chrome/test/data/autofill/heuristics/input/21_checkout_peapod.com.html

   1 <form method="POST" action="/checkoutBillingInfoFrame.jhtml?_DARGS=/checkoutBillingInfoFrame.jhtml" name="CheckoutBillingInformation">
   2 <!-- <setvalue bean="CheckoutRegistrationHandler.submitSuccessURL" value="processShowRegistrationNextPage.jhtml"> -->
   3 <table border="0" width="100%" cellpadding="0" cellspacing="0">
   4 <tbody><tr>
   5 <td align="center">
   6 <!--Begin Top Content Table -->
   7 <table width="800" border="0" align="center" cellpadding="0" cellspacing="0">
   8 <tbody><tr><td height="8" colspan="2"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="8" height="8"></td></tr>
   9 <tr>
  10 <td>
  11 <img src="https://www.peapod.com/c/WW/WWFDP.gif" border="0" alt="logo">
  12 </td>
  13 <td>
  14 <div align="right">
  15 <table border="0" cellpadding="0" cellspacing="0">
  16 <tbody><tr>
  17 <td  nowrap=""><a href="javascript:backToShopping('HIWYF1OFKGGQMCQBD0XCF3Q');">Return to Shopping</a></td>
  18 <td >&nbsp;&nbsp;|&nbsp;&nbsp;</td>
  19 <td  nowrap=""><a href="javascript:saveExit('HIWYF1OFKGGQMCQBD0XCF3Q');">Save &amp; Exit</a></td>
  20 <td >&nbsp;&nbsp;|&nbsp;&nbsp;</td>
  21 <td  nowrap=""><a href="javascript:myAccount('HIWYF1OFKGGQMCQBD0XCF3Q');" id="navLinkMyAccount">
  22 My Account</a></td>
  23 <td >&nbsp;&nbsp;|&nbsp;&nbsp;</td>
  24 <td  nowrap=""><a href="javascript:help('HIWYF1OFKGGQMCQBD0XCF3Q');">Help</a></td>
  25 <td >&nbsp;&nbsp;|&nbsp;&nbsp;</td>
  26 <td  nowrap=""><a href="javascript:quickGuide('HIWYF1OFKGGQMCQBD0XCF3Q');">Top FAQs</a></td>
  27 </tr>
  28 </tbody></table>
  29 </div>
  30 </td>
  31 <td align="right" nowrap="nowrap">
  32 </td>
  33 </tr>
  34 <tr>
  35 <td height="17" colspan="2"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="17" height="17"></td>
  36 </tr>
  37 </tbody></table>
  38 <!--End Top Content Table -->
  39 </td>
  40 </tr>
  41 <tr>
  42 <td align="center">
  43 <table width="713" border="0" align="center" cellpadding="0" cellspacing="0">
  44 <tbody><tr>
  45 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="129" height="38" alt=""></td>
  46 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="82" height="38" alt=""></td>
  47 <td><img src="https://www.peapod.com/c/C9/C97QV.gif" width="102" height="38" title="Enter Billing Information"></td>
  48 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="177" height="38" alt=""></td>
  49 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="113" height="38" alt=""></td>
  50 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="110" height="38" alt=""></td>
  51 </tr>
  52 <tr>
  53 <td><p><img src="https://www.peapod.com/c/ZC/ZCUFR.gif" width="129" height="27" alt="" border="0"></p></td>
  54 <td><img src="https://www.peapod.com/c/UJ/UJMGS.gif" alt=""></td>
  55 <td><img src="https://www.peapod.com/c/YB/YB2VO.gif" alt=""></td>
  56 <td><img src="https://www.peapod.com/c/VH/VHS4Q.gif" alt=""></td>
  57 <td><img src="https://www.peapod.com/c/Y3/Y3U2O.gif" alt=""></td>
  58 <td><img src="https://www.peapod.com/c/WH/WHMKY.gif" alt=""></td>
  59 </tr>
  60 <tr>
  61 <td colspan="6"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="15" height="15"></td>
  62 </tr>
  63 </tbody></table>
  64 </td>
  65 </tr>
  66 <tr>
  67 <td>
  68 <table cellpadding="5" width="100%" cellspacing="0" border="0">
  69 <tbody><tr>
  70 <td align="center">
  71 <table width="713" border="0" align="center" cellpadding="0" cellspacing="0">
  72 <tbody><tr>
  73 <td width="11" height="9"><img src="https://www.peapod.com/c/C1/C1QGC.gif" width="11" height="9"></td>
  74 <td height="9"><img src="https://www.peapod.com/c/KW/KWOGQ.gif" width="691" height="9"></td>
