chrome/test/data/autofill/heuristics/input/20_llbean.html

   1 <style type="text/css">
   2   .hdn { visibility:hidden; }
   3   .jpn {}
   4   .us {}
   5   .canada {}
   6 </style>
   7
   8 <form id="stepShippingForm" name="stepShippingForm">
   9   <label for="shipPersonTitle">Title <i>(optional)</i></label>
  10   <select name="personTitle" id="shipPersonTitle">
  11     <option value="">Please select:</option>
  12     <option value="Mr.">Mr.</option>
  13     <option value="Mrs.">Mrs.</option>
  14     <option value="Ms.">Ms.</option>
  15     <option value="Dr.">Dr.</option>
  16     <option value="Sir">Sir</option>
  17   </select>
  18   <div>
  19     <label for="shipFirstName">First Name</label>
  20     <input id="shipFirstName" name="firstName" value="" type="text" maxlength="20">
  21   </div>
  22   <div>
  23     <label for="shipMiddleName">Middle Name<i>(optional)</i></label>
  24     <input id="shipMiddleName" name="middleName" type="text" maxlength="20">
  25   </div>
  26   <div>
  27     <label for="shipLastName">Last Name</label>
  28     <input id="shipLastName" name="lastName" type="text" maxlength="20">
  29   </div>
  30   <div>
  31     <label id="shipGenderLabel">Gender <i>(optional)</i></label>
  32     <label><input type="radio" value="M" id="shipMale" name="gender">Male</label>
  33     <label><input type="radio" value="F" id="shipFemale" name="gender">Female</label>
  34   </div>
  35   <div id="shippingAddress">
  36     <label for="shipCountry">Country</label>
  37     <select name="country" id="shipCountry" size="0" title="Country">
  38       <option value="">Select</option>
  39       <option value="" disabled="disabled">----------</option>
  40       <option value="USA" selected="selected">USA &amp; Territories</option>
  41       <option value="CAN">Canada</option>
  42       <option value="JPN">jpn</option>
  43       <option value="ALB">Albania</option>
  44       <option value="DZA">Algeria</option>
  45       <option value="AND">Andorra</option>
  46       <option value="AGO">Angola</option>
  47       <option value="AIA">Anguilla</option>
  48     </select>
  49   </div>
  50   <div>
  51     <div class="jpn hdn">
  52       <label for="shipJPNPostal">Postal Code</label>
  53       <div>
  54         <input id="shipJPNPostal" name="JPNPostal" type="text" maxlength="10">
  55       </div>
  56     </div>
  57     <div class="jpn hdn">
  58       <label for="shipJPNPrefecture">Prefecture</label>
  59       <div>
  60         <input id="shipJPNPrefecture" name="JPNPrefecture" type="text" maxlength="20">
  61       </div>
  62     </div>
  63   </div>
  64   <div class="jpn hdn">
  65     <label for="shipJPNCity">City</label>
  66     <input id="shipJPNCity" name="JPNCity" type="text">
  67   </div>
  68   <div class="hdn">
  69     <div>
  70       <label for="secondaryName">Business, Attention, or In Care of Name <i>(optional)</i></label>
  71       <div>
  72         <input id="secondaryName" name="organizationName" type="text" value="" maxlength="40">
  73       </div>
  74     </div>
  75     <div>
  76       <label for="businessName"> <input value="BUS" id="businessName" name="orgNameInd" type="radio">Business</label>
  77       <label for="inCareOfName"> <input value="C/O" id="inCareOfName" name="orgNameInd" type="radio">In care of</label>
  78       <label for="attentionName"> <input value="ATTN" id="attentionName" name="orgNameInd" type="radio">Attention</label>
  79     </div>
  80   </div>
  81   <div>
  82     <label for="shipAddress1">Address</label>
  83     <input id="shipAddress1" name="address1" type="text" maxlength="35">
  84   </div>
  85   <div>
  86     <label for="shipAddress2">Address Line 2 <i>(optional)</i></label>
  87     <input id="shipAddress2" name="address2" type="text" maxlength="35">
  88   </div>
  89   <div class="hdn">
  90     <label for="shipAddress3">Address Line 3 <i>(optional)</i></label>
  91     <input id="shipAddress3" name="address3" type="text" maxlength="35">
  92   </div>
  93   <div class="us">
  94     <div>
  95       <label for="shipZipCode">Zip Code</label>
  96       <div>
  97         <input id="shipZipCode" name="zipCode" type="tel" maxlength="10">
  98       </div>
  99       <input id="shipZipCodeFull" name="zipCodeFull" type="hidden" value="">
 100     </div>
 101     <div>
 102       <label>&nbsp;</label><p>Enter Zip for City and State</p>
