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Issue 1754793003: [Autofill] Fix heuristics to detect cc-number on united.com. (Closed) Base URL: https://chromium.googlesource.com/chromium/src.git@master
Patch Set: Added TODO Created 4 years, 9 months ago
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1 <form action="https://www.united.com/ual/en/us/flight-search/book-a-flight/bill inginfo/default/rev" data-randomhash="https://www.united.com/ual/en/us/flight-se arch/book-a-flight/billinginfo/generatehash/rev" id="billingInfoForm" method="po st" novalidate="novalidate"><input data-val="true" data-val-required="The HasUni tedFundOption field is required." id="HasUnitedFundOption" name="HasUnitedFundOp tion" type="hidden" value="False"><input data-val="true" data-val-number="The fi eld PosAddressLines must be a number." data-val-required="The PosAddressLines fi eld is required." id="PosAddressLines" name="PosAddressLines" type="hidden" valu e="3"><input data-val="true" data-val-required="The IsPosAddressZipBeforeCity fi eld is required." id="IsPosAddressZipBeforeCity" name="IsPosAddressZipBeforeCity " type="hidden" value="False"><input data-val="true" data-val-required="The IsPo sStateVisible field is required." id="IsPosStateVisible" name="IsPosStateVisible " type="hidden" value="True"><input data-val="true" data-val-required="The IsPos ZipVisible field is required." id="IsPosZipVisible" name="IsPosZipVisible" type= "hidden" value="True"><input data-val="true" data-val-required="The IsRefundable field is required." id="IsRefundable" name="IsRefundable" type="hidden" value=" False"> <div class="panel panel-travel-info" style="disp lay: none">
2
3 <div id="divCard0" style ="display:">
4 <div class="form -row">
5 <div cla ss="form-group card-type"><span aria-hidden="true" class="field-validation-valid " data-valmsg-for="CreditCardViewModels[0].CardTypeCode" data-valmsg-replace="tr ue"></span><div class="selector fixedWidth" id="uniform-CreditCardViewModels_0__ CardTypeCode"><span aria-hidden="true" style="-webkit-user-select: none;"></span ><label class="ifl" for="CreditCardViewModels_0__CardTypeCode" style="opacity: 1 ;">Select card type<em aria-hidden="true" class="rqrd">*</em></label><select ari a-label="Select card type" aria-required="true" autocomplete="off" data-val="tru e" data-val-required="Please select a Card type.<!--EC:V2-->" id="CreditCardView Models_0__CardTypeCode" name="CreditCardViewModels[0].CardTypeCode" class="prepr oc"><option selected="selected" value=""></option>
6 <option value="VI">MileagePlus Visa</option>
7 <option value="VI">Visa</option>
8 <option value="JC">JCB</option>
9 <option value="MC">MasterCard</option>
10 <option value="AX">American Express</option>
11 <option value="DS">Discover Network</option>
12 <option value="DC">Diners Club</option>
13 <option value="TP">UATP</option>
14 </select></div></div>
15 </div>
16 <div class="form -row">
17 <div cla ss="form-group card-number"><label class="ifl" for="CreditCardViewModels_0__Card Number">Card number<em aria-hidden="true" class="rqrd">*</em></label><span aria- hidden="true" class="field-validation-valid" data-valmsg-for="CreditCardViewMode ls[0].CardNumber" data-valmsg-replace="true"></span><input aria-required="true" autocomplete="off" data-privacy="no-capture" data-val="true" data-val-length="Th e field Card number must be a string with a maximum length of 20." data-val-leng th-max="20" data-val-regex="Please provide a valid debit or credit card number.< !--EC:CC98-->" data-val-regex-pattern="[13456]{1}[0-9 ]{1,}" data-val-required=" Please provide a valid debit or credit card number.<!--EC:CC98-->" id="CreditCar dViewModels_0__CardNumber" maxlength="20" name="CreditCardViewModels[0].CardNumb er" type="text" value=""></div>
18
19 <input t ype="text" class="hidden"><input type="password" class="hidden">
20 <input i d="CreditCardViewModels_0__EncryptedCardNumber" name="CreditCardViewModels[0].En cryptedCardNumber" type="hidden" value="">
21 <input i d="CreditCardViewModels_0__CardNumberLast4Digits" name="CreditCardViewModels[0]. CardNumberLast4Digits" type="hidden" value="">
22 <input i d="CreditCardViewModels_0__CardNumberToken" name="CreditCardViewModels[0].CardNu mberToken" type="hidden" value="">
23 <input i d="CreditCardViewModels_0__ErrorType" name="CreditCardViewModels[0].ErrorType" t ype="hidden" value="">
24 <input i d="CreditCardViewModels_0__ErrorNumber" name="CreditCardViewModels[0].ErrorNumbe r" type="hidden" value="">
25 </div>
26 <div class="form -row">
27 <div cla ss="form-group date-month"><span aria-hidden="true" class="field-validation-vali d" data-valmsg-for="CreditCardViewModels[0].ExpMonth" data-valmsg-replace="true" ></span><div class="selector fixedWidth" id="uniform-CreditCardViewModels_0__Exp Month"><span aria-hidden="true" style="-webkit-user-select: none;"></span><label class="ifl" for="CreditCardViewModels_0__ExpMonth">Expiration month<em aria-hid den="true" class="rqrd">*</em></label><select aria-label="Expiration month" aria -required="true" autocomplete="off" data-val="true" data-val-number="The field E xpiration month must be a number." data-val-required="Please select an Expiratio n month.<!--EC:V13-->" id="CreditCardViewModels_0__ExpMonth" name="CreditCardVie wModels[0].ExpMonth" class="preproc"><option selected="selected" value=""></opti on>
28 <option value="1">01 - January</option>
29 <option value="2">02 - February</option>
30 <option value="3">03 - March</option>
31 <option value="4">04 - April</option>
32 <option value="5">05 - May</option>
33 <option value="6">06 - June</option>
34 <option value="7">07 - July</option>
35 <option value="8">08 - August</option>
36 <option value="9">09 - September</option>
37 <option value="10">10 - October</option>
