chrome/test/data/autofill/heuristics/input/03_checkout_cduniverse.com.html

   1
   2
   3 <html>
   4 <head>
   5 <title>CD Universe</title>
   6 <meta name="robots" content="noindex,nofollow">
   7
   8 <STYLE>.contentdesctop{color: gray;margin-top: 10px; background-color: white; position: absolute; top: 17px; right: 10px; text-align: right;}</STYLE>
   9 </head>
  10
  11
  12 <body bgcolor="#FFFFFF" text="#000000" link="#0000FF" vlink="#000099" leftmargin="0" topmargin="4" marginwidth="0" marginheight="0">
  13
  14
  15
  16
  17
  18
  19 <form name="frmSearch" id="frmSearch"  action="http://www.cduniverse.com/sresult.asp" method="GET" style="display: inline;">
  20
  21 <table width="100%" border="0" cellpadding="0" cellspacing="0" id="ntgen">
  22  <tr>
  23             <td width="211"><a  href="http://www.cduniverse.com/default.asp?style=music"><img src="#" alt="CD Universe" border="0"></a></td>
  24     <td>
  25     <table width="100%" border="0" cellpadding="0" cellspacing="0" id="ntgen2">
  26         <tr>
  27           <td>
  28             <table height="40" border="0" cellpadding="0" cellspacing="0" width="100%" id="ntgen3">
  29               <tr>
  30                 <td valign="bottom" width="100">
  31
  32    <table cellspacing="0" cellpadding="0" border="0" id="ntm4">
  33         <tr>
  34
  35                         <td><a  href="http://www.cduniverse.com/"><img src="#" alt="Music" border="0"></a></td>
  36
  37           <td><a  href="http://www.cduniverse.com/default.asp?style=mp3"><img src="#" alt="MP3" border="0"></a></td>
  38
  39                   <td><a  href="http://www.cduniverse.com/default.asp?style=movie"><img src="#" alt="Movies" border="0"></a></td>
  40                   <td><a  href="http://www.cduniverse.com/default.asp?style=games"><img src="#" alt="Games" border="0"></a></td>
  41
  42            </tr>
  43        </table>
  44
  45                 </td>
  46                 <td align="right">
  47                   <table cellpadding="0" cellspacing="0" id="nav-buttons"><tr><td width=100></td><td width="49" align=right valign=top><a href="http://www.cduniverse.com/checkout/cart.asp?style=music" rel="nofollow"><img id="imgInCartMain" src="#" alt="View Cart" border="0" hspace="6"></a></td><td width="70"><a href="https://www.cduniverse.com/checkout/account.asp?style=music" rel="nofollow"><img src="#" alt="Your Account" border=0 hspace=6 ></a></td><td width="52"><a href="http://www.cduniverse.com/wishlist.asp?style=music" rel="nofollow"><img src="#" alt="Wish List" border=0 hspace=6></a></td><td><a href="http://www.cduniverse.com/policy.asp?style=music" rel="nofollow"><img src="#" alt="Help" border=0 hspace=6></a></td></tr></table>
  48                 </td>
  49               </tr>
  50             </table></td>
  51         </tr>
  52
  53         <tr bgcolor="#00528A">
  54             <td colspan="2" height="32" align=right><table cellspacing=0 cellpadding=0 border=0><tr><td width=250 align="center"><style type="text/css">
  55 a.session{color:#ffffff;text-decoration:none;}
  56 a.session:hover {color:#ffffff;text-decoration:underline;}
  57 a.session:visited {color:#ffffff;text-decoration:none;}</style>
  58 <span style="font-size:10px;font-weight:bold;color:#ffffff">Existing Customer? &nbsp;<a class="session" rel="nofollow" href="https://www.cduniverse.com/login.asp?style=music&amp;noref=1">Sign In</a>&nbsp;&nbsp;&nbsp;</span><br></td><td width="115" align="right"><!-- START SCANALERT CODE --><a target="_blank" rel="nofollow" href="https://www.mcafeesecure.com/RatingVerify?ref=www.cduniverse.com"><img width="115" height="32" border="0" src="#" alt="McAfee SECURE sites help keep you safe from identity theft, credit card fraud, spyware, spam, viruses and online scams" ></a><!-- END SCANALERT CODE --></td></tr></table><td></tr>
  59       </table><!--ntm2-->
  60       </td>
  61         </tr>
  62 </table><!--End NTM-->
  63 </form>
  64
  65
  66
  67
  68
  69 <table id="ntmusic" width="100%" cellspacing="0" cellpadding="0">
  70   <tr>
  71     <td background="https://www.cduniverse.com/images/msn-bg.jpg">
  72       <table cellspacing="0" cellpadding="0">
  73         <tr>
  74           <td><a border="none" style="text-decoration:none;outline-style:none;color:black" href="http://www.cduniverse.com/default.asp?style=music"><img border="none" src="#"></a></td>
  75
  76
  77           <td><a border="none" rel="nofollow" style="text-decoration:none;outline-style:none;color:black" href="http://www.cduniverse.com/default.asp?style=mp3"><img border="none" src="#"></a></td>
  78
  79
