chromium/components/test/data/autofill/heuristics/input/101_checkout_m_bestbuy.com.html

<!-- Cropped from bestbuy.com mobile checkout -->
<form id="paymentform" name="paymentform" action="/m/e/checkout/payinfo.jsp?_DARGS=/m/e/checkout/paymentGroups.jsp.1" method="post"><input name="_dyncharset" value="UTF-8" type="hidden"><input name="_dynSessConf" value="8456090398799987173" type="hidden">
<input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value="" type="hidden"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value="" type="hidden"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"><div id="Account_content">
<div >











<ul id="breadcrumbs">
<li >Billing</li>

<li >Shipping</li>








<li >Payment</li>
<li >Review</li>
</ul>

<h1>Payment Information
</h1>
<div>




<div >


<h2 >Credit Card</h2>



<label>Card Type</label>


<input type="hidden" name="existCardType" value="NEW">
<input name="_D:selCreditCardType" value=" " type="hidden"><select name="selCreditCardType"  onchange="onCreditCardChange();"><option value="">Choose Card
</option><option value="Visa">Visa
</option><option value="MasterCard">MasterCard
</option><option value="AmericanExpress">American Express
</option><option value="Discover">Discover
</option><option value="DINERS">Diners Club
</option><option value="JCB">JCB
</option><option value="HRS">Best Buy Credit Card
</option><option value="RZMC">Best Buy MasterCard
</option></select>


<label>Card Number</label>


<input maxlength="17" name="cardNumber" value=""  type="tel"><input name="_D:cardNumber" value=" " type="hidden">








<label>Expiration Date</label>


<input name="_D:expirery-month" value=" " type="hidden"><select name="expirery-month" ><option value="">Month
</option><option value="01">01
</option><option value="02">02
</option><option value="03">03
</option><option value="04">04
</option><option value="05">05
</option><option value="06">06
</option><option value="07">07
</option><option value="08">08
</option><option value="09">09
</option><option value="10">10
</option><option value="11">11
</option><option value="12">12
</option></select><input name="_D:expirery-year" value=" " type="hidden"><select name="expirery-year" ><option value="">Year




</option><option value="2014">2014


</option><option value="2015">2015


</option><option value="2016">2016


</option><option value="2017">2017


</option><option value="2018">2018


</option><option value="2019">2019


</option><option value="2020">2020


</option><option value="2021">2021


</option><option value="2022">2022


</option><option value="2023">2023


</option><option value="2024">2024
</option></select>










<label>Security Code</label>


<input maxlength="4" name="securityCode" value=""  type="tel"><input name="_D:securityCode" value=" " type="hidden"><br>
<p >Last 3 numbers on back (for most cards)</p>








<!-- tmx -->











<!-- 1218908771407 -->
<!--Session Encoding Start-->
<div id="tmx_profile_tags">
<p style="background:url(https://tmx.bestbuy.com/fp/clear.png?org_id=ummqowa2&amp;session_id=f3a7e75093e1c1da71f7ff4047732f4d72649fdf136ded64fba35256bbadea76&amp;m=1)"></p>
<param name="movie" value="https://tmx.bestbuy.com/fp/fp.swf?org_id=ummqowa2&amp;session_id=f3a7e75093e1c1da71f7ff4047732f4d72649fdf136ded64fba35256bbadea76">
</object>
</div>

<!-- /tmx -->

</div>
<div >

<input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.editValue.nickname" value="14141933655280" type="hidden"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.editValue.nickname" value=" " type="hidden"><h2 >Billing Address</h2>
<div >
<b>
</div>
<a  href="/m/e/checkout/changeba.jsp?page=payment&amp;aId=14141933655280">Change Address
</a>
</div>
<div >


<!-- start payrz.jsp -->

<input type="hidden" id="Rzurl" name="Rzurl" value="/m/e/digital/mrzLookup?sp=payment">
<h2 >Get Points for your purchases!</h2>
<div >
<img src="https://img-ssl.bbystatic.com/BestBuy_US/mobile/images/MyBBYlogo.png" width="220">
</div>
<ul>