38 <option value="11">11 - November</option>
39 <option value="12">12 - December</option>
40 </select></div></div>
41 <div cla ss="form-group card-exp-year"><span aria-hidden="true" class="field-validation-v alid" data-valmsg-for="CreditCardViewModels[0].ExpYear" data-valmsg-replace="tru e"></span><div class="selector fixedWidth" id="uniform-CreditCardViewModels_0__E xpYear"><span aria-hidden="true" style="-webkit-user-select: none;"></span><labe l class="ifl" for="CreditCardViewModels_0__ExpYear">Year<em aria-hidden="true" c lass="rqrd">*</em></label><select aria-label="Year" aria-required="true" autocom plete="off" data-val="true" data-val-number="The field Expiration year must be a number." data-val-required="Please select an Expiration year.<!--EC:V13-->" id= "CreditCardViewModels_0__ExpYear" name="CreditCardViewModels[0].ExpYear" class=" preproc"><option selected="selected" value=""></option>
42 <option value="2016">2016</option>
43 <option value="2017">2017</option>
44 <option value="2018">2018</option>
45 <option value="2019">2019</option>
46 <option value="2020">2020</option>
47 <option value="2021">2021</option>
48 <option value="2022">2022</option>
49 <option value="2023">2023</option>
50 <option value="2024">2024</option>
51 <option value="2025">2025</option>
52 <option value="2026">2026</option>
53 </select></div></div>
54 <div id= "divCreditCardSecurityCode0" class="form-groupset">
55 <div class="form-group card-security-code"><label class="ifl" for="CreditCardVie wModels_0__SecurityCode">Security code<em aria-hidden="true" class="rqrd">*</em> </label><span aria-hidden="true" class="field-validation-valid" data-valmsg-for= "CreditCardViewModels[0].SecurityCode" data-valmsg-replace="true"></span><input aria-required="true" autocomplete="off" data-privacy="no-capture" data-val="true " data-val-length="The field Security code must be a string with a maximum lengt h of 4." data-val-length-max="4" data-val-regex="Please enter a valid Security c ode.<!--EC:V15-->" data-val-regex-pattern="[abcdefghijklmnopqrstuvwxyzABCDEFGHIJ KLMNOPQRSTUVWXYZ0123456789 ,///-]{3,}" data-val-required="Please enter a Securit y code.<!--EC:V1-->" id="CreditCardViewModels_0__SecurityCode" maxlength="4" nam e="CreditCardViewModels[0].SecurityCode" type="password" value=""></div>
56 <button type="button" class="icon-tooltip-large-clear-bg tool-tip-security-code" data-toggle="tooltip" data-tooltip-style="default" tabindex="0" data-hasqtip="3 " oldtitle="What's a security code?" title=""><span class="visuallyhidden">About credit card security code</span></button>
57 <div class="tip-security-code">
58 <div class="tip-security-code-default">
59 <h6>Security code</h6>
60 <p>The card security code consists of the last three digits of t he number on the back of your Visa, MasterCard or Discover Card, or the four dig its above the main number on your American Express card.</p>
61 </div>
62 <div class="tip-security-code-visa" style="display: none;">
63 <h6>Visa - CVV2</h6>
64 <p>The card security code consists of the last three digits of t he number on the back of your Visa.</p>
65 <img src="https://www.united.com/web/format/img/card/CVV2_Visa.G IF" alt="Visa security code">
66 </div>
67 <div class="tip-security-code-mc" style="display: none;">
68 <h6>MasterCard - CVC2</h6>
69 <p>The card security code consists of the last three digits of t he number on the back of your MasterCard.</p>
70 <img src="https://www.united.com/web/format/img/card/CVC2_MC.GIF " alt="MasterCard security code">
71 </div>
72 <div class="tip-security-code-amex" style="display: none;">
73 <h6>American Express – CID</h6>
74 <p>The card security code consists of the four digits above the main number on your American Express card.</p>
75 <img src="https://www.united.com/web/format/img/card/CID_Amex.GI F" alt="American Express security code">
76 </div>
77 <div class="tip-security-code-discover" style="display: none;">
78 <h6>Discover – CID</h6>
79 <p>The card security code consists of the last three digits of t he number on the back of your Discover Card.</p>
80 <img src="https://www.united.com/web/format/img/card/CID_Discove r.GIF" alt="Discover security code">
81 </div>
82 </div>
83 </div>
84 </div>
85 <div class="form -row">
86 <div cla ss="form-group card-holder-name"><label class="ifl" for="CreditCardViewModels_0_ _CardHolderName">Full name as it appears on your card<em aria-hidden="true" clas s="rqrd">*</em></label><span aria-hidden="true" class="field-validation-valid" d ata-valmsg-for="CreditCardViewModels[0].CardHolderName" data-valmsg-replace="tru e"></span><input aria-required="true" data-val="true" data-val-length="The field Full name as it appears on your card must be a string with a maximum length of 35." data-val-length-max="35" data-val-regex="Please enter a valid Full name as it appears on your card.<!--EC:V15-->" data-val-regex-pattern="[A-Za-z]{1,}[A-Za -z '-.]{1,}" data-val-required="Please enter a Full name as it appears on your c ard.<!--EC:V1-->" id="CreditCardViewModels_0__CardHolderName" maxlength="35" nam e="CreditCardViewModels[0].CardHolderName" type="text" value=""></div>
87 </div>
88 <div class="form -row">
89 <div cla ss="form-group address-line"><label class="ifl" for="CreditCardViewModels_0__Add ressLine1">Billing address line 1<em aria-hidden="true" class="rqrd">*</em></lab el><span aria-hidden="true" class="field-validation-valid" data-valmsg-for="Cred itCardViewModels[0].AddressLine1" data-valmsg-replace="true"></span><input aria- required="true" data-val="true" data-val-length="The field Billing address line 1 must be a string with a maximum length of 30." data-val-length-max="30" data-v al-regex="Please enter a valid Billing address line 1.<!--EC:V15-->" data-val-re gex-pattern="[A-Za-z0-9]{1}[A-Za-z0-9 '\-,\./#]{1,}" data-val-required="Please e nter a Billing address line 1.<!--EC:V1-->" id="CreditCardViewModels_0__AddressL ine1" maxlength="30" name="CreditCardViewModels[0].AddressLine1" type="text" val ue=""></div>