  80           <td><a border="none" style="text-decoration:none;outline-style:none;color:black" href="http://www.cduniverse.com/default.asp?style=classical"><img border="none" src="#"></a></td>
  81         </tr>
  82       </table>
  83     </td>
  84
  85   </tr>
  86 </table>
  87 <br><tr><table width="100%" bgcolor=white id="dpbs1"><tr><td width="100%">
  88         <!--<td width="100%" valign="top">-->
  89         <center><br><table bgcolor="white" width="700" border="0" cellpadding="0" cellspacing="0" id="pcs">
  90     <tr><td rowspan="1" valign="top"><div style="margin:0px 0px 14px 0px;"><img src="#"></div>
  91
  92         <table width="100%" border="0" cellpadding="cellspacing=4">
  93
  94
  95
  96
  97
  98
  99
 100
 101 <form METHOD="POST" ACTION="account.asp?style=music&amp;vDestURL=" id="form3" name="form3">
 102                 <tr>
 103                         <td width="229"><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
 104
 105                                 First Name
 106
 107                         </b></font></td>
 108
 109                         <td width="998"><input NAME="HT_First_Name" TYPE="TEXT" ROWS="1" SIZE="15" MAXLENGTH="19" VALUE=""></td>
 110                 </tr>
 111                 <tr>
 112                         <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
 113
 114                                 Last Name
 115
 116                         </b></font></td>
 117                         <td><input NAME="HT_Last_Name" TYPE="TEXT" ROWS="1" SIZE="25" MAXLENGTH="30" VALUE=""></td>
 118                 </tr>
 119                 <tr>
 120                         <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
 121                         <br>
 122
 123                                 Password
 124
 125                   </b></font></td>
 126                         <td><br>
 127                           <input NAME="HT_Password" TYPE="PASSWORD" ROWS="1" SIZE="20" MAXLENGTH="20"></td></tr>
 128                 <tr>
 129                         <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
 130
 131                                 <b>Re-enter Password</b></font>
 132
 133                         </td>
 134                         <td><input NAME="HT_Conf_Password" TYPE="PASSWORD" ROWS="1" SIZE="20" MAXLENGTH="20"></td>
 135                 </tr>
 136                 <tr>
 137                         <td COLSPAN="2" height="20"></td>
 138                 </tr>
 139                 <tr>
 140                         <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2"><b>
 141
 142                                 Email
 143
 144                         </b></font></td>
 145                         <td><input NAME="HT_email" TYPE="TEXT" ROWS="1" SIZE="40" MAXLENGTH="50" VALUE=""></td>
 146                 </tr>
 147
 148
 149                         <tr>
 150                                 <td colspan="2">We use your email address to notify you when your order ships, or for any problems with your order.<br>Leave the box blank if you do not have an email address.</td>
 151                         </tr>
 152                         <tr>
 153                                 <td COLSPAN="2"><br><font FACE=""Verdana, Helvetica, Sans-Serif"" size="2"><b>Please make note of your name and password for future orders.</b></font><br><br></td>
 154                         </tr>
 155                         <tr>
 156                                 <td COLSPAN="2"><br><br>
 157         <div class="label">Bill To: <font color=gray size=1px>(must match credit card)</font></div><hr width="100%" size="1" color="#c0c0c0" noshade>
 158         </td>
 159                         </tr>
 160                         <tr>
 161                                 <td>
 162                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b><nobr>Address 1</nobr></b></font></td>
 163                                 <td>
 164                                 <input NAME="HT_Bill_Address1" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE=""></td>
 165                         </tr>
 166                         <tr>
 167
 168       <td valign="top"> <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b><nobr>Address 2</nobr></b></font> </td>
 169                                 <td>
 170                                 <input NAME="HT_Bill_Address2" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE="">
 171                                 <br>
 172         <font color="#999999">(Apt, Suite, Floor # if applicable)</font> <br>
 173         <br>
 174       </td>
 175                         </tr>
 176                         <tr>
