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[chromium-blink-merge.git] / chrome / test / data / autofill / heuristics / input / 03_checkout_hsn.com.html
bloba569b8dce6b60b1a72b83c6462e06eefb218d186
1 <html>
2 <head>
4 <meta http-equiv="X-UA-Compatible" content="IE=7" />
5 <title>HSN.com</title>
6 </head>
7 <body class="secure" topmargin="0" leftmargin="0" marginheight="0" marginwidth="0">
11 <form name="Form" method="post" action="account_information.aspx?phonecm=False" id="Form">
12 <div>
13 <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="" />
14 <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="" />
15 <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKLTMwOTQ4ODYzMGQYAQUeX19Db250cm9sc1JlcXVpcmVQb3N0QmFja0tleV9fFggFH0JvZHkkQmlsbGluZ0lzU2hpcHBpbmdDaGVja2JveEIFEUJvZHkkTW9iaWxlQWxlcnRzBRFCb2R5JEtyYWZ0U2lnbnVwMgUcQm9keSRXZWVrbHlOZXdzbGV0dGVyU2lnbnVwMgUdQm9keSRXZWVrbHlOZXdzbGV0dGVyU2lnbnVwMTIFGEJvZHkkVFNOZXdzbGV0dGVyU2lnbnVwMgURQm9keSRTYXZlQ0M0TGF0ZXIFE0JvZHkkQ29udGludWVCdXR0b24=" />
16 </div>
18 <table cellpadding="0" cellspacing="0" border="0" width="100%">
19 <tr>
20 <td id="Body_headertitle" class="bcTitle">your information</td>
22 <td style="padding: 10px 10px 0px;" align="right">
24 <style type="text/css">
25 .bcStart { background: url('https://img.hsni.com/images/formatting/spacer.gif') no-repeat ; height:50px; width:5px;}
26 .bcEnd { background: url('https://img.hsni.com/images/formatting/bc_v2_end.gif') no-repeat ; height:50px; width:5px;}
27 .bcOn { background: url('https://img.hsni.com/images/formatting/bc_v2_active.gif') no-repeat ; height:50px; width:81px; color: #5d5d5d; font-weight:bold; font-size:11px; padding-top:15px;}
28 .bcOff { background: url('https://img.hsni.com/images/formatting/bc_v2_inactive.gif') no-repeat ; height:50px; width:81px; color: #999; font-size:11px; padding-top:15px;}
29 .bcOffLink { text-decoration: none; color: #666666; color: #999; font-size:11px;}
30 </style>
31 <div style="padding: 5px 0px;">
32 <table cellpadding='0' cellspacing='0' border='0'>
33 <tr>
34 <td class='bcStart' style='width:5px;'>&nbsp;</td>
35 <td class='bcOff' align='center' style='width:81px; cursor:pointer; cursor:hand;' ><a style='text-decoration: none; color: #666666; color: #999; font-size:11px;' href='http://www.hsn.com/cmr/shopping_cart/default.aspx'>shopping<BR/>bag</a></td>
36 <td class='bcOn' align='center' style='width:81px;'>account<BR/>information</td>
37 <td class='bcOff' align='center' style='width:81px;'>order<BR/>review</td>
38 <td class='bcOff' align='center' style='width:81px;'>order<BR/>confirmation</td>
39 <td valign='top' style='padding-left:5px;'><img src='https://img.hsni.com/images/formatting/bc_v2_box.gif' alt='' width='41' height='43' /></td></tr>
40 </table>
41 </div>
43 </td>
44 </tr>
45 </table>
48 <table border="0" cellpadding="0" cellspacing="10" width="770">
49 <tr>
50 <td valign="top" align="left">
51 <div id="MiniBagDiv">
53 <table cellpadding="0" cellspacing="0" border="0" class="CheckoutSectionTable">
54 <tr>
55 <td colspan="4">
56 <table width="100%" cellpadding="0" cellspacing="0" border="0" style="background-color: #f1f1f1; border-bottom:1px solid #6587AA;">
57 <tr>
58 <td>&nbsp;<strong>order&nbsp;summary</strong></td>
59 <td align="right" style="width:100%; padding:3px;">&nbsp;</td>