90 </div>
91 <div class="form -row">
92 <div cla ss="form-group address-line"><label class="ifl" for="CreditCardViewModels_0__Add ressLine2">Billing address line 2 (Optional)</label><span aria-hidden="true" cla ss="field-validation-valid" data-valmsg-for="CreditCardViewModels[0].AddressLine 2" data-valmsg-replace="true"></span><input data-val="true" data-val-length="The field Billing address line 2 (Optional) must be a string with a maximum length of 30." data-val-length-max="30" data-val-regex="Please enter a valid Billing ad dress line 2 (Optional).<!--EC:V15-->" data-val-regex-pattern="[A-Za-z0-9]{1}[A- Za-z0-9 '\-,\./#]{1,}" id="CreditCardViewModels_0__AddressLine2" maxlength="30" name="CreditCardViewModels[0].AddressLine2" type="text" value=""></div>
93 </div>
94 <div class="form -row">
95 <div cla ss="form-group address-line"><label class="ifl" for="CreditCardViewModels_0__Add ressLine3">Billing address line 3 (Optional)</label><span aria-hidden="true" cla ss="field-validation-valid" data-valmsg-for="CreditCardViewModels[0].AddressLine 3" data-valmsg-replace="true"></span><input data-val="true" data-val-length="The field Billing address line 3 (Optional) must be a string with a maximum length of 30." data-val-length-max="30" data-val-regex="Please enter a valid Billing ad dress line 3 (Optional).<!--EC:V15-->" data-val-regex-pattern="[A-Za-z0-9]{1}[A- Za-z0-9 '\-,\./#]{1,}" id="CreditCardViewModels_0__AddressLine3" maxlength="30" name="CreditCardViewModels[0].AddressLine3" type="text" value=""></div>
96 </div>
97 <div class="form-row">
98 <div cla ss="form-group address-city"><label class="ifl" for="CreditCardViewModels_0__Cit y">City/town/department<em aria-hidden="true" class="rqrd">*</em></label><span a ria-hidden="true" class="field-validation-valid" data-valmsg-for="CreditCardView Models[0].City" data-valmsg-replace="true"></span><input aria-required="true" da ta-val="true" data-val-length="The field City/town/department must be a string w ith a maximum length of 30." data-val-length-max="30" data-val-regex="Please ent er a valid City/town/department.<!--EC:V15-->" data-val-regex-pattern="[A-Za-z., \-]{2,}" data-val-required="Please enter a City/town/department.<!--EC:V1-->" i d="CreditCardViewModels_0__City" maxlength="30" name="CreditCardViewModels[0].Ci ty" type="text" value=""></div>
99 <div class="form-group address-state"><label class="ifl" for="CreditCardViewMode ls_0__StateCode">State/province/region/county<em aria-hidden="true" class="rqrd" >*</em></label><span aria-hidden="true" class="field-validation-valid" data-valm sg-for="CreditCardViewModels[0].StateCode" data-valmsg-replace="true"></span><in put aria-required="true" data-val="true" data-val-regex="Please enter a valid St ate/province/region/county.<!--EC:V15-->" data-val-regex-pattern="[A-Za-z., ]{2, }" data-val-required="Please enter a State/province/region/county.<!--EC:V1-->" id="CreditCardViewModels_0__StateCode" name="CreditCardViewModels[0].StateCode" type="text" value=""></div> <div class="form-group address-post-code"><label class="ifl" for="Credit CardViewModels_0__PostalCode">ZIP/Postal code<em aria-hidden="true" class="rqrd" >*</em></label><span aria-hidden="true" class="field-validation-valid" data-valm sg-for="CreditCardViewModels[0].PostalCode" data-valmsg-replace="true"></span><i nput aria-required="true" data-val="true" data-val-length="The field ZIP/Postal code must be a string with a maximum length of 10." data-val-length-max="10" dat a-val-regex="Please enter a valid ZIP/Postal code.<!--EC:V15-->" data-val-regex- pattern="[abcdefghijklmnopqrstuvwxyzABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789 ,///-]{ 1,}" data-val-required="Please enter a ZIP/Postal code.<!--EC:V1-->" id="CreditC ardViewModels_0__PostalCode" maxlength="10" name="CreditCardViewModels[0].Postal Code" type="text" value=""></div> </div>
100 <div class="form -row">
101 <div cla ss="form-group address-country">
102 <div class="form-group"><span aria-hidden="true" class="field-validation-valid" data-valmsg-for="CreditCardViewModels[0].CountryCode" data-valmsg-replace="true" ></span><div class="selector fixedWidth" id="uniform-CreditCardViewModels_0__Cou ntryCode"><span aria-hidden="true" style="-webkit-user-select: none;">United Sta tes</span><label class="ifl visuallyhidden" for="CreditCardViewModels_0__Country Code">Country<em aria-hidden="true" class="rqrd">*</em></label><select aria-labe l="Country" aria-required="true" data-val="true" data-val-required="The Country field is required." id="CreditCardViewModels_0__CountryCode" name="CreditCardVie wModels[0].CountryCode" class="preproc"><option selected="selected" value="US">U nited States</option>
103 <option value="CA">Canada</option>
104 <option value="GB">United Kingdom</option>
105 <option value="AG">Antigua and Barbuda</option>
106 <option value="AR">Argentina</option>
107 <option value="AW">Aruba</option>
108 <option value="AU">Australia</option>
109 <option value="BS">Bahamas</option>
110 <option value="BH">Bahrain</option>
111 <option value="BB">Barbados</option>
112 <option value="BE">Belgium</option>
113 <option value="BZ">Belize</option>
114 <option value="BM">Bermuda</option>
115 <option value="BR">Brazil</option>
116 <option value="CA">Canada</option>
117 <option value="KY">Cayman Islands</option>
118 <option value="CL">Chile</option>
119 <option value="CN">China</option>
120 <option value="CO">Colombia</option>
121 <option value="CR">Costa Rica</option>
122 <option value="DK">Denmark</option>
