chrome/test/data/autofill/heuristics/input/12_register_officedepot.com.html

   1 <html class="nojs" xmlns="http://www.w3.org/1999/xhtml" xmlns:fb="http://www.facebook.com/2008/fbml" xml:lang="en-US" lang="en-US">
   2 <!--Form Location: https://www.officedepot.com/account/registrationDisplay.do--><head>
   3
   4 <meta http-equiv="expires" content="0">
   5 <meta http-equiv="pragma" content="no-cache">
   6 <meta http-equiv="cache-control" content="no-cache">
   7 <meta http-equiv="pragma-directive" content="no-cache">
   8 <meta http-equiv="cache-directive" content="no-cache">
   9 <title>Office Depot - Account Registration</title>
  10 <meta name="description" content="Shop office supplies, office furniture and business technology at Office Depot. Paper, file folders, ink, toner and more. Huge selections, brands you trust, everyday low prices! Take Care of Business, shop today.">
  11 <meta name="keywords" content="office supplies, office furniture, technology, electronics">
  12 </head>
  13 <body id="registration">
  14
  15 <form name="storeLocatorForm" method="get" action="http://www.officedepot.com/setStoreZip.do">
  16 <span style="display:none"><input type="hidden" name="fkey" value="ZBOQ8Sp5mFecc34vd2jp8wl"></span>
  17                                                                                         <input type="text" name="zip" maxlength="7" size="7" autocomplete="" value="" id="zip"><input type="hidden" name="requestor" value="header" id="requestor"><input type="hidden" name="switchDeliveryToPickup" value="false"><input type="hidden" name="inventoryLocationUpdatable" value="true"><span class="search"><input type="submit" name="find" id="find" class="button" value="Go"></span>
  18                                                                                         <div class="clear"></div>
  19 </form>
  20
  21
  22
  23
  24
  25
  26
  27 <form name="storeLocatorForm" method="post" action="http://www.officedepot.com/account/deliveryPickupModeSet.do" autocomplete="off">
  28 <span style="display:none"><input type="hidden" name="fkey" value="ZBOQ8Sp5mFecc34vd2jp8wl"></span>
  29                                         <input type="hidden" name="inventoryLocationUpdatable" value="true"><input type="hidden" name="switchDeliveryToPickup" value="true"><input type="hidden" name="requestor" value="/home.do"><ul>
  30 <li class="radio">
  31                                                                         <input type="submit" name="cmd_deliveryMode.button" class="radio_on" value=" ">
  32                                                                         Delivery
  33                                                                 </li>
  34                                                                 <li class="radio">
  35                                                                         <input type="submit" name="cmd_pickupMode.button" class="radio_off" value=" ">
  36                                                                         Pick-Up
  37                                                                 </li>
  38                                                         </ul>
  39 </form>
  40
  41
  42
  43
  44
  45
  46
  47 <form name="refinementForm" method="get" action="http://www.officedepot.com/catalog/search.do" autocomplete="false">
  48 <span style="display:none"><input type="hidden" name="fkey" value="ZBOQ8Sp5mFecc34vd2jp8wl"></span>
  49
  50                 <div id="suggestSearchOn"></div>
  51
  52                 <table id="searchBox" cellspacing="0"><tr>
  53 <th><label for="searchField">Search</label></th>
  54                                         <td id="sfInput">
  55                                                 <div id="predictSearchFlyout" class="overlayContainer">
  56                                                         <input type="text" name="Ntt" id="mainSearchField" maxlength="100" tabindex="1" class="input focus" autocomplete="off" value=""><div class="overlayObj">
  57                                                                 <div id="predictSearchList">
  58                                                                         <div class="loading-light"></div>
  59                                                                         <table class="predictsearchresults"><tr>
  60 <td class="suggestions"><p class="note">Search Suggestions</p></td>
  61                                                                                 </tr></table>
  62 </div>
  63                                                         </div>
  64                                                 </div>
  65                                         </td>
  66                                         <td><div class="search"><input type="submit" tabindex="2" value="Go" class="button" title="Search"></div></td>
  67                                 </tr></table>
  68 </form>
  69
  70
  71
  72
  73
  74
  75
  76
  77
  78
  79
  80 <form name="registrationForm" method="post" action="/account/registrationRouter.do" autocomplete="off">
  81 <span style="display:none"><input type="hidden" name="fkey" value="ZBOQ8Sp5mFecc34vd2jp8wl"></span>
  82 <div id="m02">
  83
  84
  85         <div id="registrationBody">
  86
  87
  88                                 <div id="registrationMessage">
  89
  90
  91
  92
  93
  94         <div class="moduleStruct">
  95                 <h2 class="modStyle1">Before you begin...</h2>
  96                 <div class="moduleStructContent">
  97                 <p class="intro">
  98                         Please note that if you can answer "yes" to any of the following questions, you may not need to fill out this registration form. Simply click on the link that applies and you'll be taken to the appropriate page. If none of these links seem relevant, we can still search for a previous account set up for you. Please enter your primary email address and we'll email your existing login information.
