mozilla-central/browser/extensions/formautofill/test/fixtures/third_party/BestBuy/Checkout_Payment.html

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<!DOCTYPE html>
<html lang="en">
<head>
<title>Checkout – Best Buy</title>
</head>
<body>
<form name="frmSearch" action="https://www.bestbuy.com/site/searchpage.jsp" method="GET">
<input type="text" value="" name="st" maxlength="90" placeholder="Search Best Buy" id="gh-search-input" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false">
<input type="hidden" value="UTF-8" name="_dyncharset">
<input type="hidden" value="pcat17071" name="id">
<input type="hidden" value="page" name="type">
<input type="hidden" value="Global" name="sc">
<input type="hidden" value="1" name="cp">
<input type="hidden" value="" name="nrp">
<input type="hidden" value="" name="sp">
<input type="hidden" value="" name="qp">
<input type="hidden" value="n" name="list">
<input type="hidden" value="true" name="af">
<input type="hidden" value="y" name="iht">
<input type="hidden" value="All Categories" name="usc">
<input type="hidden" value="960" name="ks">
<input type="hidden" id="keys" value="keys" name="keys">
</form>
<label for="footerEmailSignup">GET THE LATEST DEALS &amp; MORE</label>
<input type="text" id="footerEmailSignup" name="email" placeholder="Enter E-Mail Address">
<input type="submit" value="Sign Up"
title="Sign Up">
</form>
<form action="javascript://">
<div>
<label for="fulfillment.fulfillmentGroups.0.fulfillment.address.firstName">
<span>
<p>First Name</p>
</span>
<div>
<input type="text" id="fulfillment.fulfillmentGroups.0.fulfillment.address.firstName" name="firstName" maxlength="29" value="">
</div>
</label>
</div>
<div>
<label for="fulfillment.fulfillmentGroups.0.fulfillment.address.lastName">
<span>
<p>Last Name</p>
</span>
<div>
<input type="text" id="fulfillment.fulfillmentGroups.0.fulfillment.address.lastName" name="lastName" maxlength="30" value="">
</div>
</label>
</div>
<div>
<label for="fulfillment.fulfillmentGroups.0.fulfillment.address.street">
<span>
<p>Address</p>
</span>
<div>
<input type="text" id="fulfillment.fulfillmentGroups.0.fulfillment.address.street" name="street" maxlength="35" value="">
</div>
</label>
</div>
<div>
<label id="fulfillment.fulfillmentGroups.0.fulfillment.address.city" for="fulfillment.fulfillmentGroups.0.fulfillment.address.city">
<span>
<p>City</p>
</span>
<div>
<input type="text" id="fulfillment.fulfillmentGroups.0.fulfillment.address.city" name="city" maxlength="30" value="">
</div>
</label>
</div>
<div>
<label for="fulfillment.fulfillmentGroups.0.fulfillment.address.state">
<span>
<p>State</p>
</span>
<div>
<select id="fulfillment.fulfillmentGroups.0.fulfillment.address.state" name="state">
<option value="">Select a state</option>
<option value="AL">AL - Alabama</option>
<option value="AK">AK - Alaska</option>
<option value="AP">AP - Armed Forces Pacific</option>
<option value="AE">AE - Armed Force Europe</option>
<option value="AA">AA - Armed Forces America</option>
<option value="AZ">AZ - Arizona</option>
<option value="AR">AR - Arkansas</option>
<option value="CA">CA - California</option>
<option value="CO">CO - Colorado</option>
<option value="CT">CT - Connecticut</option>
<option value="DC">DC - Washington D.C.</option>
<option value="DE">DE - Delaware</option>
<option value="FL">FL - Florida</option>
<option value="GA">GA - Georgia</option>
<option value="GU">GU - Guam</option>
<option value="HI">HI - Hawaii</option>
<option value="ID">ID - Idaho</option>
<option value="IL">IL - Illinois</option>
<option value="IN">IN - Indiana</option>
<option value="IA">IA - Iowa</option>
<option value="KS">KS - Kansas</option>
<option value="KY">KY - Kentucky</option>
<option value="LA">LA - Louisiana</option>