  75 <td width="11" height="9" id="RightBorder"><img src="https://www.peapod.com/c/CK/CKBW7.gif" width="11" height="9"></td>
  76 </tr>
  77 <tr>
  78 <td valign="top" background="https://www.peapod.com/c/HF/HFM6V.gif"><img src="https://www.peapod.com/c/HF/HFM6V.gif" width="11" height="61"></td>
  79 <td valign="top" bgcolor="#FFFFFF" width="691">
  80 <table width="100%" border="0" cellspacing="0" cellpadding="0">
  81 <tbody><tr>
  82 <td colspan="5" valign="top"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="10" height="10"></td>
  83 </tr>
  84 <tr>
  85 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="0" height="0"></td>
  86 <td colspan="3" >Required fields shown in <b>bold</b></td>
  87 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="0" height="0"></td>
  88 </tr>
  89 <tr>
  90 <td width="15" valign="top"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="15" height="15"></td>
  91 <td valign="top">
  92 <table width="420" border="0" cellspacing="5" cellpadding="0">
  93 <tbody><tr>
  94 <td colspan="3">
  95 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white">
  96 <tbody><tr valign="top">
  97 <td >
  98 <div id="TitleBox" >
  99 <img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="5" height="5" border="0" bgcolor="white" name="imgTitle">
 100 </div>Billing Information
 101 </td>
 102 </tr>
 103 </tbody></table>
 104 </td>
 105 </tr>
 106 <tr>
 107 <td colspan="3" align="right" >
 108 <input type="checkbox" checked="" onclick="sameAddress('false');">My billing address and delivery address are the same.</td>
 109 </tr>
 110 <tr>
 111 <td colspan="3">&nbsp;</td>
 112 </tr>
 113 <tr>
 114 <td  nowrap=""><div align="right">Title:</div></td>
 115 <td colspan="2">
 116 <input maxlength="3" name="billTitle" size="3" type="TEXT" value="Ms."  readonly=""><input type="hidden" name="_D:billTitle" value=" ">
 117 </td>
 118 </tr>
 119 <tr>
 120 <td  nowrap=""><div align="right">First Name:</div></td>
 121 <td colspan="2">
 122 <table border="0" bgcolor="white" cellpadding="0" cellspacing="0" width="100%">
 123 <tbody><tr>
 124 <td valign="middle">
 125 <input maxlength="20" name="billFirstName" size="20" type="TEXT" value="Shorty"  readonly=""><input type="hidden" name="_D:billFirstName" value=" ">
 126 </td>
 127 <td  nowrap="">&nbsp;&nbsp;Middle Initial:&nbsp;</td>
 128 <td>
 129 <span ></span>
 130 </td>
 131 <td width="100%">&nbsp;</td>
 132 </tr>
 133 </tbody></table>
 134 </td>
 135 </tr>
 136 <tr>
 137 <td  nowrap=""><div align="right">Last Name:</div></td>
 138 <td colspan="2">
 139 <input maxlength="30" name="billLastName" size="30" type="TEXT" value="Nge"  readonly=""><input type="hidden" name="_D:billLastName" value=" ">
 140 </td>
 141 </tr>
 142 <tr>
 143 <td  nowrap=""><div align="right">Street Address:</div></td>
 144 <td colspan="2">
 145 <input maxlength="30" name="billAddressLine1" size="30" type="TEXT" value="340 Main"  readonly=""><input type="hidden" name="_D:billAddressLine1" value=" ">
 146 </td>
 147 </tr>
 148 <tr>
 149 <td  nowrap=""><div align="right">Address Line 2:</div></td>
 150 <td colspan="2">
 151 <input maxlength="30" name="billAddressLine2" size="30" type="TEXT" value="Apt 2"  readonly=""><input type="hidden" name="_D:billAddressLine2" value=" ">
 152 </td>
 153 </tr>
 154 <tr>
 155 <td  nowrap=""><div align="right">City:</div></td>
 156 <td colspan="2">
 157 <input maxlength="20" name="billCity" size="20" type="TEXT" value="Agawam"  readonly=""><input type="hidden" name="_D:billCity" value=" ">
 158 </td>
 159 </tr>
 160 <tr>
 161 <td  nowrap=""><div align="right">State:</div></td>
 162 <td colspan="2">
 163 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 164 <tbody><tr>