 177                                 <td>
 178                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>City</b></font></td>
 179                                 <td>
 180                                 <input NAME="HT_Bill_City" TYPE="TEXT" ROWS="1" SIZE="30" MAXLENGTH="50" VALUE=""></td>
 181                         </tr>
 182                         <tr>
 183                                 <td>
 184                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>State/Province</b></font></td>
 185                                 <td>
 186                                 <input NAME="HT_Bill_State" TYPE="TEXT" ROWS="1" SIZE="4" MAXLENGTH="20" VALUE=""><font SIZE="1" FACE=""Verdana, Helvetica, Sans-Serif"">&nbsp;Click&nbsp;<a target="new" HREF="stateabbrev.asp">here</a>&nbsp;for State Abbreviations</font></td>
 187                         </tr>
 188                         <tr>
 189                                 <td>
 190                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Zip/Postal Code</b></font></td>
 191                                 <td>
 192                                 <input NAME="HT_Bill_Zip" TYPE="TEXT" ROWS="1" SIZE="10" MAXLENGTH="16" VALUE=""></td>
 193                         </tr>
 194                         <tr>
 195                                 <td>
 196                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Phone</b></font></td>
 197                                 <td>
 198                                 <input NAME="HT_phone" TYPE="TEXT" ROWS="1" SIZE="16" MAXLENGTH="16" VALUE=""><font color="#999999">XXX-XXX-XXXX</font></td>
 199                         </tr>
 200                         <tr>
 201                                 <td>
 202                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Country</b></font></td>
 203                                 <td>
 204                                 <select NAME="HT_Bill_Country" TYPE="TEXT" SIZE="1" MAXLENGTH="26">
 205
 206
 207                                         <option selected VALUE="USA">USA</option>
 208                                 <OPTION VALUE=""></OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE="">=================</OPTION><OPTION VALUE="Afghanistan">Afghanistan</OPTION><OPTION VALUE="Albania">Albania</OPTION><OPTION VALUE="Algeria">Algeria</OPTION><OPTION VALUE="Andorra">Andorra</OPTION><OPTION VALUE="Angola">Angola</OPTION><OPTION VALUE="Anguilla">Anguilla</OPTION><OPTION VALUE="Antigua and Barbuda">Antigua and Barbuda</OPTION><OPTION VALUE="Argentina">Argentina</OPTION><OPTION VALUE="Armenia">Armenia</OPTION><OPTION VALUE="Aruba">Aruba</OPTION><OPTION VALUE="Ascension">Ascension</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE="Austria">Austria</OPTION><OPTION VALUE="Azerbaijan">Azerbaijan</OPTION><OPTION VALUE="Bahamas">Bahamas</OPTION><OPTION VALUE="Bahrain">Bahrain</OPTION><OPTION VALUE="Bangladesh">Bangladesh</OPTION><OPTION VALUE="Barbados">Barbados</OPTION><OPTION VALUE="Belarus">Belarus</OPTION><OPTION VALUE="Belgium">Belgium</OPTION><OPTION VALUE="Belize">Belize</OPTION><OPTION VALUE="Benin">Benin</OPTION><OPTION VALUE="Bermuda">Bermuda</OPTION><OPTION VALUE="Bhutan">Bhutan</OPTION><OPTION VALUE="Bolivia">Bolivia</OPTION><OPTION VALUE="Bosnia-Herzegovina">Bosnia-Herzegovina</OPTION><OPTION VALUE="Botswana">Botswana</OPTION><OPTION VALUE="Brazil">Brazil</OPTION><OPTION VALUE="British Virgin Isld">British Virgin Isld</OPTION><OPTION VALUE="Brunei Darussalam">Brunei Darussalam</OPTION><OPTION VALUE="Bulgaria">Bulgaria</OPTION><OPTION VALUE="Burkina Faso">Burkina Faso</OPTION><OPTION VALUE="Burma (Myanmar)">Burma (Myanmar)</OPTION><OPTION VALUE="Burundi">Burundi</OPTION><OPTION VALUE="Cambodia">Cambodia</OPTION><OPTION VALUE="Cameroon">Cameroon</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Cape Verde">Cape Verde</OPTION><OPTION VALUE="Cayman Islands BWI">Cayman Islands BWI</OPTION><OPTION VALUE="Central African Rep">Central African Rep</OPTION><OPTION VALUE="Chad">Chad</OPTION><OPTION VALUE="Chile">Chile</OPTION><OPTION VALUE="China">China</OPTION><OPTION VALUE="Colombia">Colombia</OPTION><OPTION VALUE="Comoros">Comoros</OPTION><OPTION VALUE="Congo, Democratic">Congo, Democratic</OPTION><OPTION VALUE="Congo, Republic">Congo, Republic</OPTION><OPTION VALUE="Costa Rica">Costa Rica</OPTION><OPTION VALUE="Croatia">Croatia</OPTION><OPTION VALUE="Cuba">Cuba</OPTION><OPTION VALUE="Cyprus">Cyprus</OPTION><OPTION VALUE="Czech Republic">Czech Republic</OPTION><OPTION VALUE="Denmark">Denmark</OPTION><OPTION VALUE="Djibouti">Djibouti</OPTION><OPTION VALUE="Dominica">Dominica</OPTION><OPTION VALUE="Dominican