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

   1 <form method="POST" action="/checkoutBillingInfoFrame.jhtml?_DARGS=/checkoutBillingInfoFrame.jhtml" name="CheckoutBillingInformation">
   2 <!-- <setvalue bean="CheckoutRegistrationHandler.submitSuccessURL" value="processShowRegistrationNextPage.jhtml"> -->
   3 <table border="0" width="100%" cellpadding="0" cellspacing="0">
   4 <tbody><tr>
   5 <td align="center">
   6 <!--Begin Top Content Table -->
   7 <link rel="stylesheet" href="/site/common/templates/page/style/peapodUIKit_v1.1.1.css" type="text/css">
   8 <table width="800" border="0" align="center" cellpadding="0" cellspacing="0">
   9 <tbody><tr><td height="8" colspan="2"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="8" height="8"></td></tr>
  10 <tr>
  11 <td>
  12 <img src="https://www.peapod.com/c/WW/WWFDP.gif" border="0" alt="logo">
  13 </td>
  14 <td>
  15 <div align="right">
  16 <table border="0" cellpadding="0" cellspacing="0">
  17 <tbody><tr>
  18 <td  nowrap=""><a href="javascript:backToShopping('HIWYF1OFKGGQMCQBD0XCF3Q');">Return to Shopping</a></td>
  19 <td >&nbsp;&nbsp;|&nbsp;&nbsp;</td>
  20 <td  nowrap=""><a href="javascript:saveExit('HIWYF1OFKGGQMCQBD0XCF3Q');">Save &amp; Exit</a></td>
  21 <td >&nbsp;&nbsp;|&nbsp;&nbsp;</td>
  22 <td  nowrap=""><a href="javascript:myAccount('HIWYF1OFKGGQMCQBD0XCF3Q');" id="navLinkMyAccount">
  23 My Account</a></td>
  24 <td >&nbsp;&nbsp;|&nbsp;&nbsp;</td>
  25 <td  nowrap=""><a href="javascript:help('HIWYF1OFKGGQMCQBD0XCF3Q');">Help</a></td>
  26 <td >&nbsp;&nbsp;|&nbsp;&nbsp;</td>
  27 <td  nowrap=""><a href="javascript:quickGuide('HIWYF1OFKGGQMCQBD0XCF3Q');">Top FAQs</a></td>
  28 </tr>
  29 </tbody></table>
  30 </div>
  31 </td>
  32 <td align="right" nowrap="nowrap">
  33 </td>
  34 </tr>
  35 <tr>
  36 <td height="17" colspan="2"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="17" height="17"></td>
  37 </tr>
  38 </tbody></table>
  39 <!--End Top Content Table -->
  40 </td>
  41 </tr>
  42 <tr>
  43 <td align="center">
  44 <table width="713" border="0" align="center" cellpadding="0" cellspacing="0">
  45 <tbody><tr>
  46 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="129" height="38" alt=""></td>
  47 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="82" height="38" alt=""></td>
  48 <td><img src="https://www.peapod.com/c/C9/C97QV.gif" width="102" height="38" title="Enter Billing Information"></td>
  49 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="177" height="38" alt=""></td>
  50 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="113" height="38" alt=""></td>
  51 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="110" height="38" alt=""></td>
  52 </tr>
  53 <tr>
  54 <td><p><img src="https://www.peapod.com/c/ZC/ZCUFR.gif" width="129" height="27" alt="" border="0"></p></td>
  55 <td><img src="https://www.peapod.com/c/UJ/UJMGS.gif" alt=""></td>
  56 <td><img src="https://www.peapod.com/c/YB/YB2VO.gif" alt=""></td>
  57 <td><img src="https://www.peapod.com/c/VH/VHS4Q.gif" alt=""></td>
  58 <td><img src="https://www.peapod.com/c/Y3/Y3U2O.gif" alt=""></td>
  59 <td><img src="https://www.peapod.com/c/WH/WHMKY.gif" alt=""></td>
  60 </tr>
  61 <tr>
  62 <td colspan="6"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="15" height="15"></td>
  63 </tr>
  64 </tbody></table>
  65 </td>
  66 </tr>
  67 <tr>
  68 <td>
  69 <table cellpadding="5" width="100%" cellspacing="0" border="0">
  70 <tbody><tr>
  71 <td align="center">
  72 <table width="713" border="0" align="center" cellpadding="0" cellspacing="0">
  73 <tbody><tr>
  74 <td width="11" height="9"><img src="https://www.peapod.com/c/C1/C1QGC.gif" width="11" height="9"></td>
