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

   1 <html>
   2 <!--Form Location: https://www.pyramidcollection.com/OrderForm.asp?customer=new--><head>
   3 <meta property="fb:page_id" content="99531208380">
   4 <title>New Age, Spiritual Gifts Yoga, Wicca, Gothic, Reiki, Celtic, Crystal, Tarot at Pyramid Collection</title>
   5 <meta name="description" content=" - New Age, Spiritual Gifts Yoga, Wicca, Gothic, Reiki, Celtic, Crystal, Tarot at Pyramid Collection">
   6 <meta name="ROBOTS" content="index">
   7 <meta name="ROBOTS" content="follow">
   8 <meta http-equiv="Content-Language" content="en-us">
   9
  10 <meta name="verify-v1" content="Q/442Buxya7xZm2hnQq83/oAy0HD7KHrE/JFTwkrqog=">
  11 <link rel="stylesheet" href="/includes_NotShared/styleSheet.css" type="text/css">
  12 <link href="/includes_NotShared/MainNavMenu.css" rel="Stylesheet" type="text/css">
  13 <link rel="stylesheet" href="../../includes_Shared/dhtmlwindowpy.css" type="text/css">
  14 </head>
  15 <!--<body style="background-image:url('images_0106/ShadowBG.png'); background-color:#F7F7F7; background-repeat:repeat-y; background-position:center;">--><body bgcolor="#F7F7F7" style="padding-top:5px; ">
  16
  17
  18
  19 <form action="http://www.pyramidcollection.com/search.aspx?q=" method="GET" name="searchFrm" >
  20                          <span class="searchTxt">search&#160;</span>
  21                          <input type="text" name="q" size="40" class="searchInput" style="border: 1px solid #664C80; padding-left: 4px; padding-right: 4px; padding-top: 1px; padding-bottom: 1px;
  22                                  font-size: 10pt; font-family: Verdana" value="enter keyword(s) or item number">
  23                          &#160;
  24                          <input type="image" name="I2" src="#" alt="GO" title="GO" style="vertical-align: top" >&#160;
  25 </form>
  26
  27
  28
  29
  30
  31
  32
  33 <form id="frmOrderForm" method="post" action="/OrderForm_Step2.asp">
  34         <input type="hidden" name="step1" value="true"><input type="hidden" name="customer" value="new"><table style="border:1px silver solid; padding:5px 5px 5px 5px;" width="780">
  35 <tr>
  36 <td align="left" class="Standard_Lrg_GrayFont">
  37                                 CHECKOUT
  38                                 <br><br>
  39 </td>
  40                         <td align="right" class="section_heading_step">
  41                                 CHECKOUT STEP 1 of 4
  42                                 <br><br>
  43 </td>
  44                 </tr>
  45 <tr>
  46 <td align="left" class="section_heading_1">
  47                                 BILLING AND SHIPPING INFORMATION
  48                         </td>
  49                         <td align="right" class="status_message">
  50                                 &#160;* Indicates required information
  51                         </td>
  52                 </tr>
  53 <tr>
  54 <td colspan="2">
  55                                 <hr noshade style="height:1px">
  56 </td>
  57                 </tr>
  58 <tr>
  59 <td colspan="2">
  60                                 <div id="errormessage" class="error_message" style="display:none;"></div>
  61                         </td>
  62                 </tr>
  63 <tr>
  64 <td align="left" valign="top" class="section_heading_1">
  65                                 BILLING ADDRESS<br><br><font class="status_message">Address where you receive your credit card statement.</font>
  66                         </td>
  67                         <td align="left" valign="top" class="section_heading_1">
  68                                 SHIPPING ADDRESS
  69                         </td>
  70                 </tr>
  71 <tr>
  72 <td align="left" valign="top">
  73                                 <!-- BILLING FORM STARTS HERE -->
  74                                 <table style="margin-left:5px;" cellpadding="3">
  75 <tr>
  76 <th width="170" align="left" class="Standard_MdB_Font">Email Address<span class="required_indication_text">&#160;*</span>
  77 </th>
  78                                             <td>
  79                                                 <input type="text" size="26" maxlength="47" name="E1" id="E1" value="" class="textbox_01">
  80 </td>
  81                                             <td>
  82                                                 <div id="E1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
  83                                             </td>
  84                                         </tr>
  85 <tr>
  86 <th align="left" class="Standard_MdB_Font">First Name<span class="required_indication_text">&#160;*</span>
  87 </th>
  88                                             <td><input type="text" size="26" maxlength="16" name="F1" id="F1" value="" class="textbox_01"></td>
  89                                             <td>
  90                                                 <div id="F1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
  91                                             </td>
  92                                         </tr>
  93 <tr>
  94 <th align="left" class="Standard_MdB_Font">Last Name<span class="required_indication_text">&#160;*</span>