Republic">Dominican Republic</OPTION><OPTION VALUE="Ecuador">Ecuador</OPTION><OPTION VALUE="Egypt">Egypt</OPTION><OPTION VALUE="El Salvador">El Salvador</OPTION><OPTION VALUE="Equatorial Guinea">Equatorial Guinea</OPTION><OPTION VALUE="Eritrea">Eritrea</OPTION><OPTION VALUE="Estonia">Estonia</OPTION><OPTION VALUE="Ethiopia">Ethiopia</OPTION><OPTION VALUE="Falkland Islands">Falkland Islands</OPTION><OPTION VALUE="Faroe Islands">Faroe Islands</OPTION><OPTION VALUE="Fiji">Fiji</OPTION><OPTION VALUE="Finland">Finland</OPTION><OPTION VALUE="France">France</OPTION><OPTION VALUE="France">Corsica</OPTION><OPTION VALUE="French Guiana">French Guiana</OPTION><OPTION VALUE="French Polynesia">French Polynesia</OPTION><OPTION VALUE="Gabon">Gabon</OPTION><OPTION VALUE="Gambia">Gambia</OPTION><OPTION VALUE="Georgia, Republic Of">Georgia, Republic Of</OPTION><OPTION VALUE="Germany">Germany</OPTION><OPTION VALUE="Ghana">Ghana</OPTION><OPTION VALUE="Gibraltar">Gibraltar</OPTION><OPTION VALUE="Greece">Greece</OPTION><OPTION VALUE="Greenland">Greenland</OPTION><OPTION VALUE="Grenada">Grenada</OPTION><OPTION VALUE="Guadeloupe">Guadeloupe</OPTION><OPTION VALUE="Guatemala">Guatemala</OPTION><OPTION VALUE="Guinea">Guinea</OPTION><OPTION VALUE="Guinea-Bissau">Guinea-Bissau</OPTION><OPTION VALUE="Guyana">Guyana</OPTION><OPTION VALUE="Haiti">Haiti</OPTION><OPTION VALUE="Honduras">Honduras</OPTION><OPTION VALUE="Hong Kong">Hong Kong</OPTION><OPTION VALUE="Hungary">Hungary</OPTION><OPTION VALUE="Iceland">Iceland</OPTION><OPTION VALUE="India">India</OPTION><OPTION VALUE="Indonesia">Indonesia</OPTION><OPTION VALUE="Indonesia">East Timor</OPTION><OPTION VALUE="Iran">Iran</OPTION><OPTION VALUE="Iraq">Iraq</OPTION><OPTION VALUE="Ireland">Ireland</OPTION><OPTION VALUE="Israel">Israel</OPTION><OPTION VALUE="Italy">Italy</OPTION><OPTION VALUE="Ivory Coast">Ivory Coast</OPTION><OPTION VALUE="Jamaica">Jamaica</OPTION><OPTION VALUE="Japan">Japan</OPTION><OPTION VALUE="Jordan">Jordan</OPTION><OPTION VALUE="Kazakhistan">Kazakhistan</OPTION><OPTION VALUE="Kenya">Kenya</OPTION><OPTION VALUE="Kiribati">Kiribati</OPTION><OPTION VALUE="Kosovo">Kosovo</OPTION><OPTION VALUE="Kuwait">Kuwait</OPTION><OPTION VALUE="Kyrgyzstan">Kyrgyzstan</OPTION><OPTION VALUE="Laos">Laos</OPTION><OPTION VALUE="Latvia">Latvia</OPTION><OPTION VALUE="Lebanon">Lebanon</OPTION><OPTION VALUE="Lesotho">Lesotho</OPTION><OPTION VALUE="Liberia">Liberia</OPTION><OPTION VALUE="Libya">Libya</OPTION><OPTION VALUE="Liechtenstein">Liechtenstein</OPTION><OPTION VALUE="Lithuania">Lithuania</OPTION><OPTION VALUE="Luxembourg">Luxembourg</OPTION><OPTION VALUE="Macau">Macau</OPTION><OPTION VALUE="Macedonia">Macedonia</OPTION><OPTION VALUE="Madagascar">Madagascar</OPTION><OPTION VALUE="Malawi">Malawi</OPTION><OPTION VALUE="Malaysia">Malaysia</OPTION><OPTION VALUE="Maldives">Maldives</OPTION><OPTION VALUE="Mali">Mali</OPTION><OPTION VALUE="Malta">Malta</OPTION><OPTION VALUE="Martinique">Martinique</OPTION><OPTION VALUE="Mauritania">Mauritania</OPTION><OPTION VALUE="Mauritius">Mauritius</OPTION><OPTION VALUE="Mexico">Mexico</OPTION><OPTION VALUE="Moldova">Moldova</OPTION><OPTION VALUE="Mongolia">Mongolia</OPTION><OPTION VALUE="Montenegro, Republic Of">Montenegro, Republic Of</OPTION><OPTION VALUE="Montserrat">Montserrat</OPTION><OPTION VALUE="Morocco">Morocco</OPTION><OPTION VALUE="Mozambique">Mozambique</OPTION><OPTION VALUE="Namibia">Namibia</OPTION><OPTION VALUE="Nauru">Nauru</OPTION><OPTION VALUE="Nepal">Nepal</OPTION><OPTION VALUE="Nether. Antil.">Nether. Antil.</OPTION><OPTION VALUE="Netherlands">Netherlands</OPTION><OPTION VALUE="New Caledonia">New Caledonia</OPTION><OPTION VALUE="New Zealand">New Zealand</OPTION><OPTION VALUE="Nicaragua">Nicaragua</OPTION><OPTION VALUE="Niger">Niger</OPTION><OPTION VALUE="Nigeria">Nigeria</OPTION><OPTION VALUE="North Korea">North Korea</OPTION><OPTION VALUE="Norway">Norway</OPTION><OPTION VALUE="Oman">Oman</OPTION><OPTION VALUE="Pakistan">Pakistan</OPTION><OPTION VALUE="Panama">Panama</OPTION><OPTION VALUE="Papua New Guinea">Papua New Guinea</OPTION><OPTION VALUE="Paraguay">Paraguay</OPTION><OPTION VALUE="Peru">Peru</OPTION><OPTION VALUE="Philippines">Philippines</OPTION><OPTION VALUE="Pitcairn Island">Pitcairn Island</OPTION><OPTION VALUE="Poland">Poland</OPTION><OPTION VALUE="Portugal">Portugal</OPTION><OPTION VALUE="Qatar">Qatar</OPTION><OPTION VALUE="Reunion">Reunion</OPTION><OPTION VALUE="Romania">Romania</OPTION><OPTION VALUE="Russia">Russia</OPTION><OPTION VALUE="Rwanda">Rwanda</OPTION><OPTION VALUE="San Marino">San Marino</OPTION><OPTION VALUE="Sao Tome & Principe">Sao Tome & Principe</OPTION><OPTION