  99                         </p>
 100
 101
 102                                 <ul class="listOfLinks splitLinks">
 103 <li class=""><a href="/account/existingUSANonExemptDisplay.do">Do you shop with us by phone or fax?</a></li>
 104 <li><a href="/account/existingUSAExemptDisplay.do">Do you already have an account number?</a></li>
 105 <li><a href="http://www.officedepot.com/specialLinks.do?file=/customerservice/TaxExemptionRules.jsp&amp;template=customerService">Do you want to apply for an Office Depot tax exempt account?</a></li>
 106 <li><a href="http://www.officedepot.com/specialLinks.do?file=/companyinfo/companyfacts/govprogram.jsp&amp;template=companyInfo">Would you like to sign up for a Government account?</a></li>
 107
 108                                 </ul>
 109 </div>
 110         </div>
 111
 112
 113
 114                                 </div>
 115
 116
 117
 118
 119
 120     <div class="section">
 121                         <div class="oCol1of2 first">
 122
 123
 124
 125
 126
 127
 128
 129
 130
 131
 132 <div id="reg_billingInfo" class="moduleStruct">
 133         <h2 class="modStyle1">Billing Information</h2>
 134
 135     <div class="moduleStructContent">
 136
 137
 138         <p class="required">
 139                         <label>
 140
 141                                 <em>*</em> Indicates required field
 142                         </label>
 143                 </p>
 144
 145
 146        <p class="note">
 147
 148            </p>
 149
 150
 151                         <p class="note">
 152
 153                                   Please provide your billing address exactly as it appears on your credit card.
 154
 155
 156                         </p>
 157
 158
 159
 160
 161
 162
 163         <div id="billing_addr">
 164
 165
 166
 167
 168
 169                                 <div class="address editable">
 170                                 <ol class="column1">
 171 <li class="firstName required">
 172 <label for="firstName-0"><span><em class="star">*</em>First Name:</span></label><span><input type="text" name="addrsForm[0].firstName" maxlength="30" size="30" autocomplete="" value="" id="firstName-0"></span>
 173 </li>
 174 <li class="middleInitial">
 175 <label for="middleInitial-0"><span>Middle Initial:</span></label><span><input type="text" name="addrsForm[0].middleInitial" maxlength="1" size="2" autocomplete="" value="" id="middleInitial-0"></span>
 176 </li>
 177 <li class="lastName required">
 178 <label for="lastName-0"><span><em class="star">*</em>Last Name:</span></label><span><input type="text" name="addrsForm[0].lastName" maxlength="30" size="30" autocomplete="" value="" id="lastName-0"></span>
 179 </li>
 180 <li class="shiptoName">
 181 <label for="shiptoName-0"><span>Company Name</span></label><span><input type="text" name="addrsForm[0].shiptoName" maxlength="30" size="30" autocomplete="" value="" id="shiptoName-0"></span>
 182 </li>
 183 <li class="address1 required">
 184 <label for="address1-0"><span><em class="star">*</em>Address</span></label><span><input type="text" name="addrsForm[0].address1" maxlength="25" size="30" autocomplete="" value="" id="address1-0"></span>
 185 </li>
 186 <li class="address2">
 187 <label for="address2-0"><span></span></label><span><input type="text" name="addrsForm[0].address2" maxlength="25" size="30" autocomplete="" value="" id="address2-0"></span>
 188 </li>
 189 <li class="city required">
 190 <label for="city-0"><span><em class="star">*</em>City</span></label><span><input type="text" name="addrsForm[0].city" maxlength="25" size="30" autocomplete="" value="" id="city-0"></span>
 191 </li>
 192 <li class="state required">
 193 <label for="state-0"><span><em class="star">*</em>State</span></label><span><select name="addrsForm[0].state" id="state-0"><option value="{blank}" selected>Please select...</option>
 194 <option value="AK">AK - Alaska</option>
 195 <option value="AL">AL - Alabama</option>
 196 <option value="AR">AR - Arkansas</option>
 197 <option value="AZ">AZ - Arizona</option>
 198 <option value="CA">CA - California</option>
 199 <option value="CO">CO - Colorado</option>
 200 <option value="CT">CT - Connecticut</option>
