chromium/components/test/data/autofill/heuristics/input/030_checkout_lowes.com.html



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<meta name="GENERATOR" content="IBM Software Development Platform" />


	
		


						 
<title>

		Lowe's: Secure Checkout - Shipping Address 
</title>

</head>
 

		<body >  
		
<body>



<form id="storeSearchForm" name="storeSearchForm" action="/LowesStoreSearchCmd" method="post">
<div>
<input type="hidden" value="true" name="masthead" />
<input type="hidden" value="TopCategoriesDisplayView" name="URL" />
<input type="hidden" value="StoreLocatorDisplayView" name="findStoreErrorURL" />
<input type="hidden" value="TopCategoriesDisplayView" name="mastheadURL" />
<input type="hidden" value="10151" name="storeId" />
<input type="hidden" value="10051" name="catalogId" />
<input type="hidden" value="-1" name="langId" />
<input type="hidden" value="" name="firstReferURL" />
<input type="hidden" value="" name="NttParam" />
<input type="hidden" value="" name="isQvSearch" />
<input type="hidden" value="" name="qvRedirect" />
<input type="text" name="zipCode" class="field" placeholder="Enter ZIP Code" />
<button id="find_a_store_btn" type="submit" class="button secondary">
<span>Find a Store</span>
</button>
<a name="MASTHEAD_2_find_my_zip" href="/StoreLocatorDisplayView?storeId=10151&amp;catalogId=10051">
<span>Find My ZIP</span>
</a>
</div>
</form>







<form id="storeUpdateForm" name="storeUpdateForm" action="/LowesUpdateLocalStoreCmd" method="post">
<div>
<input type="hidden" name="URL" value="TopCategoriesDisplayView"/>
<input type="hidden" name="storeId" value="10151" />
<input type="hidden" name="catalogId" value="10051" />
<input type="hidden" name="langId" value="-1" />
<input type="hidden" name="storeNumber" value="" />
<input type="hidden" name="address1" value="" />
<input type="hidden" name="address2" value="" />
<input type="hidden" name="city" value="" />
<input type="hidden" name="state" value=""/>
<input type="hidden" name="zipCode" value="" />
<input type="hidden" name="NttParam" value="" />
</div>
</form>                    







<form id="searchNearestStoresForm" name="searchNearestStoresForm" action="/StoreSearchCmd" method="post">
<div>
<input type="hidden" name="URL" value="TopCategoriesDisplayView"/>
<input type="hidden" name="storeId" value="10151" />
<input type="hidden" name="catalogId" value="10051" />
<input type="hidden" name="langId" value="-1" />
<input type="hidden" name="zipCode" value="" />
</div>
</form>




  
  
  
  
  <form name="frmQuickSearch" action="/SearchCatalogDisplay" method="get" id="frmQuickSearch">
<div>
<input type="hidden" name="storeId" value="10151" />
<input type="hidden" name="langId" value="-1" />
<input type="hidden" name="catalogId" value="10051" />
<input type="hidden" name="N" value="0" />
<input type="hidden" name="newSearch" value="true" />
<span class="jaws_access">
<label for="Ntt">Search keywords</label>
</span>
<!--<input type="text" name="Ntt" value="Keyword or item #" id="Ntt" name="Ntt" class="search_form" />-->
<input type="text" name="Ntt" placeholder="Keyword or item #" id="Ntt" class="search_form" />
<button id="mainSearch" class="button secondary" type="submit">
<span>Search</span>
</button>
</div>
</form>









<form action="OrderDisplay" method="post" name="EditAddressNextForm" >
		
			<input style="WIDTH:0px;display:none" type="hidden" name="pageTo" value="ProdDestTab"/>
				
	<input class="hidden" name="country" value="USA" id="country"/>
	<input style="WIDTH:0px;display:none" type="hidden" name="pageFrom" value="ShipAddTab"/>
	<input style="WIDTH:0px;display:none" type="hidden" name="orderId" value="177347031"/>
	<input style="WIDTH:0px;display:none" type="hidden" name="langId" value="-1"/>
	<input style="WIDTH:0px;display:none" type="hidden" name="storeId" value="10151"/>
	<input style="WIDTH:0px;display:none" type="hidden" name="catalogId" value="10051"/>
	<input style="WIDTH:0px;display:none" type="hidden" name="addressId" value=""/>	
	<input style="WIDTH:0px;display:none" type="hidden" name="addressAction" value=""/>
	<input style="WIDTH:0px;display:none" type="hidden" name="multipleAddresses" value="N" />	
	<fieldset>
	<ol>	  			
	  	
