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

   1 <html>
   2 <head>
   3
   4 <meta http-equiv="X-UA-Compatible" content="IE=7" />
   5 <title>HSN.com</title>
   6
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  18 <link type='text/css' rel='stylesheet' href='/css/cssHandler.ashx?css=/css/hsnlayout.css' />
  19 <link type='text/css' rel='stylesheet' href='/css/cssHandler.ashx?css=/css/hsnstyle.css' />
  20 </head>
  21 <body class="secure" topmargin="0" leftmargin="0" marginheight="0" marginwidth="0">
  22
  23
  24
  25 <form name="Form" method="post" action="account_information.aspx?phonecm=False" id="Form">
  26 <div>
  27 <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="" />
  28 <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="" />
  29 <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKLTMwOTQ4ODYzMGQYAQUeX19Db250cm9sc1JlcXVpcmVQb3N0QmFja0tleV9fFggFH0JvZHkkQmlsbGluZ0lzU2hpcHBpbmdDaGVja2JveEIFEUJvZHkkTW9iaWxlQWxlcnRzBRFCb2R5JEtyYWZ0U2lnbnVwMgUcQm9keSRXZWVrbHlOZXdzbGV0dGVyU2lnbnVwMgUdQm9keSRXZWVrbHlOZXdzbGV0dGVyU2lnbnVwMTIFGEJvZHkkVFNOZXdzbGV0dGVyU2lnbnVwMgURQm9keSRTYXZlQ0M0TGF0ZXIFE0JvZHkkQ29udGludWVCdXR0b24=" />
  30 </div>
  31
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  34
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  36
  37
  38 <link type='text/css' rel='stylesheet' href='/css/cssHandler.ashx?css=/css/HsnCheckout.css' />
  39
  40
  41 <table cellpadding="0" cellspacing="0" border="0" width="100%">
  42     <tr>
  43         <td id="Body_headertitle" class="bcTitle">your information</td>
  44
  45         <td style="padding: 10px 10px 0px;" align="right">
  46
  47     <style type="text/css">
  48         .bcStart { background: url('https://img.hsni.com/images/formatting/spacer.gif') no-repeat ; height:50px; width:5px;}
  49         .bcEnd   { background: url('https://img.hsni.com/images/formatting/bc_v2_end.gif') no-repeat ; height:50px; width:5px;}
  50         .bcOn    { background: url('https://img.hsni.com/images/formatting/bc_v2_active.gif') no-repeat ; height:50px; width:81px; color: #5d5d5d; font-weight:bold; font-size:11px; padding-top:15px;}
  51         .bcOff   { background: url('https://img.hsni.com/images/formatting/bc_v2_inactive.gif') no-repeat ; height:50px; width:81px; color: #999; font-size:11px; padding-top:15px;}
  52         .bcOffLink { text-decoration: none; color: #666666; color: #999; font-size:11px;}
  53     </style>
  54         <div style="padding: 5px 0px;">
  55 <table cellpadding='0' cellspacing='0' border='0'>
  56 <tr>
  57 <td class='bcStart' style='width:5px;'>&nbsp;</td>
  58 <td class='bcOff' align='center' style='width:81px; cursor:pointer; cursor:hand;' ><a style='text-decoration: none; color: #666666; color: #999; font-size:11px;' href='http://www.hsn.com/cmr/shopping_cart/default.aspx'>shopping<BR/>bag</a></td>
  59 <td class='bcOn' align='center' style='width:81px;'>account<BR/>information</td>
  60 <td class='bcOff' align='center' style='width:81px;'>order<BR/>review</td>
  61 <td class='bcOff' align='center' style='width:81px;'>order<BR/>confirmation</td>
  62  <td valign='top' style='padding-left:5px;'><img src='https://img.hsni.com/images/formatting/bc_v2_box.gif' alt='' width='41' height='43' /></td></tr>
  63 </table>
  64 </div>
  65
  66         </td>
  67     </tr>
  68 </table>
  69
  70
  71 <table border="0" cellpadding="0" cellspacing="10" width="770">
  72     <tr>
  73         <td valign="top" align="left">
  74             <div id="MiniBagDiv">
  75
  76 <table cellpadding="0" cellspacing="0" border="0" class="CheckoutSectionTable">
  77     <tr>
  78         <td colspan="4">
  79             <table width="100%" cellpadding="0" cellspacing="0" border="0" style="background-color: #f1f1f1; border-bottom:1px solid #6587AA;">
  80                 <tr>
  81                     <td>&nbsp;<strong>order&nbsp;summary</strong></td>
  82                     <td align="right" style="width:100%; padding:3px;">&nbsp;</td>
  83                 </tr>
  84             </table>
  85         </td>
  86     </tr>
  87     <tr>
  88         <td>&nbsp;</td>
  89         <td style="width:290px;">
  90             <dl style="vertical-align: bottom;">
