chrome/test/data/autofill/heuristics/input/22_checkout_m_kohls.com.html

   1 <form name="billing_form" id="id_billing_form" >
   2 <div >
   3 Billing Information</div>
   4 <center>
   5 <span>
   6 All fields required unless marked optional</span>
   7 </center>
   8 <div >
   9 <div >
  10 <label for="id_billing_firstname" >
  11 First Name:</label>
  12 <div >
  13 <input type="text"  id="id_billing_firstname" name="billing_firstname" maxlength="40" size="25" minlength="2" onkeypress="skApp.billingShippingKeypress(event);" onchange="skApp.hasErrorVerification(event);">
  14 </div>
  15 </div>
  16 <div >
  17 <label for="id_billing_lastname" >
  18 Last Name:</label>
  19 <div >
  20 <input type="text" onkeypress="skApp.billingShippingKeypress(event);" onchange="skApp.hasErrorVerification(event);"  name="billing_lastname" id="id_billing_lastname" maxlength="40">
  21 </div>
  22 </div>
  23 <div  >
  24 <label for="id_bill_addr_lookup">
  25 Address Lookup:(optional)</label>
  26 <div >
  27 <input type="text"  name="bill-addr-lookup" autocomplete="on" id="bill_addr_lookup" onkeyup="addressLookup('bill_addr_lookup','bill')">
  28 </div>
  29 </div>
  30 <div>
  31 <label for="id_billing_street" >
  32 Address:</label>
  33 <div >
  34 <input type="text" onkeypress="skApp.billingShippingKeypress(event);" onchange="skApp.hasErrorVerification(event);"  name="billing_street" id="id_billing_street">
  35 </div>
  36 </div>
  37 <div>
  38 <label for="id_billing_suite" >
  39 Address 2:(optional)</label>
  40 <div >
  41 <input type="text" onkeypress="skApp.billingShippingKeypress(event);" onchange="skApp.hasErrorVerification(event);"  id="id_billing_suite" name="billing_suite">
  42 </div>
  43 </div>
  44 <div >
  45 <label for="id_billing_city" >
  46 City:</label>
  47 <div >
  48 <input type="text" onkeypress="skApp.billingShippingKeypress(event);" onchange="skApp.hasErrorVerification(event);"  name="billing_city" id="id_billing_city">
  49 </div>
  50 </div>
  51 <div id="id_state">
  52 <label id="id_stateString">
  53 State:</label>
  54 <select  name="billing_state" id="id_billing_state" data-role="none" onchange="skApp.hideBillCounty(event);">
  55   <option value="">
  56 Choose a state</option>
  57 <option value="AL">
  58 Alabama</option>
  59 <option value="AK">
  60 Alaska</option>
  61 <option value="AZ">
  62 Arizona</option>
  63 <option value="AR">
  64 Arkansas</option>
  65 <option value="CA">
  66 California</option>
  67 <option value="CO">
  68 Colorado</option>
  69 <option value="CT">
  70 Connecticut</option>
  71 <option value="DE">
  72 Delaware</option>
  73 <option value="DC">
  74 District of Columbia</option>
  75 <option value="FL">
  76 Florida</option>
  77 <option value="GA">
  78 Georgia</option>
  79 <option value="HI">
  80 Hawaii</option>
  81 <option value="ID">
  82 Idaho</option>
  83 <option value="IL">
  84 Illinois</option>
  85 <option value="IN">
  86 Indiana</option>
  87 <option value="IA">
  88 Iowa</option>
  89 <option value="KS">
  90 Kansas</option>
  91 <option value="KY">
  92 Kentucky</option>
  93 <option value="LA">
  94 Louisiana</option>
  95 <option value="ME">
  96 Maine</option>
  97 <option value="MD">
  98 Maryland</option>
  99 <option value="MA">
 100 Massachusetts</option>
 101 <option value="MI">
 102 Michigan</option>
 103 <option value="MN">
 104 Minnesota</option>
 105 <option value="MS">
 106 Mississippi</option>
 107 <option value="MO">
 108 Missouri</option>
 109 <option value="MT">
 110 Montana</option>
 111 <option value="NE">
 112 Nebraska</option>
 113 <option value="NV">
 114 Nevada</option>
 115 <option value="NH">
 116 New Hampshire</option>
 117 <option value="NJ">
 118 New Jersey</option>
 119 <option value="NM">
 120 New Mexico</option>
 121 <option value="NY">
 122 New York</option>
 123 <option value="NC">
 124 North Carolina</option>
 125 <option value="ND">
 126 North Dakota</option>
 127 <option value="OH">
 128 Ohio</option>
 129 <option value="OK">
 130 Oklahoma</option>
 131 <option value="OR">
 132 Oregon</option>
 133 <option value="PA">
 134 Pennsylvania</option>
 135 <option value="RI">
 136 Rhode Island</option>
 137 <option value="SC">
 138 South Carolina</option>
 139 <option value="SD">