123 <option value="DO">Dominican Republic</option>
124 <option value="EC">Ecuador</option>
125 <option value="SV">El Salvador</option>
126 <option value="FR">France</option>
127 <option value="DE">Germany</option>
128 <option value="GR">Greece</option>
129 <option value="GU">Guam</option>
130 <option value="GT">Guatemala</option>
131 <option value="HN">Honduras</option>
132 <option value="HK">Hong Kong</option>
133 <option value="IN">India</option>
134 <option value="ID">Indonesia</option>
135 <option value="IE">Ireland</option>
136 <option value="IL">Israel</option>
137 <option value="IT">Italy</option>
138 <option value="JM">Jamaica</option>
139 <option value="JP">Japan</option>
140 <option value="KR">Korea, South</option>
141 <option value="KW">Kuwait</option>
142 <option value="MH">Marshall Islands</option>
143 <option value="MX">Mexico</option>
144 <option value="FM">Micronesia</option>
145 <option value="NL">Netherlands</option>
146 <option value="AN">Netherlands Antilles</option>
147 <option value="NZ">New Zealand</option>
148 <option value="NI">Nicaragua</option>
149 <option value="MP">Northern Mariana Islands</option>
150 <option value="NO">Norway</option>
151 <option value="PW">Palau</option>
152 <option value="PA">Panama</option>
153 <option value="PE">Peru</option>
154 <option value="PH">Philippines</option>
155 <option value="PT">Portugal</option>
156 <option value="PR">Puerto Rico</option>
157 <option value="QA">Qatar</option>
158 <option value="RU">Russia</option>
159 <option value="SG">Singapore</option>
160 <option value="ES">Spain &amp; Canary Islands</option>
161 <option value="SE">Sweden</option>
162 <option value="CH">Switzerland</option>
163 <option value="TW">Taiwan</option>
164 <option value="TH">Thailand</option>
165 <option value="TT">Trinidad and Tobago</option>
166 <option value="TR">Turkey</option>
167 <option value="AE">United Arab Emirates</option>
168 <option value="GB">United Kingdom</option>
169 <option selected="selected" value="US">United States</option>
170 <option value="VN">Vietnam</option>
171 </select></div></div>
172 </div>
173 </div>
174
175 <p>Your bank may apply a credit card conversion fee.</p>
176
177 </div>
178 </fieldset>
179 </div>
180 <div class="panel-body-section" id="divOtherFop" style="display">
181 <div id="fop-other-alert ">
182 <div class="payment-noti ce"><i class="icon-information-small-gray"></i> Alipay is not eligible forms of payment based on your current selections.</div>
183 </div>
184 <div id="fop-other" clas s="label-payment-type" style="">
185 <div class="form -group">
186 <span ar ia-hidden="true" class="field-validation-valid" data-valmsg-for="FOPOption" data -valmsg-replace="true"></span><div class="radio" id="uniform-FOPOption_OtherFop" ><span><input aria-required="true" class="type-radio rotherform preproc" id="FOP Option_OtherFop" name="FOPOption" tabindex="0" type="radio" value="OtherFop"></s pan></div><label class="radio" for="FOPOption_OtherFop">Other forms of payment</ label>
187 </div>
188 <div id="fop-oth er-images" class="form-group container-payment-type-images fop-other">
189 <ul><li> <i class="icon-payment-type-visa-checkout-small" title="Visa Checkout"><span cla ss="visuallyhidden">Visa Checkout</span></i></li><li><i class="icon-payment-type -check-small" title="TeleCheck Online Checks"><span class="visuallyhidden">TeleC heck Online Checks</span></i></li><li><i class="icon-payment-type-cash-small" ti tle="Western Union Cash"><span class="visuallyhidden">Western Union Cash</span>< /i></li><li><i class="icon-payment-type-paypal-small" title="PayPal"><span class ="visuallyhidden">PayPal</span></i></li><li><i class="icon-payment-type-bill-me- later-small" title="PayPal Credit"><span class="visuallyhidden">PayPal Credit</s pan></i></li></ul>
190 </div>
191 </div>
192
193
194 <div id="other-fop-secti on" style="">
195 <div class="form -row section-other-fop" id="other_fop_list" style="display: none;">
196 <label f or="OtherFOPType" class="visuallyhidden">Form of payment</label>
197 <div cla ss="selector fixedWidth" id="uniform-OtherFOPType"><span aria-hidden="true" styl e="-webkit-user-select: none;">Not Selected</span><select class="ddlotherfop pre proc" data-cartid="83029498-98C8-4043-AA9B-106E1F89C4BF" data-fopurl="https://ww w.united.com/ual/en/us/flight-search/book-a-flight/billinginfo/getotherfops/rev" id="OtherFOPType" name="OtherFOPType"><option hideoptions="" value="">Not Selec ted</option><option hideoptions="" value="VCO">Visa Checkout</option><option hid eoptions="PAS, AAC" value="CASH">Cash</option><option hideoptions="PAS, AAC" val ue="CHECK">Online check</option><option hideoptions="" value="PP">PayPal</option ><option hideoptions="" value="BML">PayPal Credit</option></select></div>
198
199
200 <a href= "https://www.united.com/web/en-US/content/booking/flight/whatIsBML.aspx" target= "_blank" class="info-link" id="BML-info-link">What is PayPal Credit?</a>
201 <a href= "https://www.united.com/web/en-US/content/booking/flight/whatispaypal.aspx" targ et="_blank" class="info-link" id="PayPal-info-link">What is PayPal?</a>
202 </div>
203 <div class="sect ion-PayPal-type" style="display: none;">
204 <p>You w ill be directed to PayPal's website to enroll or to sign in to your account. You will then be redirected to united.com to complete this purchase.</p>
205 <input t ype="hidden" id="paypalUrl">
206 <button class="btn" id="btnPayPalCheckOut" value="PayPal">Check out with PayPal</button>
207 </div>
208 <div class="sect ion-Alipay-type" style="display: none;">
209 <input t ype="hidden" id="alipayUrl">
210 <fieldse t>
211 <legend class="visuallyhidden">Billing information <small class="required" aria- required="true">(*Required)</small></legend>