60 </tr>
61 </table>
62 </td>
63 </tr>
64 <tr>
65 <td>&nbsp;</td>
66 <td style="width:290px;">
67 <dl style="vertical-align: bottom;">
68 <dt>Subtotal:</dt>
69 <dd id="ItemSubTotal" class="price">$89.95</dd>
70 </dl>
71 </td>
72 <td>&nbsp;</td>
73 </tr>
74 <tr>
75 <td>&nbsp;</td>
76 <td>
77 <dl style="vertical-align: bottom;">
78 <dt>S&amp;H:</dt>
79 <dd id="TotalSH" class="price">$5.95</dd>
80 </dl>
81 </td>
82 <td>&nbsp;</td>
83 </tr>
84 <tr>
85 <td>&nbsp;</td>
86 <td>
87 <dl style="vertical-align: bottom;">
88 <dt>Estimated Tax:</dt>
89 <dd id="EstimatedTax" class="price"><u>$0.00</u></dd>
90 </dl>
91 </td>
92 <td>&nbsp;</td>
93 </tr>
95 <tr>
96 <td>&nbsp;</td>
97 <td>
98 <dl style="vertical-align: bottom;">
99 <dt style="font-weight:bold;">Order Total:</dt>
101 <dd id="GrandTotal" class="price" style="font-weight:bold;">$95.90</dd>
102 </dl>
103 </td>
104 <td>&nbsp;</td>
105 </tr>
106 <tr><td colspan="3"><img src="#" alt="" width="1" height="5" /></td></tr>
109 </table>
110 </div>
111 <!-- CUST INFO ARTICLE 3725 -->
113 <div style="padding-top:10px;" id="MiniCustService"><!-- Article Id = 3725 --><table cellpadding="0" cellspacing="0" border="0" class="CheckoutSectionTable" style="width:260px;">
114 <tr>
115 <td style="color:#333333; padding:3px; background-color: #f1f1f1; border-bottom:1px solid #6587AA;"> <strong>hsn.com info</strong></td>
116 </tr>
117 <tr>
118 <td style="width:100%;">
119 <table cellpadding="2" cellspacing="0" border="0">
120 <tr>
121 <td valign="top" style="padding: 5px 0px 5px 5px;">
122 <strong><u>Guarantee</u></strong><br />
123 If you are not satisfied with your purchase, simply return it within 30 days for a full refund.<br/><br/>
125 <strong><u>Security</u></strong>&nbsp;<a style="text-decoration:underline;" class="hdr" >(policy details)</a><br />
126 HSN.com makes sure your information is protected and secure.<br /><br />
128 <strong><u>Privacy</u></strong><br />
129 HSN.com values your privacy rights. View <a style="text-decoration:underline;" class="hdr" >HSN's privacy policy</a> as it applies to your account.
130 </td>
131 </tr>
132 </table>
133 </td>
134 </tr>
135 </table>
136 <div style="padding-top:10px;">
137 <div style="padding-bottom:10px;"><a href="https://sentinel.whitehatsec.com/gateway/certified/confirmed.html?badge_key=23e15e4f-c769-4db6-9fe3-fec5556b7fe9"><img src="#" border="0" /></a></div>
138 <div style="padding-bottom:10px;"></div>
139 <div><a ><img src="#" alt="BizRate Customer Certified (GOLD) Site" width="125" height="73" align="top" border="0" target="_blank"></a></div>
140 </div></div>
142 </td>
144 <td valign="top" style="width:480px;">
146 <div id="Body_ErrorMessageBlock" align="left" style="color:Red; font-weight:bold;"></div>
148 <div style="border:1px solid #007DCA;">
149 <table id="AddressInformation" cellpadding="0" cellspacing="0" border="0" width="100%">
150 <tr>
151 <td align="left" class="CheckoutHeader" style="padding:3px;">Enter billing information (as it appears on your statement)</td>
152 </tr>
153 <tr id="Body_trBillingIsShippingCheckboxB">
154 <td align="left" style="PADDING:0px 0px 10px 25px;">
155 <input name="Body$BillingIsShippingCheckboxB" type="checkbox" id="Body_BillingIsShippingCheckboxB" checked="checked" />Use my billing address as my shipping address.