  91                 <dt>Subtotal:</dt>
  92                 <dd id="ItemSubTotal" class="price">$89.95</dd>
  93             </dl>
  94         </td>
  95         <td>&nbsp;</td>
  96     </tr>
  97     <tr>
  98         <td>&nbsp;</td>
  99         <td>
 100             <dl style="vertical-align: bottom;">
 101                 <dt>S&amp;H:</dt>
 102                 <dd id="TotalSH" class="price">$5.95</dd>
 103             </dl>
 104         </td>
 105         <td>&nbsp;</td>
 106     </tr>
 107     <tr>
 108         <td>&nbsp;</td>
 109         <td>
 110             <dl style="vertical-align: bottom;">
 111                 <dt>Estimated Tax:</dt>
 112                 <dd id="EstimatedTax" class="price"><u>$0.00</u></dd>
 113             </dl>
 114         </td>
 115         <td>&nbsp;</td>
 116     </tr>
 117
 118     <tr>
 119         <td>&nbsp;</td>
 120         <td>
 121             <dl style="vertical-align: bottom;">
 122                 <dt style="font-weight:bold;">Order Total:</dt>
 123
 124                 <dd id="GrandTotal" class="price" style="font-weight:bold;">$95.90</dd>
 125             </dl>
 126         </td>
 127         <td>&nbsp;</td>
 128     </tr>
 129     <tr><td colspan="3"><img src="#" alt="" width="1" height="5" /></td></tr>
 130
 131
 132 </table>
 133 </div>
 134             <!-- CUST INFO ARTICLE 3725 -->
 135
 136             <div style="padding-top:10px;" id="MiniCustService"><!-- Article Id = 3725 --><table cellpadding="0" cellspacing="0" border="0" class="CheckoutSectionTable" style="width:260px;">
 137      <tr>
 138           <td style="color:#333333; padding:3px; background-color: #f1f1f1; border-bottom:1px solid #6587AA;"> <strong>hsn.com info</strong></td>
 139      </tr>
 140      <tr>
 141           <td style="width:100%;">
 142                <table cellpadding="2" cellspacing="0" border="0">
 143                     <tr>
 144                          <td valign="top" style="padding: 5px 0px 5px 5px;">
 145                             <strong><u>Guarantee</u></strong><br />
 146                             If you are not satisfied with your purchase, simply return it within 30 days for a full refund.<br/><br/>
 147
 148                             <strong><u>Security</u></strong>&nbsp;<a style="text-decoration:underline;" class="hdr" >(policy details)</a><br />
 149                             HSN.com makes sure your information is protected and secure.<br /><br />
 150
 151                             <strong><u>Privacy</u></strong><br />
 152                             HSN.com values your privacy rights. View <a style="text-decoration:underline;" class="hdr" >HSN's privacy policy</a> as it applies to your account.
 153                          </td>
 154                     </tr>
 155                </table>
 156           </td>
 157      </tr>
 158 </table>
 159 <div style="padding-top:10px;">
 160     <div style="padding-bottom:10px;"><a href="https://sentinel.whitehatsec.com/gateway/certified/confirmed.html?badge_key=23e15e4f-c769-4db6-9fe3-fec5556b7fe9"><img src="#" border="0" /></a></div>
 161     <div style="padding-bottom:10px;"></div>
 162     <div><a ><img src="#" alt="BizRate Customer Certified (GOLD) Site" width="125" height="73" align="top" border="0" target="_blank"></a></div>
 163 </div></div>
 164
 165         </td>
 166
 167         <td valign="top" style="width:480px;">
 168
 169             <div id="Body_ErrorMessageBlock" align="left" style="color:Red; font-weight:bold;"></div>
 170
 171             <div style="border:1px solid #007DCA;">
 172                 <table id="AddressInformation" cellpadding="0" cellspacing="0" border="0" width="100%">
 173                     <tr>
 174                         <td align="left" class="CheckoutHeader" style="padding:3px;">Enter billing information (as it appears on your statement)</td>
 175                     </tr>
 176                         <tr id="Body_trBillingIsShippingCheckboxB">
 177         <td align="left" style="PADDING:0px 0px 10px 25px;">
 178                                 <input name="Body$BillingIsShippingCheckboxB" type="checkbox" id="Body_BillingIsShippingCheckboxB" checked="checked" />Use my billing address as my shipping address.
