chromium/components/test/data/autofill/heuristics/input/038_checkout_sears.com.html

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html >
    <head>    	
    	<title>Sears Checkout</title>    	
    </head>
        <!-- COLLID=1005054, COLLNAME=commonHeaderDz, DZID=HH ends here -->    <body id="checkout" class="gecko gecko3" >
          
          
          

<form name="AddressForm" id="AddressForm" method="post">
    <div class="errorBox" style="display:none;" id="errorMsg"> </div>
    <div id="delivery_Email">
        <h3>Email Address</h3>
        <div>Your email address will be used for order notifications.</div>
        <span id="address_email_error" style="display:none;">Error<br /></span>
        <p>
            <label for="address_email" class="required"><strong>Email</strong><span>*</span></label><br />
            <span id="address_email_error_icn" style="display:none;"></span><input type="text" name="address_email" id="address_email"   value="[email protected]"  /><br />
            <small>Ex. [email protected]</small>
            <!-- <span class="emailAlertCheck"><input type="checkbox" id="emailAlertCheck" /><label for="emailAlertCheck">Yes, I would like to receive offers, updates and sales alerts from Sears.
            </label></span>  -->            
        </p>
    </div> <!-- delivery email -->
    <input type="hidden" name="moduleValue" id="moduleValue" value="addresscontact" />
    <input type="hidden" name="pageValue" id="pageValue" value="addresscontact" />
  	<input type="hidden" name="orderId" value="237876003" />
  	<input type="hidden" name="storeId" value="10153" />
  	<input type="hidden" name="langId" value="-1" />
  	<input type="hidden" name="catalogId" value="12605" />
  	<input type="hidden" name="URL" value="CheckoutRedesignView"/>
  	<input type="hidden" name="URLTemp" value="CheckoutRedesignView"/>  
  	<input type="hidden" name="checkoutEmail" value="[email protected]" />
  	<input type="hidden" name="isAllSPU" id="isAllSPU" value="N" />
  	<input type="hidden" name="isAllGR" id="isAllGR" value="N" />
  	<input type="hidden" name="hasShipAddress" id="hasShipAddress" value="N" />
  	<input type="hidden" id="sameShipBillAddress" name="sameShipBillAddress" value="N" />  	<input type="hidden" id="refundFlag" name="refundFlag" value="N" />  	
  	<input type="hidden" name="checkoutUserType" value="guest" />   
	<input type="hidden" name="hasSavedAddress" value="N" /> 
	<input type="hidden" name="PrSwitch"   value='TRUE' id="PrSwitch"/>
	<input type="hidden" name="addressType" value="SB" />
	<input type="hidden" name="editAddMode" value="false" />      <!-- if either multiple ships or all ship to store -->    <div id="ajaxResponse" style="display:none" >
	</div>	<div id="delivery_address" style="display: block;"	>
    	<div class="checkoutHR"><hr/></div>
        <h3>Delivery/Shipping Address</h3>          <input type="hidden" id="shipping_dExt" name="shipping_dExt" />
          <input type="hidden" id="shipping_phone1" name="shipping_phone1" />
          <input type="hidden" id="shipping_dphone" name="shipping_dphone" value="" />
		  <input type="hidden" name="shipping_taxGeoCode" id="shipping_taxGeoCode" value="" />
		  <input type="hidden" name="shipping_shippingGeoCode" id="shipping_shippingGeoCode" value="" />
		  <input type="hidden" name="shipping_address3" id="shipping_address3" value="" />
		  <input type="hidden" name="shipping_nickName" id="shipping_nickName" value="" />        <div id="shipping_newAddressForm" class="personalinfo" cellpadding="0" cellspacing="0" border="0">
            <label for="shipping_fname" class="required">First Name<span>*</span></label><br />
            <input name="shipping_firstName" id="shipping_fname" type="text" value="" maxlength="25" /><br />
            <label for="shipping_lname" class="required">Last Name<span>*</span></label><br />
            <input name="shipping_lastName" id="shipping_lname" type="text" value="" maxlength="25" /><br />
            <input name="shipping_country" id="shipping_USA" type="radio" checked="checked" value="US" style="display:none;" />
            <label for="shipping_addr1" class="required">Street Address Line 1<span>*</span></label><br />
            <input name="shipping_address1" id="shipping_addr1" class="textlarge" type="text" value="" maxlength="40" /><br />
            <label for="shipping_addr2">Street Address Line 2</label><br />
            <input name="shipping_address2" id="shipping_addr2" class="textlarge" type="text" value="" maxlength="40" /><br />
            <label id="shipping_city1" for="shipping_city1" class="required" >City<span>*</span></label><br />
            <input name="shipping_city" id="shipping_city" type="text" value="" maxlength="26" /><br />
            <label for="state" class="required">State<span>*</span></label><br />				<select id="shipping_state" name="shipping_state">							 