				<li>
					<input type="hidden" style="WIDTH:0px;display:none" name="choose_address"	value="" />
					<input type="hidden" style="WIDTH:0px;display:none" name="choose_address"	value="new-address" />
			
			<input style="WIDTH:0px;display:none" type="hidden" id="currAction" name="currAction" value="null" />
			<div class="checkout-indent-block" id="shippingAddressRadioDisplay">
			
				<div class="checkout-address-col-b">
					
				</div>
			</div>
		</li>
		
		<span id="shippingAddressEditForm">
		
		<li id="addressField2"  >
			<label for="address-name" class="required">Address Name:</label>
			<div class="form-input-block">		
				<input class="large" type="text" name="addressField2" value="" id="address-name" tabindex="1"/>
				 <div class="form-input-help">Example: "Home", "Office", "Work", "Mom"</div>
				   
				 
			</div>
		</li>  
		<li id="firstName" >
			<label for="fname" class="required">First Name:</label>
			<div class="form-input-block">		
				<input class="large" type="text" name="firstName" value="" id="fname" tabindex="2"/>				
													
			</div>
		</li>
		<li id="lastName" >
			<label for="lname" class="required">Last Name:</label>
			<div class="form-input-block">		
				<input class="large" type="text" name="lastName" value="" id="lname" tabindex="3"/>
												
			</div>
		</li>
		<li id="addressField1" >
			<label for="company-name">Company Name:</label>
			<div class="form-input-block">		
				<input class="large" type="text" name="addressField1" value="" id="company-name" tabindex="4"/>
													
			</div>
		</li>
		<li  id="address1" >
			<label for="address-1" class="required">Address Line 1:</label>
			<div class="form-input-block">		
				<input class="large" type="text" name="address1" value="" id="address-1" tabindex="5" maxlength="30"/>	
												
			</div>
		</li>
		<li id="address2"  >
			<label for="address-2">Address Line 2:</label>
			<div class="form-input-block">		
				<input class="large" type="text" name="address2" value="" id="address-2" tabindex="6" maxlength="30"/>
												
			</div>
		</li>
		<li id="city1"  >
			<label for="city" class="required">City:</label>
			<div class="form-input-block">		
				<input class="large" type="text" name="city" value="" id="city" tabindex="7"/>
													
			</div>
		</li>
		<li id="state1" >
			<label for="state" class="required">State:</label>
			
			<div class="form-input-block">
				<select id="stateDropDown" name="state" tabindex="8" style="width: 310px;">
					<option value="" selected="selected">Choose a State</option>					
					
						<option value="AL"
						
						>Alabama</option>
					
						<option value="AK"
						
						>Alaska</option>
					
						<option value="AS"
						
						>American Samoa</option>
					
						<option value="AZ"
						
						>Arizona</option>
					
						<option value="AR"
						
						>Arkansas</option>
					
						<option value="AE"
						
						>Armed Forces Africa, Canada, Europe, Middle East</option>
					
						<option value="AA"
						
						>Armed Forces Americas</option>
					
						<option value="AP"
						
						>Armed Forces Pacific</option>
					
						<option value="CA"
						
						>California</option>
					
						<option value="CO"
						
						>Colorado</option>
					
						<option value="CT"
						
						>Connecticut</option>
					
						<option value="DE"
						
						>Delaware</option>
					
						<option value="DC"
						
						>District of Columbia</option>
					
						<option value="FL"
						
						>Florida</option>
					
						<option value="GA"
						
						>Georgia</option>
					
						<option value="GU"
						
						>Guam</option>
					
						<option value="HI"
						
						>Hawaii</option>
					
						<option value="ID"
						
						>Idaho</option>
					
						<option value="IL"
						
						>Illinois</option>
					
						<option value="IN"
						
						>Indiana</option>
					
						<option value="IA"
						
						>Iowa</option>
					
						<option value="KS"
						
						>Kansas</option>
					
						<option value="KY"
						
						>Kentucky</option>
					
						<option value="LA"
						
						>Louisiana</option>
					
						<option value="ME"
						
						>Maine</option>
					
						<option value="MD"
						
						>Maryland</option>
					
						<option value="MA"
						
						>Massachusetts</option>
					
						<option value="MI"
						
						>Michigan</option>
					
						<option value="MN"
						
						>Minnesota</option>
					
						<option value="MS"
						
						>Mississippi</option>
					
						<option value="MO"
						
						>Missouri</option>
					
						<option value="MT"
						
						>Montana</option>
					
						<option value="NE"
						
						>Nebraska</option>
					
						<option value="NV"
						
						>Nevada</option>
					
						<option value="NH"
						
