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Side by Side Diff: chrome/test/data/autofill/heuristics/input/03_checkout_cduniverse.com.html

Issue 7120008: Autofill heuristics regression suite (Closed) Base URL: svn://svn.chromium.org/chrome/trunk/src
Patch Set: Created 9 years, 6 months ago
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1
2
3 <html>
4 <head>
5 <title>CD Universe</title>
6 <meta name="robots" content="noindex,nofollow">
7
8
9
10
11
12 <LINK rel="stylesheet" href="/stylesheet.css" type="text/css">
13 <STYLE>.contentdesctop{color: gray;margin-top: 10px; background-color: white; po sition: absolute; top: 17px; right: 10px; text-align: right;}</STYLE>
14 </head>
15
16
17 <body bgcolor="#FFFFFF" text="#000000" link="#0000FF" vlink="#000099" leftmargin ="0" topmargin="4" marginwidth="0" marginheight="0">
18
19
20 <form name="frmSearch" id="frmSearch" action="http://www.cduniverse.com /sresult.asp" method="GET" style="display: inline;">
21
22 <table width="100%" border="0" cellpadding="0" cellspacing="0" id="ntgen">
23 <tr>
24 <td width="211"><a href="http://www.cduniverse.com/default.asp?styl e=music"><img src="https://www.cduniverse.com/images/nlogo-cd.gif" alt="CD Unive rse" border="0"></a></td>
25 <td>
26 <table width="100%" border="0" cellpadding="0" cellspacing="0" id="ntgen2">
27 <tr>
28 <td>
29 <table height="40" border="0" cellpadding="0" cellspacing="0" width= "100%" id="ntgen3">
30 <tr>
31 <td valign="bottom" width="100">
32
33 <table cellspacing="0" cellpadding="0" border="0" id="ntm4">
34 <tr>
35
36 <td><a href="http://www.cduniverse.com/"><img src="http s://www.cduniverse.com/images/ntab-musicon.gif" alt="Music" border="0"></a></td>
37
38 <td><a href="http://www.cduniverse.com/default.asp?style=mp3"><img sr c="https://www.cduniverse.com/images/ntab-mp3.gif" alt="MP3" border="0"></a></td >
39
40 <td><a href="http://www.cduniverse.com/default.asp?style=movi e"><img src="https://www.cduniverse.com/images/ntab-movies.gif" alt="Movies" bor der="0"></a></td>
41 <td><a href="http://www.cduniverse.com/default.asp?style=game s"><img src="https://www.cduniverse.com/images/ntab-games.gif" alt="Games" borde r="0"></a></td>
42
43 </tr>
44 </table>
45
46 </td>
47 <td align="right">
48 <table cellpadding="0" cellspacing="0" id="nav-buttons"><tr><t d width=100></td><td width="49" align=right valign=top><a href="http://www.cduni verse.com/checkout/cart.asp?style=music" rel="nofollow"><img id="imgInCartMain" src="https://www.cduniverse.com/images/nb-vcO.gif" alt="View Cart" border="0" hs pace="6"></a></td><td width="70"><a href="https://www.cduniverse.com/checkout/ac count.asp?style=music" rel="nofollow"><img src="https://www.cduniverse.com/image s/nb-ya.gif" alt="Your Account" border=0 hspace=6 ></a></td><td width="52"><a hr ef="http://www.cduniverse.com/wishlist.asp?style=music" rel="nofollow"><img src= "https://www.cduniverse.com/images/nb-wl.gif" alt="Wish List" border=0 hspace=6> </a></td><td><a href="http://www.cduniverse.com/policy.asp?style=music" rel="nof ollow"><img src="https://www.cduniverse.com/images/nb-h.gif" alt="Help" border=0 hspace=6></a></td></tr></table>
49 </td>
50 </tr>
51 </table></td>
52 </tr>
53
54 <tr bgcolor="#00528A">
55 <td colspan="2" height="32" align=right><table cellspacing=0 cellpad ding=0 border=0><tr><td width=250 align="center"><style type="text/css">
56 a.session{color:#ffffff;text-decoration:none;}
57 a.session:hover {color:#ffffff;text-decoration:underline;}
58 a.session:visited {color:#ffffff;text-decoration:none;}</style>
59 <span style="font-size:10px;font-weight:bold;color:#ffffff">Existing Customer? & nbsp;<a class="session" rel="nofollow" href="https://www.cduniverse.com/login.as p?style=music&amp;noref=1">Sign In</a>&nbsp;&nbsp;&nbsp;</span><br></td><td widt h="115" align="right"><!-- START SCANALERT CODE --><a target="_blank" rel="nofol low" href="https://www.mcafeesecure.com/RatingVerify?ref=www.cduniverse.com"><im g width="115" height="32" border="0" src="//images.scanalert.com/meter/www.cduni verse.com/12.gif" alt="McAfee SECURE sites help keep you safe from identity thef t, credit card fraud, spyware, spam, viruses and online scams" ></a><!-- END SCA NALERT CODE --></td></tr></table><td></tr>