156 </td>
157 </tr>
159 <tr>
160 <td style="padding:10 10 0 10;" id="BillingAddressForm">
162 <input name="Body$BillingAddress$_ab_id" type="hidden" id="Body_BillingAddress__ab_id" />
163 <table border="0" align="center" id="AddressValues">
164 <tr>
165 <td align="right" class="hdr" width="110">
166 <div id="Body_BillingAddress__firstName_label" style="font-weight:bold;">First Name</div>
167 </td>
168 <td valign="middle" align="left"><input name="Body$BillingAddress$_firstName" type="text" id="Body_BillingAddress__firstName" maxlength="15" size="25" /></td>
169 <td align="right" valign="top" rowspan="7" width="*" style="padding-left:20px;">
171 <div align="left" style="border:1px solid #6587AA; padding:3px; width:150px;">
172 <strong>HSN Tip:</strong><br/> We respect the privacy of our customers and the information you entrust in us. View <a tabIndex='-1' class='hdr' >HSN's privacy<br/>policy</a>, which applies to your account.
173 </div>
175 </td>
176 </tr>
177 <tr>
178 <td align="right" class="hdr" width="110">
179 <div id="Body_BillingAddress__lastName_label" style="font-weight:bold;">Last Name</div>
180 </td>
181 <td valign="middle" align="left"><input name="Body$BillingAddress$_lastName" type="text" id="Body_BillingAddress__lastName" maxlength="15" size="25" /></td>
182 </tr>
183 <tr>
184 <td align="right" class="hdr" width="110">
185 <div id="Body_BillingAddress__address1_label" style="font-weight:bold;">Address Line 1</div>
186 </td>
187 <td valign="middle" align="left"><input name="Body$BillingAddress$_address1" type="text" id="Body_BillingAddress__address1" maxlength="25" size="25" /></td>
188 </tr>
189 <tr>
190 <td align="right" class="hdr" width="110">
191 <div id="Body_BillingAddress__address2_label" style="font-weight:bold;">Address Line 2<br /><font class='optionalText'>(optional)&nbsp;&nbsp;</font></div>
192 </td>
193 <td valign="middle" align="left"><input name="Body$BillingAddress$_address2" type="text" id="Body_BillingAddress__address2" maxlength="25" size="25" /></td>
194 </tr>
195 <tr>
196 <td align="right" class="hdr" width="110">
197 <div id="Body_BillingAddress__city_label" style="font-weight:bold;">City</div>
198 </td>
199 <td valign="middle" align="left"><input name="Body$BillingAddress$_city" type="text" id="Body_BillingAddress__city" maxlength="20" size="25" /></td>
200 </tr>
201 <tr>
202 <td align="right" class="hdr" width="110">
203 <div id="Body_BillingAddress__state_label" style="font-weight:bold;">State</div>
204 </td>
205 <td valign="middle" align="left"><select name="Body$BillingAddress$_state" id="Body_BillingAddress__state">
206 <option value=" ">Select State</option>
207 <option value="AK">Alaska</option>
208 <option value="AL">Alabama</option>
209 <option value="AR">Arkansas</option>
210 <option value="AZ">Arizona</option>
211 <option value="CA">California</option>
212 <option value="CO">Colorado</option>
213 <option value="CT">Connecticut</option>
214 <option value="DC">District of Columbia</option>
215 <option value="DE">Delaware</option>
216 <option value="FL">Florida</option>
217 <option value="GA">Georgia</option>
218 <option value="GU">Guam</option>
219 <option value="HI">Hawaii</option>
220 <option value="IA">Iowa</option>
221 <option value="ID">Idaho</option>
222 <option value="IL">Illinois</option>
223 <option value="IN">Indiana</option>
224 <option value="KS">Kansas</option>
225 <option value="KY">Kentucky</option>
226 <option value="LA">Louisiana</option>
227 <option value="MA">Massachusetts</option>
228 <option value="MD">Maryland</option>
229 <option value="ME">Maine</option>
230 <option value="MI">Michigan</option>
231 <option value="MN">Minnesota</option>
232 <option value="MO">Missouri</option>
233 <option value="MS">Mississippi</option>
234 <option value="MT">Montana</option>