 140 South Dakota</option>
 141 <option value="TN">
 142 Tennessee</option>
 143 <option value="TX">
 144 Texas</option>
 145 <option value="UT">
 146 Utah</option>
 147 <option value="VT">
 148 Vermont</option>
 149 <option value="VA">
 150 Virginia</option>
 151 <option value="WA">
 152 Washington</option>
 153 <option value="WV">
 154 West Virginia</option>
 155 <option value="WI">
 156 Wisconsin</option>
 157 <option value="WY">
 158 Wyoming</option>
 159 <option value="AA">
 160 Armed Forces-America</option>
 161 <option value="AE">
 162 Armed Forces-Europe</option>
 163 <option value="AP">
 164 Armed Forces-Pacific</option>
 165   </select>
 166 </div>
 167 <div >
 168 <div >
 169 <label for="id_billing_zipcode" >
 170 ZIP Code:</label>
 171 <div >
 172 <input type="tel" onkeypress="skApp.billingShippingKeypress(event);" onchange="skApp.hideBillCounty(event)"  name="billing_zipcode" id="billing_zipcode">
 173 </div>
 174 </div>
 175 <div id="billcounty-container">
 176 </div>
 177 </div>
 178 <div>
 179 <label for="billing_phonenum" >
 180 Contact Phone:</label>
 181 <div >
 182 <input type="tel" onkeypress="skApp.billingShippingKeypress(event);" onchange="skApp.hasErrorVerification(event);" id="billing_phonenum"  name="billing_phonenum">
 183 </div>
 184 </div>
 185 </div>
 186 <div id="email-container">
 187 <div id="email_id_kcmMailContent">
 188 <div data-role="controlgroup"  aria-disabled="false" data-disabled="false" data-shadow="false" data-corners="true" data-exclude-invisible="true" data-type="vertical" data-mini="false" data-init-selector=":jqmData(role='controlgroup')">
 189 <div >
 190 <div id="email_id_kcmEmailAddr">
 191 <label  for="email_id_kcmEmail_Txt">
 192 Email</label>
 193 <div >
 194 <div >
 195 <input type="email" onkeypress="skApp.billingShippingKeypress(event);" onchange="skApp.hasErrorVerification(event);" id="email_id_kcmEmail_Txt" name="email_Txt" maxlength="70" placeholder="sample@example.com" >
 196 </div>
 197 </div>
 198 </div>
 199 <div id="email_id_kcmReEmailAddr">
 200 <label  for="email_id_kcmRe_Email_Txt">
 201 Confirm Email Address</label>
 202 <div >
 203 <div >
 204 <input type="email" onkeypress="skApp.billingShippingKeypress(event);" onchange="skApp.hasErrorVerification(event);" id="email_id_kcmRe_Email_Txt" name="re_Email_Txt" maxlength="70" placeholder="sample@example.com" >
 205 </div>
 206 </div>
 207 </div>
 208 <div >
 209 <div >
 210 (E-mail address is required to place an order)</div>
 211 <div >
 212 <div  data-role="fieldcontain">
 213 <div >
 214 <div >
 215 <label for="email_kcmWS"  value="true" data-theme="c"  data-corners="true" data-shadow="false" data-iconshadow="true" data-wrapperels="span" data-icon="checkbox-on" data-mini="false">
 216 <span >
 217 <span >
 218 Yes, sign me up for Sale Alerts. (optional) </span>
 219 <span >
 220 &nbsp;</span>
 221 </span>
 222 </label>
 223 <input type="checkbox" onkeypress="skApp.billingShippingKeypress(event);" id="email_kcmWS" name="emailOutPutStatus" checked="checked" value="true">
 224 </div>
 225 </div>
 226 <label >
 227 Yes, sign me up for Sale Alerts. (optional)</label>
 228 </div>
 229 </div>
 230 </div>
 231 </div>
 232 </div>
 233 </div>
 234 </div>
 235 </form>
 236
 237
 238 <form >
 239 <label >
 240 Credit Card Information</label>
 241 <fieldset>
 242 <legend>
 243 </legend>
 244 <label >
 245 Card Type</label>
 246 <div id="payment_id_nonEditCrdTyp">
 247 </div>
 248 <div id="id_cardType" >
 249 <select id="payment_id_kcmselectPMtype"  data-role="none" name="paymentType" onchange="skApp.changePaymentDisplay(event);">
 250   <option value="">
 251 Choose a card</option>
 252 <option value="KOHLS">
 253 Kohl's Charge</option>
 254 <option value="AMEX">
 255 American Express</option>
 256 <option value="DISC">
 257 Discover Network</option>
 258 <option value="MC">
 259 Mastercard</option>
 260 <option value="VISA">
 261 Visa</option>
 262   </select>
 263 </div>
 264 <div >
 265 <div>
 266 <label >
 267 Name on Card:</label>
 268 <div id="payment_id_kcmcard_name_div">
 269 <label  for="payment_id_kcmcrdName_Txt">
 270 Name on Card</label>
 271 <div >
 272 <div >
 273 <input type="text" id="payment_id_kcmcrdName_Txt" onkeypress="skApp.onEnterPaymentKeypress(event);"  name="nameOnCard" value="" autocorrect="off">
