chrome/test/data/autofill/heuristics/input/12_register_officedepot.com.html

   1 <html class="nojs" xmlns="http://www.w3.org/1999/xhtml" xmlns:fb="http://www.facebook.com/2008/fbml" xml:lang="en-US" lang="en-US">
   2 <!--Form Location: https://www.officedepot.com/account/registrationDisplay.do--><head>
   3
   4 <meta http-equiv="expires" content="0">
   5 <meta http-equiv="pragma" content="no-cache">
   6 <meta http-equiv="cache-control" content="no-cache">
   7 <meta http-equiv="pragma-directive" content="no-cache">
   8 <meta http-equiv="cache-directive" content="no-cache">
   9 <title>Office Depot - Account Registration</title>
  10 <meta name="description" content="Shop office supplies, office furniture and business technology at Office Depot. Paper, file folders, ink, toner and more. Huge selections, brands you trust, everyday low prices! Take Care of Business, shop today.">
  11 <meta name="keywords" content="office supplies, office furniture, technology, electronics">
  12 <link rel="stylesheet" type="text/css" media="screen" href="/N1500498559/bundles/master.css">
  13 <link rel="stylesheet" type="text/css" media="print" href="/N2071878448/bundles/print.css">
  14 <link rel="stylesheet" type="text/css" media="screen" href="/302286193/css/od/account.css">
  15 <!--[if lt IE 7 ]>
  16                 <link rel="stylesheet" type="text/css" media="screen" href="/N1910006823/bundles/master_ie.css" />
  17
  18         <![endif]--><link rel="shortcut icon" href="https://secure.www.odcdn.com/images/us/od/favicon.ico" type="image/vnd.microsoft.icon">
  19 <link rel="icon" href="https://secure.www.odcdn.com/images/us/od/favicon.ico" type="image/vnd.microsoft.icon">
  20 <link rel="alternate" type="application/rss+xml" title="Office Depot" href="http://feeds.feedburner.com/OfficeDepot">
  21 <link title="Office Depot" rel="search" type="application/opensearchdescription+xml" href="http://www.officedepot.com/en_US_od_business_accelerator_search.xml">
  22 </head>
  23 <body id="registration">
  24
  25 <form name="storeLocatorForm" method="get" action="http://www.officedepot.com/setStoreZip.do">
  26 <span style="display:none"><input type="hidden" name="fkey" value="ZBOQ8Sp5mFecc34vd2jp8wl"></span>
  27                                                                                         <input type="text" name="zip" maxlength="7" size="7" autocomplete="" value="" id="zip"><input type="hidden" name="requestor" value="header" id="requestor"><input type="hidden" name="switchDeliveryToPickup" value="false"><input type="hidden" name="inventoryLocationUpdatable" value="true"><span class="search"><input type="submit" name="find" id="find" class="button" value="Go"></span>
  28                                                                                         <div class="clear"></div>
  29 </form>
  30
  31
  32
  33
  34
  35
  36
  37 <form name="storeLocatorForm" method="post" action="http://www.officedepot.com/account/deliveryPickupModeSet.do" autocomplete="off">
  38 <span style="display:none"><input type="hidden" name="fkey" value="ZBOQ8Sp5mFecc34vd2jp8wl"></span>
  39                                         <input type="hidden" name="inventoryLocationUpdatable" value="true"><input type="hidden" name="switchDeliveryToPickup" value="true"><input type="hidden" name="requestor" value="/home.do"><ul>
  40 <li class="radio">
  41                                                                         <input type="submit" name="cmd_deliveryMode.button" class="radio_on" value=" ">
  42                                                                         Delivery
  43                                                                 </li>
  44                                                                 <li class="radio">