235 <option value="NC">North Carolina</option>
236 <option value="ND">North Dakota</option>
237 <option value="NE">Nebraska</option>
238 <option value="NH">New Hampshire</option>
239 <option value="NJ">New Jersey</option>
240 <option value="NM">New Mexico</option>
241 <option value="NV">Nevada</option>
242 <option value="NY">New York</option>
243 <option value="OH">Ohio</option>
244 <option value="OK">Oklahoma</option>
245 <option value="OR">Oregon</option>
246 <option value="PA">Pennsylvania</option>
247 <option value="PR">Puerto Rico</option>
248 <option value="RI">Rhode Island</option>
249 <option value="SC">South Carolina</option>
250 <option value="SD">South Dakota</option>
251 <option value="TN">Tennessee</option>
252 <option value="TX">Texas</option>
253 <option value="UT">Utah</option>
254 <option value="VA">Virginia</option>
255 <option value="VI">Virgin Islands</option>
256 <option value="VT">Vermont</option>
257 <option value="WA">Washington</option>
258 <option value="WI">Wisconsin</option>
259 <option value="WV">West Virginia</option>
260 <option value="WY">Wyoming</option>
261 </select>
262 </td>
263 </tr>
264 <tr>
265 <td align="right" class="hdr" width="110">
266 <div id="Body_BillingAddress__zipcode_label" style="font-weight:bold;">Zip Code</div>
267 </td>
268 <td valign="middle" align="left"><input name="Body$BillingAddress$_zipcode" type="text" id="Body_BillingAddress__zipcode" maxlength="10" size="25" /></td>
269 </tr>
270 <tr>
271 <td></td><td></td>
272 <td>
273 <table style="width: 170px">
274 <tr>
275 <td style="text-align:center"><div id="Body_BillingAddress_Div2" style="COLOR: #999999">home</div></td>
276 <td style="text-align:center"><div id="Body_BillingAddress_Div3" style="COLOR: #999999">mobile</div></td>
277 <td style="text-align:center"><div id="Body_BillingAddress_Div4" style="COLOR: #999999; width: 37px;">work</div></td>
278 </tr>
279 </table>
280 </td>
282 </tr>
283 <tr>
284 <td align="right" class="hdr" width="110">
285 <div id="Body_BillingAddress__PrimaryPhone_label" style="font-weight:bold;">Primary&nbsp;Phone</div>
286 </td>
287 <td valign="middle" align="left"><input name="Body$BillingAddress$_PrimaryPhone" type="text" id="Body_BillingAddress__PrimaryPhone" maxlength="14" size="25" />
288 </td>
289 <td>
290 <table id="Body_BillingAddress_rdoPrimary" cellspacing="1" border="0" style="width:157px;margin-left: 0px;text-align:center">
291 <tr>
292 <td><input id="Body_BillingAddress_rdoPrimary_0" type="radio" name="Body$BillingAddress$rdoPrimary" value="H" checked="checked" tabindex="-1" /></td><td><input id="Body_BillingAddress_rdoPrimary_1" type="radio" name="Body$BillingAddress$rdoPrimary" value="M" tabindex="-1" /></td><td><input id="Body_BillingAddress_rdoPrimary_2" type="radio" name="Body$BillingAddress$rdoPrimary" value="W" tabindex="-1" /></td>
293 </tr>
294 </table>
295 </td>
296 </tr>
297 <tr>
298 <td align="right" class="hdr" width="110">
299 <div id="Body_BillingAddress__AlternatePhone_label" style="font-weight:bold;">Alternate&nbsp;Phone2<br /><font class='optionalText'>(optional)&nbsp;&nbsp;</font></div>
300 </td>
301 <td valign="middle" align="left"><input name="Body$BillingAddress$_Alt1Phone" type="text" id="Body_BillingAddress__Alt1Phone" maxlength="14" size="25" />
302 </td>
303 <td>
304 <table id="Body_BillingAddress_rdoAlt1" cellspacing="1" border="0" style="width:157px;margin-left: 0px;text-align:center">
305 <tr>
306 <td><input id="Body_BillingAddress_rdoAlt1_0" type="radio" name="Body$BillingAddress$rdoAlt1" value="H" tabindex="-1" /></td><td><input id="Body_BillingAddress_rdoAlt1_1" type="radio" name="Body$BillingAddress$rdoAlt1" value="M" checked="checked" tabindex="-1" /></td><td><input id="Body_BillingAddress_rdoAlt1_2" type="radio" name="Body$BillingAddress$rdoAlt1" value="W" tabindex="-1" /></td>