VALUE="Saudi Arabia">Saudi Arabia</OPTION><OPTION VALUE="Senegal">Senegal</OPTION><OPTION VALUE="Serbia">Serbia</OPTION><OPTION VALUE="Seychelles">Seychelles</OPTION><OPTION VALUE="Sierra Leone">Sierra Leone</OPTION><OPTION VALUE="Singapore">Singapore</OPTION><OPTION VALUE="Slovakia">Slovakia</OPTION><OPTION VALUE="Slovenia">Slovenia</OPTION><OPTION VALUE="Solomon Islands">Solomon Islands</OPTION><OPTION VALUE="South Africa">South Africa</OPTION><OPTION VALUE="South Korea">South Korea</OPTION><OPTION VALUE="Spain">Spain</OPTION><OPTION VALUE="Sri Lanka">Sri Lanka</OPTION><OPTION VALUE="St. Helena">St. Helena</OPTION><OPTION VALUE="St. Kitts And Nevis">St. Kitts And Nevis</OPTION><OPTION VALUE="St. Kitts And Nevis">St. Christopher</OPTION><OPTION VALUE="St. Lucia">St. Lucia</OPTION><OPTION VALUE="St. Pierre">St. Pierre</OPTION><OPTION VALUE="St. Vincent/Grenadine">St. Vincent/Grenadine</OPTION><OPTION VALUE="Sudan">Sudan</OPTION><OPTION VALUE="Suriname">Suriname</OPTION><OPTION VALUE="Swaziland">Swaziland</OPTION><OPTION VALUE="Sweden">Sweden</OPTION><OPTION VALUE="Switzerland">Switzerland</OPTION><OPTION VALUE="Syria">Syria</OPTION><OPTION VALUE="Taiwan">Taiwan</OPTION><OPTION VALUE="Tajkistan">Tajkistan</OPTION><OPTION VALUE="Tanzania">Tanzania</OPTION><OPTION VALUE="Thailand">Thailand</OPTION><OPTION VALUE="Togo">Togo</OPTION><OPTION VALUE="Tonga">Tonga</OPTION><OPTION VALUE="Trinidad and Tobago">Trinidad and Tobago</OPTION><OPTION VALUE="Tristan da Cunha">Tristan da Cunha</OPTION><OPTION VALUE="Tunisia">Tunisia</OPTION><OPTION VALUE="Turkey">Turkey</OPTION><OPTION VALUE="Turkmenistan">Turkmenistan</OPTION><OPTION VALUE="Turks and Caicos Isl">Turks and Caicos Isl</OPTION><OPTION VALUE="Tuvalu">Tuvalu</OPTION><OPTION VALUE="Uganda">Uganda</OPTION><OPTION VALUE="Ukraine">Ukraine</OPTION><OPTION VALUE="United Arab Emirate">United Arab Emirate</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="United Kingdom">Great Britain</OPTION><OPTION VALUE="Uruguay">Uruguay</OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="USA">United States</OPTION><OPTION VALUE="Uzbekistan">Uzbekistan</OPTION><OPTION VALUE="Vanuatu">Vanuatu</OPTION><OPTION VALUE="Vatican City">Vatican City</OPTION><OPTION VALUE="Venezuela">Venezuela</OPTION><OPTION VALUE="Vietnam">Vietnam</OPTION><OPTION VALUE="Wallis and Futuna Is">Wallis and Futuna Is</OPTION><OPTION VALUE="Western Samoa">Western Samoa</OPTION><OPTION VALUE="Yemen">Yemen</OPTION><OPTION VALUE="Zambia">Zambia</OPTION><OPTION VALUE="Zimbabwe">Zimbabwe</OPTION>
 209
 210                                 </select></td>
 211                         </tr>
 212
 213                         <tr>
 214                                 <td COLSPAN="2"><br><br>
 215         <div class="label">Ship To: <font color=gray size=1px>(only if different than billing)</font></div><hr width="100%" size="1" color="#c0c0c0" noshade>
 216         </td>
 217                         </tr>
 218
 219                         <tr>
 220
 221       <td> <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Full Name</b></font></td>
 222                                 <td>
 223                                 <input NAME="HT_Ship_Name" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE=""></td>
 224                         </tr>
 225                         <tr>
 226                                 <td>
 227                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Address 1</b></font></td>
 228                                 <td>
 229                                 <input NAME="HT_Ship_Address1" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE=""></td>
 230                         </tr>
 231                         <tr>
 232
 233
 234       <td valign="top"> <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Address 2</b></font></td>
 235                                 <td>
 236                                 <input NAME="HT_Ship_Address2" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE="">
 237         <br>
 238         <font color="#999999">(Apt, Suite, Floor #)</font> <br>
 239         <br>
 240       </td>
 241                         </tr>
 242                         <tr>
 243                                 <td>
 244                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>City</b></font></td>
 245                                 <td>
 246                                 <input NAME="HT_Ship_City" TYPE="TEXT" ROWS="1" SIZE="30" MAXLENGTH="30" VALUE=""></td>
 247                         </tr>
 248                         <tr>
 249                                 <td>
