chrome/test/data/autofill/heuristics/input/11_register_mcphee.com.html

   1 <html xml:lang="en" lang="en" xmlns="http://www.w3.org/1999/xhtml">
   2 <!--Form Location: http://www.mcphee.com/shop/login.php?action=create_account--><head>
   3 <title>Archie McPhee &amp; Co. - Create Account</title>
   4
   5 <meta name="description" content="Archie McPhee has the best toys, gift and novelties on the internet. We love the same things you do: unicorns, bacon, ninjas and pirates. Shopping with us is easy &amp; fun, and your order is always secure.">
   6 <meta name="keywords" content="bacon, boutique, macfee, macphee, mcfee, mcfees, mcphees, archi, novelty, weird, ">
   7 <meta http-equiv="Content-Script-Type" content="text/javascript">
   8 <meta http-equiv="Content-Style-Type" content="text/css">
   9 <!-- Include visitor tracking code (if any) --><!-- Start Tracking Code for analytics_googleanalytics --><!-- End Tracking Code for analytics_googleanalytics --><style type="text/css"> #Outer { background-image: url("https://www.mcphee.com/shop/templates/Toys/images/blue/headerImage.jpg"); } </style>
  10
  11 </head>
  12 <body>
  13     <div id="Container">
  14             <div id="AjaxLoading">
  15
  16
  17
  18
  19 <form action="https://www.mcphee.com/shop/search.php" method="get" >
  20                                         <label for="search_query">Search</label>
  21                                         <input type="text" name="search_query" id="search_query" class="Textbox" value=""><input type="image" src="#" class="Button">
  22 </form>
  23
  24
  25
  26
  27
  28 <form action="https://www.mcphee.com/shop/login.php?action=save_new_account" method="post" class="PL20">
  29                         <div class="FormContainer HorizontalFormContainer">
  30                                 <h3>Personal Details</h3>
  31 <p></p>
  32                                 <p>Enter your email address and password to create your account.</p>
  33                                 <dl style="padding-bottom:10px;">
  34 <dt>
  35         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">Email Address:</span>
  36 </dt>
  37 <dd>
  38         <input type="hidden" class="FormFieldId" value="1"><input type="hidden" class="FormFieldFormId" value="1"><input type="hidden" class="FormFieldType" value="singleline"><input type="hidden" class="FormFieldPrivateId" value="EmailAddress"><input type="text" class="Textbox Field200 FormField" id="FormField_1" name="FormField[1][1]" value="">
  39 </dd>
  40 <dt>
  41         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">Password:</span>
  42 </dt>
  43 <dd>
  44         <input type="hidden" class="FormFieldId" value="2"><input type="hidden" class="FormFieldFormId" value="1"><input type="hidden" class="FormFieldType" value="password"><input type="hidden" class="FormFieldPrivateId" value="Password"><input type="password" class="Textbox Field200 FormField" id="FormField_2" name="FormField[1][2]" value=""><div class="LittleNotePassword" style="display: none">(Leave blank to remain unchanged)</div>
  45
  46 </dd>
  47 <dt>
  48         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">Confirm Password:</span>
  49 </dt>
  50 <dd>
  51         <input type="hidden" class="FormFieldId" value="3"><input type="hidden" class="FormFieldFormId" value="1"><input type="hidden" class="FormFieldType" value="password"><input type="hidden" class="FormFieldPrivateId" value="ConfirmPassword"><input type="password" class="Textbox Field200 FormField" id="FormField_3" name="FormField[1][3]" value=""><div class="LittleNotePassword" style="display: none">(Leave blank to remain unchanged)</div>
  52
  53 </dd>
  54                                 </dl>
  55 <h3>Shipping Details</h3>
  56 <p></p>
  57                                 <p>Enter the name and address you'd like us to ship your order to.</p>
  58                                 <dl>
  59 <dt>
  60         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">First Name:</span>
  61 </dt>
  62 <dd>
  63         <input type="hidden" class="FormFieldId" value="4"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="singleline"><input type="hidden" class="FormFieldPrivateId" value="FirstName"><input type="text" class="Textbox Field200 FormField" id="FormField_4" name="FormField[2][4]" value="">