  45                                                                         <input type="submit" name="cmd_pickupMode.button" class="radio_off" value=" ">
  46                                                                         Pick-Up
  47                                                                 </li>
  48                                                         </ul>
  49 </form>
  50
  51
  52
  53
  54
  55
  56
  57 <form name="refinementForm" method="get" action="http://www.officedepot.com/catalog/search.do" autocomplete="false">
  58 <span style="display:none"><input type="hidden" name="fkey" value="ZBOQ8Sp5mFecc34vd2jp8wl"></span>
  59
  60                 <div id="suggestSearchOn"></div>
  61
  62                 <table id="searchBox" cellspacing="0"><tr>
  63 <th><label for="searchField">Search</label></th>
  64                                         <td id="sfInput">
  65                                                 <div id="predictSearchFlyout" class="overlayContainer">
  66                                                         <input type="text" name="Ntt" id="mainSearchField" maxlength="100" tabindex="1" class="input focus" autocomplete="off" value=""><div class="overlayObj">
  67                                                                 <div id="predictSearchList">
  68                                                                         <div class="loading-light"></div>
  69                                                                         <table class="predictsearchresults"><tr>
  70 <td class="suggestions"><p class="note">Search Suggestions</p></td>
  71                                                                                 </tr></table>
  72 </div>
  73                                                         </div>
  74                                                 </div>
  75                                         </td>
  76                                         <td><div class="search"><input type="submit" tabindex="2" value="Go" class="button" title="Search"></div></td>
  77                                 </tr></table>
  78 </form>
  79
  80
  81
  82
  83
  84
  85
  86
  87
  88
  89
  90 <form name="registrationForm" method="post" action="/account/registrationRouter.do" autocomplete="off">
  91 <span style="display:none"><input type="hidden" name="fkey" value="ZBOQ8Sp5mFecc34vd2jp8wl"></span>
  92 <div id="m02">
  93
  94
  95         <div id="registrationBody">
  96
  97
  98                                 <div id="registrationMessage">
  99
 100
 101
 102
 103
 104         <div class="moduleStruct">
 105                 <h2 class="modStyle1">Before you begin...</h2>
 106                 <div class="moduleStructContent">
 107                 <p class="intro">
 108                         Please note that if you can answer "yes" to any of the following questions, you may not need to fill out this registration form. Simply click on the link that applies and you'll be taken to the appropriate page. If none of these links seem relevant, we can still search for a previous account set up for you. Please enter your primary email address and we'll email your existing login information.
 109                         </p>
 110
 111
 112                                 <ul class="listOfLinks splitLinks">
 113 <li class=""><a href="/account/existingUSANonExemptDisplay.do">Do you shop with us by phone or fax?</a></li>
 114 <li><a href="/account/existingUSAExemptDisplay.do">Do you already have an account number?</a></li>
 115 <li><a href="http://www.officedepot.com/specialLinks.do?file=/customerservice/TaxExemptionRules.jsp&amp;template=customerService">Do you want to apply for an Office Depot tax exempt account?</a></li>
 116 <li><a href="http://www.officedepot.com/specialLinks.do?file=/companyinfo/companyfacts/govprogram.jsp&amp;template=companyInfo">Would you like to sign up for a Government account?</a></li>