 250                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>State/Province</b></font></td>
 251                                 <td>
 252                                 <input NAME="HT_Ship_State" TYPE="TEXT" ROWS="1" SIZE="4" MAXLENGTH="20" VALUE=""><font SIZE="1" FACE=""Verdana, Helvetica, Sans-Serif"">&nbsp;Click&nbsp;<a target="new" HREF="stateabbrev.asp">here</a>&nbsp;for State Abbreviations</font></td>
 253                         </tr>
 254                         <tr>
 255                                 <td>
 256                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Zip/Postal Code</b></font></td>
 257                                 <td>
 258                                 <input NAME="HT_Ship_Zip" TYPE="TEXT" ROWS="1" SIZE="10" MAXLENGTH="16" VALUE=""></td>
 259                         </tr>
 260                         <tr>
 261                                 <td>
 262                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Country</b></font></td>
 263                                 <td>
 264                                 <select NAME="HT_Ship_Country" TYPE="TEXT" SIZE="1" MAXLENGTH="50">
 265
 266                                 <OPTION VALUE=""></OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE="">=================</OPTION><OPTION VALUE="Afghanistan">Afghanistan</OPTION><OPTION VALUE="Albania">Albania</OPTION><OPTION VALUE="Algeria">Algeria</OPTION><OPTION VALUE="Andorra">Andorra</OPTION><OPTION VALUE="Angola">Angola</OPTION><OPTION VALUE="Anguilla">Anguilla</OPTION><OPTION VALUE="Antigua and Barbuda">Antigua and Barbuda</OPTION><OPTION VALUE="Argentina">Argentina</OPTION><OPTION VALUE="Armenia">Armenia</OPTION><OPTION VALUE="Aruba">Aruba</OPTION><OPTION VALUE="Ascension">Ascension</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE="Austria">Austria</OPTION><OPTION VALUE="Azerbaijan">Azerbaijan</OPTION><OPTION VALUE="Bahamas">Bahamas</OPTION><OPTION VALUE="Bahrain">Bahrain</OPTION><OPTION VALUE="Bangladesh">Bangladesh</OPTION><OPTION VALUE="Barbados">Barbados</OPTION><OPTION VALUE="Belarus">Belarus</OPTION><OPTION VALUE="Belgium">Belgium</OPTION><OPTION VALUE="Belize">Belize</OPTION><OPTION VALUE="Benin">Benin</OPTION><OPTION VALUE="Bermuda">Bermuda</OPTION><OPTION VALUE="Bhutan">Bhutan</OPTION><OPTION VALUE="Bolivia">Bolivia</OPTION><OPTION VALUE="Bosnia-Herzegovina">Bosnia-Herzegovina</OPTION><OPTION VALUE="Botswana">Botswana</OPTION><OPTION VALUE="Brazil">Brazil</OPTION><OPTION VALUE="British Virgin Isld">British Virgin Isld</OPTION><OPTION VALUE="Brunei Darussalam">Brunei Darussalam</OPTION><OPTION VALUE="Bulgaria">Bulgaria</OPTION><OPTION VALUE="Burkina Faso">Burkina Faso</OPTION><OPTION VALUE="Burma (Myanmar)">Burma (Myanmar)</OPTION><OPTION VALUE="Burundi">Burundi</OPTION><OPTION VALUE="Cambodia">Cambodia</OPTION><OPTION VALUE="Cameroon">Cameroon</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Cape Verde">Cape Verde</OPTION><OPTION VALUE="Cayman Islands BWI">Cayman Islands BWI</OPTION><OPTION VALUE="Central African Rep">Central African Rep</OPTION><OPTION VALUE="Chad">Chad</OPTION><OPTION VALUE="Chile">Chile</OPTION><OPTION VALUE="China">China</OPTION><OPTION VALUE="Colombia">Colombia</OPTION><OPTION VALUE="Comoros">Comoros</OPTION><OPTION VALUE="Congo, Democratic">Congo, Democratic</OPTION><OPTION VALUE="Congo, Republic">Congo, Republic</OPTION><OPTION VALUE="Costa Rica">Costa Rica</OPTION><OPTION VALUE="Croatia">Croatia</OPTION><OPTION VALUE="Cuba">Cuba</OPTION><OPTION VALUE="Cyprus">Cyprus</OPTION><OPTION VALUE="Czech Republic">Czech Republic</OPTION><OPTION VALUE="Denmark">Denmark</OPTION><OPTION VALUE="Djibouti">Djibouti</OPTION><OPTION VALUE="Dominica">Dominica</OPTION><OPTION VALUE="Dominican Republic">Dominican Republic</OPTION><OPTION VALUE="Ecuador">Ecuador</OPTION><OPTION VALUE="Egypt">Egypt</OPTION><OPTION VALUE="El Salvador">El Salvador</OPTION><OPTION VALUE="Equatorial Guinea">Equatorial Guinea</OPTION><OPTION VALUE="Eritrea">Eritrea</OPTION><OPTION VALUE="Estonia">Estonia</OPTION><OPTION VALUE="Ethiopia">Ethiopia</OPTION><OPTION VALUE="Falkland Islands">Falkland Islands</OPTION><OPTION VALUE="Faroe Islands">Faroe Islands</OPTION><OPTION VALUE="Fiji">Fiji</OPTION><OPTION VALUE="Finland">Finland</OPTION><OPTION VALUE="France">France</OPTION><OPTION VALUE="France">Corsica</OPTION><OPTION VALUE="French Guiana">French Guiana</OPTION><OPTION VALUE="French Polynesia">French Polynesia</OPTION><OPTION VALUE="Gabon">Gabon</OPTION><OPTION VALUE="Gambia">Gambia</OPTION><OPTION VALUE="Georgia, Republic Of">Georgia, Republic Of</OPTION><OPTION VALUE="Germany">Germany</OPTION><OPTION VALUE="Ghana">Ghana</OPTION><OPTION