 179                         </td>
 180 </tr>
 181
 182                     <tr>
 183                                 <td style="padding:10 10 0 10;" id="BillingAddressForm">
 184
 185                             <input name="Body$BillingAddress$_ab_id" type="hidden" id="Body_BillingAddress__ab_id" />
 186 <table border="0" align="center" id="AddressValues">
 187   <tr>
 188     <td align="right" class="hdr" width="110">
 189       <div id="Body_BillingAddress__firstName_label" style="font-weight:bold;">First Name</div>
 190     </td>
 191     <td valign="middle" align="left"><input name="Body$BillingAddress$_firstName" type="text" id="Body_BillingAddress__firstName" maxlength="15" size="25" /></td>
 192     <td align="right" valign="top" rowspan="7" width="*" style="padding-left:20px;">
 193
 194             <div align="left" style="border:1px solid #6587AA; padding:3px; width:150px;">
 195                 <strong>HSN Tip:</strong><br/> We respect the privacy of our customers and the information you entrust in us. View <a tabIndex='-1' class='hdr' >HSN's privacy<br/>policy</a>, which applies to your account.
 196             </div>
 197
 198     </td>
 199   </tr>
 200   <tr>
 201     <td align="right" class="hdr" width="110">
 202       <div id="Body_BillingAddress__lastName_label" style="font-weight:bold;">Last Name</div>
 203     </td>
 204     <td valign="middle" align="left"><input name="Body$BillingAddress$_lastName" type="text" id="Body_BillingAddress__lastName" maxlength="15" size="25" /></td>
 205   </tr>
 206   <tr>
 207     <td align="right" class="hdr" width="110">
 208       <div id="Body_BillingAddress__address1_label" style="font-weight:bold;">Address Line 1</div>
 209     </td>
 210     <td valign="middle" align="left"><input name="Body$BillingAddress$_address1" type="text" id="Body_BillingAddress__address1" maxlength="25" size="25" /></td>
 211   </tr>
 212   <tr>
 213     <td align="right" class="hdr" width="110">
 214       <div id="Body_BillingAddress__address2_label" style="font-weight:bold;">Address Line 2<br /><font class='optionalText'>(optional)&nbsp;&nbsp;</font></div>
 215     </td>
 216     <td valign="middle" align="left"><input name="Body$BillingAddress$_address2" type="text" id="Body_BillingAddress__address2" maxlength="25" size="25" /></td>
 217   </tr>
 218   <tr>
 219     <td align="right" class="hdr" width="110">
 220       <div id="Body_BillingAddress__city_label" style="font-weight:bold;">City</div>
 221     </td>
 222     <td valign="middle" align="left"><input name="Body$BillingAddress$_city" type="text" id="Body_BillingAddress__city" maxlength="20" size="25" /></td>
 223   </tr>
 224   <tr>
 225     <td align="right" class="hdr" width="110">
 226       <div id="Body_BillingAddress__state_label" style="font-weight:bold;">State</div>
 227     </td>
 228     <td valign="middle" align="left"><select name="Body$BillingAddress$_state" id="Body_BillingAddress__state">
 229         <option value="  ">Select State</option>
 230         <option value="AK">Alaska</option>
 231         <option value="AL">Alabama</option>
 232         <option value="AR">Arkansas</option>
 233         <option value="AZ">Arizona</option>
 234         <option value="CA">California</option>
 235         <option value="CO">Colorado</option>
 236         <option value="CT">Connecticut</option>
 237         <option value="DC">District of Columbia</option>
 238         <option value="DE">Delaware</option>
 239         <option value="FL">Florida</option>
 240         <option value="GA">Georgia</option>
 241         <option value="GU">Guam</option>
 242         <option value="HI">Hawaii</option>
 243         <option value="IA">Iowa</option>
 244         <option value="ID">Idaho</option>
 245         <option value="IL">Illinois</option>
 246         <option value="IN">Indiana</option>
 247         <option value="KS">Kansas</option>
 248         <option value="KY">Kentucky</option>
 249         <option value="LA">Louisiana</option>
 250         <option value="MA">Massachusetts</option>
 251         <option value="MD">Maryland</option>
 252         <option value="ME">Maine</option>
 253         <option value="MI">Michigan</option>
 254         <option value="MN">Minnesota</option>
 255         <option value="MO">Missouri</option>
 256         <option value="MS">Mississippi</option>
 257         <option value="MT">Montana</option>
 258         <option value="NC">North Carolina</option>
 259         <option value="ND">North Dakota</option>
 260         <option value="NE">Nebraska</option>
 261         <option value="NH">New Hampshire</option>
 262         <option value="NJ">New Jersey</option>
 263         <option value="NM">New Mexico</option>
 264         <option value="NV">Nevada</option>
 265         <option value="NY">New York</option>
 266         <option value="OH">Ohio</option>
 267         <option value="OK">Oklahoma</option>
 268         <option value="OR">Oregon</option>
 269         <option value="PA">Pennsylvania</option>
 270         <option value="PR">Puerto Rico</option>
