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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 <html>
2 <!--Form Location: https://www.jbox.com/account/register--><!--ACCOUNT HEADER -- ><head>
3 <title>JBOX : Register</title>
4
5 <meta name="keywords" content="j-list, anime, toys, japanese bento boxes, figure s">
6 <meta name="description" content="Do you love Japanese stuff? JBOX is a wonderfu l toybox of things from Japan, with Japanese anime goods, Bento boxes, manga art book, apparel, and more! You've got a friend in Japan!">
7 <link rel="shortcut icon" href="http://www.jlist.com/jlist.ico">
8 <link rel="stylesheet" type="text/css" href="/css/styles.css" media="screen ">
9 <link rel="stylesheet" type="text/css" href="/css/forms.css" media="screen ">
10 <!-- Load jQuery --><!-- Fancybox --><link rel="stylesheet" href="/js/jqueryfanc ybox/fancybox/jquery.fancybox-1.3.1.css" type="text/css" media="screen">
11
12 </head>
13 <body id="jbox">
14
15
16
17 <!-- HEADER START -->
18 <div id="header">
19 <span id="sitetitle"><a href="/home" name="top">J-List: You've g ot a Friend in Japan</a></span>
20 <div id="access">
21 <ul>
22 <li class="openaccess"><a href="/home">Home</a></li>
23 <li><a href="/cart">Shopping Cart <span id="cart Count"></span></a></li>
24 <li><a href="/wishlist">Wishlist</a></li>
25 <li class="logged_in"><a href="/account">My Acco unt</a></li>
26 <li class="logged_in"><a href="/account/logout"> Log Out</a></li>
27 <li class="logged_out"><a href="/account">Sign i n / Register</a></li>
28 <li class="closeaccess"><a href="https://help.jl ist.com/" target="_blank">Help</a></li>
29 </ul>
30 </div>
31
32 <div id="searchpanel">
33
34 <form method="post" action="http://www.jbox.com/search">
35
36 <input id="keyword" type="text" name="term" clas s="sf-keyword" value="Search" ><input type="hidden" id="cat" name="cat" value="" ><span class="sf_in"> in </span>
37 <div class="dropdown">
38 <ul id="search-category">
39 <li class="active"><a href="#" >Everything</a></li>
40
41
42 <li class="first-level c at800"><a href="#" >Books &amp; Magazines</a></li>
43
44 <li class="first-level c at807"><a href="#" >Games &amp; Computer</a></li>
45
46 <li class="first-level c at813"><a href="#" >Anime &amp; Toys</a></li>
47
48 <li class="first-level c at819"><a href="#" >Bento &amp; Kitchen</a></li>
49
50 <li class="first-level c at822"><a href="#" >Snacks &amp; Food</a></li>
51
52 <li class="first-level c at825"><a href="#" >Traditional &amp; Study</a></li>
53
54 <li class="first-level c at826"><a href="#" >Apparel &amp; Cosplay</a></li>
55
56 </ul>
57 </div>
58 <input id="searchbtn" type="image" src=" /img/sakura/searchbtn.gif">
59 </form>
60
61 </div>
62
63 <div id="menu">
64 <ul>
65 <li class="first-level cat800"><a href="http://www.jbox.com/category/800">Books &amp; Magazines</a></li>
66
67 <li class="first-level cat807"><a href="http://w ww.jbox.com/category/807">Games &amp; Computer</a></li>
68
69 <li class="first-level cat813"><a href="http://w ww.jbox.com/category/813">Anime &amp; Toys</a></li>
70
71 <li class="first-level cat819"><a href="http://w ww.jbox.com/category/819">Bento &amp; Kitchen</a></li>
72
73 <li class="first-level cat822"><a href="http://w ww.jbox.com/category/822">Snacks &amp; Food</a></li>
74
75 <li class="first-level cat825"><a href="http://w ww.jbox.com/category/825">Traditional &amp; Study</a></li>
76
77 <li class="first-level cat826"><a href="http://w ww.jbox.com/category/826">Apparel &amp; Cosplay</a></li>
78
79 </ul>
80 </div>
81 </div>
82 <!-- HEADER END -->
83
84 <!-- OPEN MAIN CONTAINER -->
85 <div id="container-1column" class="pagewrap">
86
87 <!-- START CONTENT -->
88 <div class="content">
89
90 <div id="form_container">
91
92 <form id="customerinfo" class="" method="post" a ction="#">
93
94 <div class="form_description">
95 <h2>Customer information</h2>
96 <p>Enter your name, billing addr ess and email on this page.</p>
97 </div>
98 <div id="errors">
99
100
101
102
103
104
105
106
107