 201 <option value="DC">DC - District of Columbia</option>
 202 <option value="DE">DE - Delaware</option>
 203 <option value="FL">FL - Florida</option>
 204 <option value="GA">GA - Georgia</option>
 205 <option value="HI">HI - Hawaii</option>
 206 <option value="IA">IA - Iowa</option>
 207 <option value="ID">ID - Idaho</option>
 208 <option value="IL">IL - Illinois</option>
 209 <option value="IN">IN - Indiana</option>
 210 <option value="KS">KS - Kansas</option>
 211 <option value="KY">KY - Kentucky</option>
 212 <option value="LA">LA - Louisiana</option>
 213 <option value="MA">MA - Massachusetts</option>
 214 <option value="MD">MD - Maryland</option>
 215 <option value="ME">ME - Maine</option>
 216 <option value="MI">MI - Michigan</option>
 217 <option value="MN">MN - Minnesota</option>
 218 <option value="MO">MO - Missouri</option>
 219 <option value="MS">MS - Mississippi</option>
 220 <option value="MT">MT - Montana</option>
 221 <option value="NC">NC - North Carolina</option>
 222 <option value="ND">ND - North Dakota</option>
 223 <option value="NE">NE - Nebraska</option>
 224 <option value="NH">NH - New Hampshire</option>
 225 <option value="NJ">NJ - New Jersey</option>
 226 <option value="NM">NM - New Mexico</option>
 227 <option value="NV">NV - Nevada</option>
 228 <option value="NY">NY - New York</option>
 229 <option value="OH">OH - Ohio</option>
 230 <option value="OK">OK - Oklahoma</option>
 231 <option value="OR">OR - Oregon</option>
 232 <option value="PA">PA - Pennsylvania</option>
 233 <option value="PR">PR - Puerto Rico</option>
 234 <option value="RI">RI - Rhode Island</option>
 235 <option value="SC">SC - South Carolina</option>
 236 <option value="SD">SD - South Dakota</option>
 237 <option value="TN">TN - Tennessee</option>
 238 <option value="TX">TX - Texas</option>
 239 <option value="UT">UT - Utah</option>
 240 <option value="VA">VA - Virginia</option>
 241 <option value="VT">VT - Vermont</option>
 242 <option value="WA">WA - Washington</option>
 243 <option value="WI">WI - Wisconsin</option>
 244 <option value="WV">WV - West Virginia</option>
 245 <option value="WY">WY - Wyoming</option></select></span>
 246 </li>
 247 <li class="postalCode1 required">
 248 <label for="postalCode1-0"><span><em class="star">*</em>Zip Code</span></label><span><input type="text" name="addrsForm[0].postalCode1" maxlength="11" size="11" autocomplete="" value="" id="postalCode1-0"></span>
 249 </li>
 250 <li class="country">
 251 <label for="country-0"><span>Country</span></label><span>USA</span>
 252 </li>
 253 <li class="phoneNumber1 required">
 254 <label for="phoneNumber1-0"><span><em class="star">*</em>Phone Number:</span></label><span><input type="text" name="addrsForm[0].phoneNumber1" maxlength="3" size="1" autocomplete="" value="" id="phoneNumber1-0">-<input type="text" name="addrsForm[0].phoneNumber2" maxlength="3" size="1" autocomplete="" value="" id="phoneNumber2-0">-<input type="text" name="addrsForm[0].phoneNumber3" maxlength="4" size="2" autocomplete="" value="" id="phoneNumber3-0">&#160;ext.<input type="text" name="addrsForm[0].phoneNumber4" maxlength="4" size="3" autocomplete="" value="" id="phoneNumber4-0"></span>
 255 </li>
 256 <li class="faxNumber1">
 257 <label for="faxNumber1-0"><span>Fax:</span></label><span><input type="text" name="addrsForm[0].faxNumber1" maxlength="3" size="1" autocomplete="" value="" id="faxNumber1-0">-<input type="text" name="addrsForm[0].faxNumber2" maxlength="3" size="1" autocomplete="" value="" id="faxNumber2-0">-<input type="text" name="addrsForm[0].faxNumber3" maxlength="4" size="2" autocomplete="" value="" id="faxNumber3-0">&#160;</span>
 258 </li>
 259 <li class="email required">
 260 <label for="email-0"><span><em class="star">*</em>Email Address:</span></label><span><input type="text" name="addrsForm[0].email" maxlength="99" size="31" autocomplete="" value="" id="email-0"></span>
 261 </li>
 262 </ol>
 263 <input type="hidden" name="addrsForm[0].country" value="USA" id="country-0">
 264 </div>
 265
 266
 267
 268         </div>
 269
 270
 271
 272
 273
 274
 275
 276
 277
 278
 279
 280
 281             <input type="hidden" name="billingEmailPreferences.emailHtml" value="true"><div class="prefs tight">