  75 <td height="9"><img src="https://www.peapod.com/c/KW/KWOGQ.gif" width="691" height="9"></td>
  76 <td width="11" height="9" id="RightBorder"><img src="https://www.peapod.com/c/CK/CKBW7.gif" width="11" height="9"></td>
  77 </tr>
  78 <tr>
  79 <td valign="top" background="https://www.peapod.com/c/HF/HFM6V.gif"><img src="https://www.peapod.com/c/HF/HFM6V.gif" width="11" height="61"></td>
  80 <td valign="top" bgcolor="#FFFFFF" width="691">
  81 <table width="100%" border="0" cellspacing="0" cellpadding="0">
  82 <tbody><tr>
  83 <td colspan="5" valign="top"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="10" height="10"></td>
  84 </tr>
  85 <tr>
  86 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="0" height="0"></td>
  87 <td colspan="3" >Required fields shown in <b>bold</b></td>
  88 <td><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="0" height="0"></td>
  89 </tr>
  90 <tr>
  91 <td width="15" valign="top"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="15" height="15"></td>
  92 <td valign="top">
  93 <table width="420" border="0" cellspacing="5" cellpadding="0">
  94 <tbody><tr>
  95 <td colspan="3">
  96 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white">
  97 <tbody><tr valign="top">
  98 <td >
  99 <div id="TitleBox" >
 100 <img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="5" height="5" border="0" bgcolor="white" name="imgTitle">
 101 </div>Billing Information
 102 </td>
 103 </tr>
 104 </tbody></table>
 105 </td>
 106 </tr>
 107 <tr>
 108 <td colspan="3" align="right" >
 109 <input type="checkbox" checked="" onclick="sameAddress('false');">My billing address and delivery address are the same.</td>
 110 </tr>
 111 <tr>
 112 <td colspan="3">&nbsp;</td>
 113 </tr>
 114 <tr>
 115 <td  nowrap=""><div align="right">Title:</div></td>
 116 <td colspan="2">
 117 <input maxlength="3" name="billTitle" size="3" type="TEXT" value="Ms."  readonly=""><input type="hidden" name="_D:billTitle" value=" ">
 118 </td>
 119 </tr>
 120 <tr>
 121 <td  nowrap=""><div align="right">First Name:</div></td>
 122 <td colspan="2">
 123 <table border="0" bgcolor="white" cellpadding="0" cellspacing="0" width="100%">
 124 <tbody><tr>
 125 <td valign="middle">
 126 <input maxlength="20" name="billFirstName" size="20" type="TEXT" value="Shorty"  readonly=""><input type="hidden" name="_D:billFirstName" value=" ">
 127 </td>
 128 <td  nowrap="">&nbsp;&nbsp;Middle Initial:&nbsp;</td>
 129 <td>
 130 <span ></span>
 131 </td>
 132 <td width="100%">&nbsp;</td>
 133 </tr>
 134 </tbody></table>
 135 </td>
 136 </tr>
 137 <tr>
 138 <td  nowrap=""><div align="right">Last Name:</div></td>
 139 <td colspan="2">
 140 <input maxlength="30" name="billLastName" size="30" type="TEXT" value="Nge"  readonly=""><input type="hidden" name="_D:billLastName" value=" ">
 141 </td>
 142 </tr>
 143 <tr>
 144 <td  nowrap=""><div align="right">Street Address:</div></td>
 145 <td colspan="2">
 146 <input maxlength="30" name="billAddressLine1" size="30" type="TEXT" value="340 Main"  readonly=""><input type="hidden" name="_D:billAddressLine1" value=" ">
 147 </td>
 148 </tr>
 149 <tr>
 150 <td  nowrap=""><div align="right">Address Line 2:</div></td>
 151 <td colspan="2">
 152 <input maxlength="30" name="billAddressLine2" size="30" type="TEXT" value="Apt 2"  readonly=""><input type="hidden" name="_D:billAddressLine2" value=" ">
 153 </td>
 154 </tr>
 155 <tr>
 156 <td  nowrap=""><div align="right">City:</div></td>
 157 <td colspan="2">
 158 <input maxlength="20" name="billCity" size="20" type="TEXT" value="Agawam"  readonly=""><input type="hidden" name="_D:billCity" value=" ">
 159 </td>
 160 </tr>
 161 <tr>
 162 <td  nowrap=""><div align="right">State:</div></td>
 163 <td colspan="2">