  95 </th>
  96                                             <td><input type="text" size="26" maxlength="16" name="L1" id="L1" value="" class="textbox_01"></td>
  97                                             <td>
  98                                                 <div id="L1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
  99                                             </td>
 100                                         </tr>
 101 <tr>
 102 <th align="left" class="Standard_MdB_Font">Address Line 1<span class="required_indication_text">&#160;*</span>
 103 </th>
 104                                             <td><input type="text" size="26" maxlength="30" name="S1" id="S1" value="" class="textbox_01"></td>
 105                                             <td>
 106                                                 <div id="S1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 107                                             </td>
 108                                         </tr>
 109 <tr>
 110 <th align="left" class="Standard_MdB_Font">Address Line 2</th>
 111                                             <td><input type="text" size="26" maxlength="30" name="R1" id="R1" value="" class="textbox_01"></td>
 112                                             <td>&#160;</td>
 113                                         </tr>
 114 <tr>
 115 <th align="left" class="Standard_MdB_Font">City<span class="required_indication_text">&#160;*</span>
 116 </th>
 117                                             <td><input type="text" size="26" maxlength="30" name="C2" id="C2" value="" class="textbox_01"></td>
 118                                             <td>
 119                                                 <div id="C2e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 120                                             </td>
 121                                         </tr>
 122 <tr>
 123 <th align="left" class="Standard_MdB_Font">State<span class="required_indication_text">&#160;*</span>
 124 </th>
 125                                             <td>
 126                                                          <select name="S2" id="S2" class="textbox_01" style=" width:200PX;"><option value="">Select State</option>
 127 <optgroup id="S2_USA">
 128 <option value="AK"> Alaska</option>
 129 <option value="AL"> Alabama</option>
 130 <option value="AZ"> Arizona</option>
 131 <option value="AR"> Arkansas</option>
 132 <option value="CA"> California</option>
 133 <option value="CO"> Colorado</option>
 134 <option value="CT"> Connecticut</option>
 135 <option value="DE"> Delaware</option>
 136 <option value="DC"> District Of Columbia</option>
 137 <option value="FL"> Florida</option>
 138 <option value="GA"> Georgia</option>
 139 <option value="GU"> Guam</option>
 140 <option value="HI"> Hawaii</option>
 141 <option value="ID"> Idaho</option>
 142 <option value="IL"> Illinois</option>
 143 <option value="IN"> Indiana</option>
 144 <option value="IA"> Iowa</option>
 145 <option value="KS"> Kansas</option>
 146 <option value="KY"> Kentucky</option>
 147 <option value="LA"> Louisiana</option>
 148 <option value="ME"> Maine</option>
 149 <option value="MD"> Maryland</option>
 150 <option value="MA"> Massachusetts</option>
 151 <option value="MI"> Michigan</option>
 152 <option value="MN"> Minnesota</option>
 153 <option value="MS"> Mississippi</option>
 154 <option value="MO"> Missouri</option>
 155 <option value="MT"> Montana</option>
 156 <option value="NE"> Nebraska</option>
 157 <option value="NV"> Nevada</option>
 158 <option value="NH"> New Hampshire</option>
 159 <option value="NJ"> New Jersey</option>
 160 <option value="NM"> New Mexico</option>
 161 <option value="NY"> New York</option>
 162 <option value="NC"> North Carolina</option>
 163 <option value="ND"> North Dakota</option>
 164 <option value="OH"> Ohio</option>
 165 <option value="OK"> Oklahoma</option>
 166 <option value="OR"> Oregon</option>
 167 <option value="PA"> Pennsylvania</option>
 168 <option value="PR"> Puerto Rico</option>
 169 <option value="RI"> Rhode Island</option>
 170 <option value="SC"> South Carolina</option>
 171 <option value="SD"> South Dakota</option>
 172 <option value="TN"> Tennessee</option>
 173 <option value="TX"> Texas</option>
 174 <option value="UT"> Utah</option>
 175 <option value="VT"> Vermont</option>
 176 <option value="VI"> Virgin Islands</option>
 177 <option value="VA"> Virginia</option>
 178 <option value="WA"> Washington</option>
 179 <option value="WV"> West Virginia</option>
 180 <option value="WI"> Wisconsin</option>
 181 <option value="WY"> Wyoming</option>
 182 <option value="AA"> Military AA</option>
 183 <option value="AE"> Military AE</option>
 184 <option value="AP"> Military AP</option>
 185 </optgroup>
 186 <optgroup id="S2_CANADA">
 187 <option value="AB">Alberta</option>
 188 <option value="BC">British Columbia</option>
 189 <option value="MB">Manitoba</option>
 190 <option value="NB">New Brunswick</option>
 191 <option value="NL">Newfoundland/Labrador</option>
 192 <option value="NT">Northwest Territories</option>
 193 <option value="NS">Nova Scotia</option>