 103     </div>
 104   </div>
 105   <div>
 106     <div class="us">
 107       <label for="shipCity">City</label>
 108       <div>
 109         <input id="shipCity" name="city" type="text">
 110       </div>
 111     </div>
 112     <div class="us">
 113       <label for="shipState">State</label>
 114       <div>
 115         <select name="state" id="shipState" title="State">
 116           <option value="">Please Select:</option>
 117           <option value="AL">Alabama (AL)</option>
 118           <option value="AK">Alaska (AK)</option>
 119           <option value="AS">American Samoa (AS)</option>
 120           <option value="AA">APO/FPO Address (AA)</option>
 121           <option value="AE">APO/FPO Address (AE)</option>
 122           <option value="AP">APO/FPO Address (AP)</option>
 123           <option value="AZ">Arizona (AZ)</option>
 124           <option value="AR">Arkansas (AR)</option>
 125           <option value="CA">California (CA)</option>
 126           <option value="CO">Colorado (CO)</option>
 127           <option value="CT">Connecticut (CT)</option>
 128           <option value="DE">Delaware (DE)</option>
 129           <option value="DC">District of Columbia (DC)</option>
 130           <option value="FM">Federation of Micronesia (FM)</option>
 131           <option value="FL">Florida (FL)</option>
 132           <option value="GA">Georgia (GA)</option>
 133           <option value="GU">Guam (GU)</option>
 134           <option value="HI">Hawaii (HI)</option>
 135           <option value="ID">Idaho (ID)</option>
 136           <option value="IL">Illinois (IL)</option>
 137           <option value="IN">Indiana (IN)</option>
 138           <option value="IA">Iowa (IA)</option>
 139           <option value="KS">Kansas (KS)</option>
 140           <option value="KY">Kentucky (KY)</option>
 141           <option value="LA">Louisiana (LA)</option>
 142           <option value="ME">Maine (ME)</option>
 143           <option value="MH">Marshall Islands (MH)</option>
 144           <option value="MD">Maryland (MD)</option>
 145           <option value="MA">Massachusetts (MA)</option>
 146           <option value="MI">Michigan (MI)</option>
 147           <option value="MN">Minnesota (MN)</option>
 148           <option value="MS">Mississippi (MS)</option>
 149           <option value="MO">Missouri (MO)</option>
 150           <option value="MT">Montana (MT)</option>
 151           <option value="NE">Nebraska (NE)</option>
 152           <option value="NV">Nevada (NV)</option>
 153           <option value="NH">New Hampshire (NH)</option>
 154           <option value="NJ">New Jersey (NJ)</option>
 155           <option value="NM">New Mexico (NM)</option>
 156           <option value="NY">New York (NY)</option>
 157           <option value="NC">North Carolina (NC)</option>
 158           <option value="ND">North Dakota (ND)</option>
 159           <option value="MP">Northern Mariana Islands (MP)</option>
 160           <option value="OH">Ohio (OH)</option>
 161           <option value="OK">Oklahoma (OK)</option>
 162           <option value="OR">Oregon (OR)</option>
 163           <option value="PW">Palau (PW)</option>
 164           <option value="PA">Pennsylvania (PA)</option>
 165           <option value="PR">Puerto Rico (PR)</option>
 166           <option value="RI">Rhode Island (RI)</option>
 167           <option value="SC">South Carolina (SC)</option>
 168           <option value="SD">South Dakota (SD)</option>
 169           <option value="TN">Tennessee (TN)</option>
 170           <option value="TX">Texas (TX)</option>
 171           <option value="UT">Utah (UT)</option>
 172           <option value="VT">Vermont (VT)</option>
 173           <option value="VI">Virgin Islands (VI)</option>
 174           <option value="VA">Virginia (VA)</option>
 175           <option value="WA">Washington (WA)</option>
 176           <option value="WV">West Virginia (WV)</option>
 177           <option value="WI">Wisconsin (WI)</option>
 178           <option value="WY">Wyoming (WY)</option>
 179         </select>
 180       </div>
 181     </div>
 182   </div>
 183   <div class="canada hdn">
 184     <label for="shipCAPostal">Postal Code</label>
 185     <input id="shipCAPostal" name="CAPostal" type="text" maxlength="7">
 186   </div>
 187   <div>
 188     <div class="hdn">
 189       <label for="shipCACity">City</label>