60 </table><!--ntm2-->
61 </td>
62 </tr>
63 </table><!--End NTM-->
64 </form>
65
66 <table id="ntmusic" width="100%" cellspacing="0" cellpadding="0">
67 <tr>
68 <td background="https://www.cduniverse.com/images/msn-bg.jpg">
69 <table cellspacing="0" cellpadding="0">
70 <tr>
71 <td><a border="none" style="text-decoration:none;outline-style:none;co lor:black" href="http://www.cduniverse.com/default.asp?style=music"><img border= "none" src="https://www.cduniverse.com/images/msn-allo.jpg"></a></td>
72
73
74 <td><a border="none" rel="nofollow" style="text-decoration:none;outlin e-style:none;color:black" href="http://www.cduniverse.com/default.asp?style=mp3" ><img border="none" src="https://www.cduniverse.com/images/msn-mp3.jpg"></a></td >
75
76
77 <td><a border="none" style="text-decoration:none;outline-style:none;co lor:black" href="http://www.cduniverse.com/default.asp?style=classical"><img bor der="none" src="https://www.cduniverse.com/images/msn-classical.jpg"></a></td>
78 </tr>
79 </table>
80 </td>
81
82 </tr>
83 </table>
84 <br><tr><table width="100%" bgcolor=white id="dpbs1"><tr><td width="100%">
85 <!--<td width="100%" valign="top">-->
86 <center><br><table bgcolor="white" width="700" border="0" cellpadding="0 " cellspacing="0" id="pcs">
87 <tr><td rowspan="1" valign="top"><div style="margin:0px 0px 14px 0px;"><img src="https://www.cduniverse.com/images/step2a.jpg"></div>
88
89 <table width="100%" border="0" cellpadding="cellspacing=4">
90
91
92 <form METHOD="POST" ACTION="account.asp?style=music&amp;vDestURL =" id="form3" name="form3">
93 <tr>
94 <td width="229"><font FACE=""Verdana, Helvetica, Sans-Se rif"" SIZE="2">
95
96 First Name
97
98 </b></font></td>
99
100 <td width="998"><input NAME="HT_First_Name" TYPE="TEXT" ROWS="1" SIZE="15" MAXLENGTH="19" VALUE=""></td>
101 </tr>
102 <tr>
103 <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE=" 2">
104
105 Last Name
106
107 </b></font></td>
108 <td><input NAME="HT_Last_Name" TYPE="TEXT" ROWS="1" SIZE ="25" MAXLENGTH="30" VALUE=""></td>
109 </tr>
110 <tr>
111 <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE=" 2">
112 <br>
113
114 Password
115
116 </b></font></td>
117 <td><br>
118 <input NAME="HT_Password" TYPE="PASSWORD" ROWS="1" SIZ E="20" MAXLENGTH="20"></td></tr>
119 <tr>
120 <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE=" 2">
121
122 <b>Re-enter Password</b></font>
123
124 </td>
125 <td><input NAME="HT_Conf_Password" TYPE="PASSWORD" ROWS= "1" SIZE="20" MAXLENGTH="20"></td>
126 </tr>
127 <tr>
128 <td COLSPAN="2" height="20"></td>
129 </tr>
130 <tr>
131 <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE=" 2"><b>
132
133 Email
134
135 </b></font></td>
136 <td><input NAME="HT_email" TYPE="TEXT" ROWS="1" SIZE="40 " MAXLENGTH="50" VALUE=""></td>
137 </tr>
138
139
140 <tr>
141 <td colspan="2">We use your email address to not ify you when your order ships, or for any problems with your order.<br>Leave the box blank if you do not have an email address.</td>
142 </tr>
143 <tr>
144 <td COLSPAN="2"><br><font FACE=""Verdana, Helvet ica, Sans-Serif"" size="2"><b>Please make note of your name and password for fut ure orders.</b></font><br><br></td>
145 </tr>
146 <tr>
147 <td COLSPAN="2"><br><br>
148 <div class="label">Bill To: <font color=gray size=1px>(must match credit card)</font></div><hr width="100%" size="1" color="#c0c0c0" noshade>
149 </td>
150 </tr>
151 <tr>
152 <td>
153 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b><nobr>Address 1</nobr></b></font></td>
154 <td>
155 <input NAME="HT_Bill_Address1" TYPE="TEXT" ROWS= "1" SIZE="35" MAXLENGTH="50" VALUE=""></td>
156 </tr>
157 <tr>
158
159 <td valign="top"> <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" C OLOR="BLACK"><b><nobr>Address 2</nobr></b></font> </td>
160 <td>
161 <input NAME="HT_Bill_Address2" TYPE="TEXT" ROWS= "1" SIZE="35" MAXLENGTH="50" VALUE="">
162 <br>
163 <font color="#999999">(Apt, Suite, Floor # if applicable)</font> <br>
164 <br>
165 </td>
166 </tr>
167 <tr>
168 <td>
169 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>City</b></font></td>
170 <td>
171 <input NAME="HT_Bill_City" TYPE="TEXT" ROWS="1" SIZE="30" MAXLENGTH="50" VALUE=""></td>
