chromium/components/test/data/autofill/heuristics/input/169_dominos_de.html

<!DOCTYPE html>
<html>
  <head>
    <meta charset="UTF-8">
    <title></title>
  </head>
  <body>
    <form id="delivery-details" method="POST">
        <label id="customer-postcode-label" class="form-label" for="customer-postcode">Postleitzahl</label>
        <input value="" placeholder="" id="customer-postcode" type="text" class="form-control" name="Customer.Postcode">
        <label id="customer-street-name-label" for="customer-street-name" class="form-label">
            Straßenname
        </label>
        <input class="form-control" value="" id="customer-street-name" type="text" name="Customer.Street" >
        <label id="customer-street-no-label" for="customer-street-no" class="form-label">
            Hausnummer
        </label>
        <input value="" id="customer-street-no" class="form-control" type="text" name="Customer.StreetNo" >
        <input type="checkbox" id="at_remember-my-details" name="Customer.RememberMyDetails" value="true">
        <label class="form-label checkbox" id="remember-my-details-label" for="at_remember-my-details">Filialauswahl merken</label>
    </form>
  </body>
</html>