 190       <div>
 191         <input id="shipCACity" name="CACity" type="text" maxlength="25">
 192       </div>
 193     </div>
 194     <div class="canada hdn">
 195       <label for="shipCAProvince">Province</label>
 196       <div>
 197         <select id="shipCAProvince" title="Province (required)" name="CAProvince">
 198           <option value=""> Please Select:</option>
 199           <option value="AB">Alberta (AB)</option>
 200           <option value="BC">British Columbia (BC)</option>
 201           <option value="MB">Manitoba (MB)</option>
 202           <option value="NB">New Brunswick (NB)</option>
 203           <option value="NL">Newfoundland (NL)</option>
 204           <option value="NT">Northwest Territories (NT)</option>
 205           <option value="NS">Nova Scotia (NS)</option>
 206           <option value="NU">Nunavut (NU)</option>
 207           <option value="ON">Ontario (ON)</option>
 208           <option value="PE">Prince Edward Island (PE)</option>
 209           <option value="QC">Quebec (QC)</option>
 210           <option value="SK">Saskatchewan (SK)</option>
 211           <option value="YT">Yukon Territory (YT)</option>
 212         </select>
 213       </div>
 214     </div>
 215   </div>
 216   <div>
 217     <div class="hdn">
 218       <label for="shipINTLCity">City</label>
 219       <div>
 220         <input id="shipINTLCity" name="INTLCity" type="text" maxlength="25">
 221       </div>
 222    </div>
 223    <div class="intl hdn">
 224      <label for="shipINTLCounty">County</label>
 225      <div>
 226        <input id="shipINTLCounty" name="INTLCounty" type="text" maxlength="20">
 227     </div>
 228   </div>
 229   <div>
 230     <div class="intl hdn">
 231       <label for="shipINTLPostal">Postal Code</label>
 232       <div>
 233         <input id="shipINTLPostal" name="INTLPostal" type="text" maxlength="10">
 234       </div>
 235     </div>
 236   </div>
 237   <div>
 238     <div class="us canada">
 239       <label for="shipDaytimePhone">Daytime Phone Number <i class="hdn">(optional)</i></label>
 240       <div>
 241         <input id="shipDaytimePhone" name="phone1" type="tel" maxlength="20">
 242       </div>
 243     </div>
 244     <div class="intl jpn hdn">
 245      <label for="shipIntlPhonePrefix">International Country Code</label>
 246      <label for="shipIntlPhone">Daytime Phone Number</label>
 247      <div>
 248        <input id="shipIntlPhonePrefix" name="intlPhone1Prefix" type="tel" maxlength="4">
 249        <input id="shipIntlPhone" name="intlPhone1" type="tel" maxlength="20">
 250      </div>
 251    </div>
 252    <div>
 253      <label for="shipHomePhone">
 254        <input type="radio" value="H" id="shipHomePhone" name="phone1_Loc" checked="">Home
 255      </label>
 256      <label for="shipWorkPhone">
 257        <input type="radio" value="B" id="shipWorkPhone" name="phone1_Loc">Work
 258      </label>
 259      <label for="shipMobilePhone">
 260        <input type="radio" value="M" id="shipMobilePhone" name="phone1_Loc">Mobile
 261      </label>
 262    </div>
 263   </div>
 264   <div class="us canada" id="shipIncludePhoneBlk">
 265     <label for="shipCkoutShippingCheck">
 266       <input id="shipCkoutShippingCheck" type="checkbox" value="ckoutShippingCheck" name="ckoutShippingCheck" checked="checked">
 267       Include phone number
 268     </label>
 269   </div>
 270   <div>
 271     <label for="shipModeId">Shipping</label>
 272     <div>
 273       <label for="shipMode10">
 274         <input type="radio" name="shipModeId" id="shipMode10" value="10" checked="checked">Fast
 275       </label>
 276       <label for="shipMode11">
 277         <input type="radio" name="shipModeId" id="shipMode11" value="11">Slow
 278       </label>
 279     </div>
 280   </div>
 281   <div id="shipLiabilityBlock">
 282     <label for="shipLiability">
 283       <input id="shipLiability" type="checkbox" value="on" name="shipLiability">Liability
 284     </label>
 285   </div>
 286   <div id="shipGiftChkBlk">
 287     <label for="shipAddGiftMsg">
 288       <input type="checkbox" value="addGiftMsg" id="shipAddGiftMsg">Message
 289     </label>
 290   </div>
 291   <div id="shipGiftMsgBlk" class="hdn">
 292     <label for="shipGiftMsg">Message</label>
 293     <textarea id="shipGiftMsg" name="giftMsg" rows="3" cols="30" maxlength="90"></textarea>
 294   </div>
 295 </form>