 271         <option value="RI">Rhode Island</option>
 272         <option value="SC">South Carolina</option>
 273         <option value="SD">South Dakota</option>
 274         <option value="TN">Tennessee</option>
 275         <option value="TX">Texas</option>
 276         <option value="UT">Utah</option>
 277         <option value="VA">Virginia</option>
 278         <option value="VI">Virgin Islands</option>
 279         <option value="VT">Vermont</option>
 280         <option value="WA">Washington</option>
 281         <option value="WI">Wisconsin</option>
 282         <option value="WV">West Virginia</option>
 283         <option value="WY">Wyoming</option>
 284 </select>
 285     </td>
 286   </tr>
 287   <tr>
 288     <td align="right" class="hdr" width="110">
 289       <div id="Body_BillingAddress__zipcode_label" style="font-weight:bold;">Zip Code</div>
 290     </td>
 291     <td valign="middle" align="left"><input name="Body$BillingAddress$_zipcode" type="text" id="Body_BillingAddress__zipcode" maxlength="10" size="25" /></td>
 292   </tr>
 293   <tr>
 294   <td></td><td></td>
 295   <td>
 296     <table style="width: 170px">
 297         <tr>
 298             <td style="text-align:center"><div id="Body_BillingAddress_Div2" style="COLOR: #999999">home</div></td>
 299             <td style="text-align:center"><div id="Body_BillingAddress_Div3" style="COLOR: #999999">mobile</div></td>
 300             <td style="text-align:center"><div id="Body_BillingAddress_Div4" style="COLOR: #999999; width: 37px;">work</div></td>
 301         </tr>
 302     </table>
 303   </td>
 304
 305   </tr>
 306   <tr>
 307     <td align="right" class="hdr" width="110">
 308       <div id="Body_BillingAddress__PrimaryPhone_label" style="font-weight:bold;">Primary&nbsp;Phone</div>
 309     </td>
 310     <td valign="middle" align="left"><input name="Body$BillingAddress$_PrimaryPhone" type="text" id="Body_BillingAddress__PrimaryPhone" maxlength="14" size="25" />
 311     </td>
 312     <td>
 313         <table id="Body_BillingAddress_rdoPrimary" cellspacing="1" border="0" style="width:157px;margin-left: 0px;text-align:center">
 314         <tr>
 315                 <td><input id="Body_BillingAddress_rdoPrimary_0" type="radio" name="Body$BillingAddress$rdoPrimary" value="H" checked="checked" tabindex="-1" /></td><td><input id="Body_BillingAddress_rdoPrimary_1" type="radio" name="Body$BillingAddress$rdoPrimary" value="M" tabindex="-1" /></td><td><input id="Body_BillingAddress_rdoPrimary_2" type="radio" name="Body$BillingAddress$rdoPrimary" value="W" tabindex="-1" /></td>
 316         </tr>
 317 </table>
 318     </td>
 319   </tr>
 320    <tr>
 321     <td align="right" class="hdr" width="110">
 322       <div id="Body_BillingAddress__AlternatePhone_label" style="font-weight:bold;">Alternate&nbsp;Phone2<br /><font class='optionalText'>(optional)&nbsp;&nbsp;</font></div>
 323     </td>
 324     <td valign="middle" align="left"><input name="Body$BillingAddress$_Alt1Phone" type="text" id="Body_BillingAddress__Alt1Phone" maxlength="14" size="25" />
 325     </td>
 326     <td>
 327         <table id="Body_BillingAddress_rdoAlt1" cellspacing="1" border="0" style="width:157px;margin-left: 0px;text-align:center">
 328         <tr>
 329                 <td><input id="Body_BillingAddress_rdoAlt1_0" type="radio" name="Body$BillingAddress$rdoAlt1" value="H" tabindex="-1" /></td><td><input id="Body_BillingAddress_rdoAlt1_1" type="radio" name="Body$BillingAddress$rdoAlt1" value="M" checked="checked" tabindex="-1" /></td><td><input id="Body_BillingAddress_rdoAlt1_2" type="radio" name="Body$BillingAddress$rdoAlt1" value="W" tabindex="-1" /></td>
 330         </tr>
 331 </table>
 332     </td>
 333   </tr>
 334 </table>
 335
 336                                 </td>
 337                         </tr>
 338                     <tr id="Body_trMobileAlerts">
 339         <td align="left" style="padding-left:120px;padding-bottom:4px">
 340                                 <input name="Body$MobileAlerts" type="checkbox" id="Body_MobileAlerts" />Send me special promotion mobile alerts
 341                         </td>
 342 </tr>
 343
 344
 345                      <span id="Body_EmailTop">
 346                      <tr><td align="center" colspan="2" style="padding:10px;">Please provide your email address so we can send you order status information.</td></tr>
 347                      <tr>
 348                      <td id="Body_NewEmailAddress_label2" align="left" style="font-weight:bold;padding-left:34px;padding-right:10px;">Email&nbsp;Address&nbsp;
 349                                     <input name="Body$NewEmailAddress2" type="text" id="Body_NewEmailAddress2" size="25" /></td>
 350 </tr>
 351
 352
 353                                    <tr>
 354                                    <td align="left" style="padding-left:120px;padding-bottom:4px;padding-top:3px;"><input name="Body$WeeklyNewsletterSignup12" type="checkbox" id="Body_WeeklyNewsletterSignup12" checked="checked" />Email me weekly HSN newsletters and special offers</td>
