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[chromium-blink-merge.git] / chrome / test / data / autofill / autofill_test_form.html
blob4db584c506e79968d1489b37ebc8d9d968025747
1 <!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN">
2 <!-- Autofill generic test form. -->
3 <html>
4 <head>
5 <title>Autofill Test Form</title>
6 </head>
7 <body>
8 <h3>Autofill Test Form</h3>
9 <form name="testform" method="post" id="testform">
10 <p>
11 <label for="firstname">First Name:</label> <input type="text" id="NAME_FIRST"><br>
12 <label for="lastname">Last Name:</label> <input type="text" id="NAME_LAST"><br>
13 <label for="address">Address:</label> <input type="text" id="ADDRESS_HOME_LINE1"><br>
14 <label for="city">City:</label> <input type="text" id="ADDRESS_HOME_CITY" ><br>
15 <label for="state">State:</label> <input type="text" id="ADDRESS_HOME_STATE" ><br>
16 <label for="zip">Zip:</label> <input type="text" id="ADDRESS_HOME_ZIP" ><br>
17 <label for="country">Country:</label> <input type="text" id="ADDRESS_HOME_COUNTRY" ><br>
18 <label for="email">Email:</label> <input type="text" id="EMAIL_ADDRESS"><br>
19 <label for="phone">Phone:</label> <input type="text" id="PHONE_HOME_WHOLE_NUMBER"><br>
20 <input type="submit" value="send"> <input type="reset">
21 </p>
22 </form>
23 </body>
24 </html>