							<option value="AL" > AL </option>							<option value="AK" > AK </option>							<option value="AZ" > AZ </option>							<option value="AR" > AR </option>							<option value="AA" > AA </option>							<option value="AE" > AE </option>							<option value="AP" > AP </option>							<option value="CA" > CA </option>							<option value="CO" > CO </option>							<option value="CT" > CT </option>							<option value="DE" > DE </option>							<option value="DC" > DC </option>							<option value="FL" > FL </option>							<option value="GA" > GA </option>							<option value="HI" > HI </option>							<option value="ID" > ID </option>							<option value="IL" > IL </option>							<option value="IN" > IN </option>							<option value="IA" > IA </option>							<option value="KS" > KS </option>							<option value="KY" > KY </option>							<option value="LA" > LA </option>							<option value="ME" > ME </option>							<option value="MD" > MD </option>							<option value="MA" > MA </option>							<option value="MI" > MI </option>							<option value="MN" > MN </option>							<option value="MS" > MS </option>							<option value="MO" > MO </option>							<option value="MT" > MT </option>							<option value="NE" > NE </option>							<option value="NV" > NV </option>							<option value="NH" > NH </option>							<option value="NJ" > NJ </option>							<option value="NM" > NM </option>							<option value="NY" > NY </option>							<option value="NC" > NC </option>							<option value="ND" > ND </option>							<option value="OH" > OH </option>							<option value="OK" > OK </option>							<option value="OR" > OR </option>							<option value="PA" > PA </option>							<option value="PR" > PR </option>							<option value="RI" > RI </option>							<option value="SC" > SC </option>							<option value="SD" > SD </option>							<option value="TN" > TN </option>							<option value="TX" > TX </option>							<option value="UT" > UT </option>							<option value="VT" > VT </option>							<option value="VA" > VA </option>							<option value="WA" > WA </option>							<option value="WV" > WV </option>							<option value="WI" > WI </option>							<option value="WY" > WY </option>					
				</select>			<br />
            <label for="zip" class="required">ZIP Code<span>*</span></label><br />
            <input name="shipping_zipCode" id="shipping_zip" type="text" maxlength="5" value="" /><br />            <div>
                <label for="shipping_phone1Lbl" class="required">Phone Number<span>*</span></label><br />
                <input name="shipping_day1" id="shipping_phone1Lbl" class="phone1" type="text" maxlength="16" value="" /><br />
                <small>Example: 5551231234 <span><a  class="whatsThis" name="whyrequired" title="Why Required">Why do we need this?</a></span></small> <br />
            </div>
            <div>
                <label for="shipping_ext1">Ext.</label><br />
                <input name="shipping_ext1" id="shipping_ext1" type="text" maxlength="6" /><br />
            </div>        <div id="shipping_AJAXload" style="display:none">
			<div id="shipping_AJAXload1"><img id="shipping_AJAXload2" src="#" alt="Please wait while we look up that ZIP Code" width="316"height="35" /></div>
		</div>	
        <div id="shipping_countyRowMsg" style="display:none">
            <small>Tax rates vary by county. Please select a county below<br />
            so that we may apply accurate tax rates for your area.</small>
        </div>
        <br clear="all" />
        <div id="shipping_countyRow" style="display:none">
           <span class="label"><label for="county">County</label></span>
           	<span><select id="shipping_county" name="shipping_county" class="county">
                	<option value = "UNKNOWN">UNKNOWN</option>
             	</select>
           	</span>
         </div>
         <div id="shipping_countyRowLabel"  style="display:none" ></div>
        <br clear="all" />  
        <div id="shipping_countyRowUnknown"  style="display:none">
            <span><small>If you are not sure of the county, select "unknown".</small></span>
        </div>
        <br clear="all" />    
        </div> <!-- new address form -->		<div id="shipping_mutilplecountyresponse" style="display: none"></div>    </div><!-- delivery adddress -->    <div class="checkoutHR"><hr/></div>    <div id="delivery_billing">
        <h3>Billing Address</h3>        <input type="hidden" id="dExt" name="dExt" />
        <input type="hidden" id="phone1" name="phone1" />
        <input type="hidden" id="dphone" name="dphone" value="" />
		<input type="hidden" name="taxGeoCode" id="taxGeoCode" value="" />
		<input type="hidden" id="shippingGeoCode" name="shippingGeoCode" value="" />
        <input type="hidden" name="address3" id="address3" value="" />
        <input type="hidden" name="nickName" id="nickName" value="nickName" />         