  64 </dd>
  65 <dt>
  66         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">Last Name:</span>
  67 </dt>
  68 <dd>
  69         <input type="hidden" class="FormFieldId" value="5"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="singleline"><input type="hidden" class="FormFieldPrivateId" value="LastName"><input type="text" class="Textbox Field200 FormField" id="FormField_5" name="FormField[2][5]" value="">
  70 </dd>
  71 <dt>
  72         <span class="Required FormFieldRequired" style="visibility: hidden">*</span> <span class="FormFieldLabel">Company Name:</span>
  73 </dt>
  74 <dd>
  75         <input type="hidden" class="FormFieldId" value="6"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="singleline"><input type="hidden" class="FormFieldPrivateId" value="CompanyName"><input type="text" class="Textbox Field200 FormField" id="FormField_6" name="FormField[2][6]" value="">
  76 </dd>
  77 <dt>
  78         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">Phone Number:</span>
  79 </dt>
  80 <dd>
  81         <input type="hidden" class="FormFieldId" value="7"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="singleline"><input type="hidden" class="FormFieldPrivateId" value="Phone"><input type="text" class="Textbox Field200 FormField" id="FormField_7" name="FormField[2][7]" value="">
  82 </dd>
  83 <dt>
  84         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">Address Line 1:</span>
  85 </dt>
  86 <dd>
  87         <input type="hidden" class="FormFieldId" value="8"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="singleline"><input type="hidden" class="FormFieldPrivateId" value="AddressLine1"><input type="text" class="Textbox Field200 FormField" id="FormField_8" name="FormField[2][8]" value="">
  88 </dd>
  89 <dt>
  90         <span class="Required FormFieldRequired" style="visibility: hidden">*</span> <span class="FormFieldLabel">Address Line 2:</span>
  91 </dt>
  92 <dd>
  93         <input type="hidden" class="FormFieldId" value="9"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="singleline"><input type="hidden" class="FormFieldPrivateId" value="AddressLine2"><input type="text" class="Textbox Field200 FormField" id="FormField_9" name="FormField[2][9]" value="">
  94 </dd>
  95 <dt>
  96         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">Suburb/City:</span>
  97 </dt>
  98 <dd>
  99         <input type="hidden" class="FormFieldId" value="10"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="singleline"><input type="hidden" class="FormFieldPrivateId" value="City"><input type="text" class="Textbox Field200 FormField" id="FormField_10" name="FormField[2][10]" value="">
 100 </dd>
 101 <dt>
 102         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">Country:</span>
 103 </dt>
 104 <dd>
 105         <input type="hidden" class="FormFieldChoosePrefix" value="Choose a Country"><input type="hidden" class="FormFieldId" value="11"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="singleselect"><input type="hidden" class="FormFieldPrivateId" value="Country"><select class="Field200 FormField" style="" id="FormField_11" name="FormField[2][11]" size="1"><option value="">Choose a Country</option>
 106 <option value="United States" selected>United States</option></select>
 107 </dd>
 108 <dt>
 109         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">State/Province:</span>
 110 </dt>
 111 <dd>
 112         <input type="hidden" class="FormFieldChoosePrefix" value="Choose a State"><input type="hidden" class="FormFieldId" value="12"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="selectortext"><input type="hidden" class="FormFieldPrivateId" value="State"><noscript>
 113         <input type="text" name="FormField[2][12]" value="" class="Field200" style="">
 114 </noscript>
 115 <select name="FormField[2][12]" id="FormField_12" class="FormField JSHidden Field200" style="display: none; "><option value="">Choose a State</option>
 116 <option value="Alabama">Alabama</option>
 117 <option value="Alaska">Alaska</option>