212 <h4 class="legend">Billing information <small class="required" aria-required="tr ue">(*Required)</small></h4>
213 <p>Please enter the purchaser's name and billing address below. Selecting "Purch ase" will direct you to Alipay's website to enroll or to sign in to your account . You'll then be redirected to united.com for your purchase confirmation.</p>
214 <div class="form-row">
215 <div class="form-group card-holder-name"><label class="ifl" for="AlipayC ardHolderName">Full name as it appears on your card<em aria-hidden="true" class= "rqrd">*</em></label><span aria-hidden="true" class="field-validation-valid" dat a-valmsg-for="AlipayCardHolderName" data-valmsg-replace="true"></span><input ari a-required="true" data-val="true" data-val-length="The field Full name as it app ears on your card must be a string with a maximum length of 35." data-val-length -max="35" data-val-regex="Please enter a valid Full name as it appears on your c ard.<!--EC:V15-->" data-val-regex-pattern="[A-Za-z]{1,}[A-Za-z '-.]{1,}" data-va l-required="Please enter a Full name as it appears on your card.<!--EC:V1-->" id ="AlipayCardHolderName" maxlength="35" name="AlipayCardHolderName" type="text" v alue=""></div>
216 </div>
217 <div class="form-row">
218 <div class="form-group address-line"><label class="ifl" for="AlipayBilli ngAddressLine1">Billing address line 1<em aria-hidden="true" class="rqrd">*</em> </label><span aria-hidden="true" class="field-validation-valid" data-valmsg-for= "AlipayBillingAddressLine1" data-valmsg-replace="true"></span><input aria-requir ed="true" data-val="true" data-val-length="The field Billing address line 1 must be a string with a maximum length of 30." data-val-length-max="30" data-val-reg ex="Please enter a valid Billing address line 1.<!--EC:V15-->" data-val-regex-pa ttern="[A-Za-z0-9]{1}[A-Za-z0-9 '\-,\./#]{1,}" data-val-required="Please enter a Billing address line 1.<!--EC:V1-->" id="AlipayBillingAddressLine1" maxlength=" 30" name="AlipayBillingAddressLine1" type="text" value=""></div>
219 </div>
220 <div class="form-row">
221 <div class="form-group address-line"><label class="ifl" for="AlipayBilli ngAddressLine2">Billing address line 2 (Optional)</label><span aria-hidden="true " class="field-validation-valid" data-valmsg-for="AlipayBillingAddressLine2" dat a-valmsg-replace="true"></span><input data-val="true" data-val-length="The field Billing address line 2 (Optional) must be a string with a maximum length of 30. " data-val-length-max="30" data-val-regex="Please enter a valid Billing address line 2 (Optional).<!--EC:V15-->" data-val-regex-pattern="[A-Za-z0-9]{1}[A-Za-z0- 9 '\-,\./#]{1,}" id="AlipayBillingAddressLine2" maxlength="30" name="AlipayBilli ngAddressLine2" type="text" value=""></div>
222 </div>
223 <div class="form-row">
224 <div class="form-group address-line"><label class="ifl" for="AlipayBilli ngAddressLine3">Billing address line 3 (Optional)</label><span aria-hidden="true " class="field-validation-valid" data-valmsg-for="AlipayBillingAddressLine3" dat a-valmsg-replace="true"></span><input data-val="true" data-val-length="The field Billing address line 3 (Optional) must be a string with a maximum length of 30. " data-val-length-max="30" data-val-regex="Please enter a valid Billing address line 3 (Optional).<!--EC:V15-->" data-val-regex-pattern="[A-Za-z0-9]{1}[A-Za-z0- 9 '\-,\./#]{1,}" id="AlipayBillingAddressLine3" maxlength="30" name="AlipayBilli ngAddressLine3" type="text" value=""></div>
225 </div>
226 <div class="form-row">
227 <div class="form-group address-city"><label class="ifl" for="AlipayCity" >City/town/department<em aria-hidden="true" class="rqrd">*</em></label><span ari a-hidden="true" class="field-validation-valid" data-valmsg-for="AlipayCity" data -valmsg-replace="true"></span><input aria-required="true" data-val="true" data-v al-length="The field City/town/department must be a string with a maximum length of 30." data-val-length-max="30" data-val-regex="Please enter a valid City/town /department.<!--EC:V15-->" data-val-regex-pattern="[A-Za-z., \-]{2,}" data-val-r equired="Please enter a City/town/department.<!--EC:V1-->" id="AlipayCity" maxle ngth="30" name="AlipayCity" type="text" value=""></div>
228 <div class="form-group paypal-address-post-code"><label class="ifl" for= "AlipayZipCode">ZIP/Postal code<em aria-hidden="true" class="rqrd">*</em></label ><span aria-hidden="true" class="field-validation-valid" data-valmsg-for="Alipay ZipCode" data-valmsg-replace="true"></span><input aria-required="true" data-val= "true" data-val-length="The field ZIP/Postal code must be a string with a maximu m length of 10." data-val-length-max="10" data-val-regex="Please enter a valid Z IP/Postal code.<!--EC:V15-->" data-val-regex-pattern="[abcdefghijklmnopqrstuvwxy zABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789 ,///-]{1,}" data-val-required="Please ente r a ZIP/Postal code.<!--EC:V1-->" id="AlipayZipCode" maxlength="10" name="Alipay ZipCode" type="text" value=""></div>
229 </div>
230 <div class="form-row">
231 <div class="selector fixedWidth" id="uniform-AlipayCountryCode"><span ar ia-hidden="true" style="-webkit-user-select: none;">United States</span><select class="phone-country-list preproc" id="AlipayCountryCode" name="AlipayCountryCod e"><option selected="selected" value="US">United States</option>
232 <option value="CA">Canada</option>
233 <option value="GB">United Kingdom</option>
234 <option value="AG">Antigua and Barbuda</option>
235 <option value="AR">Argentina</option>
236 <option value="AW">Aruba</option>
237 <option value="AU">Australia</option>
238 <option value="BS">Bahamas</option>
239 <option value="BH">Bahrain</option>
240 <option value="BB">Barbados</option>
241 <option value="BE">Belgium</option>
242 <option value="BZ">Belize</option>