172 </tr>
173 <tr>
174 <td>
175 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>State/Province</b></font></td>
176 <td>
177 <input NAME="HT_Bill_State" TYPE="TEXT" ROWS="1" SIZE="4" MAXLENGTH="20" VALUE=""><font SIZE="1" FACE=""Verdana, Helvetica, Sans -Serif"">&nbsp;Click&nbsp;<a target="new" HREF="stateabbrev.asp">here</a>&nbsp;f or State Abbreviations</font></td>
178 </tr>
179 <tr>
180 <td>
181 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>Zip/Postal Code</b></font></td>
182 <td>
183 <input NAME="HT_Bill_Zip" TYPE="TEXT" ROWS="1" S IZE="10" MAXLENGTH="16" VALUE=""></td>
184 </tr>
185 <tr>
186 <td>
187 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>Phone</b></font></td>
188 <td>
189 <input NAME="HT_phone" TYPE="TEXT" ROWS="1" SIZE ="16" MAXLENGTH="16" VALUE=""><font color="#999999">XXX-XXX-XXXX</font></td>
190 </tr>
191 <tr>
192 <td>
193 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>Country</b></font></td>
194 <td>
195 <select NAME="HT_Bill_Country" TYPE="TEXT" SIZE= "1" MAXLENGTH="26">
196
197
198 <option selected VALUE="USA">USA</option >
199 <OPTION VALUE=""></OPTION><OPTION VALUE="USA">US A</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="C anada">Canada</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE= "">=================</OPTION><OPTION VALUE="Afghanistan">Afghanistan</OPTION><OP TION VALUE="Albania">Albania</OPTION><OPTION VALUE="Algeria">Algeria</OPTION><OP TION VALUE="Andorra">Andorra</OPTION><OPTION VALUE="Angola">Angola</OPTION><OPTI ON VALUE="Anguilla">Anguilla</OPTION><OPTION VALUE="Antigua and Barbuda">Antigua and Barbuda</OPTION><OPTION VALUE="Argentina">Argentina</OPTION><OPTION VALUE=" Armenia">Armenia</OPTION><OPTION VALUE="Aruba">Aruba</OPTION><OPTION VALUE="Asce nsion">Ascension</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VAL UE="Austria">Austria</OPTION><OPTION VALUE="Azerbaijan">Azerbaijan</OPTION><OPTI ON VALUE="Bahamas">Bahamas</OPTION><OPTION VALUE="Bahrain">Bahrain</OPTION><OPTI ON VALUE="Bangladesh">Bangladesh</OPTION><OPTION VALUE="Barbados">Barbados</OPTI ON><OPTION VALUE="Belarus">Belarus</OPTION><OPTION VALUE="Belgium">Belgium</OPTI ON><OPTION VALUE="Belize">Belize</OPTION><OPTION VALUE="Benin">Benin</OPTION><OP TION VALUE="Bermuda">Bermuda</OPTION><OPTION VALUE="Bhutan">Bhutan</OPTION><OPTI ON VALUE="Bolivia">Bolivia</OPTION><OPTION VALUE="Bosnia-Herzegovina">Bosnia-Her zegovina</OPTION><OPTION VALUE="Botswana">Botswana</OPTION><OPTION VALUE="Brazil ">Brazil</OPTION><OPTION VALUE="British Virgin Isld">British Virgin Isld</OPTION ><OPTION VALUE="Brunei Darussalam">Brunei Darussalam</OPTION><OPTION VALUE="Bulg aria">Bulgaria</OPTION><OPTION VALUE="Burkina Faso">Burkina Faso</OPTION><OPTION VALUE="Burma (Myanmar)">Burma (Myanmar)</OPTION><OPTION VALUE="Burundi">Burundi </OPTION><OPTION VALUE="Cambodia">Cambodia</OPTION><OPTION VALUE="Cameroon">Came roon</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Cape Verde">Ca pe Verde</OPTION><OPTION VALUE="Cayman Islands BWI">Cayman Islands BWI</OPTION>< OPTION VALUE="Central African Rep">Central African Rep</OPTION><OPTION VALUE="Ch ad">Chad</OPTION><OPTION VALUE="Chile">Chile</OPTION><OPTION VALUE="China">China </OPTION><OPTION VALUE="Colombia">Colombia</OPTION><OPTION VALUE="Comoros">Comor os</OPTION><OPTION VALUE="Congo, Democratic">Congo, Democratic</OPTION><OPTION V ALUE="Congo, Republic">Congo, Republic</OPTION><OPTION VALUE="Costa Rica">Costa Rica</OPTION><OPTION VALUE="Croatia">Croatia</OPTION><OPTION VALUE="Cuba">Cuba</ OPTION><OPTION VALUE="Cyprus">Cyprus</OPTION><OPTION VALUE="Czech Republic">Czec h Republic</OPTION><OPTION VALUE="Denmark">Denmark</OPTION><OPTION VALUE="Djibou ti">Djibouti</OPTION><OPTION VALUE="Dominica">Dominica</OPTION><OPTION VALUE="Do minican Republic">Dominican Republic</OPTION><OPTION VALUE="Ecuador">Ecuador</OP TION><OPTION VALUE="Egypt">Egypt</OPTION><OPTION VALUE="El Salvador">El Salvador </OPTION><OPTION VALUE="Equatorial Guinea">Equatorial Guinea</OPTION><OPTION VAL UE="Eritrea">Eritrea</OPTION><OPTION VALUE="Estonia">Estonia</OPTION><OPTION VAL UE="Ethiopia">Ethiopia</OPTION><OPTION VALUE="Falkland