108
109
110
111
112 </div>
113
114 <fieldset>
115 <legend>Name</legend>
116 <small class="guidelines">Please enter your real name.</small>
117 <div class="left">
118 <input name="firstname" class="text medium" maxlength="255" value="" type="text"><label for="firstname"> First</label>
119 </div>
120
121 <div>
122 <input name="lastname" c lass="text medium" maxlength="255" value="" type="text"><label for="firstname">L ast</label>
123 </div>
124
125 </fieldset>
126 <fieldset>
127 <legend>Billing Address</legend>
128 <small class="guidelines">Your b illing address. You can specify a shipping address later.</small>
129 <div>
130 <input name="address1" c lass="element text large" value="" type="text"><label for="address1">Street Addr ess</label>
131 </div>
132 <span>
133 <div class="left">
134 <input name="cit y" class="element text medium" value="" type="text"><label for="city">City</labe l>
135 </div>
136
137 <div>
138 <input name="sta te" class="element text medium" value="" type="text"><label for="state">State / Province / Region</label>
139 </div>
140 </span>
141
142 <span>
143 <div class="left">
144 <input name="zip " class="element text medium" maxlength="15" value="" type="text"><label for="zi p">Postal / Zip Code</label>
145 </div>
146
147 <div>
148 <select class="e lement select medium" name="country"><option>Afghanistan</option>
149 <option>Albania</option>
150 <option>Algeria</option>
151 <option>American Samoa</option>
152 <option>Andorra</option>
153 <option>Anguilla</option>
154 <option>Antarctica</option>
155 <option>Antigua And Barbuda</option>
156 <option>Argentina</option>
157 <option>Armenia</option>
158 <option>Aruba</option>
159 <option>Australia</option>
160 <option>Austria</option>
161 <option>Azerbaijan</option>
162 <option>Bahamas</option>
163 <option>Bahrain</option>
164 <option>Bangladesh</option>
165 <option>Barbados</option>
166 <option>Belarus</option>
167 <option>Belgium</option>
168 <option>Belize</option>
169 <option>Benin</option>
170 <option>Bermuda</option>
171 <option>Bhutan</option>
172 <option>Bolivia</option>
173 <option>Bosnia and Herzegovina</option>
174 <option>Botswana</option>
175 <option>Bouvet Island</option>
176 <option>Brazil</option>
177 <option>British Indian Ocean Territory</option>
178 <option>Brunei Darussalam</option>
179 <option>Bulgaria</option>
180 <option>Burkina Faso</option>
181 <option>Burundi</option>
182 <option>Cambodia</option>
183 <option>Cameroon</option>
184 <option>Canada</option>
185 <option>Cape Verde</option>
186 <option>Cayman Islands</option>
187 <option>Central African Republic</option>
188 <option>Chad</option>
189 <option>Chile</option>
190 <option>China</option>
191 <option>Christmas Island</option>
192 <option>Cocos (Keeling) Islands</option>
193 <option>Colombia</option>
194 <option>Comoros</option>
195 <option>Congo</option>
196 <option>Congo, the Democratic Republic of the</option>
197 <option>Cook Islands</option>
198 <option>Costa Rica</option>
199 <option>Cote d'Ivoire</option>
200 <option>Croatia</option>
201 <option>Cyprus</option>
202 <option>Czech Republic</option>
203 <option>Denmark</option>
204 <option>Djibouti</option>
205 <option>Dominica</option>
206 <option>Dominican Republic</option>
207 <option>East Timor</option>
208 <option>Ecuador</option>
209 <option>Egypt</option>
210 <option>El Salvador</option>
211 <option>England</option>
212 <option>Equatorial Guinea</option>
213 <option>Eritrea</option>
214 <option>Espana</option>
215 <option>Estonia</option>
216 <option>Ethiopia</option>
217 <option>Falkland Islands</option>
218 <option>Faroe Islands</option>
219 <option>Fiji</option>
220 <option>Finland</option>
221 <option>France</option>
222 <option>French Guiana</option>
223 <option>French Polynesia</option>
224 <option>French Southern Territories</option>
225 <option>Gabon</option>
226 <option>Gambia</option>
227 <option>Georgia</option>
228 <option>Germany</option>
229 <option>Ghana</option>
230 <option>Gibraltar</option>