243 <option value="BM">Bermuda</option>
244 <option value="BR">Brazil</option>
245 <option value="CA">Canada</option>
246 <option value="KY">Cayman Islands</option>
247 <option value="CL">Chile</option>
248 <option value="CN">China</option>
249 <option value="CO">Colombia</option>
250 <option value="CR">Costa Rica</option>
251 <option value="DK">Denmark</option>
252 <option value="DO">Dominican Republic</option>
253 <option value="EC">Ecuador</option>
254 <option value="SV">El Salvador</option>
255 <option value="FR">France</option>
256 <option value="DE">Germany</option>
257 <option value="GR">Greece</option>
258 <option value="GU">Guam</option>
259 <option value="GT">Guatemala</option>
260 <option value="HN">Honduras</option>
261 <option value="HK">Hong Kong</option>
262 <option value="IN">India</option>
263 <option value="ID">Indonesia</option>
264 <option value="IE">Ireland</option>
265 <option value="IL">Israel</option>
266 <option value="IT">Italy</option>
267 <option value="JM">Jamaica</option>
268 <option value="JP">Japan</option>
269 <option value="KR">Korea, South</option>
270 <option value="KW">Kuwait</option>
271 <option value="MH">Marshall Islands</option>
272 <option value="MX">Mexico</option>
273 <option value="FM">Micronesia</option>
274 <option value="NL">Netherlands</option>
275 <option value="AN">Netherlands Antilles</option>
276 <option value="NZ">New Zealand</option>
277 <option value="NI">Nicaragua</option>
278 <option value="MP">Northern Mariana Islands</option>
279 <option value="NO">Norway</option>
280 <option value="PW">Palau</option>
281 <option value="PA">Panama</option>
282 <option value="PE">Peru</option>
283 <option value="PH">Philippines</option>
284 <option value="PT">Portugal</option>
285 <option value="PR">Puerto Rico</option>
286 <option value="QA">Qatar</option>
287 <option value="RU">Russia</option>
288 <option value="SG">Singapore</option>
289 <option value="ES">Spain &amp; Canary Islands</option>
290 <option value="SE">Sweden</option>
291 <option value="CH">Switzerland</option>
292 <option value="TW">Taiwan</option>
293 <option value="TH">Thailand</option>
294 <option value="TT">Trinidad and Tobago</option>
295 <option value="TR">Turkey</option>
296 <option value="AE">United Arab Emirates</option>
297 <option value="GB">United Kingdom</option>
298 <option selected="selected" value="US">United States</option>
299 <option value="VN">Vietnam</option>
300 </select></div>
301 </div>
302 </fields et>
303 </div>
304 <div class="sect ion-VisaCheckout-type" style="display: none;">
305 <input i d="WalletVCOEnvironment" name="WalletVCOEnvironment" type="hidden" value="prod">
306 <input d ata-val="true" data-val-required="Please enter a WalletId.<!--EC:V1-->" id="Wall etId" name="WalletId" type="hidden" value="">
307 <input i d="WalletCardType" name="WalletCardType" type="hidden" value="">
308 <input i d="WalletCreditCardTypeList" name="WalletCreditCardTypeList" type="hidden" value ="[&quot;VISA&quot;,&quot;JCB&quot;,&quot;MASTERCARD&quot;,&quot;AMEX&quot;,&quo t;DISCOVER&quot;,&quot;DINERS&quot;,&quot;UATP&quot;]">
309 <input i d="WalletBillingAddress" name="WalletBillingAddress" type="hidden" value="">
310 <input i d="WalletBillingCity" name="WalletBillingCity" type="hidden" value="">
311 <input i d="WalletBillingZipCode" name="WalletBillingZipCode" type="hidden" value="">
312 <input i d="WalletBillingCountryCode" name="WalletBillingCountryCode" type="hidden" value ="">
313 <input t ype="hidden" name="vcoTotalCartAmount" id="vcoTotalCartAmount">
314 <input t ype="hidden" name="vcoCurrencyCode" id="vcoCurrencyCode">
315 <p>To us e Visa Checkout, click the button below. You will be prompted to log in or creat e an account.</p>
316 <button class="btn-visa" id="btnVisaCheckOut" value="Visa Checkout">
317 <img class="btn-img-visa" alt="Use Visa Checkout" src="https://sandbox.secure.ch eckout.visa.com/wallet-services-web/xo/button.png">
318 </button >
319 </div>
320 <div id="spinner -visaCheckout" class="spinner-container-visa-checkout-form" style="display: none ">&nbsp;</div>
321 <div id="form-pa yPal" class="form-PayPal" style="display: none">
322 <div cla ss="PayPal-selected-info">
323 <i class="icon-payment-type-paypal"></i>
324 <p><span id="paypalName"></span>, you have selected PayPal as your payment metho d. PayPal account: <span id="paypalEmail"></span></p>
325 </div>
326
327 <fieldse t>
328 <legend class="visuallyhidden">Billing information <small class="rqrd" aria-hidd en="true">(*Required)</small></legend>
329 <h4 class="legend">Billing information <small class="rqrd" aria-hidden="true">(* Required)</small></h4>
330 <p>Please enter the billing information associated with the specified PayPal acc ount.</p>
331 <div class="form-row">
332 <div class="form-group paypal-address-line"><label class="ifl" for="PayP alBillingAddress">Billing address<em aria-hidden="true" class="rqrd">*</em></lab el><span aria-hidden="true" class="field-validation-valid" data-valmsg-for="PayP alBillingAddress" data-valmsg-replace="true"></span><input aria-required="true" data-val="true" data-val-length="The field Billing address must be a string with a maximum length of 30." data-val-length-max="30" data-val-regex="Please enter a valid Billing address.<!--EC:V15-->" data-val-regex-pattern="[A-Za-z0-9]{1}[A- Za-z0-9 '\-,\./#]{1,}" data-val-required="Please enter a Billing address.<!--EC: V1-->" id="PayPalBillingAddress" maxlength="30" name="PayPalBillingAddress" type ="text" value=""></div>
333 </div>
334 <div class="form-row">