Islands">Falkland Islands </OPTION><OPTION VALUE="Faroe Islands">Faroe Islands</OPTION><OPTION VALUE="Fiji ">Fiji</OPTION><OPTION VALUE="Finland">Finland</OPTION><OPTION VALUE="France">Fr ance</OPTION><OPTION VALUE="France">Corsica</OPTION><OPTION VALUE="French Guiana ">French Guiana</OPTION><OPTION VALUE="French Polynesia">French Polynesia</OPTIO N><OPTION VALUE="Gabon">Gabon</OPTION><OPTION VALUE="Gambia">Gambia</OPTION><OPT ION VALUE="Georgia, Republic Of">Georgia, Republic Of</OPTION><OPTION VALUE="Ger many">Germany</OPTION><OPTION VALUE="Ghana">Ghana</OPTION><OPTION VALUE="Gibralt ar">Gibraltar</OPTION><OPTION VALUE="Greece">Greece</OPTION><OPTION VALUE="Green land">Greenland</OPTION><OPTION VALUE="Grenada">Grenada</OPTION><OPTION VALUE="G uadeloupe">Guadeloupe</OPTION><OPTION VALUE="Guatemala">Guatemala</OPTION><OPTIO N VALUE="Guinea">Guinea</OPTION><OPTION VALUE="Guinea-Bissau">Guinea-Bissau</OPT ION><OPTION VALUE="Guyana">Guyana</OPTION><OPTION VALUE="Haiti">Haiti</OPTION><O PTION VALUE="Honduras">Honduras</OPTION><OPTION VALUE="Hong Kong">Hong Kong</OPT ION><OPTION VALUE="Hungary">Hungary</OPTION><OPTION VALUE="Iceland">Iceland</OPT ION><OPTION VALUE="India">India</OPTION><OPTION VALUE="Indonesia">Indonesia</OPT ION><OPTION VALUE="Indonesia">East Timor</OPTION><OPTION VALUE="Iran">Iran</OPTI ON><OPTION VALUE="Iraq">Iraq</OPTION><OPTION VALUE="Ireland">Ireland</OPTION><OP TION VALUE="Israel">Israel</OPTION><OPTION VALUE="Italy">Italy</OPTION><OPTION V ALUE="Ivory Coast">Ivory Coast</OPTION><OPTION VALUE="Jamaica">Jamaica</OPTION>< OPTION VALUE="Japan">Japan</OPTION><OPTION VALUE="Jordan">Jordan</OPTION><OPTION VALUE="Kazakhistan">Kazakhistan</OPTION><OPTION VALUE="Kenya">Kenya</OPTION><OP TION VALUE="Kiribati">Kiribati</OPTION><OPTION VALUE="Kosovo">Kosovo</OPTION><OP TION VALUE="Kuwait">Kuwait</OPTION><OPTION VALUE="Kyrgyzstan">Kyrgyzstan</OPTION ><OPTION VALUE="Laos">Laos</OPTION><OPTION VALUE="Latvia">Latvia</OPTION><OPTION VALUE="Lebanon">Lebanon</OPTION><OPTION VALUE="Lesotho">Lesotho</OPTION><OPTION VALUE="Liberia">Liberia</OPTION><OPTION VALUE="Libya">Libya</OPTION><OPTION VAL UE="Liechtenstein">Liechtenstein</OPTION><OPTION VALUE="Lithuania">Lithuania</OP TION><OPTION VALUE="Luxembourg">Luxembourg</OPTION><OPTION VALUE="Macau">Macau</ OPTION><OPTION VALUE="Macedonia">Macedonia</OPTION><OPTION VALUE="Madagascar">Ma dagascar</OPTION><OPTION VALUE="Malawi">Malawi</OPTION><OPTION VALUE="Malaysia"> Malaysia</OPTION><OPTION VALUE="Maldives">Maldives</OPTION><OPTION VALUE="Mali"> Mali</OPTION><OPTION VALUE="Malta">Malta</OPTION><OPTION VALUE="Martinique">Mart inique</OPTION><OPTION VALUE="Mauritania">Mauritania</OPTION><OPTION VALUE="Maur itius">Mauritius</OPTION><OPTION VALUE="Mexico">Mexico</OPTION><OPTION VALUE="Mo ldova">Moldova</OPTION><OPTION VALUE="Mongolia">Mongolia</OPTION><OPTION VALUE=" Montenegro, Republic Of">Montenegro, Republic Of</OPTION><OPTION VALUE="Montserr at">Montserrat</OPTION><OPTION VALUE="Morocco">Morocco</OPTION><OPTION VALUE="Mo zambique">Mozambique</OPTION><OPTION VALUE="Namibia">Namibia</OPTION><OPTION VAL UE="Nauru">Nauru</OPTION><OPTION VALUE="Nepal">Nepal</OPTION><OPTION VALUE="Neth er. Antil.">Nether. Antil.</OPTION><OPTION VALUE="Netherlands">Netherlands</OPTI ON><OPTION VALUE="New Caledonia">New Caledonia</OPTION><OPTION VALUE="New Zealan d">New Zealand</OPTION><OPTION VALUE="Nicaragua">Nicaragua</OPTION><OPTION VALUE ="Niger">Niger</OPTION><OPTION VALUE="Nigeria">Nigeria</OPTION><OPTION VALUE="No rth Korea">North Korea</OPTION><OPTION VALUE="Norway">Norway</OPTION><OPTION VAL UE="Oman">Oman</OPTION><OPTION VALUE="Pakistan">Pakistan</OPTION><OPTION VALUE=" Panama">Panama</OPTION><OPTION VALUE="Papua New Guinea">Papua New Guinea</OPTION ><OPTION VALUE="Paraguay">Paraguay</OPTION><OPTION VALUE="Peru">Peru</OPTION><OP TION VALUE="Philippines">Philippines</OPTION><OPTION VALUE="Pitcairn Island">Pit cairn Island</OPTION><OPTION VALUE="Poland">Poland</OPTION><OPTION VALUE="Portug al">Portugal</OPTION><OPTION VALUE="Qatar">Qatar</OPTION><OPTION VALUE="Reunion" >Reunion</OPTION><OPTION VALUE="Romania">Romania</OPTION><OPTION VALUE="Russia"> Russia</OPTION><OPTION