 117
 118                                 </ul>
 119 </div>
 120         </div>
 121
 122
 123
 124                                 </div>
 125
 126
 127
 128
 129
 130     <div class="section">
 131                         <div class="oCol1of2 first">
 132
 133
 134
 135
 136
 137
 138
 139
 140
 141
 142 <div id="reg_billingInfo" class="moduleStruct">
 143         <h2 class="modStyle1">Billing Information</h2>
 144
 145     <div class="moduleStructContent">
 146
 147
 148         <p class="required">
 149                         <label>
 150
 151                                 <em>*</em> Indicates required field
 152                         </label>
 153                 </p>
 154
 155
 156        <p class="note">
 157
 158            </p>
 159
 160
 161                         <p class="note">
 162
 163                                   Please provide your billing address exactly as it appears on your credit card.
 164
 165
 166                         </p>
 167
 168
 169
 170
 171
 172
 173         <div id="billing_addr">
 174
 175
 176
 177
 178
 179                                 <div class="address editable">
 180                                 <ol class="column1">
 181 <li class="firstName required">
 182 <label for="firstName-0"><span><em class="star">*</em>First Name:</span></label><span><input type="text" name="addrsForm[0].firstName" maxlength="30" size="30" autocomplete="" value="" id="firstName-0"></span>
 183 </li>
 184 <li class="middleInitial">
 185 <label for="middleInitial-0"><span>Middle Initial:</span></label><span><input type="text" name="addrsForm[0].middleInitial" maxlength="1" size="2" autocomplete="" value="" id="middleInitial-0"></span>
 186 </li>
 187 <li class="lastName required">
 188 <label for="lastName-0"><span><em class="star">*</em>Last Name:</span></label><span><input type="text" name="addrsForm[0].lastName" maxlength="30" size="30" autocomplete="" value="" id="lastName-0"></span>
 189 </li>
 190 <li class="shiptoName">
 191 <label for="shiptoName-0"><span>Company Name</span></label><span><input type="text" name="addrsForm[0].shiptoName" maxlength="30" size="30" autocomplete="" value="" id="shiptoName-0"></span>
 192 </li>
 193 <li class="address1 required">
 194 <label for="address1-0"><span><em class="star">*</em>Address</span></label><span><input type="text" name="addrsForm[0].address1" maxlength="25" size="30" autocomplete="" value="" id="address1-0"></span>
 195 </li>
 196 <li class="address2">
 197 <label for="address2-0"><span></span></label><span><input type="text" name="addrsForm[0].address2" maxlength="25" size="30" autocomplete="" value="" id="address2-0"></span>
 198 </li>
 199 <li class="city required">
 200 <label for="city-0"><span><em class="star">*</em>City</span></label><span><input type="text" name="addrsForm[0].city" maxlength="25" size="30" autocomplete="" value="" id="city-0"></span>
 201 </li>
 202 <li class="state required">
 203 <label for="state-0"><span><em class="star">*</em>State</span></label><span><select name="addrsForm[0].state" id="state-0"><option value="{blank}" selected>Please select...</option>
 204 <option value="AK">AK - Alaska</option>
 205 <option value="AL">AL - Alabama</option>
 206 <option value="AR">AR - Arkansas</option>
 207 <option value="AZ">AZ - Arizona</option>
 208 <option value="CA">CA - California</option>
 209 <option value="CO">CO - Colorado</option>
 210 <option value="CT">CT - Connecticut</option>
 211 <option value="DC">DC - District of Columbia</option>
 212 <option value="DE">DE - Delaware</option>
 213 <option value="FL">FL - Florida</option>
 214 <option value="GA">GA - Georgia</option>
 215 <option value="HI">HI - Hawaii</option>
 216 <option value="IA">IA - Iowa</option>
 217 <option value="ID">ID - Idaho</option>
 218 <option value="IL">IL - Illinois</option>
 219 <option value="IN">IN - Indiana</option>
 220 <option value="KS">KS - Kansas</option>
 221 <option value="KY">KY - Kentucky</option>
 222 <option value="LA">LA - Louisiana</option>
 223 <option value="MA">MA - Massachusetts</option>
 224 <option value="MD">MD - Maryland</option>
 225 <option value="ME">ME - Maine</option>
 226 <option value="MI">MI - Michigan</option>
 227 <option value="MN">MN - Minnesota</option>
 228 <option value="MO">MO - Missouri</option>
 229 <option value="MS">MS - Mississippi</option>
 230 <option value="MT">MT - Montana</option>
 231 <option value="NC">NC - North Carolina</option>
 232 <option value="ND">ND - North Dakota</option>
 233 <option value="NE">NE - Nebraska</option>
 234 <option value="NH">NH - New Hampshire</option>
 235 <option value="NJ">NJ - New Jersey</option>
 236 <option value="NM">NM - New Mexico</option>
 237 <option value="NV">NV - Nevada</option>
 238 <option value="NY">NY - New York</option>
