Index: chrome/test/data/autofill/heuristics/input/10_register_jbox.com.html |
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+<html> |
+<!--Form Location: https://www.jbox.com/account/register--><!--ACCOUNT HEADER --><head> |
+<title>JBOX : Register</title> |
+ |
+<meta name="keywords" content="j-list, anime, toys, japanese bento boxes, figures"> |
+<meta name="description" content="Do you love Japanese stuff? JBOX is a wonderful toybox of things from Japan, with Japanese anime goods, Bento boxes, manga artbook, apparel, and more! You've got a friend in Japan!"> |
+<link rel="shortcut icon" href="http://www.jlist.com/jlist.ico"> |
+<link rel="stylesheet" type="text/css" href="/css/styles.css" media="screen "> |
+<link rel="stylesheet" type="text/css" href="/css/forms.css" media="screen "> |
+<!-- Load jQuery --><!-- Fancybox --><link rel="stylesheet" href="/js/jqueryfancybox/fancybox/jquery.fancybox-1.3.1.css" type="text/css" media="screen"> |
+ |
+</head> |
+<body id="jbox"> |
+ |
+ |
+ |
+<!-- HEADER START --> |
+ <div id="header"> |
+ <span id="sitetitle"><a href="/home" name="top">J-List: You've got a Friend in Japan</a></span> |
+ <div id="access"> |
+ <ul> |
+<li class="openaccess"><a href="/home">Home</a></li> |
+ <li><a href="/cart">Shopping Cart <span id="cartCount"></span></a></li> |
+ <li><a href="/wishlist">Wishlist</a></li> |
+ <li class="logged_in"><a href="/account">My Account</a></li> |
+ <li class="logged_in"><a href="/account/logout">Log Out</a></li> |
+ <li class="logged_out"><a href="/account">Sign in / Register</a></li> |
+ <li class="closeaccess"><a href="https://help.jlist.com/" target="_blank">Help</a></li> |
+ </ul> |
+</div> |
+ |
+ <div id="searchpanel"> |
+ |
+ <form method="post" action="http://www.jbox.com/search"> |
+ |
+ <input id="keyword" type="text" name="term" class="sf-keyword" value="Search" ><input type="hidden" id="cat" name="cat" value=""><span class="sf_in"> in </span> |
+ <div class="dropdown"> |
+ <ul id="search-category"> |
+<li class="active"><a href="#" >Everything</a></li> |
+ |
+ |
+ <li class="first-level cat800"><a href="#" >Books & Magazines</a></li> |
+ |
+ <li class="first-level cat807"><a href="#" >Games & Computer</a></li> |
+ |
+ <li class="first-level cat813"><a href="#" >Anime & Toys</a></li> |
+ |
+ <li class="first-level cat819"><a href="#" >Bento & Kitchen</a></li> |
+ |
+ <li class="first-level cat822"><a href="#" >Snacks & Food</a></li> |
+ |
+ <li class="first-level cat825"><a href="#" >Traditional & Study</a></li> |
+ |
+ <li class="first-level cat826"><a href="#" >Apparel & Cosplay</a></li> |
+ |
+ </ul> |
+</div> |
+ <input id="searchbtn" type="image" src="/img/sakura/searchbtn.gif"> |
+</form> |
+ |
+ </div> |
+ |
+ <div id="menu"> |
+ <ul> |
+<li class="first-level cat800"><a href="http://www.jbox.com/category/800">Books & Magazines</a></li> |
+ |
+ <li class="first-level cat807"><a href="http://www.jbox.com/category/807">Games & Computer</a></li> |
+ |
+ <li class="first-level cat813"><a href="http://www.jbox.com/category/813">Anime & Toys</a></li> |
+ |
+ <li class="first-level cat819"><a href="http://www.jbox.com/category/819">Bento & Kitchen</a></li> |
+ |
+ <li class="first-level cat822"><a href="http://www.jbox.com/category/822">Snacks & Food</a></li> |
+ |
+ <li class="first-level cat825"><a href="http://www.jbox.com/category/825">Traditional & Study</a></li> |
+ |
+ <li class="first-level cat826"><a href="http://www.jbox.com/category/826">Apparel & Cosplay</a></li> |
+ |
+ </ul> |
+</div> |
+ </div> |
+<!-- HEADER END --> |
+ |
+<!-- OPEN MAIN CONTAINER --> |
+ <div id="container-1column" class="pagewrap"> |
+ |
+ <!-- START CONTENT --> |
+ <div class="content"> |
+ |
+ <div id="form_container"> |
+ |
+ <form id="customerinfo" class="" method="post" action="#"> |
+ |
+ <div class="form_description"> |
+ <h2>Customer information</h2> |