 165 <td>
 166 <input maxlength="2" name="billState" size="2" type="TEXT" value="MA"  readonly=""><input type="hidden" name="_D:billState" value=" ">
 167 </td>
 168 <td  nowrap="">&nbsp;&nbsp;Zip Code:&nbsp;</td>
 169 <td>
 170 <input maxlength="5" name="billZip" size="5" type="TEXT" value="01001"  readonly=""><input type="hidden" name="_D:billZip" value=" ">
 171 </td>
 172 <td width="100%">&nbsp;</td>
 173 </tr>
 174 </tbody></table>
 175 </td>
 176 </tr>
 177 <tr>
 178 <td colspan="3"><div id="TitleBox3" ><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="1" height="1" border="0" bgcolor="white" name="imgTitle"></div>&nbsp;</td>
 179 </tr>
 180 <tr>
 181 <td  nowrap=""><div align="right">Contact Phone:</div></td>
 182 <td colspan="2">
 183 <input onkeyup="return autoTab(this,3,event);" type="TEXT" name="HomeArea" size="3" maxlength="3" value="310"  readonly=""><input type="hidden" name="_D:HomeArea" value=" ">-
 184 <input onkeyup="return autoTab(this,3,event);" type="TEXT" name="HomePrefix" size="3" maxlength="3" value="555"  readonly=""><input type="hidden" name="_D:HomePrefix" value=" ">-
 185 <input type="TEXT" name="HomeSuffix" size="4" maxlength="4" value="1212"  readonly=""><input type="hidden" name="_D:HomeSuffix" value=" ">
 186 </td>
 187 </tr>
 188 <tr>
 189 <td colspan="3"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="5" height="5"></td>
 190 </tr>
 191 <tr>
 192 <td colspan="3"><div id="TitleBox2" ><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="1" height="1" border="0" bgcolor="white" name="imgTitle"></div>&nbsp;</td>
 193 </tr>
 194 <tr>
 195 <td colspan="3" >Payment Information</td>
 196 </tr>
 197 <tr>
 198 <td colspan="3" >
 199 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 200 <tbody><tr>
 201 <td >To secure your account, we require all customers to have a valid credit card on file. When it comes time to pay for your order, you will be able to choose to pay with a credit or debit card.<br><br></td>
 202 <td valign="top">
 203 <a href="javascript:vrsn_splash()" tabindex="-1"><img name="seal" border="true" src="https://seal.websecurity.norton.com/getseal?at=0&amp;sealid=1&amp;dn=www.peapod.com&amp;lang=en" oncontextmenu="return false;" alt="Click to Verify - This site has chosen an SSL Certificate to improve Web site security"></a>
 204 </td>
 205 </tr>
 206 </tbody></table>
 207 </td>
 208 </tr>
 209 <tr>
 210 <td colspan="3" >
 211 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 212 <tbody><tr>
 213 <td valign="top"><img src="https://www.peapod.com/c/QK/QKLIM.gif" border="0" bgcolor="white" name="verisign"></td>
 214 <td >&nbsp;</td>
 215 <td >We use SSL encryption to protect your personal information, including your credit card information.<br></td>
 216 </tr>
 217 </tbody></table>
 218 </td>
 219 </tr>
 220 <tr>
 221 <td>&nbsp;</td>
 222 <td colspan="2">
 223 <img src="https://www.peapod.com/c/9H/9HKB3.gif" border="0">&nbsp;&nbsp;
 224 <img src="https://www.peapod.com/c/3O/3OQII.gif" border="0">&nbsp;&nbsp;
 225 <img src="https://www.peapod.com/c/T1/T1YKZ.gif" border="0">&nbsp;&nbsp;
 226 <img src="https://www.peapod.com/c/IG/IGCQH.gif" border="0">&nbsp;&nbsp;
 227 </td>
 228 </tr>
 229 <tr>
 230 <td  nowrap=""><div align="right">Card Type:</div></td>
 231 <td colspan="2">
 232 <select  name="/peapod/handler/iditarod/CheckoutRegistrationHandler.creditCardType">
 233 <option value="" selected="">-- Select Type --</option>
 234 <option value="AMEX">American Express</option>
 235 <option value="DISC">Discover</option>
 236 <option value="MC">MasterCard</option>
 237 <option value="VISA">Visa</option>
 238 </select><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.creditCardType" value=" ">