 239 <option value="OH">OH - Ohio</option>
 240 <option value="OK">OK - Oklahoma</option>
 241 <option value="OR">OR - Oregon</option>
 242 <option value="PA">PA - Pennsylvania</option>
 243 <option value="PR">PR - Puerto Rico</option>
 244 <option value="RI">RI - Rhode Island</option>
 245 <option value="SC">SC - South Carolina</option>
 246 <option value="SD">SD - South Dakota</option>
 247 <option value="TN">TN - Tennessee</option>
 248 <option value="TX">TX - Texas</option>
 249 <option value="UT">UT - Utah</option>
 250 <option value="VA">VA - Virginia</option>
 251 <option value="VT">VT - Vermont</option>
 252 <option value="WA">WA - Washington</option>
 253 <option value="WI">WI - Wisconsin</option>
 254 <option value="WV">WV - West Virginia</option>
 255 <option value="WY">WY - Wyoming</option></select></span>
 256 </li>
 257 <li class="postalCode1 required">
 258 <label for="postalCode1-0"><span><em class="star">*</em>Zip Code</span></label><span><input type="text" name="addrsForm[0].postalCode1" maxlength="11" size="11" autocomplete="" value="" id="postalCode1-0"></span>
 259 </li>
 260 <li class="country">
 261 <label for="country-0"><span>Country</span></label><span>USA</span>
 262 </li>
 263 <li class="phoneNumber1 required">
 264 <label for="phoneNumber1-0"><span><em class="star">*</em>Phone Number:</span></label><span><input type="text" name="addrsForm[0].phoneNumber1" maxlength="3" size="1" autocomplete="" value="" id="phoneNumber1-0">-<input type="text" name="addrsForm[0].phoneNumber2" maxlength="3" size="1" autocomplete="" value="" id="phoneNumber2-0">-<input type="text" name="addrsForm[0].phoneNumber3" maxlength="4" size="2" autocomplete="" value="" id="phoneNumber3-0">&#160;ext.<input type="text" name="addrsForm[0].phoneNumber4" maxlength="4" size="3" autocomplete="" value="" id="phoneNumber4-0"></span>
 265 </li>
 266 <li class="faxNumber1">
 267 <label for="faxNumber1-0"><span>Fax:</span></label><span><input type="text" name="addrsForm[0].faxNumber1" maxlength="3" size="1" autocomplete="" value="" id="faxNumber1-0">-<input type="text" name="addrsForm[0].faxNumber2" maxlength="3" size="1" autocomplete="" value="" id="faxNumber2-0">-<input type="text" name="addrsForm[0].faxNumber3" maxlength="4" size="2" autocomplete="" value="" id="faxNumber3-0">&#160;</span>
 268 </li>
 269 <li class="email required">
 270 <label for="email-0"><span><em class="star">*</em>Email Address:</span></label><span><input type="text" name="addrsForm[0].email" maxlength="99" size="31" autocomplete="" value="" id="email-0"></span>
 271 </li>
 272 </ol>
 273 <input type="hidden" name="addrsForm[0].country" value="USA" id="country-0">
 274 </div>
 275
 276
 277
 278         </div>
 279
 280
 281
 282
 283
 284
 285
 286
 287
 288
 289
 290
 291             <input type="hidden" name="billingEmailPreferences.emailHtml" value="true"><div class="prefs tight">
 292
 293
 294
 295                 <input type="hidden" name="billingEmailPreferences.optInSelected" value="false">
 296 </div>
 297
 298
 299
 300         </div>
 301 </div>
 302
 303
 304
 305
 306
 307
 308
 309
 310
 311
 312         <div id="reg_paymentInfo" class="moduleStruct">
 313                                 <h2 class="modStyle1">Payment Info (optional)</h2>
 314                                         <div class="moduleStructContent">
 315
 316
 317
 318
 319
 320
 321
 322
 323
 324
 325
 326
 327
 328
 329
 330
 331
 332
 333
 334
 335
 336
 337
 338
 339
 340
 341
 342         <div id="billto_PaymentInfo">
 343
 344
 345
 346
 347                                         <p class="note">
 348                                                 Expedite your checkout process for future orders by allowing us to validate the credit card details below. Rest assured we will never save your CID.<br><br></p>
 349
 350
 351
 352
 353
 354
 355
 356                 <table class="form" cellspacing="0">
 357 <thead><tr class="paymentSectionHeader first">
 358 <td class="radio">
 359
 360
 361
 362                                                                         <input type="hidden" name="paymentFormInfo.tenderType" value="CR">
 363 </td>
 364                                         <th colspan="2">
 365
 366                                                         <label for="tenderRadioCR" class="gen_vkg_cclabel">
 367                                                                 <b>Credit Card</b>
 368                                                         </label>
 369
 370
 371                                 </th>
 372                      </tr></thead>
 373 <tr class="tenderInfoCR paymentOptionContent">
 374 <td></td>
 375                         <td colspan="2">
 376
 377
 378                                 <div id="noPreauthedCard">
 379
 380