 355                                    </tr>
 356                                 <tr>
 357                                     <td align="left" style="padding-left:120px;padding-bottom:4px"><input name="Body$TSNewsletterSignup2" type="checkbox" id="Body_TSNewsletterSignup2" /> Email me the daily Today's Special</td>
 358                                 </tr>
 359                                 </span>
 360                         <tr id="Body_ShippingAddressSection" style="display:none;">
 361         <td>
 362                             <table cellpadding="0" cellspacing="0" border="0" width="100%">
 363                                 <tr><td align="left" class="CheckoutHeader" style="padding:3px;">Enter shipping information</td></tr>
 364                                 <tr>
 365                                             <td>
 366                                                         <input name="Body$_shipping_exist" type="hidden" id="Body__shipping_exist" />
 367                                                     <div style="padding:10px;" id="ShippingAddressForm">
 368                                                             <input name="Body$ShippingAddress$_ab_id" type="hidden" id="Body_ShippingAddress__ab_id" />
 369 <table border="0" align="center" id="AddressValues">
 370   <tr>
 371     <td align="right" class="hdr" width="110">
 372       <div id="Body_ShippingAddress__firstName_label" style="font-weight:bold;">First Name</div>
 373     </td>
 374     <td valign="middle" align="left"><input name="Body$ShippingAddress$_firstName" type="text" id="Body_ShippingAddress__firstName" maxlength="15" size="25" /></td>
 375     <td align="right" valign="top" rowspan="8" width="*" style="padding-left:20px;">
 376
 377             <div align="left" style="border:1px solid #6587AA; padding:3px; width:150px;">
 378                 <strong>HSN tip:</strong><br/>Most items ship <i>faster</i> to a street address than to a P.O. Box
 379             </div>
 380
 381     </td>
 382   </tr>
 383   <tr>
 384     <td align="right" class="hdr" width="110">
 385       <div id="Body_ShippingAddress__lastName_label" style="font-weight:bold;">Last Name</div>
 386     </td>
 387     <td valign="middle" align="left"><input name="Body$ShippingAddress$_lastName" type="text" id="Body_ShippingAddress__lastName" maxlength="15" size="25" /></td>
 388   </tr>
 389   <tr>
 390     <td align="right" class="hdr" width="110">
 391       <div id="Body_ShippingAddress__address1_label" style="font-weight:bold;">Address Line 1</div>
 392     </td>
 393     <td valign="middle" align="left"><input name="Body$ShippingAddress$_address1" type="text" id="Body_ShippingAddress__address1" maxlength="25" size="25" /></td>
 394   </tr>
 395   <tr>
 396     <td align="right" class="hdr" width="110">
 397       <div id="Body_ShippingAddress__address2_label" style="font-weight:bold;">Address Line 2<br /><font class='optionalText'>(optional)&nbsp;&nbsp;</font></div>
 398     </td>
 399     <td valign="middle" align="left"><input name="Body$ShippingAddress$_address2" type="text" id="Body_ShippingAddress__address2" maxlength="25" size="25" /></td>
 400   </tr>
 401   <tr>
 402     <td align="right" class="hdr" width="110">
 403       <div id="Body_ShippingAddress__city_label" style="font-weight:bold;">City</div>
 404     </td>
 405     <td valign="middle" align="left"><input name="Body$ShippingAddress$_city" type="text" id="Body_ShippingAddress__city" maxlength="20" size="25" /></td>
 406   </tr>
 407   <tr>
 408     <td align="right" class="hdr" width="110">
 409       <div id="Body_ShippingAddress__state_label" style="font-weight:bold;">State</div>
 410     </td>
 411     <td valign="middle" align="left"><select name="Body$ShippingAddress$_state" id="Body_ShippingAddress__state">
 412                 <option value="  ">Select State</option>
 413                 <option value="AK">Alaska</option>
 414                 <option value="AL">Alabama</option>
 415                 <option value="AR">Arkansas</option>
 416                 <option value="AZ">Arizona</option>
 417                 <option value="CA">California</option>
 418                 <option value="CO">Colorado</option>
 419                 <option value="CT">Connecticut</option>
 420                 <option value="DC">District of Columbia</option>
 421                 <option value="DE">Delaware</option>
 422                 <option value="FL">Florida</option>
 423                 <option value="GA">Georgia</option>
 424                 <option value="GU">Guam</option>
 425                 <option value="HI">Hawaii</option>
 426                 <option value="IA">Iowa</option>
 427                 <option value="ID">Idaho</option>
 428                 <option value="IL">Illinois</option>
 429                 <option value="IN">Indiana</option>
 430                 <option value="KS">Kansas</option>
 431                 <option value="KY">Kentucky</option>
 432                 <option value="LA">Louisiana</option>