VALUE="Gibraltar">Gibraltar</OPTION><OPTION VALUE="Greece">Greece</OPTION><OPTION VALUE="Greenland">Greenland</OPTION><OPTION VALUE="Grenada">Grenada</OPTION><OPTION VALUE="Guadeloupe">Guadeloupe</OPTION><OPTION VALUE="Guatemala">Guatemala</OPTION><OPTION VALUE="Guinea">Guinea</OPTION><OPTION VALUE="Guinea-Bissau">Guinea-Bissau</OPTION><OPTION VALUE="Guyana">Guyana</OPTION><OPTION VALUE="Haiti">Haiti</OPTION><OPTION VALUE="Honduras">Honduras</OPTION><OPTION VALUE="Hong Kong">Hong Kong</OPTION><OPTION VALUE="Hungary">Hungary</OPTION><OPTION VALUE="Iceland">Iceland</OPTION><OPTION VALUE="India">India</OPTION><OPTION VALUE="Indonesia">Indonesia</OPTION><OPTION VALUE="Indonesia">East Timor</OPTION><OPTION VALUE="Iran">Iran</OPTION><OPTION VALUE="Iraq">Iraq</OPTION><OPTION VALUE="Ireland">Ireland</OPTION><OPTION VALUE="Israel">Israel</OPTION><OPTION VALUE="Italy">Italy</OPTION><OPTION VALUE="Ivory Coast">Ivory Coast</OPTION><OPTION VALUE="Jamaica">Jamaica</OPTION><OPTION VALUE="Japan">Japan</OPTION><OPTION VALUE="Jordan">Jordan</OPTION><OPTION VALUE="Kazakhistan">Kazakhistan</OPTION><OPTION VALUE="Kenya">Kenya</OPTION><OPTION VALUE="Kiribati">Kiribati</OPTION><OPTION VALUE="Kosovo">Kosovo</OPTION><OPTION VALUE="Kuwait">Kuwait</OPTION><OPTION VALUE="Kyrgyzstan">Kyrgyzstan</OPTION><OPTION VALUE="Laos">Laos</OPTION><OPTION VALUE="Latvia">Latvia</OPTION><OPTION VALUE="Lebanon">Lebanon</OPTION><OPTION VALUE="Lesotho">Lesotho</OPTION><OPTION VALUE="Liberia">Liberia</OPTION><OPTION VALUE="Libya">Libya</OPTION><OPTION VALUE="Liechtenstein">Liechtenstein</OPTION><OPTION VALUE="Lithuania">Lithuania</OPTION><OPTION VALUE="Luxembourg">Luxembourg</OPTION><OPTION VALUE="Macau">Macau</OPTION><OPTION VALUE="Macedonia">Macedonia</OPTION><OPTION VALUE="Madagascar">Madagascar</OPTION><OPTION VALUE="Malawi">Malawi</OPTION><OPTION VALUE="Malaysia">Malaysia</OPTION><OPTION VALUE="Maldives">Maldives</OPTION><OPTION VALUE="Mali">Mali</OPTION><OPTION VALUE="Malta">Malta</OPTION><OPTION VALUE="Martinique">Martinique</OPTION><OPTION VALUE="Mauritania">Mauritania</OPTION><OPTION VALUE="Mauritius">Mauritius</OPTION><OPTION VALUE="Mexico">Mexico</OPTION><OPTION VALUE="Moldova">Moldova</OPTION><OPTION VALUE="Mongolia">Mongolia</OPTION><OPTION VALUE="Montenegro, Republic Of">Montenegro, Republic Of</OPTION><OPTION VALUE="Montserrat">Montserrat</OPTION><OPTION VALUE="Morocco">Morocco</OPTION><OPTION VALUE="Mozambique">Mozambique</OPTION><OPTION VALUE="Namibia">Namibia</OPTION><OPTION VALUE="Nauru">Nauru</OPTION><OPTION VALUE="Nepal">Nepal</OPTION><OPTION VALUE="Nether. Antil.">Nether. Antil.</OPTION><OPTION VALUE="Netherlands">Netherlands</OPTION><OPTION VALUE="New Caledonia">New Caledonia</OPTION><OPTION VALUE="New Zealand">New Zealand</OPTION><OPTION VALUE="Nicaragua">Nicaragua</OPTION><OPTION VALUE="Niger">Niger</OPTION><OPTION VALUE="Nigeria">Nigeria</OPTION><OPTION VALUE="North Korea">North Korea</OPTION><OPTION VALUE="Norway">Norway</OPTION><OPTION VALUE="Oman">Oman</OPTION><OPTION VALUE="Pakistan">Pakistan</OPTION><OPTION VALUE="Panama">Panama</OPTION><OPTION VALUE="Papua New Guinea">Papua New Guinea</OPTION><OPTION VALUE="Paraguay">Paraguay</OPTION><OPTION VALUE="Peru">Peru</OPTION><OPTION VALUE="Philippines">Philippines</OPTION><OPTION VALUE="Pitcairn Island">Pitcairn Island</OPTION><OPTION VALUE="Poland">Poland</OPTION><OPTION VALUE="Portugal">Portugal</OPTION><OPTION VALUE="Qatar">Qatar</OPTION><OPTION VALUE="Reunion">Reunion</OPTION><OPTION VALUE="Romania">Romania</OPTION><OPTION VALUE="Russia">Russia</OPTION><OPTION VALUE="Rwanda">Rwanda</OPTION><OPTION VALUE="San Marino">San Marino</OPTION><OPTION VALUE="Sao Tome & Principe">Sao Tome & Principe</OPTION><OPTION VALUE="Saudi Arabia">Saudi Arabia</OPTION><OPTION VALUE="Senegal">Senegal</OPTION><OPTION VALUE="Serbia">Serbia</OPTION><OPTION VALUE="Seychelles">Seychelles</OPTION><OPTION VALUE="Sierra Leone">Sierra Leone</OPTION><OPTION VALUE="Singapore">Singapore</OPTION><OPTION VALUE="Slovakia">Slovakia</OPTION><OPTION VALUE="Slovenia">Slovenia</OPTION><OPTION VALUE="Solomon Islands">Solomon Islands</OPTION><OPTION VALUE="South Africa">South Africa</OPTION><OPTION VALUE="South Korea">South Korea</OPTION><OPTION VALUE="Spain">Spain</OPTION><OPTION VALUE="Sri Lanka">Sri Lanka</OPTION><OPTION VALUE="St. Helena">St. Helena</OPTION><OPTION VALUE="St. Kitts And Nevis">St. Kitts And Nevis</OPTION><OPTION VALUE="St. Kitts And Nevis">St. Christopher</OPTION><OPTION VALUE="St. Lucia">St. Lucia</OPTION><OPTION VALUE="St. Pierre">St. Pierre</OPTION><OPTION VALUE="St. Vincent/Grenadine">St. Vincent/Grenadine</OPTION><OPTION VALUE="Sudan">Sudan</OPTION><OPTION