 194 <option value="NU">Nunuvut</option>
 195 <option value="ON">Ontario</option>
 196 <option value="PE">Prince Edward
 197                                         Island</option>
 198 <option value="QC">Quebec</option>
 199 <option value="SK">Saskatchewan</option>
 200 <option value="YT">Yukon Territory</option>
 201 </optgroup>
 202 <optgroup id="S2_INTL">
 203 <!--option value="YT"> Yukon Territory</option--><option value="FN"> International</option>
 204 </optgroup></select><!-- Populate state via javaScript if turned on -->
 205 </td>
 206                                                 <td>
 207                                                 <div id="S2e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 208                                             </td>
 209                                         </tr>
 210 <tr>
 211 <th align="left" class="Standard_MdB_Font">Country<span class="required_indication_text">&#160;*</span>
 212 </th>
 213                                             <td>
 214                                                 <select name="C3" id="C3" class="textbox_01"><option value="0000">USA</option>
 215 <option value="0001">CANADA</option></select>
 216 </td>
 217                                                 <td>
 218                                                 <div id="C3e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 219                                             </td>
 220                                         </tr>
 221 <tr>
 222 <th align="left" class="Standard_MdB_Font">Zip Code<span class="required_indication_text">&#160;*</span>
 223 </th>
 224                                             <td><input type="text" size="26" maxlength="9" name="Z1" id="Z1" value="" class="textbox_01"></td>
 225                                                 <td>
 226                                                 <div id="Z1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 227                                             </td>
 228                                         </tr>
 229 <tr>
 230 <th align="left" class="Standard_MdB_Font">Day Phone<span class="required_indication_text">&#160;*</span>
 231 </th>
 232                                             <td><input type="text" size="26" maxlength="14" name="P2" id="P2" value="" class="textbox_01"></td>
 233                                                 <td>
 234                                                 <div id="P2e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 235                                             </td>
 236                                         </tr>
 237 <tr>
 238 <th align="left" class="Standard_MdB_Font">Evening Phone</th>
 239                                             <td><input type="text" size="26" maxlength="14" name="P3" id="P3" value="" class="textbox_01"></td>
 240                                             <td>&#160;</td>
 241                                         </tr>
 242 <tr>
 243 <th align="left" class="Standard_MdB_Font">
 244                                                 Create Password
 245                                                 <span class="required_indication_text">&#160;*</span>
 246 </th>
 247                                             <td>
 248                                                 <input type="password" name="P1" id="P1" size="26" maxlength="16" value="" class="textbox_01">
 249 </td>
 250                                                 <td>
 251                                                 <div id="P1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 252                                             </td>
 253                                         </tr>
 254 <tr>
 255 <th align="left" class="Standard_MdB_Font">Confirm Password<span class="required_indication_text">&#160;*</span>
 256 </th>
 257                                             <td>
 258                                                 <input type="password" name="PasswordConfirm" id="PasswordConfirm" size="26" maxlength="16" value="" class="textbox_01">
 259 </td>
 260                                             <td>
 261                                                 <div id="PasswordConfirmE" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 262                                             </td>
 263                                         </tr>
 264 </table>
 265 </td>
 266                         <!-- BILLING FORM ENDS HERE -->
 267
 268                         <!-- SHIPPING FORM STARTS HERE -->
 269                         <td align="left" style="border-left:1px silver dotted" valign="top">
 270                                 <table id="shiptoinformation" style="margin-left:5px;" cellpadding="3">
 271 <tr>
 272 <th width="170" align="left" class="Standard_MdB_Font">First Name<span class="required_indication_text">&#160;*</span>
 273 </th>
 274                                             <td><input type="text" size="26" maxlength="16" name="SF1" id="SF1" value="" class="textbox_01"></td>
 275                                             <td>
 276                                                 <div id="SF1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 277                                             </td>
