1 CREDIT_CARD_TYPE | payment_method | | Visa | payment_method_1-cc
2 CREDIT_CARD_NUMBER | cc_number | | | payment_method_1-cc
3 CREDIT_CARD_NAME | cc_name | | | payment_method_1-cc
4 CREDIT_CARD_EXP_DATE_2_DIGIT_YEAR | cc_exp | Expiration date (MM/YY) | | payment_method_1-cc
5 CREDIT_CARD_VERIFICATION_CODE | cc_cvv2 | CVV2 / Security Code: | | payment_method_1-cc
6 UNKNOWN_TYPE | field_17 | | Select an option... | payment_method_1-default
7 UNKNOWN_TYPE | age | | | payment_method_1-default
8 UNKNOWN_TYPE | comments | | | payment_method_1-default