VALUE="Rwanda">Rwanda</OPTION><OPTION VALUE="San Marino"> San Marino</OPTION><OPTION VALUE="Sao Tome & Principe">Sao Tome & Principe</OPTI ON><OPTION VALUE="Saudi Arabia">Saudi Arabia</OPTION><OPTION VALUE="Senegal">Sen egal</OPTION><OPTION VALUE="Serbia">Serbia</OPTION><OPTION VALUE="Seychelles">Se ychelles</OPTION><OPTION VALUE="Sierra Leone">Sierra Leone</OPTION><OPTION VALUE ="Singapore">Singapore</OPTION><OPTION VALUE="Slovakia">Slovakia</OPTION><OPTION VALUE="Slovenia">Slovenia</OPTION><OPTION VALUE="Solomon Islands">Solomon Islan ds</OPTION><OPTION VALUE="South Africa">South Africa</OPTION><OPTION VALUE="Sout h Korea">South Korea</OPTION><OPTION VALUE="Spain">Spain</OPTION><OPTION VALUE=" Sri Lanka">Sri Lanka</OPTION><OPTION VALUE="St. Helena">St. Helena</OPTION><OPTI ON VALUE="St. Kitts And Nevis">St. Kitts And Nevis</OPTION><OPTION VALUE="St. Ki tts And Nevis">St. Christopher</OPTION><OPTION VALUE="St. Lucia">St. Lucia</OPTI ON><OPTION VALUE="St. Pierre">St. Pierre</OPTION><OPTION VALUE="St. Vincent/Gren adine">St. Vincent/Grenadine</OPTION><OPTION VALUE="Sudan">Sudan</OPTION><OPTION VALUE="Suriname">Suriname</OPTION><OPTION VALUE="Swaziland">Swaziland</OPTION>< OPTION VALUE="Sweden">Sweden</OPTION><OPTION VALUE="Switzerland">Switzerland</OP TION><OPTION VALUE="Syria">Syria</OPTION><OPTION VALUE="Taiwan">Taiwan</OPTION>< OPTION VALUE="Tajkistan">Tajkistan</OPTION><OPTION VALUE="Tanzania">Tanzania</OP TION><OPTION VALUE="Thailand">Thailand</OPTION><OPTION VALUE="Togo">Togo</OPTION ><OPTION VALUE="Tonga">Tonga</OPTION><OPTION VALUE="Trinidad and Tobago">Trinida d and Tobago</OPTION><OPTION VALUE="Tristan da Cunha">Tristan da Cunha</OPTION>< OPTION VALUE="Tunisia">Tunisia</OPTION><OPTION VALUE="Turkey">Turkey</OPTION><OP TION VALUE="Turkmenistan">Turkmenistan</OPTION><OPTION VALUE="Turks and Caicos I sl">Turks and Caicos Isl</OPTION><OPTION VALUE="Tuvalu">Tuvalu</OPTION><OPTION V ALUE="Uganda">Uganda</OPTION><OPTION VALUE="Ukraine">Ukraine</OPTION><OPTION VAL UE="United Arab Emirate">United Arab Emirate</OPTION><OPTION VALUE="United Kingd om">United Kingdom</OPTION><OPTION VALUE="United Kingdom">Great Britain</OPTION> <OPTION VALUE="Uruguay">Uruguay</OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="USA">United States</OPTION><OPTION VALUE="Uzbekistan">Uzbekistan</OPTION> <OPTION VALUE="Vanuatu">Vanuatu</OPTION><OPTION VALUE="Vatican City">Vatican Cit y</OPTION><OPTION VALUE="Venezuela">Venezuela</OPTION><OPTION VALUE="Vietnam">Vi etnam</OPTION><OPTION VALUE="Wallis and Futuna Is">Wallis and Futuna Is</OPTION> <OPTION VALUE="Western Samoa">Western Samoa</OPTION><OPTION VALUE="Yemen">Yemen< /OPTION><OPTION VALUE="Zambia">Zambia</OPTION><OPTION VALUE="Zimbabwe">Zimbabwe< /OPTION>
200
201 </select></td>
202 </tr>
203
204 <tr>
205 <td COLSPAN="2"><br><br>
206 <div class="label">Ship To: <font color=gray size=1px>(only if different than billing)</font></div><hr width="100%" size="1" color="#c0c0c0" noshade>
207 </td>
208 </tr>
209
210 <tr>
211
212 <td> <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"> <b>Full Name</b></font></td>
213 <td>
214 <input NAME="HT_Ship_Name" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE=""></td>
215 </tr>
216 <tr>
217 <td>
218 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>Address 1</b></font></td>
219 <td>
220 <input NAME="HT_Ship_Address1" TYPE="TEXT" ROWS= "1" SIZE="35" MAXLENGTH="50" VALUE=""></td>
221 </tr>
222 <tr>
223
224
225 <td valign="top"> <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" C OLOR="BLACK"><b>Address 2</b></font></td>
226 <td>
227 <input NAME="HT_Ship_Address2" TYPE="TEXT" ROWS= "1" SIZE="35" MAXLENGTH="50" VALUE="">
228 <br>
229 <font color="#999999">(Apt, Suite, Floor #)</font> <br>
230 <br>
231 </td>
232 </tr>
233 <tr>
234 <td>
235 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>City</b></font></td>
236 <td>
237 <input NAME="HT_Ship_City" TYPE="TEXT" ROWS="1" SIZE="30" MAXLENGTH="30" VALUE=""></td>
238 </tr>
239 <tr>
240 <td>
241 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>State/Province</b></font></td>
242 <td>