307 </tr>
308 </table>
309 </td>
310 </tr>
311 </table>
313 </td>
314 </tr>
315 <tr id="Body_trMobileAlerts">
316 <td align="left" style="padding-left:120px;padding-bottom:4px">
317 <input name="Body$MobileAlerts" type="checkbox" id="Body_MobileAlerts" />Send me special promotion mobile alerts
318 </td>
319 </tr>
322 <span id="Body_EmailTop">
323 <tr><td align="center" colspan="2" style="padding:10px;">Please provide your email address so we can send you order status information.</td></tr>
324 <tr>
325 <td id="Body_NewEmailAddress_label2" align="left" style="font-weight:bold;padding-left:34px;padding-right:10px;">Email&nbsp;Address&nbsp;
326 <input name="Body$NewEmailAddress2" type="text" id="Body_NewEmailAddress2" size="25" /></td>
327 </tr>
330 <tr>
331 <td align="left" style="padding-left:120px;padding-bottom:4px;padding-top:3px;"><input name="Body$WeeklyNewsletterSignup12" type="checkbox" id="Body_WeeklyNewsletterSignup12" checked="checked" />Email me weekly HSN newsletters and special offers</td>
332 </tr>
333 <tr>
334 <td align="left" style="padding-left:120px;padding-bottom:4px"><input name="Body$TSNewsletterSignup2" type="checkbox" id="Body_TSNewsletterSignup2" /> Email me the daily Today's Special</td>
335 </tr>
336 </span>
337 <tr id="Body_ShippingAddressSection" style="display:none;">
338 <td>
339 <table cellpadding="0" cellspacing="0" border="0" width="100%">
340 <tr><td align="left" class="CheckoutHeader" style="padding:3px;">Enter shipping information</td></tr>
341 <tr>
342 <td>
343 <input name="Body$_shipping_exist" type="hidden" id="Body__shipping_exist" />
344 <div style="padding:10px;" id="ShippingAddressForm">
345 <input name="Body$ShippingAddress$_ab_id" type="hidden" id="Body_ShippingAddress__ab_id" />
346 <table border="0" align="center" id="AddressValues">
347 <tr>
348 <td align="right" class="hdr" width="110">
349 <div id="Body_ShippingAddress__firstName_label" style="font-weight:bold;">First Name</div>
350 </td>
351 <td valign="middle" align="left"><input name="Body$ShippingAddress$_firstName" type="text" id="Body_ShippingAddress__firstName" maxlength="15" size="25" /></td>
352 <td align="right" valign="top" rowspan="8" width="*" style="padding-left:20px;">
354 <div align="left" style="border:1px solid #6587AA; padding:3px; width:150px;">
355 <strong>HSN tip:</strong><br/>Most items ship <i>faster</i> to a street address than to a P.O. Box
356 </div>
358 </td>
359 </tr>
360 <tr>
361 <td align="right" class="hdr" width="110">
362 <div id="Body_ShippingAddress__lastName_label" style="font-weight:bold;">Last Name</div>
363 </td>
364 <td valign="middle" align="left"><input name="Body$ShippingAddress$_lastName" type="text" id="Body_ShippingAddress__lastName" maxlength="15" size="25" /></td>
365 </tr>
366 <tr>
367 <td align="right" class="hdr" width="110">
368 <div id="Body_ShippingAddress__address1_label" style="font-weight:bold;">Address Line 1</div>
369 </td>
370 <td valign="middle" align="left"><input name="Body$ShippingAddress$_address1" type="text" id="Body_ShippingAddress__address1" maxlength="25" size="25" /></td>
371 </tr>
372 <tr>
373 <td align="right" class="hdr" width="110">
374 <div id="Body_ShippingAddress__address2_label" style="font-weight:bold;">Address Line 2<br /><font class='optionalText'>(optional)&nbsp;&nbsp;</font></div>
375 </td>
376 <td valign="middle" align="left"><input name="Body$ShippingAddress$_address2" type="text" id="Body_ShippingAddress__address2" maxlength="25" size="25" /></td>
377 </tr>
378 <tr>
379 <td align="right" class="hdr" width="110">
380 <div id="Body_ShippingAddress__city_label" style="font-weight:bold;">City</div>
381 </td>
382 <td valign="middle" align="left"><input name="Body$ShippingAddress$_city" type="text" id="Body_ShippingAddress__city" maxlength="20" size="25" /></td>
383 </tr>