 433                 <option value="MA">Massachusetts</option>
 434                 <option value="MD">Maryland</option>
 435                 <option value="ME">Maine</option>
 436                 <option value="MI">Michigan</option>
 437                 <option value="MN">Minnesota</option>
 438                 <option value="MO">Missouri</option>
 439                 <option value="MS">Mississippi</option>
 440                 <option value="MT">Montana</option>
 441                 <option value="NC">North Carolina</option>
 442                 <option value="ND">North Dakota</option>
 443                 <option value="NE">Nebraska</option>
 444                 <option value="NH">New Hampshire</option>
 445                 <option value="NJ">New Jersey</option>
 446                 <option value="NM">New Mexico</option>
 447                 <option value="NV">Nevada</option>
 448                 <option value="NY">New York</option>
 449                 <option value="OH">Ohio</option>
 450                 <option value="OK">Oklahoma</option>
 451                 <option value="OR">Oregon</option>
 452                 <option value="PA">Pennsylvania</option>
 453                 <option value="PR">Puerto Rico</option>
 454                 <option value="RI">Rhode Island</option>
 455                 <option value="SC">South Carolina</option>
 456                 <option value="SD">South Dakota</option>
 457                 <option value="TN">Tennessee</option>
 458                 <option value="TX">Texas</option>
 459                 <option value="UT">Utah</option>
 460                 <option value="VA">Virginia</option>
 461                 <option value="VI">Virgin Islands</option>
 462                 <option value="VT">Vermont</option>
 463                 <option value="WA">Washington</option>
 464                 <option value="WI">Wisconsin</option>
 465                 <option value="WV">West Virginia</option>
 466                 <option value="WY">Wyoming</option>
 467         </select>
 468     </td>
 469   </tr>
 470   <tr>
 471     <td align="right" class="hdr" width="110">
 472       <div id="Body_ShippingAddress__zipcode_label" style="font-weight:bold;">Zip Code</div>
 473     </td>
 474     <td valign="middle" align="left"><input name="Body$ShippingAddress$_zipcode" type="text" id="Body_ShippingAddress__zipcode" maxlength="10" size="25" /></td>
 475   </tr>
 476   <tr>
 477     <td align="right" class="hdr" width="110">
 478       <div id="Body_ShippingAddress__telephone_label" style="font-weight:bold;">Phone&nbsp;Number</div>
 479     </td>
 480     <td valign="middle" align="left"><input name="Body$ShippingAddress$_telephone" type="text" id="Body_ShippingAddress__telephone" maxlength="14" size="25" />
 481     </td>
 482   </tr>
 483 </table>
 484
 485                                                     </div>
 486                                             </td>
 487                                         </tr>
 488                                     </table>
 489                                 </td>
 490 </tr>
 491
 492                 </table>
 493             </div>
 494
 495             <div style="border:1px solid #007DCA;">
 496                 <table cellpadding="0" cellspacing="0" border="0" width="100%">
 497                     <tr><td align="left" class="CheckoutHeader" style="padding:3px;">Enter payment information</td></tr>
 498                     <tr id="PaymentInformation">
 499                         <td style="padding:0px 0px 0px 0px;" valign="top">
 500                             <table style="margin-left: 0px;" border="0">
 501                                 <tr>
 502                                     <td valign="top" colspan=2 style="text-align:left;">
 503                                         <table cellpadding="0" cellspacing="0" border="0">
 504                                             <tr>
 505                                                 <td colspan=2 style="text-align:left;">
 506                                                     <input name="PaymentTypeSelection" id="IsPayPalNo" value="0" CHECKED type="radio" />Pay with a Credit or Debit Card
 507                                                 </td>
 508                                             </tr>
 509                                             <tr><td colspan=2 style="padding-left:22px; padding-top:5px;"><!-- Article Id = 1348 --><div align="left" style="padding:0px 0px 0px 0px;">
 510         <img src="#" alt="" />
 511         <img src="#" alt="" />
 512         <img src="#" alt="" />
 513         <img src="#" alt="" />
 514         <img src="#" alt="" />
 515         <img src="#" alt="" />
 516     </div></td></tr>
 517                                         </table>
 518                                     </td>
 519                                 </tr>
 520                                 <tr>
 521                                     <td valign="top" style="padding-left:0px;">