 381
 382
 383
 384
 385
 386
 387
 388
 389
 390
 391
 392
 393
 394
 395         <ul id="creditCardFields">
 396 <li class="SelectCreditCard">
 397
 398
 399                                                     <label>
 400                                                         <span>Credit Card Type:</span>
 401                                                     </label>
 402
 403
 404                                                     <span id="creditCardList">
 405                                                         <select name="paymentFormInfo.creditCardType"><option value=" " selected>(Select your card type)</option>
 406 <option value="AM">American Express</option>
 407 <option value="DS">Discover Network</option>
 408 <option value="MC">MasterCard</option>
 409 <option value="VS">Visa</option>
 410 <option value="SR">Office Depot Credit Card</option>
 411 <option value="WV">Worklife Rewards Visa</option></select></span>
 412                                                 </li>
 413
 414
 415
 416                                         <li>
 417
 418
 419                                                         <label>
 420                                                        <span>
 421                                                            Credit Card Number:
 422
 423
 424                                                         </span>
 425                                                     </label>
 426
 427
 428
 429
 430                                                 <span>
 431
 432
 433                                                                 <input type="text" name="paymentFormInfo.creditCardNumber" maxlength="20" size="20" autocomplete="" value=""></span>
 434
 435
 436
 437
 438                                                         <input type="hidden" name="paymentFormInfo.creditCardIsPreauthed" value="false">
 439 </li>
 440
 441                                                 <li class="ccMessage">
 442                                                         <label><span></span></label>
 443                                                         <span class="note">
 444                                                     Please enter your credit card # without spaces or dashes (i.e. 00000000000)
 445                                                 </span>
 446                                                 </li>
 447
 448
 449
 450                                 <li class="payOptDates">
 451                                                 <ul>
 452 <li class="poStartDate">
 453
 454                                                                 <span class="pppExpDate">
 455
 456                                                                 </span>
 457                                                         </li>
 458
 459                                                         <li class="poExpDate">
 460
 461
 462                                                                                 <label class="ccExpDateTitle">
 463
 464                                                                                 <span>Expiration Date:</span>
 465
 466
 467                                                                                 </label>
 468
 469
 470
 471                                                                 <span class="pppExpDate">
 472
 473
 474
 475                                                                                                 <select name="paymentFormInfo.creditCardExpMonth"><option value=" " selected>--</option>
 476 <option value="01">01</option>
 477 <option value="02">02</option>
 478 <option value="03">03</option>
 479 <option value="04">04</option>
 480 <option value="05">05</option>
 481 <option value="06">06</option>
 482 <option value="07">07</option>
 483 <option value="08">08</option>
 484 <option value="09">09</option>
 485 <option value="10">10</option>
 486 <option value="11">11</option>
 487 <option value="12">12</option></select><span>/</span>
 488
 489                                                                                                 <select name="paymentFormInfo.creditCardExpYear"><option value="-1" selected>--</option>
 490 <option value="11">2011</option>
 491 <option value="12">2012</option>
 492 <option value="13">2013</option>
 493 <option value="14">2014</option>
 494 <option value="15">2015</option>
 495 <option value="16">2016</option>
 496 <option value="17">2017</option>
 497 <option value="18">2018</option>
 498 <option value="19">2019</option>
 499 <option value="20">2020</option>
 500 <option value="21">2021</option>
 501 <option value="22">2022</option>
 502 <option value="23">2023</option>
 503 <option value="24">2024</option>
 504 <option value="25">2025</option>