 282
 283
 284
 285                 <input type="hidden" name="billingEmailPreferences.optInSelected" value="false">
 286 </div>
 287
 288
 289
 290         </div>
 291 </div>
 292
 293
 294
 295
 296
 297
 298
 299
 300
 301
 302         <div id="reg_paymentInfo" class="moduleStruct">
 303                                 <h2 class="modStyle1">Payment Info (optional)</h2>
 304                                         <div class="moduleStructContent">
 305
 306
 307
 308
 309
 310
 311
 312
 313
 314
 315
 316
 317
 318
 319
 320
 321
 322
 323
 324
 325
 326
 327
 328
 329
 330
 331
 332         <div id="billto_PaymentInfo">
 333
 334
 335
 336
 337                                         <p class="note">
 338                                                 Expedite your checkout process for future orders by allowing us to validate the credit card details below. Rest assured we will never save your CID.<br><br></p>
 339
 340
 341
 342
 343
 344
 345
 346                 <table class="form" cellspacing="0">
 347 <thead><tr class="paymentSectionHeader first">
 348 <td class="radio">
 349
 350
 351
 352                                                                         <input type="hidden" name="paymentFormInfo.tenderType" value="CR">
 353 </td>
 354                                         <th colspan="2">
 355
 356                                                         <label for="tenderRadioCR" class="gen_vkg_cclabel">
 357                                                                 <b>Credit Card</b>
 358                                                         </label>
 359
 360
 361                                 </th>
 362                      </tr></thead>
 363 <tr class="tenderInfoCR paymentOptionContent">
 364 <td></td>
 365                         <td colspan="2">
 366
 367
 368                                 <div id="noPreauthedCard">
 369
 370
 371
 372
 373
 374
 375
 376
 377
 378
 379
 380
 381
 382
 383
 384
 385         <ul id="creditCardFields">
 386 <li class="SelectCreditCard">
 387
 388
 389                                                     <label>
 390                                                         <span>Credit Card Type:</span>
 391                                                     </label>
 392
 393
 394                                                     <span id="creditCardList">
 395                                                         <select name="paymentFormInfo.creditCardType"><option value=" " selected>(Select your card type)</option>
 396 <option value="AM">American Express</option>
 397 <option value="DS">Discover Network</option>
 398 <option value="MC">MasterCard</option>
 399 <option value="VS">Visa</option>
 400 <option value="SR">Office Depot Credit Card</option>
 401 <option value="WV">Worklife Rewards Visa</option></select></span>
 402                                                 </li>
 403
 404
 405
 406                                         <li>
 407
 408
 409                                                         <label>
 410                                                        <span>
 411                                                            Credit Card Number:
 412
 413
 414                                                         </span>
 415                                                     </label>
 416
 417
 418
 419
 420                                                 <span>
 421
 422
 423                                                                 <input type="text" name="paymentFormInfo.creditCardNumber" maxlength="20" size="20" autocomplete="" value=""></span>
 424
 425
 426
 427
 428                                                         <input type="hidden" name="paymentFormInfo.creditCardIsPreauthed" value="false">
 429 </li>
 430
 431                                                 <li class="ccMessage">
 432                                                         <label><span></span></label>
 433                                                         <span class="note">
 434                                                     Please enter your credit card # without spaces or dashes (i.e. 00000000000)