<ul  id="memberIdValidate" style="display:none">
<li >
<span id="rzErrorMsg">Please enter a valid member number</span>
</li>
</ul>
</ul>
<label>Member ID

<a id="rewardzone" href="#" onclick="rewardZoneLookUp()">Don't Know it?</a>
</label>
<input id="TxtRzMembershipId" maxlength="12" name="TxtRzMembershipId"  type="tel" value="">
<div >
<input id="RZ"  name="RZ Number" value="Add to This Order" type="button" onclick="MemberIdValidatePM();">
</div>
<!-- end payrz.jsp -->
</div>
<div >
<!-- start PC -->





<input type="hidden" name="paymentGrpId">
<h2 >Additional Payment Types</h2>
<div id="redeem-gift" >
<h3><a  id="redeem-gift-head" href="javascript:void(0);" onclick="toggleBoxPDP('redeem-gift-open','redeem-gift-closed');changeClassPDP('redeem-gift-head','down','right');toggleGiftCard();">Redeem Gift Cards &amp; Savings Code</a></h3>
<div id="redeem-gift-closed"></div>
<div id="redeem-gift-open" >

<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"><img src="https://img-ssl.bbystatic.com/BestBuy_US/mobile/images/gift-card-back.jpg" alt="Gift Card">
<div id="add-giftCard-content1" >
<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"></div>
<div id="add-giftCard-content2" >
<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"></div>
<div id="add-giftCard-content3" >
<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"></div>
<div id="add-giftCard-content4" >
<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"></div>
<div id="add-giftCard-content5" >
<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"></div>
<div id="add-giftCard-content6" >
<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"></div>
<div id="add-giftCard-content7" >
<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"></div>
<div id="add-giftCard-content8" >
<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"></div>
<div id="add-giftCard-content9" >
<label >Card Number or Code</label>
<input maxlength="16" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCNumber" value=" " type="hidden"><label >Security Code</label>
<input maxlength="4" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=""  type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.SVCCID" value=" " type="hidden"></div>
<div >
<button id="add-giftCard" >+ Add Another</button>
</div>
</div>

<input type="hidden" name="gc" value="c">
<input type="hidden" name="agc" value="f">
</div>

<div id="redeem-reward" >
<h3><a  href="javascript:void(0);" onclick="toggleBoxPDP('redeem-reward-open','redeem-reward-closed');changeClassPDP('redeem-reward-head','down','right');toggleRewardCert();" id="redeem-reward-head">Redeem Reward Certificate</a></h3>
<div id="redeem-reward-closed"></div>
<div id="redeem-reward-open" >
<div id="errordiv" style="display:none">
<div >
<ul>
<li>Please enter the certificate Number</li>
</ul>
</div>
</div>





<label>Member ID</label>
<input id="memberNo" maxlength="17" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.rwzCertMemberNumbers" value=""  onkeypress="return numOnly(event);" type="tel" size="5"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.rwzCertMemberNumbers" value=" " type="hidden">
<label>Certificate Number <span >Last 10 digits</span></label>
<input id="certName" maxlength="15" name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.rwzCertNumbers" value=""  onkeypress="return numOnly(event);" type="tel"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.rwzCertNumbers" value=" " type="hidden">
<h4>Amount</h4>
<p>The value of your reward certificates may not be greater than your order total, before tax and shipping.
</p>
<h4>Member ID</h4>
<p>Certificates applied to your order can only be associated with one Rewards account.</p>

<input type="hidden" name="rz" value="c">
<input type="hidden" name="arz" value="f">
</div>
</div>




<div id="redeem-promo" >
<h3><a  href="javascript:void(0);" onclick="toggleBoxPDP('redeem-promo-open','redeem-promo-closed');changeClassPDP('redeem-promo-head','down','right');togglePromoCode();" id="redeem-promo-head" style="font-size: 15px">Redeem Promotional Code</a></h3>
<div id="redeem-promo-closed"></div>
<div id="redeem-promo-open" >