 505 <option value="26">2026</option>
 506 <option value="27">2027</option>
 507 <option value="28">2028</option>
 508 <option value="29">2029</option>
 509 <option value="30">2030</option></select><span>
 510                                                                                                     (mm/yyyy)
 511                                                                                                 </span>
 512
 513
 514
 515
 516
 517                                                  </span>
 518                                                         </li>
 519
 520                                                         <li class="poIssueDate">
 521
 522
 523
 524                                                                 <span class="poDateFields">
 525
 526
 527                                                         </span>
 528                                         </li>
 529
 530                                      </ul>
 531 </li>
 532
 533
 534
 535                                         <input type="hidden" name="paymentFormInfo.cidPreAuthFeature" value="true"><li class="secNumTitle">
 536                                         <label class="cvv">
 537                                                 <span>CID<br></span>
 538                                         </label>
 539                                         <span>
 540                                                                 <input type="text" name="paymentFormInfo.creditCardCvv" maxlength="4" size="4" autocomplete="off" value=""></span>
 541
 542                                                 </li>
 543
 544
 545
 546
 547                                 <!---->
 548
 549
 550
 551
 552
 553
 554
 555
 556
 557
 558
 559
 560
 561
 562
 563                 </ul>
 564 </div>
 565 <!-- end credit card entry form (noPreath) -->
 566
 567                         </td>
 568                         </tr>
 569 </table>
 570 <table class="form" cellspacing="0">
 571 <!--  START OF BSD Account Billing Option --><!--  END OF BSD Account Billing Option --><!--  START OF NON-BSD Account Billing Option  -->
 572 </table>
 573 <div id="loadingCards" class="loading hidden"></div>
 574          </div>
 575
 576
 577
 578
 579
 580
 581
 582                                         </div>
 583         </div>
 584
 585
 586                         </div>
 587
 588
 589                         <div class="oCol1of2">
 590
 591
 592
 593
 594
 595
 596
 597
 598
 599
 600
 601
 602
 603
 604
 605
 606 <div class="form_divider"></div>
 607 <div id="reg_shippingInfo" class="moduleStruct ">
 608         <h2 class="modStyle1">Shipping Information</h2>
 609         <div class="moduleStructContent">
 610                         <p id="checkSameAs">
 611
 612                                                 <input type="checkbox" name="sameAsBilling" value="on" checked id="sameAsBilling1" class="input1"><label>
 613                                     Same as Billing
 614                                   </label>
 615
 616                                 </p>
 617
 618
 619                         <div class="intro">
 620                   <p class="note">
 621                           Currently Office Depot is unable to process orders online for delivery to APO/FPO, PO Box, and export addresses. Please
 622                           <a href="http://www.officedepot.com/specialLinks.do?file=/customerservice/FAQ.jsp&amp;template=customerService" class="">&#160;click here&#160;</a>
 623                           for additional ordering options
 624                         </p>
 625                         </div>
 626
 627
 628
 629               <div class="address editable shipToAddressHideShow">
 630                                 <p class="required">
 631                                         <label>
 632
 633                                                 <em>*</em> Indicates required field
 634                                         </label>
 635                                 </p>
 636
 637                 <ol class="column1">
 638 <li class="firstName required">
 639 <label for="firstName-2"><span><em class="star">*</em>First Name:</span></label><span><input type="text" name="addrsForm[2].firstName" maxlength="30" size="30" autocomplete="" value="" id="firstName-2"></span>
 640 </li>
 641 <li class="middleInitial">
 642 <label for="middleInitial-2"><span>Middle Initial:</span></label><span><input type="text" name="addrsForm[2].middleInitial" maxlength="1" size="2" autocomplete="" value="" id="middleInitial-2"></span>
 643 </li>
 644 <li class="lastName required">
 645 <label for="lastName-2"><span><em class="star">*</em>Last Name:</span></label><span><input type="text" name="addrsForm[2].lastName" maxlength="30" size="30" autocomplete="" value="" id="lastName-2"></span>