 278                                         </tr>
 279 <tr>
 280 <th align="left" class="Standard_MdB_Font">Last Name<span class="required_indication_text">&#160;*</span>
 281 </th>
 282                                             <td><input type="text" size="26" maxlength="16" name="SL1" id="SL1" value="" class="textbox_01"></td>
 283                                             <td>
 284                                                 <div id="SL1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 285                                             </td>
 286                                         </tr>
 287 <tr>
 288 <th align="left" class="Standard_MdB_Font">Address Line 1<span class="required_indication_text">&#160;*</span>
 289 </th>
 290                                             <td><input type="text" size="26" maxlength="30" name="SS1" id="SS1" value="" class="textbox_01"></td>
 291                                             <td>
 292                                                 <div id="SS1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 293                                             </td>
 294                                         </tr>
 295 <tr>
 296 <th align="left" class="Standard_MdB_Font">Address Line 2</th>
 297                                             <td><input type="text" size="26" maxlength="30" name="SR1" id="SR1" value="" class="textbox_01"></td>
 298                                             <td>&#160;</td>
 299                                         </tr>
 300 <tr>
 301 <th align="left" class="Standard_MdB_Font">City<span class="required_indication_text">&#160;*</span>
 302 </th>
 303                                             <td><input type="text" size="26" maxlength="30" name="SC2" id="SC2" value="" class="textbox_01"></td>
 304                                             <td>
 305                                                 <div id="SC2e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 306                                             </td>
 307                                         </tr>
 308 <tr>
 309 <th align="left" class="Standard_MdB_Font">State<span class="required_indication_text">&#160;*</span>
 310 </th>
 311                                             <td>
 312                                                          <select name="SS2" id="SS2" class="textbox_01" style=" width:200px;"><option value=""> Select State</option>
 313 <optgroup id="SS2_USA">
 314 <option value="AK"> Alaska</option>
 315 <option value="AL"> Alabama</option>
 316 <option value="AZ"> Arizona</option>
 317 <option value="AR"> Arkansas</option>
 318 <option value="CA"> California</option>
 319 <option value="CO"> Colorado</option>
 320 <option value="CT"> Connecticut</option>
 321 <option value="DE"> Delaware</option>
 322 <option value="DC"> District Of Columbia</option>
 323 <option value="FL"> Florida</option>
 324 <option value="GA"> Georgia</option>
 325 <option value="GU"> Guam</option>
 326 <option value="HI"> Hawaii</option>
 327 <option value="ID"> Idaho</option>
 328 <option value="IL"> Illinois</option>
 329 <option value="IN"> Indiana</option>
 330 <option value="IA"> Iowa</option>
 331 <option value="KS"> Kansas</option>
 332 <option value="KY"> Kentucky</option>
 333 <option value="LA"> Louisiana</option>
 334 <option value="ME"> Maine</option>
 335 <option value="MD"> Maryland</option>
 336 <option value="MA"> Massachusetts</option>
 337 <option value="MI"> Michigan</option>
 338 <option value="MN"> Minnesota</option>
 339 <option value="MS"> Mississippi</option>
 340 <option value="MO"> Missouri</option>
 341 <option value="MT"> Montana</option>
 342 <option value="NE"> Nebraska</option>
 343 <option value="NV"> Nevada</option>
 344 <option value="NH"> New Hampshire</option>
 345 <option value="NJ"> New Jersey</option>
 346 <option value="NM"> New Mexico</option>
 347 <option value="NY"> New York</option>
 348 <option value="NC"> North Carolina</option>
 349 <option value="ND"> North Dakota</option>
 350 <option value="OH"> Ohio</option>
 351 <option value="OK"> Oklahoma</option>
 352 <option value="OR"> Oregon</option>
 353 <option value="PA"> Pennsylvania</option>
 354 <option value="PR"> Puerto Rico</option>
 355 <option value="RI"> Rhode Island</option>
 356 <option value="SC"> South Carolina</option>
 357 <option value="SD"> South Dakota</option>
 358 <option value="TN"> Tennessee</option>
 359 <option value="TX"> Texas</option>
 360 <option value="UT"> Utah</option>
 361 <option value="VT"> Vermont</option>
 362 <option value="VI"> Virgin Islands</option>
 363 <option value="VA"> Virginia</option>
 364 <option value="WA"> Washington</option>
 365 <option value="WV"> West Virginia</option>
 366 <option value="WI"> Wisconsin</option>
 367 <option value="WY"> Wyoming</option>
 368 <option value="AA"> Military AA</option>
 369 <option value="AE"> Military AE</option>
 370 <option value="AP"> Military AP</option>
 371 </optgroup>
 372 <optgroup id="SS2_CANADA">
 373 <option value="AB">Alberta</option>
 374 <option value="BC">British Columbia</option>
 375 <option value="MB">Manitoba</option>