 164 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 165 <tbody><tr>
 166 <td>
 167 <input maxlength="2" name="billState" size="2" type="TEXT" value="MA"  readonly=""><input type="hidden" name="_D:billState" value=" ">
 168 </td>
 169 <td  nowrap="">&nbsp;&nbsp;Zip Code:&nbsp;</td>
 170 <td>
 171 <input maxlength="5" name="billZip" size="5" type="TEXT" value="01001"  readonly=""><input type="hidden" name="_D:billZip" value=" ">
 172 </td>
 173 <td width="100%">&nbsp;</td>
 174 </tr>
 175 </tbody></table>
 176 </td>
 177 </tr>
 178 <tr>
 179 <td colspan="3"><div id="TitleBox3" ><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="1" height="1" border="0" bgcolor="white" name="imgTitle"></div>&nbsp;</td>
 180 </tr>
 181 <tr>
 182 <td  nowrap=""><div align="right">Contact Phone:</div></td>
 183 <td colspan="2">
 184 <input onkeyup="return autoTab(this,3,event);" type="TEXT" name="HomeArea" size="3" maxlength="3" value="310"  readonly=""><input type="hidden" name="_D:HomeArea" value=" ">-
 185 <input onkeyup="return autoTab(this,3,event);" type="TEXT" name="HomePrefix" size="3" maxlength="3" value="555"  readonly=""><input type="hidden" name="_D:HomePrefix" value=" ">-
 186 <input type="TEXT" name="HomeSuffix" size="4" maxlength="4" value="1212"  readonly=""><input type="hidden" name="_D:HomeSuffix" value=" ">
 187 </td>
 188 </tr>
 189 <tr>
 190 <td colspan="3"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="5" height="5"></td>
 191 </tr>
 192 <tr>
 193 <td colspan="3"><div id="TitleBox2" ><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="1" height="1" border="0" bgcolor="white" name="imgTitle"></div>&nbsp;</td>
 194 </tr>
 195 <tr>
 196 <td colspan="3" >Payment Information</td>
 197 </tr>
 198 <tr>
 199 <td colspan="3" >
 200 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 201 <tbody><tr>
 202 <td >To secure your account, we require all customers to have a valid credit card on file. When it comes time to pay for your order, you will be able to choose to pay with a credit or debit card.<br><br></td>
 203 <td valign="top">
 204 <a href="javascript:vrsn_splash()" tabindex="-1"><img name="seal" border="true" src="https://seal.websecurity.norton.com/getseal?at=0&amp;sealid=1&amp;dn=www.peapod.com&amp;lang=en" oncontextmenu="return false;" alt="Click to Verify - This site has chosen an SSL Certificate to improve Web site security"></a>
 205 </td>
 206 </tr>
 207 </tbody></table>
 208 </td>
 209 </tr>
 210 <tr>
 211 <td colspan="3" >
 212 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 213 <tbody><tr>
 214 <td valign="top"><img src="https://www.peapod.com/c/QK/QKLIM.gif" border="0" bgcolor="white" name="verisign"></td>
 215 <td >&nbsp;</td>
 216 <td >We use SSL encryption to protect your personal information, including your credit card information.<br></td>
 217 </tr>
 218 </tbody></table>
 219 </td>
 220 </tr>
 221 <tr>
 222 <td>&nbsp;</td>
 223 <td colspan="2">
 224 <img src="https://www.peapod.com/c/9H/9HKB3.gif" border="0">&nbsp;&nbsp;
 225 <img src="https://www.peapod.com/c/3O/3OQII.gif" border="0">&nbsp;&nbsp;
 226 <img src="https://www.peapod.com/c/T1/T1YKZ.gif" border="0">&nbsp;&nbsp;
 227 <img src="https://www.peapod.com/c/IG/IGCQH.gif" border="0">&nbsp;&nbsp;
 228 </td>
 229 </tr>
 230 <tr>
 231 <td  nowrap=""><div align="right">Card Type:</div></td>
 232 <td colspan="2">
 233 <select  name="/peapod/handler/iditarod/CheckoutRegistrationHandler.creditCardType">
 234 <option value="" selected="">-- Select Type --</option>
 235 <option value="AMEX">American Express</option>
 236 <option value="DISC">Discover</option>
 237 <option value="MC">MasterCard</option>
 238 <option value="VISA">Visa</option>
 239 </select><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.creditCardType" value=" ">