 239 </td>
 240 </tr>
 241 <tr>
 242 <td  nowrap=""><div align="right">Card Number:</div></td>
 243 <td colspan="2">
 244 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 245 <tbody><tr>
 246 <td nowrap=""><input maxlength="16" autocomplete="off" name="cardNum" id="creditCardNumber" size="24" type="TEXT" value=""  onfocus="return !showInfoBoxII('cardNumberHelp', event, 1 );"><input type="hidden" name="_D:cardNum" value=" "></td>
 247 <td>&nbsp;<a href="#" tabindex="-1"  onclick="return !showInfoBoxII('cardNumberHelp', event);"><img src="https://www.peapod.com/c/C5/C5NC5.gif" width="21" height="21" border="0" alt="Help on entering your credit card number"></a>
 248 <input id="ccNum" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.ccNum"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.ccNum" value=" ">
 249 <input id="cvv" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.cvv"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.cvv" value=" ">
 250 <input id="key" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.key"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.key" value=" ">
 251 <input id="drCcNum" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.drCcNum"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.drCcNum" value=" ">
 252 <input id="drCvv" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.drCvv"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.drCvv" value=" ">
 253 <input id="drKey" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.drKey"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.drKey" value=" ">
 254 <input id="cvvLength" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.cvvLength"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.cvvLength" value=" ">
 255 <input id="errorCode" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.errorCode"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.errorCode" value=" ">
 256 </td>
 257 <td width="100%">&nbsp;</td>
 258 </tr>
 259 </tbody></table>
 260 </td>
 261 </tr>
 262 <!-- card id number -->
 263 <tr>
 264 <td align="RIGHT"  nowrap="">Security Code:</td>
 265 <td align="left">
 266 <table cellspacing="0" cellpadding="0">
 267 <tbody><tr>
 268 <td align="left"><input maxlength="4" name="cid" id="creditCardCid" size="4" autocomplete="off" type="TEXT" value=""  onfocus="return !showInfoBoxII('CardIdNumberHelp', event, 1 );"><input type="hidden" name="_D:cid" value=" ">&nbsp;<a href="#" tabindex="-1" class="popupLink" onclick="return !showInfoBoxII('CardIdNumberHelp', event);"><img src="https://www.peapod.com/c/C5/C5NC5.gif" title="Help on entering your Security Code" width="21" height="21" border="0"></a></td>
 269 <!-- red arrow looks bad &nbsp;&nbsp;<img src="bean:Image.URL[11405]" border=0></td> -->
 270 </tr>
 271 <!-- displayed at top
 272 <tr>
 273 <td align="left" >
 274 <droplet bean="Switch">
 275 <param name="value" value="bean:CheckoutRegistrationHandler.propertyExceptions.missingInfo.errorCode">
 276 <oparam name="MissingCID">
 277 <font color="red">Missing Security Code</font>
 278 </oparam>
 279 <oparam name="InvalidCID">
 280 <font color="red">Invalid Security Code</font>
 281 </oparam>
 282 </droplet>
 283 </td>
 284 </tr> -->
 285 </tbody></table>
 286 </td>
 287 </tr>
 288 <!-- card id number -->
 289 <tr>
 290 <td  nowrap=""><div align="right">Expiration Date:</div></td>
 291 <td colspan="2">
 292 <select  name="/peapod/handler/iditarod/CheckoutRegistrationHandler.expirationMonth">
 293 <option value="0"></option>
 294 <option value="01">01</option>
 295 <option value="02">02</option>
 296 <option value="03">03</option>
 297 <option value="04">04</option>