 435                                                 </span>
 436                                                 </li>
 437
 438
 439
 440                                 <li class="payOptDates">
 441                                                 <ul>
 442 <li class="poStartDate">
 443
 444                                                                 <span class="pppExpDate">
 445
 446                                                                 </span>
 447                                                         </li>
 448
 449                                                         <li class="poExpDate">
 450
 451
 452                                                                                 <label class="ccExpDateTitle">
 453
 454                                                                                 <span>Expiration Date:</span>
 455
 456
 457                                                                                 </label>
 458
 459
 460
 461                                                                 <span class="pppExpDate">
 462
 463
 464
 465                                                                                                 <select name="paymentFormInfo.creditCardExpMonth"><option value=" " selected>--</option>
 466 <option value="01">01</option>
 467 <option value="02">02</option>
 468 <option value="03">03</option>
 469 <option value="04">04</option>
 470 <option value="05">05</option>
 471 <option value="06">06</option>
 472 <option value="07">07</option>
 473 <option value="08">08</option>
 474 <option value="09">09</option>
 475 <option value="10">10</option>
 476 <option value="11">11</option>
 477 <option value="12">12</option></select><span>/</span>
 478
 479                                                                                                 <select name="paymentFormInfo.creditCardExpYear"><option value="-1" selected>--</option>
 480 <option value="11">2011</option>
 481 <option value="12">2012</option>
 482 <option value="13">2013</option>
 483 <option value="14">2014</option>
 484 <option value="15">2015</option>
 485 <option value="16">2016</option>
 486 <option value="17">2017</option>
 487 <option value="18">2018</option>
 488 <option value="19">2019</option>
 489 <option value="20">2020</option>
 490 <option value="21">2021</option>
 491 <option value="22">2022</option>
 492 <option value="23">2023</option>
 493 <option value="24">2024</option>
 494 <option value="25">2025</option>
 495 <option value="26">2026</option>
 496 <option value="27">2027</option>
 497 <option value="28">2028</option>
 498 <option value="29">2029</option>
 499 <option value="30">2030</option></select><span>
 500                                                                                                     (mm/yyyy)
 501                                                                                                 </span>
 502
 503
 504
 505
 506
 507                                                  </span>
 508                                                         </li>
 509
 510                                                         <li class="poIssueDate">
 511
 512
 513
 514                                                                 <span class="poDateFields">
 515
 516
 517                                                         </span>
 518                                         </li>
 519
 520                                      </ul>
 521 </li>
 522
 523
 524
 525                                         <input type="hidden" name="paymentFormInfo.cidPreAuthFeature" value="true"><li class="secNumTitle">
 526                                         <label class="cvv">
 527                                                 <span>CID<br></span>
 528                                         </label>
 529                                         <span>
 530                                                                 <input type="text" name="paymentFormInfo.creditCardCvv" maxlength="4" size="4" autocomplete="off" value=""></span>
 531
 532                                                 </li>
 533
 534
 535
 536
 537                                 <!---->
 538
 539
 540