<option value="ME">ME - Maine</option>
<option value="MD">MD - Maryland</option>
<option value="MA">MA - Massachusetts</option>
<option value="MI">MI - Michigan</option>
<option value="MN">MN - Minnesota</option>
<option value="MS">MS - Mississippi</option>
<option value="MO">MO - Missouri</option>
<option value="MT">MT - Montana</option>
<option value="NE">NE - Nebraska</option>
<option value="NV">NV - Nevada</option>
<option value="NH">NH - New Hampshire</option>
<option value="NJ">NJ - New Jersey</option>
<option value="NM">NM - New Mexico</option>
<option value="NY">NY - New York</option>
<option value="NC">NC - North Carolina</option>
<option value="ND">ND - North Dakota</option>
<option value="OH">OH - Ohio</option>
<option value="OK">OK - Oklahoma</option>
<option value="OR">OR - Oregon</option>
<option value="PA">PA - Pennsylvania</option>
<option value="RI">RI - Rhode Island</option>
<option value="SC">SC - South Carolina</option>
<option value="SD">SD - South Dakota</option>
<option value="TN">TN - Tennessee</option>
<option value="TX">TX - Texas</option>
<option value="UT">UT - Utah</option>
<option value="VT">VT - Vermont</option>
<option value="VA">VA - Virginia</option>
<option value="VI">VI - Virgin Islands</option>
<option value="WA">WA - Washington</option>
<option value="WV">WV - West Virginia</option>
<option value="WI">WI - Wisconsin</option>
<option value="WY">WY - Wyoming</option>
</select>
</div>
</label>
</div>
<div>
<label for="fulfillment.fulfillmentGroups.0.fulfillment.address.zipcode">
<span>
<p>ZIP Code</p>
</span>
<div>
<input type="tel" id="fulfillment.fulfillmentGroups.0.fulfillment.address.zipcode" name="zipcode" maxlength="5" value="">
</div>
</label>
</div>
</form>
<div role="search">
<div id="app">
<div>
<div>
<div>
<div>
<section>
<div>
<div>
<section>
<section>
<div>
<ul>
<li>
<label for="ispu-fulfillmentci779178028329">
<div>
<input type="radio" id="ispu-fulfillmentci779178028329" name="fulfillment-options-list__radio_0" value="">
<i>
</i>
</div>
<strong>
<span>Tomorrow</span>
<span>
<p> at a Best Buy store</p>
</span>
</strong>
<div>
<span>
<p>Store pick ups are usually ready within one hour and held for up to 8 days</p>
</span>
</div>
</label>
</li>
</ul>
</div>
<div>
<ul>
<li>
<label for="0losTwo Day">
<div>
<input type="radio" id="0losTwo Day" name="fulfillment-options-list__radio_0" value="">
<i>
</i>
</div>
<strong>
<span>Wed, Mar 22</span>
</strong>- Two Day Shipping
</label>
</li>
<li>
<label for="0losOne Day">
<div>
<input type="radio" id="0losOne Day" name="fulfillment-options-list__radio_0" value="">
<i>
</i>
</div>
<strong>
<span>Tue, Mar 21</span>
</strong>- One Day Shipping
</label>
</li>
<li>
<label for="0losSame Day">
<div>
<input type="radio" id="0losSame Day" name="fulfillment-options-list__radio_0" value="">
<i>
</i>
</div>
<strong>
<span>Tomorrow</span>
</strong>- Same Day Shipping
</label>
</li>
</ul>
</div>
</section>
<section>
<label for="save-for-billing-address-0">
<div>
<input type="checkbox" id="save-for-billing-address-0" value="">
<i>
</i>
</div>
<span>
<p>Save this as my billing address</p>
</span>
</label>
</section>
</section>
</div>
<div>
<section>
<div>
<label for="user.emailAddress">
<span>
<p>E-mail Address</p>
</span>
<div>
<input id="user.emailAddress" name="emailAddress" value="">
</div>
</label>
</div>
<div>
<label for="user.phone">
<span>
<p>Phone Number</p>
</span>
<div>
<input type="tel" id="user.phone" name="phone" maxlength="12" value="">
</div>
</label>
</div>
<div>
<label for="text-updates">
<div>
<input type="checkbox" id="text-updates" value="">
</div>
<span>
<p>Send me text notifications for my order</p>
</span>
</label>
</div>
</section>
</div>
</div>
</section>
</div>
</div>
</div>
</div>
</div>
</div>
</body>
</html>