+ <p>Enter your name, billing address and email on this page.</p> |
+ </div> |
+ <div id="errors"> |
+ |
+ |
+ |
+ |
+ |
+ |
+ |
+ |
+ |
+ |
+ |
+ |
+ |
+ </div> |
+ |
+ <fieldset> |
+<legend>Name</legend> |
+ <small class="guidelines">Please enter your real name.</small> |
+ <div class="left"> |
+ <input name="firstname" class="text medium" maxlength="255" value="" type="text"><label for="firstname">First</label> |
+ </div> |
+ |
+ <div> |
+ <input name="lastname" class="text medium" maxlength="255" value="" type="text"><label for="firstname">Last</label> |
+ </div> |
+ |
+ </fieldset> |
+<fieldset> |
+<legend>Billing Address</legend> |
+ <small class="guidelines">Your billing address. You can specify a shipping address later.</small> |
+ <div> |
+ <input name="address1" class="element text large" value="" type="text"><label for="address1">Street Address</label> |
+ </div> |
+ <span> |
+ <div class="left"> |
+ <input name="city" class="element text medium" value="" type="text"><label for="city">City</label> |
+ </div> |
+ |
+ <div> |
+ <input name="state" class="element text medium" value="" type="text"><label for="state">State / Province / Region</label> |
+ </div> |
+ </span> |
+ |
+ <span> |
+ <div class="left"> |
+ <input name="zip" class="element text medium" maxlength="15" value="" type="text"><label for="zip">Postal / Zip Code</label> |
+ </div> |
+ |
+ <div> |
+ <select class="element select medium" name="country"><option>Afghanistan</option> |
+<option>Albania</option> |
+<option>Algeria</option> |
+<option>American Samoa</option> |
+<option>Andorra</option> |
+<option>Anguilla</option> |
+<option>Antarctica</option> |
+<option>Antigua And Barbuda</option> |
+<option>Argentina</option> |
+<option>Armenia</option> |
+<option>Aruba</option> |
+<option>Australia</option> |
+<option>Austria</option> |
+<option>Azerbaijan</option> |
+<option>Bahamas</option> |
+<option>Bahrain</option> |
+<option>Bangladesh</option> |
+<option>Barbados</option> |
+<option>Belarus</option> |
+<option>Belgium</option> |
+<option>Belize</option> |
+<option>Benin</option> |
+<option>Bermuda</option> |
+<option>Bhutan</option> |
+<option>Bolivia</option> |
+<option>Bosnia and Herzegovina</option> |
+<option>Botswana</option> |
+<option>Bouvet Island</option> |
+<option>Brazil</option> |
+<option>British Indian Ocean Territory</option> |
+<option>Brunei Darussalam</option> |
+<option>Bulgaria</option> |
+<option>Burkina Faso</option> |
+<option>Burundi</option> |
+<option>Cambodia</option> |
+<option>Cameroon</option> |
+<option>Canada</option> |
+<option>Cape Verde</option> |
+<option>Cayman Islands</option> |
+<option>Central African Republic</option> |
+<option>Chad</option> |
+<option>Chile</option> |
+<option>China</option> |
+<option>Christmas Island</option> |
+<option>Cocos (Keeling) Islands</option> |
+<option>Colombia</option> |
+<option>Comoros</option> |
+<option>Congo</option> |
+<option>Congo, the Democratic Republic of the</option> |
+<option>Cook Islands</option> |
+<option>Costa Rica</option> |
+<option>Cote d'Ivoire</option> |
+<option>Croatia</option> |
+<option>Cyprus</option> |
+<option>Czech Republic</option> |
+<option>Denmark</option> |
+<option>Djibouti</option> |
+<option>Dominica</option> |
+<option>Dominican Republic</option> |
+<option>East Timor</option> |
+<option>Ecuador</option> |
+<option>Egypt</option> |
+<option>El Salvador</option> |
+<option>England</option> |
+<option>Equatorial Guinea</option> |
+<option>Eritrea</option> |
+<option>Espana</option> |
+<option>Estonia</option> |
+<option>Ethiopia</option> |
+<option>Falkland Islands</option> |
+<option>Faroe Islands</option> |
+<option>Fiji</option> |
+<option>Finland</option> |
+<option>France</option> |
+<option>French Guiana</option> |
+<option>French Polynesia</option> |
+<option>French Southern Territories</option> |
+<option>Gabon</option> |
+<option>Gambia</option> |
+<option>Georgia</option> |