243 <input NAME="HT_Ship_State" TYPE="TEXT" ROWS="1" SIZE="4" MAXLENGTH="20" VALUE=""><font SIZE="1" FACE=""Verdana, Helvetica, Sans -Serif"">&nbsp;Click&nbsp;<a target="new" HREF="stateabbrev.asp">here</a>&nbsp;f or State Abbreviations</font></td>
244 </tr>
245 <tr>
246 <td>
247 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>Zip/Postal Code</b></font></td>
248 <td>
249 <input NAME="HT_Ship_Zip" TYPE="TEXT" ROWS="1" S IZE="10" MAXLENGTH="16" VALUE=""></td>
250 </tr>
251 <tr>
252 <td>
253 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2" COLOR="BLACK"><b>Country</b></font></td>
254 <td>
255 <select NAME="HT_Ship_Country" TYPE="TEXT" SIZE= "1" MAXLENGTH="50">
256
257 <OPTION VALUE=""></OPTION><OPTION VALUE="USA">US A</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="C anada">Canada</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE= "">=================</OPTION><OPTION VALUE="Afghanistan">Afghanistan</OPTION><OP TION VALUE="Albania">Albania</OPTION><OPTION VALUE="Algeria">Algeria</OPTION><OP TION VALUE="Andorra">Andorra</OPTION><OPTION VALUE="Angola">Angola</OPTION><OPTI ON VALUE="Anguilla">Anguilla</OPTION><OPTION VALUE="Antigua and Barbuda">Antigua and Barbuda</OPTION><OPTION VALUE="Argentina">Argentina</OPTION><OPTION VALUE=" Armenia">Armenia</OPTION><OPTION VALUE="Aruba">Aruba</OPTION><OPTION VALUE="Asce nsion">Ascension</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VAL UE="Austria">Austria</OPTION><OPTION VALUE="Azerbaijan">Azerbaijan</OPTION><OPTI ON VALUE="Bahamas">Bahamas</OPTION><OPTION VALUE="Bahrain">Bahrain</OPTION><OPTI ON VALUE="Bangladesh">Bangladesh</OPTION><OPTION VALUE="Barbados">Barbados</OPTI ON><OPTION VALUE="Belarus">Belarus</OPTION><OPTION VALUE="Belgium">Belgium</OPTI ON><OPTION VALUE="Belize">Belize</OPTION><OPTION VALUE="Benin">Benin</OPTION><OP TION VALUE="Bermuda">Bermuda</OPTION><OPTION VALUE="Bhutan">Bhutan</OPTION><OPTI ON VALUE="Bolivia">Bolivia</OPTION><OPTION VALUE="Bosnia-Herzegovina">Bosnia-Her zegovina</OPTION><OPTION VALUE="Botswana">Botswana</OPTION><OPTION VALUE="Brazil ">Brazil</OPTION><OPTION VALUE="British Virgin Isld">British Virgin Isld</OPTION ><OPTION VALUE="Brunei Darussalam">Brunei Darussalam</OPTION><OPTION VALUE="Bulg aria">Bulgaria</OPTION><OPTION VALUE="Burkina Faso">Burkina Faso</OPTION><OPTION VALUE="Burma (Myanmar)">Burma (Myanmar)</OPTION><OPTION VALUE="Burundi">Burundi </OPTION><OPTION VALUE="Cambodia">Cambodia</OPTION><OPTION VALUE="Cameroon">Came roon</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Cape Verde">Ca pe Verde</OPTION><OPTION VALUE="Cayman Islands BWI">Cayman Islands BWI</OPTION>< OPTION VALUE="Central African Rep">Central African Rep</OPTION><OPTION VALUE="Ch ad">Chad</OPTION><OPTION VALUE="Chile">Chile</OPTION><OPTION VALUE="China">China </OPTION><OPTION VALUE="Colombia">Colombia</OPTION><OPTION VALUE="Comoros">Comor os</OPTION><OPTION VALUE="Congo, Democratic">Congo, Democratic</OPTION><OPTION V ALUE="Congo, Republic">Congo, Republic</OPTION><OPTION VALUE="Costa Rica">Costa Rica</OPTION><OPTION VALUE="Croatia">Croatia</OPTION><OPTION VALUE="Cuba">Cuba</ OPTION><OPTION VALUE="Cyprus">Cyprus</OPTION><OPTION VALUE="Czech Republic">Czec h Republic</OPTION><OPTION VALUE="Denmark">Denmark</OPTION><OPTION VALUE="Djibou ti">Djibouti</OPTION><OPTION VALUE="Dominica">Dominica</OPTION><OPTION VALUE="Do minican Republic">Dominican Republic</OPTION><OPTION VALUE="Ecuador">Ecuador</OP TION><OPTION VALUE="Egypt">Egypt</OPTION><OPTION VALUE="El Salvador">El Salvador </OPTION><OPTION VALUE="Equatorial Guinea">Equatorial Guinea</OPTION><OPTION VAL UE="Eritrea">Eritrea</OPTION><OPTION VALUE="Estonia">Estonia</OPTION><OPTION VAL UE="Ethiopia">Ethiopia</OPTION><OPTION VALUE="Falkland Islands">Falkland Islands </OPTION><OPTION VALUE="Faroe Islands">Faroe Islands</OPTION><OPTION VALUE="Fiji ">Fiji</OPTION><OPTION VALUE="Finland">Finland</OPTION><OPTION VALUE="France">Fr ance</OPTION><OPTION VALUE="France">Corsica</OPTION><OPTION VALUE="French Guiana ">French Guiana</OPTION><OPTION VALUE="French Polynesia">French Polynesia</OPTIO N><OPTION VALUE="Gabon">Gabon</OPTION><OPTION VALUE="Gambia">Gambia</OPTION><OPT ION VALUE="Georgia, Republic Of">Georgia, Republic Of</OPTION><OPTION VALUE="Ger many">Germany</OPTION><OPTION