<label >Code</label>
<input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=""  type="text"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=" " type="hidden"><div id="add-promoCode-content1" >
<label >Code</label>
<input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=""  type="text"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=" " type="hidden"></div>
<div id="add-promoCode-content2" >
<label >Code</label>
<input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=""  type="text"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=" " type="hidden"></div>
<div id="add-promoCode-content3" >
<label >Code</label>
<input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=""  type="text"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=" " type="hidden"></div>
<div id="add-promoCode-content4" >
<label >Code</label>
<input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=""  type="text"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.digitalDiscountsIds" value=" " type="hidden"></div>
<div >
<button id="add-promoCode" >+ Add Another</button>
</div>
</div>

<input type="hidden" name="pc" value="c">
<input type="hidden" name="apc" value="f">
</div>





</div>
<div >
<div >



















<div id="lefcont">
<ul><li>Product Total</li></ul>
</div>
<div id="righcont">
<ul><li>$13.99</li></ul>
</div>





















<!-- bbmdotp-app32/dlpmdtapp129-14.41.167-->




<div ></div>














<div>
</div>








<div id="lefcont">
<ul>
<li>Sales Tax:</li>
</ul>
</div>
<div id="righcont">
<ul >
<li>$1.33</li>
</ul>
</div>

<input name="cancelurl" value="/m/e/checkout/payinfo.jsp" type="hidden"><input name="_D:cancelurl" value=" " type="hidden">
<input name="taxFlag" value="false" type="hidden"><input name="_D:taxFlag" value=" " type="hidden"><input name="srcpage" value="payment" type="hidden"><input name="_D:srcpage" value=" " type="hidden"><input type="hidden" name="requestFrom" value="mobile">
<input type="hidden" name="mobileType" value="enhanced">
<div>
<ul>
<li>

<a href="Javascript:taxFormProcess();">Is this a tax-exempt purchase?</a>

</li>
</ul>
</div>



<div id="lefcont">
<ul>
<li><strong> Order Total: </strong></li>
</ul>
</div>
<div id="righcont">
<ul >
<li>
<strong>
$15.32</strong>
</li>
</ul>
</div>
<input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.editValue.page" value="addNewCustomer" type="hidden"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.editValue.page" value=" " type="hidden"><input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.makeDefaultSelected" value="true" type="hidden"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.makeDefaultSelected" value=" " type="hidden"><input name="TxtFirstName" value="" type="hidden"><input name="_D:TxtFirstName" value=" " type="hidden"><input name="TxtMI" value="" type="hidden"><input name="_D:TxtMI" value=" " type="hidden"><input name="TxtLastName" value="" type="hidden"><input name="_D:TxtLastName" value=" " type="hidden"><input type="hidden" name="isBilling" value="false">
<input type="hidden" name="submitForm" value="true">
<input type="hidden" name="chkFlag" value="true">
<input type="hidden" name="requestFrom" value="mobile">
<input type="hidden" name="mobileType" value="enhanced">
<input name="/bestbuy/digiterra/util/PayPalRequestInfo.paymentType" value="default" type="hidden"><input name="_D:/bestbuy/digiterra/util/PayPalRequestInfo.paymentType" value=" " type="hidden"><input type="hidden" value="" name="addressId" id="addressId">
<input name="/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.continue" value="Continue" type="hidden"><input name="_D:/bestbuy/digiterra/commerce/order/formhandler/CheckoutPaymentFormHandler.continue" value=" " type="hidden"><div >
<input type="button"  name="continue" value="Continue" onclick="validateInput();">
</div>
</div>
</div>
</div>


</div>
</div>
<input id="csrfToken" name="csrfToken" value="" type="hidden"><input name="_DARGS" value="/m/e/checkout/paymentGroups.jsp.1" type="hidden"></form>