 240 </td>
 241 </tr>
 242 <tr>
 243 <td  nowrap=""><div align="right">Card Number:</div></td>
 244 <td colspan="2">
 245 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 246 <tbody><tr>
 247 <td nowrap=""><input maxlength="16" autocomplete="off" name="cardNum" id="creditCardNumber" size="24" type="TEXT" value=""  onfocus="return !showInfoBoxII('cardNumberHelp', event, 1 );"><input type="hidden" name="_D:cardNum" value=" "></td>
 248 <td>&nbsp;<a href="#" tabindex="-1"  onclick="return !showInfoBoxII('cardNumberHelp', event);"><img src="https://www.peapod.com/c/C5/C5NC5.gif" width="21" height="21" border="0" alt="Help on entering your credit card number"></a>
 249 <input id="ccNum" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.ccNum"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.ccNum" value=" ">
 250 <input id="cvv" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.cvv"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.cvv" value=" ">
 251 <input id="key" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.key"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.key" value=" ">
 252 <input id="drCcNum" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.drCcNum"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.drCcNum" value=" ">
 253 <input id="drCvv" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.drCvv"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.drCvv" value=" ">
 254 <input id="drKey" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.drKey"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.drKey" value=" ">
 255 <input id="cvvLength" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.cvvLength"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.cvvLength" value=" ">
 256 <input id="errorCode" type="HIDDEN" value="" name="/peapod/handler/iditarod/CheckoutRegistrationHandler.errorCode"><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.errorCode" value=" ">
 257 </td>
 258 <td width="100%">&nbsp;</td>
 259 </tr>
 260 </tbody></table>
 261 </td>
 262 </tr>
 263 <!-- card id number -->
 264 <tr>
 265 <td align="RIGHT"  nowrap="">Security Code:</td>
 266 <td align="left">
 267 <table cellspacing="0" cellpadding="0">
 268 <tbody><tr>
 269 <td align="left"><input maxlength="4" name="cid" id="creditCardCid" size="4" autocomplete="off" type="TEXT" value=""  onfocus="return !showInfoBoxII('CardIdNumberHelp', event, 1 );"><input type="hidden" name="_D:cid" value=" ">&nbsp;<a href="#" tabindex="-1" class="popupLink" onclick="return !showInfoBoxII('CardIdNumberHelp', event);"><img src="https://www.peapod.com/c/C5/C5NC5.gif" title="Help on entering your Security Code" width="21" height="21" border="0"></a></td>
 270 <!-- red arrow looks bad &nbsp;&nbsp;<img src="bean:Image.URL[11405]" border=0></td> -->
 271 </tr>
 272 <!-- displayed at top
 273 <tr>
 274 <td align="left" >
 275 <droplet bean="Switch">
 276 <param name="value" value="bean:CheckoutRegistrationHandler.propertyExceptions.missingInfo.errorCode">
 277 <oparam name="MissingCID">
 278 <font color="red">Missing Security Code</font>
 279 </oparam>
 280 <oparam name="InvalidCID">
 281 <font color="red">Invalid Security Code</font>
 282 </oparam>
 283 </droplet>
 284 </td>
 285 </tr> -->
 286 </tbody></table>
 287 </td>
 288 </tr>
 289 <!-- card id number -->
 290 <tr>
 291 <td  nowrap=""><div align="right">Expiration Date:</div></td>
 292 <td colspan="2">
 293 <select  name="/peapod/handler/iditarod/CheckoutRegistrationHandler.expirationMonth">
 294 <option value="0"></option>
 295 <option value="01">01</option>
 296 <option value="02">02</option>
 297 <option value="03">03</option>
 298 <option value="04">04</option>
 299 <option value="05">05</option>