+<option>Germany</option> |
+<option>Ghana</option> |
+<option>Gibraltar</option> |
+<option>Great Britain</option> |
+<option>Greece</option> |
+<option>Greenland</option> |
+<option>Grenada</option> |
+<option>Guadeloupe</option> |
+<option>Guam</option> |
+<option>Guatemala</option> |
+<option>Guinea</option> |
+<option>Guinea-Bissau</option> |
+<option>Guyana</option> |
+<option>Haiti</option> |
+<option>Heard and Mc Donald Islands</option> |
+<option>Honduras</option> |
+<option>Hong Kong</option> |
+<option>Hungary</option> |
+<option>Iceland</option> |
+<option>India</option> |
+<option>Indonesia</option> |
+<option>Iraq</option> |
+<option>Ireland</option> |
+<option>Israel</option> |
+<option>Italy</option> |
+<option>Jamaica</option> |
+<option>Japan</option> |
+<option>Jordan</option> |
+<option>Kazakhstan</option> |
+<option>Kenya</option> |
+<option>Kiribati</option> |
+<option>Korea, People's Republic of</option> |
+<option>Korea (South)</option> |
+<option>Kuwait</option> |
+<option>Kyrgyzstan</option> |
+<option>Lao People's Democratic Republic</option> |
+<option>Latvia</option> |
+<option>Lebanon</option> |
+<option>Lesotho</option> |
+<option>Liberia</option> |
+<option>Libya</option> |
+<option>Liechtenstein</option> |
+<option>Lithuania</option> |
+<option>Luxembourg</option> |
+<option>Macau</option> |
+<option>Macedonia</option> |
+<option>Madagascar</option> |
+<option>Malawi</option> |
+<option>Malaysia</option> |
+<option>Maldives</option> |
+<option>Mali</option> |
+<option>Malta</option> |
+<option>Marshall Islands</option> |
+<option>Martinique</option> |
+<option>Mauritania</option> |
+<option>Mauritius</option> |
+<option>Mayotte</option> |
+<option>Mexico</option> |
+<option>Micronesia, Federated States of</option> |
+<option>Moldova, Republic of</option> |
+<option>Monaco</option> |
+<option>Mongolia</option> |
+<option>Montserrat</option> |
+<option>Morocco</option> |
+<option>Mozambique</option> |
+<option>Myanmar</option> |
+<option>Namibia</option> |
+<option>Nauru</option> |
+<option>Nepal</option> |
+<option>Netherlands</option> |
+<option>Netherlands Antilles</option> |
+<option>New Caledonia</option> |
+<option>New Zealand</option> |
+<option>Nicaragua</option> |
+<option>Niger</option> |
+<option>Nigeria</option> |
+<option>Niue</option> |
+<option>Norfolk Island</option> |
+<option>Northern Ireland</option> |
+<option>Northern Mariana Islands</option> |
+<option>Norway</option> |
+<option>Oman</option> |
+<option>Pakistan</option> |
+<option>Palau</option> |
+<option>Panama</option> |
+<option>Papua New Guinea</option> |
+<option>Paraguay</option> |
+<option>Peru</option> |
+<option>Philippines</option> |
+<option>Pitcairn</option> |
+<option>Poland</option> |
+<option>Portugal</option> |
+<option>Puerto Rico</option> |
+<option>Qatar</option> |
+<option>Reunion</option> |
+<option>Romania</option> |
+<option>Russia</option> |
+<option>Russian Federation</option> |
+<option>Rwanda</option> |
+<option>Saint Kitts and Nevis</option> |
+<option>Saint Lucia</option> |
+<option>Saint Vincent and the Grenadines</option> |
+<option>Samoa (Independent)</option> |
+<option>San Marino</option> |
+<option>Sao Tome and Principe</option> |
+<option>Saudi Arabia</option> |
+<option>Scotland</option> |
+<option>Senegal</option> |
+<option>Serbia and Montenegro</option> |
+<option>Seychelles</option> |
+<option>Sierra Leone</option> |
+<option>Singapore</option> |
+<option>Slovakia</option> |
+<option>Slovenia</option> |
+<option>Solomon Islands</option> |
+<option>Somalia</option> |
+<option>South Africa</option> |
+<option>South Georgia and the South Sandwich Islands</option> |
+<option>South Korea</option> |
+<option>Spain</option> |
+<option>Sri Lanka</option> |
+<option>St. Helena</option> |
+<option>St. Pierre and Miquelon</option> |
+<option>Suriname</option> |
+<option>Svalbard and Jan Mayen Islands</option> |