 541
 542
 543
 544
 545
 546
 547
 548
 549
 550
 551
 552
 553                 </ul>
 554 </div>
 555 <!-- end credit card entry form (noPreath) -->
 556
 557                         </td>
 558                         </tr>
 559 </table>
 560 <table class="form" cellspacing="0">
 561 <!--  START OF BSD Account Billing Option --><!--  END OF BSD Account Billing Option --><!--  START OF NON-BSD Account Billing Option  -->
 562 </table>
 563 <div id="loadingCards" class="loading hidden"></div>
 564          </div>
 565
 566
 567
 568
 569
 570
 571
 572                                         </div>
 573         </div>
 574
 575
 576                         </div>
 577
 578
 579                         <div class="oCol1of2">
 580
 581
 582
 583
 584
 585
 586
 587
 588
 589
 590
 591
 592
 593
 594
 595
 596 <div class="form_divider"></div>
 597 <div id="reg_shippingInfo" class="moduleStruct ">
 598         <h2 class="modStyle1">Shipping Information</h2>
 599         <div class="moduleStructContent">
 600                         <p id="checkSameAs">
 601
 602                                                 <input type="checkbox" name="sameAsBilling" value="on" checked id="sameAsBilling1" class="input1"><label>
 603                                     Same as Billing
 604                                   </label>
 605
 606                                 </p>
 607
 608
 609                         <div class="intro">
 610                   <p class="note">
 611                           Currently Office Depot is unable to process orders online for delivery to APO/FPO, PO Box, and export addresses. Please
 612                           <a href="http://www.officedepot.com/specialLinks.do?file=/customerservice/FAQ.jsp&amp;template=customerService" class="">&#160;click here&#160;</a>
 613                           for additional ordering options
 614                         </p>
 615                         </div>
 616
 617
 618
 619               <div class="address editable shipToAddressHideShow">
 620                                 <p class="required">
 621                                         <label>
 622
 623                                                 <em>*</em> Indicates required field
 624                                         </label>
 625                                 </p>
 626
 627                 <ol class="column1">
 628 <li class="firstName required">
 629 <label for="firstName-2"><span><em class="star">*</em>First Name:</span></label><span><input type="text" name="addrsForm[2].firstName" maxlength="30" size="30" autocomplete="" value="" id="firstName-2"></span>
 630 </li>
 631 <li class="middleInitial">
 632 <label for="middleInitial-2"><span>Middle Initial:</span></label><span><input type="text" name="addrsForm[2].middleInitial" maxlength="1" size="2" autocomplete="" value="" id="middleInitial-2"></span>
 633 </li>
 634 <li class="lastName required">
 635 <label for="lastName-2"><span><em class="star">*</em>Last Name:</span></label><span><input type="text" name="addrsForm[2].lastName" maxlength="30" size="30" autocomplete="" value="" id="lastName-2"></span>
 636 </li>
 637 <li class="shiptoName">
 638 <label for="shiptoName-2"><span>Company Name</span></label><span><input type="text" name="addrsForm[2].shiptoName" maxlength="30" size="30" autocomplete="" value="" id="shiptoName-2"></span>
 639 </li>
 640 <li class="address1 required">
 641 <label for="address1-2"><span><em class="star">*</em>Address</span></label><span><input type="text" name="addrsForm[2].address1" maxlength="25" size="30" autocomplete="" value="" id="address1-2"></span>
 642 </li>
 643 <li class="address2">
 644 <label for="address2-2"><span></span></label><span><input type="text" name="addrsForm[2].address2" maxlength="25" size="30" autocomplete="" value="" id="address2-2"></span>
 645 </li>
 646 <li class="city required">
 647 <label for="city-2"><span><em class="star">*</em>City</span></label><span><input type="text" name="addrsForm[2].city" maxlength="25" size="30" autocomplete="" value="" id="city-2"></span>
 648 </li>
 649 <li class="state required">