 274 </div>
 275 </div>
 276 </div>
 277 <label >
 278 Card Number:</label>
 279 <div id="payment_id_kcmcard_number_div">
 280 <label for="payment_id_kcmcrdNumber_Txt" >
 281 Card Number</label>
 282 <div >
 283 <div >
 284 <input type="tel" id="payment_id_kcmcrdNumber_Txt"  name="cardNumber" maxlength="16" value="">
 285 </div>
 286 </div>
 287 <div id="payment_id_nonEditCrdNum" idx="">
 288 </div>
 289 </div>
 290 </div>
 291 </div>
 292 <div >
 293 <div>
 294 <div id="payment_id_kcmgrid1_div">
 295 <label >
 296 Expiration Month:</label>
 297 <select id="payment_id_kcmselct_expMonth" name="expMonth" data-role="none">
 298   <option value="">
 299 Month</option>
 300 <option value="01">
 301 January</option>
 302 <option value="02">
 303 February</option>
 304 <option value="03">
 305 March</option>
 306 <option value="04">
 307 April</option>
 308 <option value="05">
 309 May</option>
 310 <option value="06">
 311 June</option>
 312 <option value="07">
 313 July</option>
 314 <option value="08">
 315 August</option>
 316 <option value="09">
 317 September</option>
 318 <option value="10">
 319 October</option>
 320 <option value="11">
 321 November</option>
 322 <option value="12">
 323 December</option>
 324   </select>
 325 </div>
 326 <div id="payment_id_kcmgrid2_div">
 327 <label >
 328 Expiration Year:</label>
 329 <select id="payment_id_kcmselct_expYear" data-role="none" name="expYear">
 330   <option value="">
 331 Year</option>
 332 <option value="2013">
 333 2013</option>
 334 <option value="2014">
 335 2014</option>
 336 <option value="2015">
 337 2015</option>
 338 <option value="2016">
 339 2016</option>
 340 <option value="2017">
 341 2017</option>
 342 <option value="2018">
 343 2018</option>
 344 <option value="2019">
 345 2019</option>
 346 <option value="2020">
 347 2020</option>
 348 <option value="2021">
 349 2021</option>
 350 <option value="2022">
 351 2022</option>
 352 <option value="2023">
 353 2023</option>
 354 <option value="2024">
 355 2024</option>
 356 <option value="2025">
 357 2025</option>
 358 <option value="2026">
 359 2026</option>
 360 <option value="2027">
 361 2027</option>
 362 <option value="2028">
 363 2028</option>
 364 <option value="2029">
 365 2029</option>
 366 <option value="2030">
 367 2030</option>
 368 <option value="2031">
 369 2031</option>
 370 <option value="2032">
 371 2032</option>
 372 <option value="2033">
 373 2033</option>
 374 <option value="2034">
 375 2034</option>
 376 <option value="2035">
 377 2035</option>
 378 <option value="2036">
 379 2036</option>
 380 <option value="2037">
 381 2037</option>
 382 <option value="2038">
 383 2038</option>
 384 <option value="2039">
 385 2039</option>
 386 <option value="2040">
 387 2040</option>
 388 <option value="2041">
 389 2041</option>
 390 <option value="2042">
 391 2042</option>
 392 <option value="2043">
 393 2043</option>
 394 <option value="2044">
 395 2044</option>
 396 <option value="2045">
 397 2045</option>
 398 <option value="2046">
 399 2046</option>
 400 <option value="2047">
 401 2047</option>
 402 <option value="2048">
 403 2048</option>
 404 <option value="2049">
 405 2049</option>
 406 <option value="2050">
 407 2050</option>
 408 <option value="2051">
 409 2051</option>
 410 <option value="2052">
 411 2052</option>
 412 <option value="2053">
 413 2053</option>
 414 <option value="2054">
 415 2054</option>
 416 <option value="2055">
 417 2055</option>
 418 <option value="2056">
 419 2056</option>
 420 <option value="2057">
 421 2057</option>
 422 <option value="2058">
 423 2058</option>
 424 <option value="2059">
 425 2059</option>
 426 <option value="2060">
 427 2060</option>
 428 <option value="2061">
 429 2061</option>
 430 <option value="2062">
 431 2062</option>
 432   </select>
 433 </div>
 434 </div>
 435 </div>
 436 <div id="savedPayMethList">
 437 </div>
 438 <div id="payment_id_kcmcard_id_div">
 439 <label  for="payment_id_kcmNPcrdId_Txt">
 440 Credit Card ID</label>
 441 <div >
 442 <div >
 443 <input type="tel" id="payment_id_kcmNPcrdId_Txt"  name="creditCardID" maxlength="4" value="">
 444 </div>
 445 </div>
 446 <div  onclick="skApp.loadWhatsMyCreditCard();">
 447 What's my Credit Card ID?</div>
 448 </div>
 449 </fieldset>
 450 </form>
 451
 452