VALUE="Ghana">Ghana</OPTION><OPTION VALUE="Gibralt ar">Gibraltar</OPTION><OPTION VALUE="Greece">Greece</OPTION><OPTION VALUE="Green land">Greenland</OPTION><OPTION VALUE="Grenada">Grenada</OPTION><OPTION VALUE="G uadeloupe">Guadeloupe</OPTION><OPTION VALUE="Guatemala">Guatemala</OPTION><OPTIO N VALUE="Guinea">Guinea</OPTION><OPTION VALUE="Guinea-Bissau">Guinea-Bissau</OPT ION><OPTION VALUE="Guyana">Guyana</OPTION><OPTION VALUE="Haiti">Haiti</OPTION><O PTION VALUE="Honduras">Honduras</OPTION><OPTION VALUE="Hong Kong">Hong Kong</OPT ION><OPTION VALUE="Hungary">Hungary</OPTION><OPTION VALUE="Iceland">Iceland</OPT ION><OPTION VALUE="India">India</OPTION><OPTION VALUE="Indonesia">Indonesia</OPT ION><OPTION VALUE="Indonesia">East Timor</OPTION><OPTION VALUE="Iran">Iran</OPTI ON><OPTION VALUE="Iraq">Iraq</OPTION><OPTION VALUE="Ireland">Ireland</OPTION><OP TION VALUE="Israel">Israel</OPTION><OPTION VALUE="Italy">Italy</OPTION><OPTION V ALUE="Ivory Coast">Ivory Coast</OPTION><OPTION VALUE="Jamaica">Jamaica</OPTION>< OPTION VALUE="Japan">Japan</OPTION><OPTION VALUE="Jordan">Jordan</OPTION><OPTION VALUE="Kazakhistan">Kazakhistan</OPTION><OPTION VALUE="Kenya">Kenya</OPTION><OP TION VALUE="Kiribati">Kiribati</OPTION><OPTION VALUE="Kosovo">Kosovo</OPTION><OP TION VALUE="Kuwait">Kuwait</OPTION><OPTION VALUE="Kyrgyzstan">Kyrgyzstan</OPTION ><OPTION VALUE="Laos">Laos</OPTION><OPTION VALUE="Latvia">Latvia</OPTION><OPTION VALUE="Lebanon">Lebanon</OPTION><OPTION VALUE="Lesotho">Lesotho</OPTION><OPTION VALUE="Liberia">Liberia</OPTION><OPTION VALUE="Libya">Libya</OPTION><OPTION VAL UE="Liechtenstein">Liechtenstein</OPTION><OPTION VALUE="Lithuania">Lithuania</OP TION><OPTION VALUE="Luxembourg">Luxembourg</OPTION><OPTION VALUE="Macau">Macau</ OPTION><OPTION VALUE="Macedonia">Macedonia</OPTION><OPTION VALUE="Madagascar">Ma dagascar</OPTION><OPTION VALUE="Malawi">Malawi</OPTION><OPTION VALUE="Malaysia"> Malaysia</OPTION><OPTION VALUE="Maldives">Maldives</OPTION><OPTION VALUE="Mali"> Mali</OPTION><OPTION VALUE="Malta">Malta</OPTION><OPTION VALUE="Martinique">Mart inique</OPTION><OPTION VALUE="Mauritania">Mauritania</OPTION><OPTION VALUE="Maur itius">Mauritius</OPTION><OPTION VALUE="Mexico">Mexico</OPTION><OPTION VALUE="Mo ldova">Moldova</OPTION><OPTION VALUE="Mongolia">Mongolia</OPTION><OPTION VALUE=" Montenegro, Republic Of">Montenegro, Republic Of</OPTION><OPTION VALUE="Montserr at">Montserrat</OPTION><OPTION VALUE="Morocco">Morocco</OPTION><OPTION VALUE="Mo zambique">Mozambique</OPTION><OPTION VALUE="Namibia">Namibia</OPTION><OPTION VAL UE="Nauru">Nauru</OPTION><OPTION VALUE="Nepal">Nepal</OPTION><OPTION VALUE="Neth er. Antil.">Nether. Antil.</OPTION><OPTION VALUE="Netherlands">Netherlands</OPTI ON><OPTION VALUE="New Caledonia">New Caledonia</OPTION><OPTION VALUE="New Zealan d">New Zealand</OPTION><OPTION VALUE="Nicaragua">Nicaragua</OPTION><OPTION VALUE ="Niger">Niger</OPTION><OPTION VALUE="Nigeria">Nigeria</OPTION><OPTION VALUE="No rth Korea">North Korea</OPTION><OPTION VALUE="Norway">Norway</OPTION><OPTION VAL UE="Oman">Oman</OPTION><OPTION VALUE="Pakistan">Pakistan</OPTION><OPTION VALUE=" Panama">Panama</OPTION><OPTION VALUE="Papua New Guinea">Papua New Guinea</OPTION ><OPTION VALUE="Paraguay">Paraguay</OPTION><OPTION VALUE="Peru">Peru</OPTION><OP TION VALUE="Philippines">Philippines</OPTION><OPTION VALUE="Pitcairn Island">Pit cairn Island</OPTION><OPTION VALUE="Poland">Poland</OPTION><OPTION VALUE="Portug al">Portugal</OPTION><OPTION VALUE="Qatar">Qatar</OPTION><OPTION VALUE="Reunion" >Reunion</OPTION><OPTION VALUE="Romania">Romania</OPTION><OPTION VALUE="Russia"> Russia</OPTION><OPTION VALUE="Rwanda">Rwanda</OPTION><OPTION VALUE="San Marino"> San Marino</OPTION><OPTION VALUE="Sao Tome & Principe">Sao Tome & Principe</OPTI ON><OPTION VALUE="Saudi Arabia">Saudi Arabia</OPTION><OPTION VALUE="Senegal">Sen egal</OPTION><OPTION VALUE="Serbia">Serbia</OPTION><OPTION VALUE="Seychelles">Se ychelles</OPTION><OPTION VALUE="Sierra Leone">Sierra Leone</OPTION><OPTION VALUE ="Singapore">Singapore</OPTION><OPTION VALUE="Slovakia">Slovakia</OPTION><OPTION VALUE="Slovenia">Slovenia</OPTION><OPTION VALUE="Solomon Islands">Solomon Islan ds</OPTION><OPTION