 646 </li>
 647 <li class="shiptoName">
 648 <label for="shiptoName-2"><span>Company Name</span></label><span><input type="text" name="addrsForm[2].shiptoName" maxlength="30" size="30" autocomplete="" value="" id="shiptoName-2"></span>
 649 </li>
 650 <li class="address1 required">
 651 <label for="address1-2"><span><em class="star">*</em>Address</span></label><span><input type="text" name="addrsForm[2].address1" maxlength="25" size="30" autocomplete="" value="" id="address1-2"></span>
 652 </li>
 653 <li class="address2">
 654 <label for="address2-2"><span></span></label><span><input type="text" name="addrsForm[2].address2" maxlength="25" size="30" autocomplete="" value="" id="address2-2"></span>
 655 </li>
 656 <li class="city required">
 657 <label for="city-2"><span><em class="star">*</em>City</span></label><span><input type="text" name="addrsForm[2].city" maxlength="25" size="30" autocomplete="" value="" id="city-2"></span>
 658 </li>
 659 <li class="state required">
 660 <label for="state-2"><span><em class="star">*</em>State</span></label><span><select name="addrsForm[2].state" id="state-2"><option value="{blank}" selected>Please select...</option>
 661 <option value="AK">AK - Alaska</option>
 662 <option value="AL">AL - Alabama</option>
 663 <option value="AR">AR - Arkansas</option>
 664 <option value="AZ">AZ - Arizona</option>
 665 <option value="CA">CA - California</option>
 666 <option value="CO">CO - Colorado</option>
 667 <option value="CT">CT - Connecticut</option>
 668 <option value="DC">DC - District of Columbia</option>
 669 <option value="DE">DE - Delaware</option>
 670 <option value="FL">FL - Florida</option>
 671 <option value="GA">GA - Georgia</option>
 672 <option value="HI">HI - Hawaii</option>
 673 <option value="IA">IA - Iowa</option>
 674 <option value="ID">ID - Idaho</option>
 675 <option value="IL">IL - Illinois</option>
 676 <option value="IN">IN - Indiana</option>
 677 <option value="KS">KS - Kansas</option>
 678 <option value="KY">KY - Kentucky</option>
 679 <option value="LA">LA - Louisiana</option>
 680 <option value="MA">MA - Massachusetts</option>
 681 <option value="MD">MD - Maryland</option>
 682 <option value="ME">ME - Maine</option>
 683 <option value="MI">MI - Michigan</option>
 684 <option value="MN">MN - Minnesota</option>
 685 <option value="MO">MO - Missouri</option>
 686 <option value="MS">MS - Mississippi</option>
 687 <option value="MT">MT - Montana</option>
 688 <option value="NC">NC - North Carolina</option>
 689 <option value="ND">ND - North Dakota</option>
 690 <option value="NE">NE - Nebraska</option>
 691 <option value="NH">NH - New Hampshire</option>
 692 <option value="NJ">NJ - New Jersey</option>
 693 <option value="NM">NM - New Mexico</option>
 694 <option value="NV">NV - Nevada</option>
 695 <option value="NY">NY - New York</option>
 696 <option value="OH">OH - Ohio</option>
 697 <option value="OK">OK - Oklahoma</option>
 698 <option value="OR">OR - Oregon</option>
 699 <option value="PA">PA - Pennsylvania</option>
 700 <option value="PR">PR - Puerto Rico</option>
 701 <option value="RI">RI - Rhode Island</option>
 702 <option value="SC">SC - South Carolina</option>
 703 <option value="SD">SD - South Dakota</option>
 704 <option value="TN">TN - Tennessee</option>
 705 <option value="TX">TX - Texas</option>
 706 <option value="UT">UT - Utah</option>
 707 <option value="VA">VA - Virginia</option>
 708 <option value="VT">VT - Vermont</option>
 709 <option value="WA">WA - Washington</option>
 710 <option value="WI">WI - Wisconsin</option>
 711 <option value="WV">WV - West Virginia</option>
 712 <option value="WY">WY - Wyoming</option></select></span>
 713 </li>
 714 <li class="postalCode1 required">
 715 <label for="postalCode1-2"><span><em class="star">*</em>Zip Code</span></label><span><input type="text" name="addrsForm[2].postalCode1" maxlength="11" size="11" autocomplete="" value="" id="postalCode1-2"></span>
 716 </li>
 717 <li class="country">
 718 <label for="country-2"><span>Country</span></label><span>USA</span>
 719 </li>
 720 <li class="phoneNumber1 required">
 721 <label for="phoneNumber1-2"><span><em class="star">*</em>Phone Number:</span></label><span><input type="text" name="addrsForm[2].phoneNumber1" maxlength="3" size="1" autocomplete="" value="" id="phoneNumber1-2">-<input type="text" name="addrsForm[2].phoneNumber2" maxlength="3" size="1" autocomplete="" value="" id="phoneNumber2-2">-<input type="text" name="addrsForm[2].phoneNumber3" maxlength="4" size="2" autocomplete="" value="" id="phoneNumber3-2">&#160;ext.<input type="text" name="addrsForm[2].phoneNumber4" maxlength="4" size="3" autocomplete="" value="" id="phoneNumber4-2"></span>
 722 </li>
 723 <li class="email required">