						>New Hampshire</option>
					
						<option value="NJ"
						
						>New Jersey</option>
					
						<option value="NM"
						
						>New Mexico</option>
					
						<option value="NY"
						
						>New York</option>
					
						<option value="NC"
						
						>North Carolina</option>
					
						<option value="ND"
						
						>North Dakota</option>
					
						<option value="OH"
						
						>Ohio</option>
					
						<option value="OK"
						
						>Oklahoma</option>
					
						<option value="OR"
						
						>Oregon</option>
					
						<option value="PW"
						
						>Palau</option>
					
						<option value="PA"
						
						>Pennsylvania</option>
					
						<option value="PR"
						
						>Puerto Rico</option>
					
						<option value="RI"
						
						>Rhode Island</option>
					
						<option value="SC"
						
						>South Carolina</option>
					
						<option value="SD"
						
						>South Dakota</option>
					
						<option value="TN"
						
						>Tennessee</option>
					
						<option value="TX"
						
						>Texas</option>
					
						<option value="VI"
						
						>U.S. Virgin Islands</option>
					
						<option value="UT"
						
						>Utah</option>
					
						<option value="VT"
						
						>Vermont</option>
					
						<option value="VA"
						
						>Virginia</option>
					
						<option value="WA"
						
						>Washington</option>
					
						<option value="WV"
						
						>West Virginia</option>
					
						<option value="WI"
						
						>Wisconsin</option>
					
						<option value="WY"
						
						>Wyoming</option>
					
				</select>
				
			</div>				
		</li>
		<li id="zipCode" >
			<label for="zip" class="required">ZIP Code:</label>
			<div class="form-input-block">		
				<input size="5" maxlength="5" type="text" name="zipCode" value="" id="zip" tabindex="9"/>	
				<div class="form-input-help">
					Example: 12345
				</div>
				
				 
			</div>
		</li>
		
		<li id="taxGeoCode" class="alert">
			<label for="municipality">Municipality:
				<a class="contextHelp outdent" title="Click for more information" rel="taxGeoCode-help1" href="#" target="_blank">
<img src="#" alt="help icon"/>
</a>
                <div id="taxGeoCode-help1" class="hidden">
                	
	<p>As an additional way to make sure you receive your order, we ask that you select&nbsp;the name of your municipality (city, town, borough, village, etc.) followed by the county, township, or parish in which you reside.</p>

                </div>
			</label>
			<div class="form-input-block">	
				
				<select name="taxGeoCode" id="municipality" tabindex="10">
					<option value="">Please select your municipality</option>
					
					<option value="00">I don't know</option>
				</select>	
				<div id="taxGeoCode-error">
				</div>
			</div>						
		</li>
		</span>
		
		
		<li>
			<div class="form-input-block-wide">	
											
				<label class="checkbox-label" for="also-billing-address">
<input class="checkbox"  type="checkbox" name="billingAddress" id="also-billing-address" tabindex="11"/>This is also my billing address.</label>
			
  			</div>	
  			<div id="billing-address-info" class="checkout-indent-block hidden">
				<p>Please enter the phone number and e-mail address associated with this billing address.</p>
				<ol>
					<li  >
						<label for="email1" class="required">E-mail Address: </label>
						<div class="form-input-block">		
							<input class="large" type="text" name="email1" value="" id="emailaddress" tabindex="12"/>	
							<div class="form-input-help">
								Example: [email protected]
							</div>
							 
						</div>
					</li>
					<li  >
						<label for="phone1" class="required">Contact Phone:</label>
						<div class="form-input-block">
							<input class="tiny js-autotab" type="text" name="billphone1" value="" id="phone1" maxlength="3" tabindex="13" />  	
							<input class="tiny js-autotab" type="text" name="billphone2" value="" id="phone2" maxlength="3" />  
							<input class="tiny" type="text" name="billphone3" value="" id="phone3" maxlength="4" />
							<div class="form-input-help">
								We will contact you only about your orders and deliveries.
							</div>
							
							 
						</div>
					</li>
				</ol>
						<input class="hidden" id="selfAddress" name="selfAddress" value="0" />
			</div>		    
		</li>
	
				<li>
					<input class="hidden" name="save-address" value="on"/>
				</li>
			
		<li>							
			<div class="form-input-block buttons">
				<a href="OrderItemDisplay?storeId=10151&amp;langId=-1&amp;catalogId=10051" class="button-grey">
<span>Cancel</span>
</a>
				
						<a  class="button-green">
<span>Next &gt;</span>
</a>
						
			</div>
		</li>
	</ol>
</fieldset>
</form>


</body>


</html>