 650 <label for="state-2"><span><em class="star">*</em>State</span></label><span><select name="addrsForm[2].state" id="state-2"><option value="{blank}" selected>Please select...</option>
 651 <option value="AK">AK - Alaska</option>
 652 <option value="AL">AL - Alabama</option>
 653 <option value="AR">AR - Arkansas</option>
 654 <option value="AZ">AZ - Arizona</option>
 655 <option value="CA">CA - California</option>
 656 <option value="CO">CO - Colorado</option>
 657 <option value="CT">CT - Connecticut</option>
 658 <option value="DC">DC - District of Columbia</option>
 659 <option value="DE">DE - Delaware</option>
 660 <option value="FL">FL - Florida</option>
 661 <option value="GA">GA - Georgia</option>
 662 <option value="HI">HI - Hawaii</option>
 663 <option value="IA">IA - Iowa</option>
 664 <option value="ID">ID - Idaho</option>
 665 <option value="IL">IL - Illinois</option>
 666 <option value="IN">IN - Indiana</option>
 667 <option value="KS">KS - Kansas</option>
 668 <option value="KY">KY - Kentucky</option>
 669 <option value="LA">LA - Louisiana</option>
 670 <option value="MA">MA - Massachusetts</option>
 671 <option value="MD">MD - Maryland</option>
 672 <option value="ME">ME - Maine</option>
 673 <option value="MI">MI - Michigan</option>
 674 <option value="MN">MN - Minnesota</option>
 675 <option value="MO">MO - Missouri</option>
 676 <option value="MS">MS - Mississippi</option>
 677 <option value="MT">MT - Montana</option>
 678 <option value="NC">NC - North Carolina</option>
 679 <option value="ND">ND - North Dakota</option>
 680 <option value="NE">NE - Nebraska</option>
 681 <option value="NH">NH - New Hampshire</option>
 682 <option value="NJ">NJ - New Jersey</option>
 683 <option value="NM">NM - New Mexico</option>
 684 <option value="NV">NV - Nevada</option>
 685 <option value="NY">NY - New York</option>
 686 <option value="OH">OH - Ohio</option>
 687 <option value="OK">OK - Oklahoma</option>
 688 <option value="OR">OR - Oregon</option>
 689 <option value="PA">PA - Pennsylvania</option>
 690 <option value="PR">PR - Puerto Rico</option>
 691 <option value="RI">RI - Rhode Island</option>
 692 <option value="SC">SC - South Carolina</option>
 693 <option value="SD">SD - South Dakota</option>
 694 <option value="TN">TN - Tennessee</option>
 695 <option value="TX">TX - Texas</option>
 696 <option value="UT">UT - Utah</option>
 697 <option value="VA">VA - Virginia</option>
 698 <option value="VT">VT - Vermont</option>
 699 <option value="WA">WA - Washington</option>
 700 <option value="WI">WI - Wisconsin</option>
 701 <option value="WV">WV - West Virginia</option>
 702 <option value="WY">WY - Wyoming</option></select></span>
 703 </li>
 704 <li class="postalCode1 required">
 705 <label for="postalCode1-2"><span><em class="star">*</em>Zip Code</span></label><span><input type="text" name="addrsForm[2].postalCode1" maxlength="11" size="11" autocomplete="" value="" id="postalCode1-2"></span>
 706 </li>
 707 <li class="country">
 708 <label for="country-2"><span>Country</span></label><span>USA</span>
 709 </li>
 710 <li class="phoneNumber1 required">
 711 <label for="phoneNumber1-2"><span><em class="star">*</em>Phone Number:</span></label><span><input type="text" name="addrsForm[2].phoneNumber1" maxlength="3" size="1" autocomplete="" value="" id="phoneNumber1-2">-<input type="text" name="addrsForm[2].phoneNumber2" maxlength="3" size="1" autocomplete="" value="" id="phoneNumber2-2">-<input type="text" name="addrsForm[2].phoneNumber3" maxlength="4" size="2" autocomplete="" value="" id="phoneNumber3-2">&#160;ext.<input type="text" name="addrsForm[2].phoneNumber4" maxlength="4" size="3" autocomplete="" value="" id="phoneNumber4-2"></span>
 712 </li>
 713 <li class="email required">
 714 <label for="email-2"><span><em class="star">*</em>Email Address:</span></label><span><input type="text" name="addrsForm[2].email" maxlength="99" size="31" autocomplete="" value="" id="email-2"></span>
 715 </li>
 716 </ol>
 717 <input type="hidden" name="addrsForm[2].country" value="USA" id="country-2">
 718 </div>
 719
 720
 721
 722
 723
 724
 725
 726         <input type="hidden" name="shippingEmailPreferences.emailHtml" value="true"><p class="prefs tight">
 727
 728
 729