        <input type="checkbox" name="billingAddressCheckBox" class="checkbox" id="billingAddressCheckBox" />
              <label for="billingAddressCheckBox">Same as Delivery/Shipping Address</label>        	<div id="newAddressForm" class="personalinfo" cellpadding="0" cellspacing="0" border="0">            <label for="fname" class="required">First Name<span>*</span></label><br />
            <input name="firstName" id="fname" type="text" value="" maxlength="25" /><br />
            <label for="lname" class="required">Last Name<span>*</span></label><br />
            <input name="lastName" id="lname" type="text" value="" maxlength="25" /><br />
            <input name="country" id="USA" type="radio" checked="checked" value="US" style="display:none;" />
            <label for="addr1" class="required">Street Address Line 1<span>*</span></label><br />
            <input name="address1" id="addr1" class="textlarge" type="text" value="" maxlength="40" /><br />
            <label for="addr2">Street Address Line 2</label><br />
            <input name="address2" id="addr2" class="textlarge" type="text" value="" maxlength="40" /><br />
            <label id="city1" for="city1" class="required" >City<span>*</span></label><br />
            <input name="city" id="city" type="text" value="" maxlength="26" /><br />
            <label for="state" class="required">State<span>*</span></label><br />				<select id="state" name="state">							 
							<option value="AL" > AL  </option>							<option value="AK" > AK  </option>							<option value="AS" > AS  </option>							<option value="AZ" > AZ  </option>							<option value="AR" > AR  </option>							<option value="AA" > AA  </option>							<option value="AE" > AE  </option>							<option value="AP" > AP  </option>							<option value="CA" > CA  </option>							<option value="CO" > CO  </option>							<option value="CT" > CT  </option>							<option value="DE" > DE  </option>							<option value="DC" > DC  </option>							<option value="FL" > FL  </option>							<option value="GA" > GA  </option>							<option value="GU" > GU  </option>							<option value="HI" > HI  </option>							<option value="ID" > ID  </option>							<option value="IL" > IL  </option>							<option value="IN" > IN  </option>							<option value="IA" > IA  </option>							<option value="KS" > KS  </option>							<option value="KY" > KY  </option>							<option value="LA" > LA  </option>							<option value="ME" > ME  </option>							<option value="MD" > MD  </option>							<option value="MA" > MA  </option>							<option value="MI" > MI  </option>							<option value="MN" > MN  </option>							<option value="MS" > MS  </option>							<option value="MO" > MO  </option>							<option value="MT" > MT  </option>							<option value="NE" > NE  </option>							<option value="NV" > NV  </option>							<option value="NH" > NH  </option>							<option value="NJ" > NJ  </option>							<option value="NM" > NM  </option>							<option value="NY" > NY  </option>							<option value="NC" > NC  </option>							<option value="ND" > ND  </option>							<option value="OH" > OH  </option>							<option value="OK" > OK  </option>							<option value="OR" > OR  </option>							<option value="PW" > PW  </option>							<option value="PA" > PA  </option>							<option value="PR" > PR  </option>							<option value="RI" > RI  </option>							<option value="SC" > SC  </option>							<option value="SD" > SD  </option>							<option value="TN" > TN  </option>							<option value="TX" > TX  </option>							<option value="VI" > VI  </option>							<option value="UT" > UT  </option>							<option value="VT" > VT  </option>							<option value="VA" > VA  </option>							<option value="WA" > WA  </option>							<option value="WV" > WV  </option>							<option value="WI" > WI  </option>							<option value="WY" > WY  </option>					
				</select>			<br />
            <label for="zip" class="required">ZIP Code<span>*</span></label><br />
            <input name="zipCode" id="zip" type="text" maxlength="5" value="" /><br />
        	<div>
                <label for="phone1Lbl" class="required">Phone Number<span>*</span></label><br />
                <input name="day1" id="phone1Lbl" class="phone1" type="text" maxlength="16" value="" /><br />
                <small>Example: 5551231234 <span><a  class="whatsThis" name="whyrequired" title="Why Required">Why do we need this?</a></span></small> <br />
            </div>
            <div>
                <label for="ext1">Ext.</label><br />
                <input name="ext1" id="ext1" type="text" maxlength="6" /><br />
            </div>            <div id="AJAXload" style="display:none">
				<div id="AJAXload1"><img id="AJAXload2" src="#" alt="Please wait while we look up that ZIP Code" width="316"height="35" /></div>
			</div>
            <div id="countyRowMsg" style="display:none">