 724 <label for="email-2"><span><em class="star">*</em>Email Address:</span></label><span><input type="text" name="addrsForm[2].email" maxlength="99" size="31" autocomplete="" value="" id="email-2"></span>
 725 </li>
 726 </ol>
 727 <input type="hidden" name="addrsForm[2].country" value="USA" id="country-2">
 728 </div>
 729
 730
 731
 732
 733
 734
 735
 736         <input type="hidden" name="shippingEmailPreferences.emailHtml" value="true"><p class="prefs tight">
 737
 738
 739
 740                         <input type="hidden" name="shippingEmailPreferences.optInSelected" value="true"></p>
 741
 742
 743
 744
 745
 746 </div>
 747 </div>
 748
 749
 750
 751
 752
 753
 754
 755
 756
 757
 758
 759
 760
 761
 762
 763
 764
 765
 766
 767
 768
 769
 770
 771 <div class="form_divider"></div>
 772 <div id="reg_userInfo" class="moduleStruct">
 773 <h2 class="modStyle1">Create Your Login and Password</h2>
 774
 775         <div class="moduleStructContent">
 776
 777                         <p class="required">
 778                                 <label>
 779                                 <em>*</em> Indicates required field
 780                                 </label>
 781                         </p>
 782
 783         <table id="createLogin" class="form" cellspacing="0">
 784 <tr>
 785 <td class="label">
 786                 <label class="required">
 787
 788
 789                                 <em class="star">*</em>Login Name:
 790
 791
 792
 793
 794                 </label>
 795             </td>
 796             <td class="input required">
 797
 798                     <input type="text" name="loginForm.loginName" maxlength="100" size="30" autocomplete="" value="" class="textfield"><img class="star" src="#"><span class="note">We recommend you use your email address.</span>
 799
 800
 801
 802                 </td>
 803             </tr>
 804 <tr>
 805 <td class="label"><label class="required">
 806
 807
 808
 809                                         <em class="star">*</em>Password:
 810
 811
 812
 813             </label></td>
 814             <td class="input required">
 815 <input type="password" name="loginForm.password" maxlength="10" size="30" value="" class="textfield"><img class="star" src="#"><span class="note">must be at least 6 characters</span>
 816              </td>
 817
 818         </tr>
 819 <tr>
 820 <td class="label"><label class="required">
 821
 822             <em class="star">*</em>Password Confirm:
 823
 824
 825             </label></td>
 826             <td class="input required">
 827 <input type="password" name="loginForm.passwordConfirm" maxlength="10" size="30" value="" class="textfield"><img class="star" src="#"><span class="note">retype your password</span>
 828 </td>
 829             </tr>
 830 <tr>
 831 <td class="label"></td>
 832                     <td class="check" colspan="2">
 833 <input type="checkbox" name="loginForm.autoLogin" value="on" class="checkboxfield"><label>Log me in automatically<br><span class="note">(Cookies&#160;must&#160;be&#160;enabled)</span></label>
 834 </td>
 835
 836                 </tr>
 837 </table>
 838 </div>
 839
 840 </div>
 841
 842
 843
 844                         </div>
 845
 846         </div>
 847
 848
 849
 850
 851
 852
 853
 854
 855
 856
 857
 858
 859
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 861
 862
 863
 864
 865 <div class="actions section">
 866    <ul class="buttonwrapper">
 867 <li>
 868
 869
 870                              <div class="b1">
 871                                                                 <input type="submit" value=" Create Account" name="cmd_registration" class="button" title=" Create Account">
 872 </div>
 873
 874
 875
 876
 877
 878         </li>
 879         </ul>
 880 </div>
 881
 882         <input type="hidden" name="displayedForm" value="true"><input type="hidden" name="linked" value="false"><input type="hidden" name="billToID" value=""><input type="hidden" name="requestFromPage" value="true"><input type="hidden" name="fromShoppingCartPage" value="false"><input type="hidden" name="registrationExceptionInfo.billToId" value=""><input type="hidden" name="registrationExceptionInfo.shipToSeq" value=""><input type="hidden" name="registrationExceptionInfo.lastUser" value=""><input type="hidden" name="registrationExceptionInfo.billingEmailCreated" value="false"><input type="hidden" name="registrationExceptionInfo.shippingEmailCreated" value="false"><input type="hidden" name="registrationExceptionInfo.userCreated" value="false"><input type="hidden" name="registrationExceptionInfo.contactId" value=""><input type="hidden" name="customLabelsPermissionsForm.requestor" value="_registrationRequestor_">
 883 </div>
 884 </div>
 885 </form>
 886
 887
 888
 889 </body>
 890 </html>