384 <tr>
385 <td align="right" class="hdr" width="110">
386 <div id="Body_ShippingAddress__state_label" style="font-weight:bold;">State</div>
387 </td>
388 <td valign="middle" align="left"><select name="Body$ShippingAddress$_state" id="Body_ShippingAddress__state">
389 <option value=" ">Select State</option>
390 <option value="AK">Alaska</option>
391 <option value="AL">Alabama</option>
392 <option value="AR">Arkansas</option>
393 <option value="AZ">Arizona</option>
394 <option value="CA">California</option>
395 <option value="CO">Colorado</option>
396 <option value="CT">Connecticut</option>
397 <option value="DC">District of Columbia</option>
398 <option value="DE">Delaware</option>
399 <option value="FL">Florida</option>
400 <option value="GA">Georgia</option>
401 <option value="GU">Guam</option>
402 <option value="HI">Hawaii</option>
403 <option value="IA">Iowa</option>
404 <option value="ID">Idaho</option>
405 <option value="IL">Illinois</option>
406 <option value="IN">Indiana</option>
407 <option value="KS">Kansas</option>
408 <option value="KY">Kentucky</option>
409 <option value="LA">Louisiana</option>
410 <option value="MA">Massachusetts</option>
411 <option value="MD">Maryland</option>
412 <option value="ME">Maine</option>
413 <option value="MI">Michigan</option>
414 <option value="MN">Minnesota</option>
415 <option value="MO">Missouri</option>
416 <option value="MS">Mississippi</option>
417 <option value="MT">Montana</option>
418 <option value="NC">North Carolina</option>
419 <option value="ND">North Dakota</option>
420 <option value="NE">Nebraska</option>
421 <option value="NH">New Hampshire</option>
422 <option value="NJ">New Jersey</option>
423 <option value="NM">New Mexico</option>
424 <option value="NV">Nevada</option>
425 <option value="NY">New York</option>
426 <option value="OH">Ohio</option>
427 <option value="OK">Oklahoma</option>
428 <option value="OR">Oregon</option>
429 <option value="PA">Pennsylvania</option>
430 <option value="PR">Puerto Rico</option>
431 <option value="RI">Rhode Island</option>
432 <option value="SC">South Carolina</option>
433 <option value="SD">South Dakota</option>
434 <option value="TN">Tennessee</option>
435 <option value="TX">Texas</option>
436 <option value="UT">Utah</option>
437 <option value="VA">Virginia</option>
438 <option value="VI">Virgin Islands</option>
439 <option value="VT">Vermont</option>
440 <option value="WA">Washington</option>
441 <option value="WI">Wisconsin</option>
442 <option value="WV">West Virginia</option>
443 <option value="WY">Wyoming</option>
444 </select>
445 </td>
446 </tr>
447 <tr>
448 <td align="right" class="hdr" width="110">
449 <div id="Body_ShippingAddress__zipcode_label" style="font-weight:bold;">Zip Code</div>
450 </td>
451 <td valign="middle" align="left"><input name="Body$ShippingAddress$_zipcode" type="text" id="Body_ShippingAddress__zipcode" maxlength="10" size="25" /></td>
452 </tr>
453 <tr>
454 <td align="right" class="hdr" width="110">
455 <div id="Body_ShippingAddress__telephone_label" style="font-weight:bold;">Phone&nbsp;Number</div>
456 </td>
457 <td valign="middle" align="left"><input name="Body$ShippingAddress$_telephone" type="text" id="Body_ShippingAddress__telephone" maxlength="14" size="25" />
458 </td>
459 </tr>
460 </table>
462 </div>
463 </td>
464 </tr>
465 </table>
466 </td>
467 </tr>
469 </table>
470 </div>
472 <div style="border:1px solid #007DCA;">
473 <table cellpadding="0" cellspacing="0" border="0" width="100%">
474 <tr><td align="left" class="CheckoutHeader" style="padding:3px;">Enter payment information</td></tr>
475 <tr id="PaymentInformation">
476 <td style="padding:0px 0px 0px 0px;" valign="top">
477 <table style="margin-left: 0px;" border="0">
478 <tr>
479 <td valign="top" colspan=2 style="text-align:left;">