231 <option>Great Britain</option>
232 <option>Greece</option>
233 <option>Greenland</option>
234 <option>Grenada</option>
235 <option>Guadeloupe</option>
236 <option>Guam</option>
237 <option>Guatemala</option>
238 <option>Guinea</option>
239 <option>Guinea-Bissau</option>
240 <option>Guyana</option>
241 <option>Haiti</option>
242 <option>Heard and Mc Donald Islands</option>
243 <option>Honduras</option>
244 <option>Hong Kong</option>
245 <option>Hungary</option>
246 <option>Iceland</option>
247 <option>India</option>
248 <option>Indonesia</option>
249 <option>Iraq</option>
250 <option>Ireland</option>
251 <option>Israel</option>
252 <option>Italy</option>
253 <option>Jamaica</option>
254 <option>Japan</option>
255 <option>Jordan</option>
256 <option>Kazakhstan</option>
257 <option>Kenya</option>
258 <option>Kiribati</option>
259 <option>Korea, People's Republic of</option>
260 <option>Korea (South)</option>
261 <option>Kuwait</option>
262 <option>Kyrgyzstan</option>
263 <option>Lao People's Democratic Republic</option>
264 <option>Latvia</option>
265 <option>Lebanon</option>
266 <option>Lesotho</option>
267 <option>Liberia</option>
268 <option>Libya</option>
269 <option>Liechtenstein</option>
270 <option>Lithuania</option>
271 <option>Luxembourg</option>
272 <option>Macau</option>
273 <option>Macedonia</option>
274 <option>Madagascar</option>
275 <option>Malawi</option>
276 <option>Malaysia</option>
277 <option>Maldives</option>
278 <option>Mali</option>
279 <option>Malta</option>
280 <option>Marshall Islands</option>
281 <option>Martinique</option>
282 <option>Mauritania</option>
283 <option>Mauritius</option>
284 <option>Mayotte</option>
285 <option>Mexico</option>
286 <option>Micronesia, Federated States of</option>
287 <option>Moldova, Republic of</option>
288 <option>Monaco</option>
289 <option>Mongolia</option>
290 <option>Montserrat</option>
291 <option>Morocco</option>
292 <option>Mozambique</option>
293 <option>Myanmar</option>
294 <option>Namibia</option>
295 <option>Nauru</option>
296 <option>Nepal</option>
297 <option>Netherlands</option>
298 <option>Netherlands Antilles</option>
299 <option>New Caledonia</option>
300 <option>New Zealand</option>
301 <option>Nicaragua</option>
302 <option>Niger</option>
303 <option>Nigeria</option>
304 <option>Niue</option>
305 <option>Norfolk Island</option>
306 <option>Northern Ireland</option>
307 <option>Northern Mariana Islands</option>
308 <option>Norway</option>
309 <option>Oman</option>
310 <option>Pakistan</option>
311 <option>Palau</option>
312 <option>Panama</option>
313 <option>Papua New Guinea</option>
314 <option>Paraguay</option>
315 <option>Peru</option>
316 <option>Philippines</option>
317 <option>Pitcairn</option>
318 <option>Poland</option>
319 <option>Portugal</option>
320 <option>Puerto Rico</option>
321 <option>Qatar</option>
322 <option>Reunion</option>
323 <option>Romania</option>
324 <option>Russia</option>
325 <option>Russian Federation</option>
326 <option>Rwanda</option>
327 <option>Saint Kitts and Nevis</option>
328 <option>Saint Lucia</option>
329 <option>Saint Vincent and the Grenadines</option>
330 <option>Samoa (Independent)</option>
331 <option>San Marino</option>
332 <option>Sao Tome and Principe</option>
333 <option>Saudi Arabia</option>
334 <option>Scotland</option>
335 <option>Senegal</option>
336 <option>Serbia and Montenegro</option>
337 <option>Seychelles</option>
338 <option>Sierra Leone</option>
339 <option>Singapore</option>
340 <option>Slovakia</option>
341 <option>Slovenia</option>
342 <option>Solomon Islands</option>
343 <option>Somalia</option>
344 <option>South Africa</option>
345 <option>South Georgia and the South Sandwich Islands</option>
346 <option>South Korea</option>
347 <option>Spain</option>
348 <option>Sri Lanka</option>
349 <option>St. Helena</option>
350 <option>St. Pierre and Miquelon</option>
351 <option>Suriname</option>
352 <option>Svalbard and Jan Mayen Islands</option>
353 <option>Swaziland</option>
354 <option>Sweden</option>