335 <div class="form-group address-city"><label class="ifl" for="PayPalCity" >City/town/department<em aria-hidden="true" class="rqrd">*</em></label><span ari a-hidden="true" class="field-validation-valid" data-valmsg-for="PayPalCity" data -valmsg-replace="true"></span><input aria-required="true" data-val="true" data-v al-length="The field City/town/department must be a string with a maximum length of 30." data-val-length-max="30" data-val-regex="Please enter a valid City/town /department.<!--EC:V15-->" data-val-regex-pattern="[A-Za-z., \-]{2,}" data-val-r equired="Please enter a City/town/department.<!--EC:V1-->" id="PayPalCity" maxle ngth="30" name="PayPalCity" type="text" value=""></div>
336 <div class="form-group address-state"><label class="ifl" for="PayPalStat e">State/province/region/county<em aria-hidden="true" class="rqrd">*</em></label ><span aria-hidden="true" class="field-validation-valid" data-valmsg-for="PayPal State" data-valmsg-replace="true"></span><input aria-required="true" data-val="t rue" data-val-required="Please enter a State/province/region/county.<!--EC:V1--> " id="PayPalState" name="PayPalState" type="text" value=""></div>
337 <div class="form-group paypal-address-post-code"><label class="ifl" for= "PayPalZipCode">ZIP/Postal code<em aria-hidden="true" class="rqrd">*</em></label ><span aria-hidden="true" class="field-validation-valid" data-valmsg-for="PayPal ZipCode" data-valmsg-replace="true"></span><input aria-required="true" data-val= "true" data-val-length="The field ZIP/Postal code must be a string with a maximu m length of 10." data-val-length-max="10" data-val-regex="Please enter a valid Z IP/Postal code.<!--EC:V15-->" data-val-regex-pattern="[abcdefghijklmnopqrstuvwxy zABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789 ,///-]{1,}" data-val-required="Please ente r a ZIP/Postal code.<!--EC:V1-->" id="PayPalZipCode" maxlength="10" name="PayPal ZipCode" type="text" value=""></div>
338 </div>
339 <div class="form-row">
340 <div class="selector fixedWidth" id="uniform-PayPalCountryCode"><span ar ia-hidden="true" style="-webkit-user-select: none;">United States</span><select class="address-country preproc" id="PayPalCountryCode" name="PayPalCountryCode"> <option value="US">United States</option>
341 <option value="CA">Canada</option>
342 <option value="GB">United Kingdom</option>
343 <option value="AG">Antigua and Barbuda</option>
344 <option value="AR">Argentina</option>
345 <option value="AW">Aruba</option>
346 <option value="AU">Australia</option>
347 <option value="BS">Bahamas</option>
348 <option value="BH">Bahrain</option>
349 <option value="BB">Barbados</option>
350 <option value="BE">Belgium</option>
351 <option value="BZ">Belize</option>
352 <option value="BM">Bermuda</option>
353 <option value="BR">Brazil</option>
354 <option value="CA">Canada</option>
355 <option value="KY">Cayman Islands</option>
356 <option value="CL">Chile</option>
357 <option value="CN">China</option>
358 <option value="CO">Colombia</option>
359 <option value="CR">Costa Rica</option>
360 <option value="DK">Denmark</option>
361 <option value="DO">Dominican Republic</option>
362 <option value="EC">Ecuador</option>
363 <option value="SV">El Salvador</option>
364 <option value="FR">France</option>
365 <option value="DE">Germany</option>
366 <option value="GR">Greece</option>
367 <option value="GU">Guam</option>
368 <option value="GT">Guatemala</option>
369 <option value="HN">Honduras</option>
370 <option value="HK">Hong Kong</option>
371 <option value="IN">India</option>
372 <option value="ID">Indonesia</option>
373 <option value="IE">Ireland</option>
374 <option value="IL">Israel</option>
375 <option value="IT">Italy</option>
376 <option value="JM">Jamaica</option>
377 <option value="JP">Japan</option>
378 <option value="KR">Korea, South</option>
379 <option value="KW">Kuwait</option>
380 <option value="MH">Marshall Islands</option>
381 <option value="MX">Mexico</option>
382 <option value="FM">Micronesia</option>
383 <option value="NL">Netherlands</option>
384 <option value="AN">Netherlands Antilles</option>
385 <option value="NZ">New Zealand</option>
386 <option value="NI">Nicaragua</option>
387 <option value="MP">Northern Mariana Islands</option>
388 <option value="NO">Norway</option>
389 <option value="PW">Palau</option>
390 <option value="PA">Panama</option>
391 <option value="PE">Peru</option>
392 <option value="PH">Philippines</option>
393 <option value="PT">Portugal</option>
394 <option value="PR">Puerto Rico</option>
395 <option value="QA">Qatar</option>
396 <option value="RU">Russia</option>
397 <option value="SG">Singapore</option>
398 <option value="ES">Spain &amp; Canary Islands</option>
399 <option value="SE">Sweden</option>
400 <option value="CH">Switzerland</option>
401 <option value="TW">Taiwan</option>
402 <option value="TH">Thailand</option>
403 <option value="TT">Trinidad and Tobago</option>
404 <option value="TR">Turkey</option>
405 <option value="AE">United Arab Emirates</option>
406 <option value="GB">United Kingdom</option>
407 <option value="US">United States</option>
408 <option value="VN">Vietnam</option>
409 </select></div>
410 </div>
411 </fields et>
412
413 </div>
414 <div id="form-vi saCheckout" class="form-visaCheckout" style="display: none">
415 <div cla ss="visa-checkout-selected-info">
416 <p>You have selected the following payment method:</p>
417 </div>
418 <div>
419 <div id="vcoCardToExpireMsg" class="info-msg"></div>
420 <div id="vcoCardBrandImage"></div>
421 <div id="spinner-visaCheckout-data" class="spinner-container-visa-checkout-data" style="display: none">&nbsp;</div>
422 <div class="visa-checkout-data">
423 <div id="cardNumber"></div>
424 <div><a id="editVisaCheckoutPayment" href="javascript:void(0);">Edit Vis a Checkout payment</a> | <a id="selectDiffPaymentMethod" href="javascript:void(0 );">Select a different payment method</a></div>
425 <div id="customerEmail"></div>
426 <div class="form-row" style="margin-top: 12px; display: none">