480 <table cellpadding="0" cellspacing="0" border="0">
481 <tr>
482 <td colspan=2 style="text-align:left;">
483 <input name="PaymentTypeSelection" id="IsPayPalNo" value="0" CHECKED type="radio" />Pay with a Credit or Debit Card
484 </td>
485 </tr>
486 <tr><td colspan=2 style="padding-left:22px; padding-top:5px;"><!-- Article Id = 1348 --><div align="left" style="padding:0px 0px 0px 0px;">
487 <img src="#" alt="" />
488 <img src="#" alt="" />
489 <img src="#" alt="" />
490 <img src="#" alt="" />
491 <img src="#" alt="" />
492 <img src="#" alt="" />
493 </div></td></tr>
494 </table>
495 </td>
496 </tr>
497 <tr>
498 <td valign="top" style="padding-left:0px;">
499 <table cellpadding="0" cellspacing="0" border="0">
500 <tr>
501 <td id="Body_CCNumber_label" align="right">Card Number&nbsp;</td>
503 <td><input name="Body$CCNumber" type="text" id="Body_CCNumber" size="25" /></td>
504 </tr>
505 <tr>
506 <td>&nbsp;</td>
507 <td style="font-size:9px; padding-top:4px;">Not required for HSN Card</td>
508 </tr>
509 <tr>
510 <td align="right"><label id="Body_CCExpirationDate_label">Expiration Date&nbsp;</label></td>
511 <td>
512 <select name="Body$CCExpirationDateMonth" id="Body_CCExpirationDateMonth" style="width:84px;">
513 <option value="0">month</option>
514 <option value="1">Jan &#160;(1)</option>
515 <option value="2">Feb &#160;(2)</option>
516 <option value="3">Mar &#160;(3)</option>
517 <option value="4">Apr &#160;(4)</option>
518 <option value="5">May &#160;(5)</option>
519 <option value="6">Jun &#160;(6)</option>
520 <option value="7">Jul &#160;(7)</option>
521 <option value="8">Aug &#160;(8)</option>
522 <option value="9">Sep &#160;(9)</option>
523 <option value="10">Oct (10)</option>
524 <option value="11">Nov (11)</option>
525 <option value="12">Dec (12)</option>
526 </select>&nbsp;&nbsp;
527 <select name="Body$CCExpirationDateYear" id="Body_CCExpirationDateYear" style="width:60px;">
528 <option value="0">year</option>
529 <option value="2011">2011</option>
530 <option value="2012">2012</option>
531 <option value="2013">2013</option>
532 <option value="2014">2014</option>
533 <option value="2015">2015</option>
534 <option value="2016">2016</option>
535 <option value="2017">2017</option>
536 <option value="2018">2018</option>
537 <option value="2019">2019</option>
538 <option value="2020">2020</option>
539 <option value="2021">2021</option>
540 <option value="2022">2022</option>
541 <option value="2023">2023</option>
542 <option value="2024">2024</option>
543 <option value="2025">2025</option>
544 </select>
545 </td>
546 </tr>
547 <tr>
548 <td id="Body_CCNameOnCard_label" align="right" style="padding-top:8px;">Name on Card&nbsp;</td>
550 <td style="padding-top:8px;"><input name="Body$CCNameOnCard" type="text" id="Body_CCNameOnCard" size="25" /></td>
551 </tr>
552 <tr id="DebitCardRow">
553 <td id="Body_IsDebitCard_label" align="right" style="padding-top:6px;padding-left:20px">Is&nbsp;this&nbsp;a&nbsp;Debit&nbsp;Card?&nbsp;</td>
555 <td align="left" style="padding-top:6px;"><input name="IsDebitCard" id="IsDebitCardYes" value="1" type="radio" />&nbsp;Yes&nbsp;&nbsp;<input name="IsDebitCard" id="IsDebitCardNo" value="0" type="radio" />&nbsp;No</td>
556 </tr>
557 <tr>
558 <td align="left" colspan="2" style="padding:5px 0px 5px 20px;">
559 <input name="Body$SaveCC4Later" type="checkbox" id="Body_SaveCC4Later" checked="checked" />Save information for future purchases
560 <input name="Body$_ccID" type="hidden" id="Body__ccID" />
561 </td>
562 </tr>
564 </table>
565 </td>
566 <td style="padding-left:15px;" valign="top">
567 <div align="left" style="border:1px solid #6587AA; padding:3px;">
569 <strong>HSN Tip:</strong><br />HSN.com makes sure your information is protected and secured. View <a tabIndex='-1' style="text-decoration:underline;" class="hdr" >HSN's security policy</a>.