 376 <option value="NB">New Brunswick</option>
 377 <option value="NL">Newfoundland/Labrador</option>
 378 <option value="NT">Northwest Territories</option>
 379 <option value="NS">Nova Scotia</option>
 380 <option value="NU">Nunuvut</option>
 381 <option value="ON">Ontario</option>
 382 <option value="PE">Prince Edward
 383                                         Island</option>
 384 <option value="QC">Quebec</option>
 385 <option value="SK">Saskatchewan</option>
 386 <option value="YT">Yukon Territory</option>
 387 </optgroup>
 388 <optgroup id="SS2_INTL">
 389 <!--option value="YT"> Yukon Territory</option--><option value="FN"> International</option>
 390 </optgroup></select><!-- Populate state via javaScript if turned on -->
 391 </td>
 392                                             <td>
 393                                                 <div id="SS2e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 394                                             </td>
 395                                         </tr>
 396 <tr>
 397 <th align="left" class="Standard_MdB_Font">Country<span class="required_indication_text">&#160;*</span>
 398 </th>
 399                                             <td>
 400                                                 <select name="SC3" id="SC3" class="textbox_01"><option value="0000">USA</option>
 401 <option value="0001">CANADA</option></select>
 402 </td>
 403                                             <td>
 404                                                 <div id="SC3e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 405                                             </td>
 406                                         </tr>
 407 <tr>
 408 <th align="left" class="Standard_MdB_Font">Zip Code<span class="required_indication_text">&#160;*</span>
 409 </th>
 410                                             <td><input type="text" size="26" maxlength="9" name="SZ1" id="SZ1" value="" class="textbox_01"></td>
 411                                             <td>
 412                                                 <div id="SZ1e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 413                                             </td>
 414                                         </tr>
 415 <tr>
 416 <th align="left" class="Standard_MdB_Font">Day Phone<span class="required_indication_text">&#160;*</span>
 417 </th>
 418                                             <td><input type="text" size="26" maxlength="14" name="SP2" id="SP2" value="" class="textbox_01"></td>
 419                                             <td>
 420                                                 <div id="SP2e" style="visibility:hidden; font-size:9pt; color:red; font-weight:bold">&#160;[!]</div>
 421                                             </td>
 422                                         </tr>
 423 <tr>
 424 <th align="left" class="Standard_MdB_Font">Evening Phone</th>
 425                                             <td><input type="text" size="26" maxlength="14" name="SP3" id="SP3" value="" class="textbox_01"></td>
 426                                             <td>&#160;</td>
 427                                         </tr>
 428 </table>
 429 </td>
 430                         <!-- SHIPPING FORM ENDS HERE -->
 431                 </tr>
 432 <tr>
 433 <td colspan="2">
 434                                 <div class="subtext_2" style="border:1px #000000 solid; margin-top:5px; padding-bottom:5px">
 435                                         <input type="checkbox" name="sameAsBilling" id="sameAsBilling" ><strong>My Shipping address is same as billing address.</strong>
 436                                 </div>
 437
 438                                 <!--<div id="errormessage2" class="error_message" style="display:none;"></div>-->
 439
 440                                 <div align="center" class="continue_button" style="padding-top:5px;">
 441                                         <input type="image" alt="Continue" name="B1" src="#" >
 442 </div>
 443                         </td>
 444                 </tr>
 445 </table>
 446 <input type="hidden" name="GEN7" value=""><input type="hidden" name="GEN6" value=""><input type="hidden" name="ORDER_FORM" value="Y"><input type="hidden" name="then" value="">
 447 </form>
 448
 449
 450
 451
 452
 453
 454
 455 <form name="getEmail2" action="/EnterToWin2.asp" method="post" >
 456                         <input type="hidden" name="loc" value="footer"><td align="center" height="26" style="font-family: Tahoma, Arial, Helvetica, sans-serif;
 457                                 font-size: 12px; font-weight: bold; color: #FFFFFF;">
 458                         <!--<form name="getEmail2" action="EnterToWin2.asp" method="post">-->
 459
 460
 461                                 ENTER TO WIN A $100 GIFT CARD!&#160;&#160;<input type="text" style="border:1px solid white; font-size:10px; text-align:center; height: 18px;" id="email" name="email" size="40" value="enter email address" >&#160;&#160;
 462                                 <input type="image" src="#" width="50" height="18" style="vertical-align:top" value="Submit">
 463 </td>
 464 </form>
 465
 466
 467
 468 </body>
 469 </html>