VALUE="Suriname">Suriname</OPTION><OPTION VALUE="Swaziland">Swaziland</OPTION><OPTION VALUE="Sweden">Sweden</OPTION><OPTION VALUE="Switzerland">Switzerland</OPTION><OPTION VALUE="Syria">Syria</OPTION><OPTION VALUE="Taiwan">Taiwan</OPTION><OPTION VALUE="Tajkistan">Tajkistan</OPTION><OPTION VALUE="Tanzania">Tanzania</OPTION><OPTION VALUE="Thailand">Thailand</OPTION><OPTION VALUE="Togo">Togo</OPTION><OPTION VALUE="Tonga">Tonga</OPTION><OPTION VALUE="Trinidad and Tobago">Trinidad and Tobago</OPTION><OPTION VALUE="Tristan da Cunha">Tristan da Cunha</OPTION><OPTION VALUE="Tunisia">Tunisia</OPTION><OPTION VALUE="Turkey">Turkey</OPTION><OPTION VALUE="Turkmenistan">Turkmenistan</OPTION><OPTION VALUE="Turks and Caicos Isl">Turks and Caicos Isl</OPTION><OPTION VALUE="Tuvalu">Tuvalu</OPTION><OPTION VALUE="Uganda">Uganda</OPTION><OPTION VALUE="Ukraine">Ukraine</OPTION><OPTION VALUE="United Arab Emirate">United Arab Emirate</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="United Kingdom">Great Britain</OPTION><OPTION VALUE="Uruguay">Uruguay</OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="USA">United States</OPTION><OPTION VALUE="Uzbekistan">Uzbekistan</OPTION><OPTION VALUE="Vanuatu">Vanuatu</OPTION><OPTION VALUE="Vatican City">Vatican City</OPTION><OPTION VALUE="Venezuela">Venezuela</OPTION><OPTION VALUE="Vietnam">Vietnam</OPTION><OPTION VALUE="Wallis and Futuna Is">Wallis and Futuna Is</OPTION><OPTION VALUE="Western Samoa">Western Samoa</OPTION><OPTION VALUE="Yemen">Yemen</OPTION><OPTION VALUE="Zambia">Zambia</OPTION><OPTION VALUE="Zimbabwe">Zimbabwe</OPTION>
 267                                 </select></td>
 268                         </tr>
 269
 270
 271                         <tr>
 272                                 <td></td>
 273                                 <td>
 274                                 <input name="HT_Cart" TYPE="HIDDEN" ROWS="1" SIZE="8" VALUE="1197849966"></td>
 275                         </tr>
 276
 277                         <tr>
 278                                 <td COLSPAN="2"><br><br>
 279         <div class="label">Promotions</div><hr width="100%" size="1" color="#c0c0c0" noshade>
 280         </td>
 281                         </tr>
 282
 283                         <tr>
 284                                 <td COLSPAN="2">
 285                                 <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
 286                                 Would it be OK if occasionally we notified you of special sales via email?
 287                                 <input type="radio" name="HT_OK_to_email" Value="-1" checked>Yes
 288                                 <input type="radio" name="HT_OK_to_email" Value="0">No</font></td>
 289                         </tr>
 290                         <tr>
 291                                 <td COLSPAN="2">
 292                                         <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
 293                                         <input TYPE="CHECKBOX" NAME="HT_PrefersHTML" CHECKED>I prefer to receive HTML formatted email when available.
 294                                         </font>
 295                                 </td>
 296                         </tr>
 297                         <tr>
 298                                 <td COLSPAN="2" ALIGN="CENTER">
 299
 300                                                 <input type="image" src="#" NAME="Create_Account" VALUE="Save Account" alt="Save Account">
 301
 302                                 <input NAME="action" TYPE="hidden" VALUE="savenew">
 303                                 <input NAME="from" TYPE="hidden" VALUE="https/www.cduniverse.com/checkout/orderscreen.asp?priororder=TRUE">
 304                                 <input NAME="a" TYPE="hidden" VALUE="">
 305                                 <input NAME="pid" TYPE="hidden" VALUE="">
 306
 307                                 <input NAME="OrderID" TYPE="hidden" VALUE="">
 308                                 <a ><img src="#" border="0" alt="Reset"></a>
 309                                 </form>
 310                                 </td>
 311                         </tr>
 312                 </table>
 313
 314
 315                 </td>
 316         </tr>
 317         </table>
 318
 319 </td></tr></table><!--pcs-->
 320 </td></tr></table></center><iframe id="iffooter" name="iffooter" src="about:blank" frameborder="0" width="100%" height="344" scrolling="no"></iframe><center></center>
 321 <!-- Stats: TotalPageTime=0.047 from Web18,  DataTime=0.000 from Data1 -->
 322
 323 </td></tr></table><!--End Master Table-->
 324
 325 </body>
 326 </html>