571 </div>
572 </td>
573 </tr>
575 <tr>
576 <td colspan=2 align=left>
577 <div id="NewCustCCPanel">
578 <div id="NewCustDivLine"></div>
579 <div id="NewCustOr">OR</div>
580 </div>
581 </td>
582 </tr>
583 <tr>
584 <td colspan="2" style="text-align:left;padding-bottom:5px;"><div style="float:left;padding-top:5px;"><input name="PaymentTypeSelection" id="IsPayPalYes" value="1" type="radio" /> Pay with PayPal</div><div style="float:left;padding-left:10px;margin-top:9px;"><a >Learn More</a></div><div style="float:left;padding-left:10px;"><img height="30px" width="48px" src="#" alt="" /></div></td>
585 </tr>
587 </table>
588 </td>
589 </tr>
590 </table>
591 </div>
594 <div id="Body_AccountForm" style="border:1px solid #007DCA;">
595 <table cellpadding="0" cellspacing="0" border="0" width="100%">
596 <tr><td align="left" colspan="2" class="CheckoutHeader" style="padding:3px;">Create Account</td></tr>
597 <tr id="Body_ProfileLabel">
598 <td colspan="2" align="left" style="padding-top:10px">&nbsp;&nbsp;Enter a password <span id="Body_lblPasswordHeader">if you would like </span>to set up an hsn.com account</td>
599 </tr>
602 <tr>
603 <td style="padding:10px;">
604 <table border="0" cellpadding="0" cellspacing="0" width="100%">
605 <tr>
606 <td id="Body_NewPassword_label" align="right" style="padding-top:8px;">Create&nbsp;Password&nbsp;<span id="Body_lblCreatePassword"><br/><font class='optionalText'>(optional)</font>&nbsp;&nbsp;</span></td>
608 <td style="padding-top:8px;"><input name="Body$NewPassword" type="password" id="Body_NewPassword" size="25" /></td>
609 </tr>
610 <tr>
611 <td id="Body_RepeatNewPassword_label" align="right" style="padding-top:8px;">Repeat&nbsp;Password&nbsp;<span id="Body_lblRepeatPassword"><br/><font class='optionalText'>(optional)</font>&nbsp;&nbsp;</span></td>
613 <td style="padding-top:8px;"><input name="Body$RepeatNewPassword" type="password" id="Body_RepeatNewPassword" size="25" /></td>
614 </tr>
615 <tr>
616 <td id="Body_PasswordHintLabel" align="right" style="padding-top:8px;">Password&nbsp;Hint&nbsp;<br /><font class='optionalText'>(optional)&nbsp;&nbsp;</font></td>
618 <td style="padding-top:8px;"><input name="Body$NewPasswordHint" type="text" id="Body_NewPasswordHint" size="25" /></td>
619 </tr>
620 <tr>
621 <td></td>
622 <td align="left" colspan="2" style="font-size:10px;">(to remind yourself of your password)</td>
623 </tr>
625 </table>
626 </td>
627 <td valign="middle" rowspan="3">
628 <div align="left" style="width:160px;margin-right:3px;border:1px solid #6587AA; padding:2px;">
630 <strong>HSN Tip:<br />Save time during your<br />next visit!</strong><br />Simply enter a password to become an HSN member.
632 </div>
633 </td>
634 </tr>
635 </table>
636 </div>
639 <div align="right" style="padding:10px 5px 0px 0px;">
640 <input src="#" name="Body$ContinueButton" type="image" id="Body_ContinueButton" border="0" /><br />
641 <span style="font-size:11px;">(You can review this order before it's final)</span>
642 </div>
644 </td>
645 </tr>
646 </table>
648 </form>
650 </body>
651 </html>