 118 <option value="American Samoa">American Samoa</option>
 119 <option value="Arizona">Arizona</option>
 120 <option value="Arkansas">Arkansas</option>
 121 <option value="Armed Forces Africa">Armed Forces Africa</option>
 122 <option value="Armed Forces Americas">Armed Forces Americas</option>
 123 <option value="Armed Forces Canada">Armed Forces Canada</option>
 124 <option value="Armed Forces Europe">Armed Forces Europe</option>
 125 <option value="Armed Forces Middle East">Armed Forces Middle East</option>
 126 <option value="Armed Forces Pacific">Armed Forces Pacific</option>
 127 <option value="California">California</option>
 128 <option value="Colorado">Colorado</option>
 129 <option value="Connecticut">Connecticut</option>
 130 <option value="Delaware">Delaware</option>
 131 <option value="District of Columbia">District of Columbia</option>
 132 <option value="Federated States Of Micronesia">Federated States Of Micronesia</option>
 133 <option value="Florida">Florida</option>
 134 <option value="Georgia">Georgia</option>
 135 <option value="Guam">Guam</option>
 136 <option value="Hawaii">Hawaii</option>
 137 <option value="Idaho">Idaho</option>
 138 <option value="Illinois">Illinois</option>
 139 <option value="Indiana">Indiana</option>
 140 <option value="Iowa">Iowa</option>
 141 <option value="Kansas">Kansas</option>
 142 <option value="Kentucky">Kentucky</option>
 143 <option value="Louisiana">Louisiana</option>
 144 <option value="Maine">Maine</option>
 145 <option value="Marshall Islands">Marshall Islands</option>
 146 <option value="Maryland">Maryland</option>
 147 <option value="Massachusetts">Massachusetts</option>
 148 <option value="Michigan">Michigan</option>
 149 <option value="Minnesota">Minnesota</option>
 150 <option value="Mississippi">Mississippi</option>
 151 <option value="Missouri">Missouri</option>
 152 <option value="Montana">Montana</option>
 153 <option value="Nebraska">Nebraska</option>
 154 <option value="Nevada">Nevada</option>
 155 <option value="New Hampshire">New Hampshire</option>
 156 <option value="New Jersey">New Jersey</option>
 157 <option value="New Mexico">New Mexico</option>
 158 <option value="New York">New York</option>
 159 <option value="North Carolina">North Carolina</option>
 160 <option value="North Dakota">North Dakota</option>
 161 <option value="Northern Mariana Islands">Northern Mariana Islands</option>
 162 <option value="Ohio">Ohio</option>
 163 <option value="Oklahoma">Oklahoma</option>
 164 <option value="Oregon">Oregon</option>
 165 <option value="Palau">Palau</option>
 166 <option value="Pennsylvania">Pennsylvania</option>
 167 <option value="Puerto Rico">Puerto Rico</option>
 168 <option value="Rhode Island">Rhode Island</option>
 169 <option value="South Carolina">South Carolina</option>
 170 <option value="South Dakota">South Dakota</option>
 171 <option value="Tennessee">Tennessee</option>
 172 <option value="Texas">Texas</option>
 173 <option value="Utah">Utah</option>
 174 <option value="Vermont">Vermont</option>
 175 <option value="Virgin Islands">Virgin Islands</option>
 176 <option value="Virginia">Virginia</option>
 177 <option value="Washington">Washington</option>
 178 <option value="West Virginia">West Virginia</option>
 179 <option value="Wisconsin">Wisconsin</option>
 180 <option value="Wyoming">Wyoming</option></select>
 181 </dd>
 182 <dt>
 183         <span class="Required FormFieldRequired" style="visibility: visible">*</span> <span class="FormFieldLabel">Zip/Postcode:</span>
 184 </dt>
 185 <dd>
 186         <input type="hidden" class="FormFieldId" value="13"><input type="hidden" class="FormFieldFormId" value="2"><input type="hidden" class="FormFieldType" value="singleline"><input type="hidden" class="FormFieldPrivateId" value="Zip"><input type="text" class="Textbox Field45 FormField" style="width:40px;" id="FormField_13" name="FormField[2][13]" value="">
 187 </dd>
 188                                 </dl>
 189 <p class="Submit">
 190                                         <br><input type="submit" value="Create My Account" style="padding:2px 10px 2px 10px;"></p>
 191                         </div>
 192 </form>
 193 </body>
 194 </html>