 300 <option value="06">06</option>
 301 <option value="07">07</option>
 302 <option value="08">08</option>
 303 <option value="09">09</option>
 304 <option value="10">10</option>
 305 <option value="11">11</option>
 306 <option value="12">12</option>
 307 </select><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.expirationMonth" value=" ">
 308 /
 309 <select  name="/peapod/handler/iditarod/CheckoutRegistrationHandler.expirationYear">
 310 <option value="0"></option>
 311 <option value="2014">2014</option>
 312 <option value="2015">2015</option>
 313 <option value="2016">2016</option>
 314 <option value="2017">2017</option>
 315 <option value="2018">2018</option>
 316 <option value="2019">2019</option>
 317 <option value="2020">2020</option>
 318 <option value="2021">2021</option>
 319 <option value="2022">2022</option>
 320 <option value="2023">2023</option>
 321 </select><input type="hidden" name="_D:/peapod/handler/iditarod/CheckoutRegistrationHandler.expirationYear" value=" ">
 322 </td>
 323 </tr>
 324 <tr>
 325 <td  nowrap=""><div align="right">Name on Card:</div></td>
 326 <td colspan="2">
 327 <table border="0" cellpadding="0" cellspacing="0" bgcolor="white" width="100%">
 328 <tbody><tr><td nowrap="">
 329 <input  maxlength="20" autocomplete="off" name="cardName" size="20" type="TEXT" value="Shorty Nge" onfocus="return !showInfoBoxII('cardNameHelp', event, 1 );"><input type="hidden" name="_D:cardName" value=" ">
 330 </td>
 331 <!--
 332 <valueof bean="CheckoutRegistrationHandler.billFirstName"></valueof> <valueof bean="CheckoutRegistrationHandler.billMiddleInitial"></valueof> <valueof bean="CheckoutRegistrationHandler.billLastName"></valueof></td>
 333 -->
 334 <td align="right">&nbsp;<a href="#" tabindex="-1"  onclick="return !showInfoBoxII('cardNameHelp', event);"><img src="https://www.peapod.com/c/C5/C5NC5.gif" width="21" height="21" border="0" title="Help on entering the name on your credit card"></a></td>
 335 <td width="100%">&nbsp;</td>
 336 </tr>
 337 </tbody></table>
 338 </td>
 339 </tr>
 340 <tr>
 341 <td colspan="3"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="5" height="5"></td>
 342 </tr>
 343 <tr>
 344 <td>&nbsp;</td>
 345 <td>&nbsp;</td>
 346 <td>&nbsp;</td>
 347 </tr>
 348 </tbody></table>
 349 </td>
 350 <td width="15" valign="top"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="15" height="15"></td>
 351 <td valign="top">
 352 <table width="194" border="0" align="center" cellpadding="0" cellspacing="0">
 353 <tbody><tr><td></td></tr>
 354 <tr><td valign="top"></td></tr>
 355 </tbody></table>
 356 </td>
 357 <td width="15" valign="top"><img src="https://www.peapod.com/c/2Z/2ZAEE.gif" width="15" height="15"></td>
 358 </tr>
 359 <tr><td colspan="5" width="100%">
 360 <div align="center"><input type="image" src="https://www.peapod.com/c/BY/BYKGM.gif" border="0" width="103" height="29" name="submitButton1" align="middle" title="Continue" onclick="return submitMonitor(2);"><input type="hidden" name="_D:submitButton1" value=" "></div>
 361 </td></tr>
 362 </tbody></table>
 363 </td>
 364 <td valign="top" background="https://www.peapod.com/c/AA/AANXG.gif"><img src="https://www.peapod.com/c/AA/AANXG.gif" width="11" height="61"></td>
 365 </tr>
 366 <tr>
 367 <td width="11" height="13" valign="top"><img src="https://www.peapod.com/c/EX/EXMRJ.gif" width="11" height="13"></td>
 368 <td height="13" valign="top"><img src="https://www.peapod.com/c/QT/QTRSM.gif" width="691" height="13"></td>
 369 <td width="11" height="13" valign="top"><img src="https://www.peapod.com/c/4C/4CL8H.gif" width="11" height="13"></td>
 370 </tr>
 371 </tbody></table>
 372 </td></tr>
 373 </tbody></table>
 374 </td></tr>
 375 </tbody></table>
 376 </form>
 377
 378