+<option>Swaziland</option> |
+<option>Sweden</option> |
+<option>Switzerland</option> |
+<option>Taiwan</option> |
+<option>Tajikistan</option> |
+<option>Tanzania</option> |
+<option>Thailand</option> |
+<option>Togo</option> |
+<option>Tokelau</option> |
+<option>Tonga</option> |
+<option>Trinidad</option> |
+<option>Trinidad and Tobago</option> |
+<option>Tunisia</option> |
+<option>Turkey</option> |
+<option>Turkmenistan</option> |
+<option>Turks and Caicos Islands</option> |
+<option>Tuvalu</option> |
+<option>Uganda</option> |
+<option>Ukraine</option> |
+<option>United Arab Emirates</option> |
+<option>United Kingdom</option> |
+<option selected>United States</option> |
+<option>United States Minor Outlying Islands</option> |
+<option>Uruguay</option> |
+<option>Uzbekistan</option> |
+<option>Vanuatu</option> |
+<option>Vatican City State (Holy See)</option> |
+<option>Venezuela</option> |
+<option>Viet Nam</option> |
+<option>Virgin Islands (British)</option> |
+<option>Virgin Islands (U.S.)</option> |
+<option>Wales</option> |
+<option>Wallis and Futuna Islands</option> |
+<option>Western Sahara</option> |
+<option>Yemen</option> |
+<option>Yugoslavia</option> |
+<option>Zambia</option> |
+<option>Zimbabwe</option></select><label for="country">Country</label> |
+ </div> |
+ </span> |
+ |
+ </fieldset> |
+<fieldset> |
+<legend>Phone (optional)</legend> |
+ <div> |
+ <input id="element_4" name="phone" class="element text medium" type="text" maxlength="255" value=""> |
+</div> |
+ </fieldset> |
+<fieldset> |
+<legend>Email Address</legend> |
+ <small class="guidelines">This will be your contact email address for order status update, newsletter and more.</small> |
+ <div> |
+ <input type="text" name="email" class="text element medium" value=""> |
+</div> |
+ |
+ </fieldset> |
+<fieldset> |
+<legend>Choose a password</legend> |
+ <span> |
+ <div class="left"> |
+ <input type="password" class="element text medium" name="password" value=""><label for="password">Enter a password</label> |
+ </div> |
+ |
+ <div> |
+ <input type="password" name="password_again" value="" class="element text medium"><label for="password_again">Retype your password</label> |
+ </div> |
+ </span> |
+ </fieldset> |
+<fieldset> |
+<div> |
+ <label for="referred_by" class="description">Where did you hear about J-List/JBOX?</label> |
+ <select name="referred_by" class="element select medium"><option selected>Don't Know!</option> |
+<option>3yen.org</option> |
+<option>4chan.org</option> |
+<option>Anime Insider</option> |
+<option>Anime or Comic Convention</option> |
+<option>Clone Army Manga</option> |
+<option>Danbooru</option> |
+<option>Dannychoo.com</option> |
+<option>Facebook</option> |
+<option>Froogle / Google Products</option> |
+<option>Geek Monthly</option> |
+<option>Giant Robot</option> |
+<option>Google Search</option> |
+<option>J-List Theatre Manga</option> |
+<option>Newtype USA</option> |
+<option>Nyaa</option> |
+<option>Otaku USA</option> |
+<option>PiQ Magazine</option> |
+<option>Play Magazine</option> |
+<option>Protoculture Addicts</option> |
+<option>Sci-Fi Magazine</option> |
+<option>Something Awful</option> |
+<option>Sankaku Complex</option> |
+<option>Track-shun.tv Podcast</option> |
+<option>Tumblr</option> |
+<option>Twitter</option> |
+<option>Word of Mouth</option> |
+<option>Other</option></select> |
+</div> |
+ |
+ <div> |
+ <label for="referred_by_other" class="description">If other, please specify</label> |
+ <input type="text" class="text element medium" name="referred_by_other" value="" size="30" maxlength="60"> |
+</div> |
+ |
+ </fieldset> |
+<input type="hidden" name="form_id" value="257051"><input id="saveForm" class="button_text" type="submit" name="submit" value="Continue"> |
+</form> |
+ </div> |
+ |
+ </div> |
+ <!-- CLOSE CONTENT --> |
+ </div> |
+ <!-- CLOSE MAIN CONTAINER --> |
+ |
+ |
+</body> |
+</html> |