 522                                         <table cellpadding="0" cellspacing="0" border="0">
 523                                             <tr>
 524                                                 <td id="Body_CCNumber_label" align="right">Card Number&nbsp;</td>
 525
 526                                                 <td><input name="Body$CCNumber" type="text" id="Body_CCNumber" size="25" /></td>
 527                                             </tr>
 528                                             <tr>
 529                                                 <td>&nbsp;</td>
 530                                                 <td style="font-size:9px; padding-top:4px;">Not required for HSN Card</td>
 531                                             </tr>
 532                                             <tr>
 533                                                 <td align="right"><label id="Body_CCExpirationDate_label">Expiration Date&nbsp;</label></td>
 534                                                 <td>
 535                                                     <select name="Body$CCExpirationDateMonth" id="Body_CCExpirationDateMonth" style="width:84px;">
 536         <option value="0">month</option>
 537         <option value="1">Jan &#160;(1)</option>
 538         <option value="2">Feb &#160;(2)</option>
 539         <option value="3">Mar &#160;(3)</option>
 540         <option value="4">Apr &#160;(4)</option>
 541         <option value="5">May &#160;(5)</option>
 542         <option value="6">Jun &#160;(6)</option>
 543         <option value="7">Jul &#160;(7)</option>
 544         <option value="8">Aug &#160;(8)</option>
 545         <option value="9">Sep &#160;(9)</option>
 546         <option value="10">Oct (10)</option>
 547         <option value="11">Nov (11)</option>
 548         <option value="12">Dec (12)</option>
 549 </select>&nbsp;&nbsp;
 550                                                     <select name="Body$CCExpirationDateYear" id="Body_CCExpirationDateYear" style="width:60px;">
 551         <option value="0">year</option>
 552         <option value="2011">2011</option>
 553         <option value="2012">2012</option>
 554         <option value="2013">2013</option>
 555         <option value="2014">2014</option>
 556         <option value="2015">2015</option>
 557         <option value="2016">2016</option>
 558         <option value="2017">2017</option>
 559         <option value="2018">2018</option>
 560         <option value="2019">2019</option>
 561         <option value="2020">2020</option>
 562         <option value="2021">2021</option>
 563         <option value="2022">2022</option>
 564         <option value="2023">2023</option>
 565         <option value="2024">2024</option>
 566         <option value="2025">2025</option>
 567 </select>
 568                                                 </td>
 569                                             </tr>
 570                                             <tr>
 571                                                 <td id="Body_CCNameOnCard_label" align="right" style="padding-top:8px;">Name on Card&nbsp;</td>
 572
 573                                                 <td style="padding-top:8px;"><input name="Body$CCNameOnCard" type="text" id="Body_CCNameOnCard" size="25" /></td>
 574                                             </tr>
 575                                             <tr id="DebitCardRow">
 576                                                 <td id="Body_IsDebitCard_label" align="right" style="padding-top:6px;padding-left:20px">Is&nbsp;this&nbsp;a&nbsp;Debit&nbsp;Card?&nbsp;</td>
 577
 578                                                 <td align="left" style="padding-top:6px;"><input name="IsDebitCard"  id="IsDebitCardYes" value="1" type="radio" />&nbsp;Yes&nbsp;&nbsp;<input name="IsDebitCard"  id="IsDebitCardNo" value="0" type="radio" />&nbsp;No</td>
 579                                             </tr>
 580                                             <tr>
 581                                                 <td align="left" colspan="2" style="padding:5px 0px 5px 20px;">
 582                                                     <input name="Body$SaveCC4Later" type="checkbox" id="Body_SaveCC4Later" checked="checked" />Save information for future purchases
 583                                                     <input name="Body$_ccID" type="hidden" id="Body__ccID" />
 584                                                 </td>
 585                                             </tr>
 586
 587                                         </table>
 588                                     </td>
 589                                     <td style="padding-left:15px;" valign="top">
 590                                     <div align="left" style="border:1px solid #6587AA; padding:3px;">
 591
 592                                             <strong>HSN Tip:</strong><br />HSN.com makes sure your information is protected and secured. View <a tabIndex='-1' style="text-decoration:underline;" class="hdr" >HSN's security policy</a>.