                <small>Tax rates vary by county. Please select a county below<br />
                so that we may apply accurate tax rates for your area.</small>
              </div>
              <br clear="all" />
              <div id="countyRow" style="display:none">
                <span class="label"><label for="county">County</label></span><br />
                <span><select id="county" name="county" class="county"><br/>
                    <option value = "UNKNOWN">UNKNOWN</option>
                  </select>
                </span>
              </div>
              <div id="countyRowLabel"  style="display:none"></div>
              <div id="countyRowUnknown"  style="display:none">
            	<span><small>If you are not sure of the county, select "unknown".</small></span>
        	  </div>
              <br clear="all" />
              </div>          </div><!--  Delivery Billing --> 
    <div class="checkoutHR"><hr/></div>
    <div id="delivery_submit">
        <div>				
					<button class="continue" ><span>Continue</span></button>        </div>      </div><!-- Delivery Submit --><div id="mutilplecountyresponse" style="display:none"></div>
</form>









<form name="OrderReviewForm" action="OrderProcessCmd" method="post" id="OrderReviewForm">
	<textarea STYLE="VISIBILITY:HIDDEN" name="KmartSpuSpecialInstr" id="KmartSpuSpecialInstr" cols=1 rows=1></textarea>
		<!-- XY Messaging start-->		<!-- XY Messaging end-->
		<input type="hidden" id="refundFlag" name="refundFlag" value=""/>			
			 <input type="hidden" name="onlyShipVantageItem" value="false"/>		
		<input type="hidden" name="applyBuy" value="cardApproved" />			
			<input type="hidden" id="billingAddressId" name="billingAddressId" value="" />					<input type="hidden" name="sellingStoreNumber" id="sellingStoreNumber" value="" />
					<input type="hidden" name="sourceId" id="sourceId" value="" />
					<input type="hidden" name="sellingAssociateNumber" id="sellingAssociateNumber" value="" />
					<input type="hidden" name="OCASalesId" id="OCASalesId" value="" />
					<input type="hidden" name="OCAMemberId" id="OCAMemberId" value="" />
					<input type="hidden" name="sellingStoreNumberDealer" id="sellingStoreNumberDealer" value="" />
					<!-- Spanish INPUT-->					<input type=hidden name="remoteAddress" value="10.236.95.25" />				<input type="hidden" id="userEligibilityForBuyerAgreement" name = "userEligibilityForBuyerAgreement"  value= "") />
				<input type="hidden" name="storeId" value="10153" /> 
				<input type="hidden" name="orderId" value="237876003" /> 
				<input type="hidden" name="catalogId" value="12605" /> 
				<input type="hidden" name="langId" value="-1" />				
				<input type="hidden" name="isPIAddNeeded" value="N" /> 
				<input type="hidden" name="accCheck" value="false" />																
				<input type="hidden" name="test" value="false"/>
				<!-- <input type="hidden" id = "ordPaymentType" name="ordPaymentType" value=""/> -->				<!--  <input type="hidden" id = "cardValue" name="cardValue" value="0"/> -->				<input type="hidden" id = "fsaEligibleCard" name="fsaEligibleCard" value=""/>	
		<input type="hidden" id="isFinanceEligible" name ="isFinanceEligible" value=""/>
		<input type="hidden" id="preApprovalFlag" name ="preApprovalFlag" value=""/>
		<input type="hidden" id="showSpecialFinance" name ="showSpecialFinance" value="Y"/>
		<input type="hidden" id="specialFinanceFlagXC" name ="specialFinanceFlagXC" value=""/>
		<input type="hidden" id="isPaymentSearsCard" name ="isPaymentSearsCard" value="N"/>
		<input type="hidden" name="receiptCheck" id="receiptCheck" value="Y" />    
		<input type="hidden" id="sywrAmt" value="0.0"/><!-- Params For Create Account and Place Order -->		
		<input type="hidden" value="true" name="isPlaceOrder" id="isPlaceOrder">
		<input type="hidden" value="-1" name="langId">
		<input type="hidden" value="10153" name="storeId">
		<input type="hidden" value="12605" name="catalogId">
		<input type="hidden" value="" name="orderId">
		<input type ="hidden" value = "1598835499" name = "memberId"">
		<input type="hidden" value="AccountModule" name="pageFrom">
		<input type="hidden" value="" name="userType">			
		<input type="hidden" value="CheckoutAccountRegister" name="reLogonURL">
		<input type="hidden" value="" id="logonId" name="logonId">
		<input type="hidden" value="AccountModule" name="checkSource">
		<input type="hidden" value="CheckoutAccountRegister" id="URL" name="URL">
		<input type="hidden" value="" name="loginId">
		<input type="hidden" value="" name="logonPassword">
		<input type="hidden" value="" name="logonPasswordVerify">
		<input type="hidden" value="" name="email1">
		<input type="hidden" value="" name="zipCode">
		<input type="hidden" value="" name="demographicField1">
		<input type="hidden" name="registrationNumber" value="12"/> 
<!-- Params For Create Account and Place Order Ends Here-->			
	</form>
	
	
	    </body>
</html>