 730                         <input type="hidden" name="shippingEmailPreferences.optInSelected" value="true"></p>
 731
 732
 733
 734
 735
 736 </div>
 737 </div>
 738
 739
 740
 741
 742
 743
 744
 745
 746
 747
 748
 749
 750
 751
 752
 753
 754
 755
 756
 757
 758
 759
 760
 761 <div class="form_divider"></div>
 762 <div id="reg_userInfo" class="moduleStruct">
 763 <h2 class="modStyle1">Create Your Login and Password</h2>
 764
 765         <div class="moduleStructContent">
 766
 767                         <p class="required">
 768                                 <label>
 769                                 <em>*</em> Indicates required field
 770                                 </label>
 771                         </p>
 772
 773         <table id="createLogin" class="form" cellspacing="0">
 774 <tr>
 775 <td class="label">
 776                 <label class="required">
 777
 778
 779                                 <em class="star">*</em>Login Name:
 780
 781
 782
 783
 784                 </label>
 785             </td>
 786             <td class="input required">
 787
 788                     <input type="text" name="loginForm.loginName" maxlength="100" size="30" autocomplete="" value="" class="textfield"><img class="star" src="#"><span class="note">We recommend you use your email address.</span>
 789
 790
 791
 792                 </td>
 793             </tr>
 794 <tr>
 795 <td class="label"><label class="required">
 796
 797
 798
 799                                         <em class="star">*</em>Password:
 800
 801
 802
 803             </label></td>
 804             <td class="input required">
 805 <input type="password" name="loginForm.password" maxlength="10" size="30" value="" class="textfield"><img class="star" src="#"><span class="note">must be at least 6 characters</span>
 806              </td>
 807
 808         </tr>
 809 <tr>
 810 <td class="label"><label class="required">
 811
 812             <em class="star">*</em>Password Confirm:
 813
 814
 815             </label></td>
 816             <td class="input required">
 817 <input type="password" name="loginForm.passwordConfirm" maxlength="10" size="30" value="" class="textfield"><img class="star" src="#"><span class="note">retype your password</span>
 818 </td>
 819             </tr>
 820 <tr>
 821 <td class="label"></td>
 822                     <td class="check" colspan="2">
 823 <input type="checkbox" name="loginForm.autoLogin" value="on" class="checkboxfield"><label>Log me in automatically<br><span class="note">(Cookies&#160;must&#160;be&#160;enabled)</span></label>
 824 </td>
 825
 826                 </tr>
 827 </table>
 828 </div>
 829
 830 </div>
 831
 832
 833
 834                         </div>
 835
 836         </div>
 837
 838
 839
 840
 841
 842
 843
 844
 845
 846
 847
 848
 849
 850
 851
 852
 853
 854
 855 <div class="actions section">
 856    <ul class="buttonwrapper">
 857 <li>
 858
 859
 860                              <div class="b1">
 861                                                                 <input type="submit" value=" Create Account" name="cmd_registration" class="button" title=" Create Account">
 862 </div>
 863
 864
 865
 866
 867
 868         </li>
 869         </ul>
 870 </div>
 871
 872         <input type="hidden" name="displayedForm" value="true"><input type="hidden" name="linked" value="false"><input type="hidden" name="billToID" value=""><input type="hidden" name="requestFromPage" value="true"><input type="hidden" name="fromShoppingCartPage" value="false"><input type="hidden" name="registrationExceptionInfo.billToId" value=""><input type="hidden" name="registrationExceptionInfo.shipToSeq" value=""><input type="hidden" name="registrationExceptionInfo.lastUser" value=""><input type="hidden" name="registrationExceptionInfo.billingEmailCreated" value="false"><input type="hidden" name="registrationExceptionInfo.shippingEmailCreated" value="false"><input type="hidden" name="registrationExceptionInfo.userCreated" value="false"><input type="hidden" name="registrationExceptionInfo.contactId" value=""><input type="hidden" name="customLabelsPermissionsForm.requestor" value="_registrationRequestor_">
 873 </div>
 874 </div>
 875 </form>
 876
 877
 878
 879 </body>
 880 </html>