 298 <option value="05">05</option>
 299 <option value="06">06</option>
 300 <option value="07">07</option>
 301 <option value="08">08</option>
 302 <option value="09">09</option>
 303 <option value="10">10</option>
 304 <option value="11">11</option>
 305 <option value="12">12</option>
 306 </select><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.expirationMonth" value=" ">
 307 /
 308 <select  name="/peapod/handler/iditarod/CheckoutRegistrationHandler.expirationYear">
 309 <option value="0"></option>
 310 <option value="2014">2014</option>
 311 <option value="2015">2015</option>
 312 <option value="2016">2016</option>
 313 <option value="2017">2017</option>
 314 <option value="2018">2018</option>
 315 <option value="2019">2019</option>
 316 <option value="2020">2020</option>
 317 <option value="2021">2021</option>
 318 <option value="2022">2022</option>
 319 <option value="2023">2023</option>
 320 </select><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.expirationYear" value=" ">
 321 </td>
 322 </tr>
 323 <tr>
 324 <td  nowrap=""><div align="right">Name on Card:</div></td>
 325 <td colspan="2">
 326 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 327 <tbody><tr><td nowrap="">
 328 <input  maxlength="20" autocomplete="off" name="cardName" size="20" type="TEXT" value="Shorty Nge" onfocus="return !showInfoBoxII('cardNameHelp', event, 1 );"><input type="hidden" name="_D:cardName" value=" ">
 329 </td>
 330 <!--
 331 <valueof bean="CheckoutRegistrationHandler.billFirstName"></valueof> <valueof bean="CheckoutRegistrationHandler.billMiddleInitial"></valueof> <valueof bean="CheckoutRegistrationHandler.billLastName"></valueof></td>
 332 -->
 333 <td align="right">&nbsp;<a href="#" tabindex="-1"  onclick="return !showInfoBoxII('cardNameHelp', event);"><img src="https://www.peapod.com/c/C5/C5NC5.gif" width="21" height="21" border="0" title="Help on entering the name on your credit card"></a></td>
 334 <td width="100%">&nbsp;</td>
 335 </tr>
 336 </tbody></table>
 337 </td>
 338 </tr>
 339 <tr>
 340 <td colspan="3"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="5" height="5"></td>
 341 </tr>
 342 <tr>
 343 <td>&nbsp;</td>
 344 <td>&nbsp;</td>
 345 <td>&nbsp;</td>
 346 </tr>
 347 </tbody></table>
 348 </td>
 349 <td width="15" valign="top"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="15" height="15"></td>
 350 <td valign="top">
 351 <table width="194" border="0" align="center" cellpadding="0" cellspacing="0">
 352 <tbody><tr><td></td></tr>
 353 <tr><td valign="top"></td></tr>
 354 </tbody></table>
 355 </td>
 356 <td width="15" valign="top"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="15" height="15"></td>
 357 </tr>
 358 <tr><td colspan="5" width="100%">
 359 <div align="center"><input type="image" src="https://www.peapod.com/c/BY/BYKGM.gif" border="0" width="103" height="29" name="submitButton1" align="middle" title="Continue" onclick="return submitMonitor(2);"><input type="hidden" name="_D:submitButton1" value=" "></div>
 360 </td></tr>
 361 </tbody></table>
 362 </td>
 363 <td valign="top" background="https://www.peapod.com/c/AA/AANXG.gif"><img src="https://www.peapod.com/c/AA/AANXG.gif" width="11" height="61"></td>
 364 </tr>
 365 <tr>
 366 <td width="11" height="13" valign="top"><img src="https://www.peapod.com/c/EX/EXMRJ.gif" width="11" height="13"></td>
 367 <td height="13" valign="top"><img src="https://www.peapod.com/c/QT/QTRSM.gif" width="691" height="13"></td>
 368 <td width="11" height="13" valign="top"><img src="https://www.peapod.com/c/4C/4CL8H.gif" width="11" height="13"></td>
 369 </tr>
 370 </tbody></table>
 371 </td></tr>
 372 </tbody></table>
 373 </td></tr>
 374 </tbody></table>
 375 </form>
 376
 377