VALUE="South Africa">South Africa</OPTION><OPTION VALUE="Sout h Korea">South Korea</OPTION><OPTION VALUE="Spain">Spain</OPTION><OPTION VALUE=" Sri Lanka">Sri Lanka</OPTION><OPTION VALUE="St. Helena">St. Helena</OPTION><OPTI ON VALUE="St. Kitts And Nevis">St. Kitts And Nevis</OPTION><OPTION VALUE="St. Ki tts And Nevis">St. Christopher</OPTION><OPTION VALUE="St. Lucia">St. Lucia</OPTI ON><OPTION VALUE="St. Pierre">St. Pierre</OPTION><OPTION VALUE="St. Vincent/Gren adine">St. Vincent/Grenadine</OPTION><OPTION VALUE="Sudan">Sudan</OPTION><OPTION VALUE="Suriname">Suriname</OPTION><OPTION VALUE="Swaziland">Swaziland</OPTION>< OPTION VALUE="Sweden">Sweden</OPTION><OPTION VALUE="Switzerland">Switzerland</OP TION><OPTION VALUE="Syria">Syria</OPTION><OPTION VALUE="Taiwan">Taiwan</OPTION>< OPTION VALUE="Tajkistan">Tajkistan</OPTION><OPTION VALUE="Tanzania">Tanzania</OP TION><OPTION VALUE="Thailand">Thailand</OPTION><OPTION VALUE="Togo">Togo</OPTION ><OPTION VALUE="Tonga">Tonga</OPTION><OPTION VALUE="Trinidad and Tobago">Trinida d and Tobago</OPTION><OPTION VALUE="Tristan da Cunha">Tristan da Cunha</OPTION>< OPTION VALUE="Tunisia">Tunisia</OPTION><OPTION VALUE="Turkey">Turkey</OPTION><OP TION VALUE="Turkmenistan">Turkmenistan</OPTION><OPTION VALUE="Turks and Caicos I sl">Turks and Caicos Isl</OPTION><OPTION VALUE="Tuvalu">Tuvalu</OPTION><OPTION V ALUE="Uganda">Uganda</OPTION><OPTION VALUE="Ukraine">Ukraine</OPTION><OPTION VAL UE="United Arab Emirate">United Arab Emirate</OPTION><OPTION VALUE="United Kingd om">United Kingdom</OPTION><OPTION VALUE="United Kingdom">Great Britain</OPTION> <OPTION VALUE="Uruguay">Uruguay</OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="USA">United States</OPTION><OPTION VALUE="Uzbekistan">Uzbekistan</OPTION> <OPTION VALUE="Vanuatu">Vanuatu</OPTION><OPTION VALUE="Vatican City">Vatican Cit y</OPTION><OPTION VALUE="Venezuela">Venezuela</OPTION><OPTION VALUE="Vietnam">Vi etnam</OPTION><OPTION VALUE="Wallis and Futuna Is">Wallis and Futuna Is</OPTION> <OPTION VALUE="Western Samoa">Western Samoa</OPTION><OPTION VALUE="Yemen">Yemen< /OPTION><OPTION VALUE="Zambia">Zambia</OPTION><OPTION VALUE="Zimbabwe">Zimbabwe< /OPTION>
258 </select></td>
259 </tr>
260
261
262 <tr>
263 <td></td>
264 <td>
265 <input name="HT_Cart" TYPE="HIDDEN" ROWS="1" SIZ E="8" VALUE="1197849966"></td>
266 </tr>
267
268 <tr>
269 <td COLSPAN="2"><br><br>
270 <div class="label">Promotions</div><hr width="100%" size="1" color="#c0c 0c0" noshade>
271 </td>
272 </tr>
273
274 <tr>
275 <td COLSPAN="2">
276 <font FACE=""Verdana, Helvetica, Sans-Serif"" SI ZE="2">
277 Would it be OK if occasionally we notified you o f special sales via email?
278 <input type="radio" name="HT_OK_to_email" Value= "-1" checked>Yes
279 <input type="radio" name="HT_OK_to_email" Value= "0">No</font></td>
280 </tr>
281 <tr>
282 <td COLSPAN="2">
283 <font FACE=""Verdana, Helvetica, Sans-Se rif"" SIZE="2">
284 <input TYPE="CHECKBOX" NAME="HT_PrefersH TML" CHECKED>I prefer to receive HTML formatted email when available.
285 </font>
286 </td>
287 </tr>
288 <tr>
289 <td COLSPAN="2" ALIGN="CENTER">
290
291 <input type="image" src="https:/ /www.cduniverse.com/images/b-save.jpg" NAME="Create_Account" VALUE="Save Account " alt="Save Account">
292
293 <input NAME="action" TYPE="hidden" VALUE="savene w">
294 <input NAME="from" TYPE="hidden" VALUE="https/ww w.cduniverse.com/checkout/orderscreen.asp?priororder=TRUE">
295 <input NAME="a" TYPE="hidden" VALUE="">
296 <input NAME="pid" TYPE="hidden" VALUE="">
297
298 <input NAME="OrderID" TYPE="hidden" VALUE="">
299 <a ><img src="https://www.cduniverse.com/images/ b-clear.jpg" border="0" alt="Reset"></a>
300 </form></td>
301 </tr>
302 </table>
303
304
305
306 </td>
307 </tr>
308 </table>
309
310 </td></tr></table><!--pcs-->
311 </td></tr></table></center><iframe id="iffooter" name="iffooter" src="/FooterIFr ame.asp?style=music" frameborder="0" width="100%" height="344" scrolling="no"></ iframe><center></center>
312 <!-- Stats: TotalPageTime=0.047 from Web18, DataTime=0.000 from Data1 -->
313
314 </td></tr></table><!--End Master Table-->
315
316 </body>
317 </html>
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