 593
 594                                     </div>
 595                                     </td>
 596                                 </tr>
 597
 598                                 <tr>
 599                                     <td colspan=2 align=left>
 600                                         <div id="NewCustCCPanel">
 601                                           <div id="NewCustDivLine"></div>
 602                                           <div id="NewCustOr">OR</div>
 603                                         </div>
 604                                     </td>
 605                                 </tr>
 606                                 <tr>
 607                                     <td colspan="2" style="text-align:left;padding-bottom:5px;"><div style="float:left;padding-top:5px;"><input name="PaymentTypeSelection" id="IsPayPalYes"  value="1" type="radio" /> Pay with PayPal</div><div style="float:left;padding-left:10px;margin-top:9px;"><a >Learn More</a></div><div style="float:left;padding-left:10px;"><img height="30px" width="48px" src="#" alt="" /></div></td>
 608                                 </tr>
 609
 610                             </table>
 611                         </td>
 612                     </tr>
 613                 </table>
 614             </div>
 615
 616
 617             <div id="Body_AccountForm" style="border:1px solid #007DCA;">
 618                 <table cellpadding="0" cellspacing="0" border="0" width="100%">
 619                     <tr><td align="left" colspan="2" class="CheckoutHeader" style="padding:3px;">Create Account</td></tr>
 620                     <tr id="Body_ProfileLabel">
 621         <td colspan="2" align="left" style="padding-top:10px">&nbsp;&nbsp;Enter a password <span id="Body_lblPasswordHeader">if you would like </span>to set up an hsn.com account</td>
 622 </tr>
 623
 624
 625                     <tr>
 626                         <td style="padding:10px;">
 627                             <table border="0" cellpadding="0" cellspacing="0" width="100%">
 628                                 <tr>
 629                                     <td id="Body_NewPassword_label" align="right" style="padding-top:8px;">Create&nbsp;Password&nbsp;<span id="Body_lblCreatePassword"><br/><font class='optionalText'>(optional)</font>&nbsp;&nbsp;</span></td>
 630
 631                                     <td style="padding-top:8px;"><input name="Body$NewPassword" type="password" id="Body_NewPassword" size="25" /></td>
 632                                 </tr>
 633                                 <tr>
 634                                     <td id="Body_RepeatNewPassword_label" align="right" style="padding-top:8px;">Repeat&nbsp;Password&nbsp;<span id="Body_lblRepeatPassword"><br/><font class='optionalText'>(optional)</font>&nbsp;&nbsp;</span></td>
 635
 636                                     <td style="padding-top:8px;"><input name="Body$RepeatNewPassword" type="password" id="Body_RepeatNewPassword" size="25" /></td>
 637                                 </tr>
 638                                 <tr>
 639                                     <td id="Body_PasswordHintLabel" align="right" style="padding-top:8px;">Password&nbsp;Hint&nbsp;<br /><font class='optionalText'>(optional)&nbsp;&nbsp;</font></td>
 640
 641                                     <td style="padding-top:8px;"><input name="Body$NewPasswordHint" type="text" id="Body_NewPasswordHint" size="25" /></td>
 642                                 </tr>
 643                                 <tr>
 644                                     <td></td>
 645                                     <td align="left" colspan="2" style="font-size:10px;">(to remind yourself of your password)</td>
 646                                 </tr>
 647
 648                             </table>
 649                         </td>
 650                         <td valign="middle" rowspan="3">
 651                                         <div align="left" style="width:160px;margin-right:3px;border:1px solid #6587AA; padding:2px;">
 652
 653                                             <strong>HSN Tip:<br />Save time during your<br />next visit!</strong><br />Simply enter a password to become an HSN member.
 654
 655                                         </div>
 656                                     </td>
 657                    </tr>
 658                 </table>
 659             </div>
 660
 661
 662             <div align="right" style="padding:10px 5px 0px 0px;">
 663                 <input src="#" name="Body$ContinueButton" type="image" id="Body_ContinueButton" border="0" /><br />
 664                 <span style="font-size:11px;">(You can review this order before it's final)</span>
 665             </div>
 666
 667         </td>
 668     </tr>
 669 </table>
 670
 671 </form>
 672
 673 </body>
 674 </html>