option value="NO_SELECTION" selected>
 108                   Select one
 109                 </option>
 110                 <option value="Other">
 111                   Other
 112                 </option>
 113                 <option value="None">
 114                   None
 115                 </option>
 116               </select>
 117             </td>
 118           </tr>
 119           <tr>
 120             <td nowrap>
 121               <!-- XSL: DIS v1.00 -->
 122               <p>
 123                 <b>E-Mail Address</b>
 124               </p><!-- End of chunk -->
 125             </td>
 126             <td colspan="2">
 127               <a href="javascript:Redirect_Close('/us/MPEmailAddress01')"></a>
 128               <p>
 129                 Update your e-mail address.
 130               </p>
 131             </td>
 132           </tr>
 133         </table>
 134       </td>
 135     </tr>
 136     <tr>
 137       <td>
 138         <textarea name="BodyText" cols="40" rows="6" wrap="soft" onkeyup="validateLength(this, 4096)" onchange="validateLength(this, 4096)">
 139 </textarea>
 140       </td>
 141     </tr>
 142   </table><input type="hidden" name="n" value="v"> <input type="hidden" name="Email" value=""> <input type="hidden" name="SelectedPlan" value="null">
 143 </form>