355 <option>Switzerland</option>
356 <option>Taiwan</option>
357 <option>Tajikistan</option>
358 <option>Tanzania</option>
359 <option>Thailand</option>
360 <option>Togo</option>
361 <option>Tokelau</option>
362 <option>Tonga</option>
363 <option>Trinidad</option>
364 <option>Trinidad and Tobago</option>
365 <option>Tunisia</option>
366 <option>Turkey</option>
367 <option>Turkmenistan</option>
368 <option>Turks and Caicos Islands</option>
369 <option>Tuvalu</option>
370 <option>Uganda</option>
371 <option>Ukraine</option>
372 <option>United Arab Emirates</option>
373 <option>United Kingdom</option>
374 <option selected>United States</option>
375 <option>United States Minor Outlying Islands</option>
376 <option>Uruguay</option>
377 <option>Uzbekistan</option>
378 <option>Vanuatu</option>
379 <option>Vatican City State (Holy See)</option>
380 <option>Venezuela</option>
381 <option>Viet Nam</option>
382 <option>Virgin Islands (British)</option>
383 <option>Virgin Islands (U.S.)</option>
384 <option>Wales</option>
385 <option>Wallis and Futuna Islands</option>
386 <option>Western Sahara</option>
387 <option>Yemen</option>
388 <option>Yugoslavia</option>
389 <option>Zambia</option>
390 <option>Zimbabwe</option></select><label for="country">Country</label>
391 </div>
392 </span>
393
394 </fieldset>
395 <fieldset>
396 <legend>Phone (optional)</legend>
397 <div>
398 <input id="element_4" na me="phone" class="element text medium" type="text" maxlength="255" value="">
399 </div>
400 </fieldset>
401 <fieldset>
402 <legend>Email Address</legend>
403 <small class="guidelines">This w ill be your contact email address for order status update, newsletter and more.< /small>
404 <div>
405 <input type="text" name="email" class="text element medium" value="">
406 </div>
407
408 </fieldset>
409 <fieldset>
410 <legend>Choose a password</legend>
411 <span>
412 <div class="left">
413 <input type="pas sword" class="element text medium" name="password" value=""><label for="password ">Enter a password</label>
414 </div>
415
416 <div>
417 <input type="pas sword" name="password_again" value="" class="element text medium"><label for="pa ssword_again">Retype your password</label>
418 </div>
419 </span>
420 </fieldset>
421 <fieldset>
422 <div>
423 <label for="referred_by" class="description">Where did you hear about J-List/JBOX?</label>
424 <select name="referred_b y" class="element select medium"><option selected>Don't Know!</option>
425 <option>3yen.org</option>
426 <option>4chan.org</option>
427 <option>Anime Insider</option>
428 <option>Anime or Comic Convention</option>
429 <option>Clone Army Manga</option>
430 <option>Danbooru</option>
431 <option>Dannychoo.com</option>
432 <option>Facebook</option>
433 <option>Froogle / Google Products</option>
434 <option>Geek Monthly</option>
435 <option>Giant Robot</option>
436 <option>Google Search</option>
437 <option>J-List Theatre Manga</option>
438 <option>Newtype USA</option>
439 <option>Nyaa</option>
440 <option>Otaku USA</option>
441 <option>PiQ Magazine</option>
442 <option>Play Magazine</option>
443 <option>Protoculture Addicts</option>
444 <option>Sci-Fi Magazine</option>
445 <option>Something Awful</option>
446 <option>Sankaku Complex</option>
447 <option>Track-shun.tv Podcast</option>
448 <option>Tumblr</option>
449 <option>Twitter</option>
450 <option>Word of Mouth</option>
451 <option>Other</option></select>
452 </div>
453
454 <div>
455 <label for="referred_by_ other" class="description">If other, please specify</label>
456 <input type="text" class ="text element medium" name="referred_by_other" value="" size="30" maxlength="60 ">
457 </div>
458
459 </fieldset>
460 <input type="hidden" name="form_id" value="257051"><input id="saveForm" class="b utton_text" type="submit" name="submit" value="Continue">
461 </form>
462 </div>
463
464 </div>
465 <!-- CLOSE CONTENT -->
466 </div>
467 <!-- CLOSE MAIN CONTAINER -->
468
469
470 </body>
471 </html>
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