427 <div id="divWalletCCSecurityCode" class="form-groupset" style="d isplay: none; visibility: hidden">
428 <div class="form-group card-security-code"><label class= "ifl" for="WalletCCSecurityCode">Security code</label><span aria-hidden="true" c lass="field-validation-valid" data-valmsg-for="WalletCCSecurityCode" data-valmsg -replace="true"></span><input autocomplete="off" data-privacy="no-capture" id="W alletCCSecurityCode" maxlength="4" name="WalletCCSecurityCode" type="password" v alue=""></div>
429 <button type="button" class="icon-tooltip-large-clear-bg tool-tip-security-code" data-toggle="tooltip" data-tooltip-style="default" tabi ndex="0" data-hasqtip="4" oldtitle="What's a security code?" title=""><span clas s="visuallyhidden">About credit card security code</span></button>
430 <div class="tip-security-code">
431 <div class="tip-security-code-default">
432 <h6>Security code</h6>
433 <p>The card security code consists of th e last three digits of the number on the back of your Visa, MasterCard or Discov er Card, or the four digits above the main number on your American Express card. </p>
434 </div>
435 <div class="tip-security-code-visa" style="displ ay: none;">
436 <h6>Visa - CVV2</h6>
437 <p>The card security code consists of th e last three digits of the number on the back of your Visa.</p>
438 <img src="https://www.united.com/web/for mat/img/card/CVV2_Visa.GIF" alt="Visa security code">
439 </div>
440 <div class="tip-security-code-mc" style="display : none;">
441 <h6>MasterCard - CVC2</h6>
442 <p>The card security code consists of th e last three digits of the number on the back of your MasterCard.</p>
443 <img src="https://www.united.com/web/for mat/img/card/CVC2_MC.GIF" alt="MasterCard security code">
444 </div>
445 <div class="tip-security-code-amex" style="displ ay: none;">
446 <h6>American Express – CID</h6>
447 <p>The card security code consists of th e four digits above the main number on your American Express card.</p>
448 <img src="https://www.united.com/web/for mat/img/card/CID_Amex.GIF" alt="American Express security code">
449 </div>
450 <div class="tip-security-code-discover" style="d isplay: none;">
451 <h6>Discover – CID</h6>
452 <p>The card security code consists of th e last three digits of the number on the back of your Discover Card.</p>
453 <img src="https://www.united.com/web/for mat/img/card/CID_Discover.GIF" alt="Discover security code">
454 </div>
455 </div>
456 </div>
457 </div>
458 </div>
459 </div>
460 </div>
461 <div id="divcash options">
462 <fieldse t class="section-cash-type form-group" style="display: none;">
463 <p>If you plan to pay with cash, your reservation will be held until midnigh t CT on Wed, Mar 02, 2016 and must be purchased by that time or the reservation will be released for another customer to purchase.</p>
464
465 <legend>Select where you will complete your cash purchase <small class="rqrd " aria-hidden="true">(*Required)</small></legend>
466 <h4 class="legend">Select where you will complete your cash purchase <small class="rqrd" aria-hidden="true">(*Required)</small></h4>
467 <div class="form-group group-type-radio group-type-radio-cash">
468
469 <div class="form-row"><span aria-hidden="true" class="field-vali dation-valid" data-valmsg-for="CashType" data-valmsg-replace="true"></span><div class="radio" id="uniform-CashType_WU"><span><input aria-required="true" class=" type-radio rcashtype preproc" data-number="1" data-val="true" data-val-required= "Please make a selection.<!--EC:V152-->" id="CashType_WU" name="CashType" tabind ex="0" type="radio" value="WU"></span></div><label class="radio" for="CashType_W U">Western Union ($11.95 service charge per transaction)</label></div>
470 <div class="form-row"><div class="radio" id="uniform-CashType_AT O"><span><input aria-required="true" class="type-radio rcashtype preproc" data-n umber="2" id="CashType_ATO" name="CashType" tabindex="0" type="radio" value="ATO "></span></div><label class="radio" for="CashType_ATO">Airport Ticket Office (se rvice charge per transaction may apply)</label></div>
471 <div class="form-row"><div class="radio" id="uniform-CashType_CT O"><span><input aria-required="true" class="type-radio rcashtype preproc" data-n umber="3" id="CashType_CTO" name="CashType" tabindex="0" type="radio" value="CTO "></span></div><label class="radio" for="CashType_CTO">United Ticket Office (ser vice charge per transaction may apply)</label></div>
472 </div>
473 </fieldset>
474 </div>
475
476
477
478
479
480 <div id="BMLInfo" class="booking-content" style="display: none;">
481 <p>PayPal Credit is a fast and secure way to pay online without using a credit card. After your ticket is confirmed, you will receive a billing statemen t. <a href="https://www.united.com/web/en-US/content/booking/flight/whatIsBML.as px" target="_blank">Learn more about PayPal Credit</a></p>
482 <div class="form-row">
483 <span aria-hidden="true" class="field-validation-valid" data-val msg-for="BmlModel.IfForSixMonthsNoPayment" data-valmsg-replace="true"></span><di v class="checker" id="uniform-BmlModel_IfForSixMonthsNoPayment"><span><input cla ss="type-checkbox type-checkbox preproc" data-val="true" data-val-required="The IfForSixMonthsNoPayment field is required." id="BmlModel_IfForSixMonthsNoPayment " name="BmlModel.IfForSixMonthsNoPayment" type="checkbox" value="true"></span></ div><input name="BmlModel.IfForSixMonthsNoPayment" type="hidden" value="false">< label class="checkbox" for="BmlModel_IfForSixMonthsNoPayment">Yes, I would like to make no payments for six months on orders greater than $250.</label>
484 </div>
485 <fieldset id="PayPal CreditInfo">
486 <legend class="visuallyhidden">Apply for PayPal Credit <small cl ass="rqrd" aria-hidden="true">(*Required)</small></legend>
487 <h4 class="legend" aria-hidden="true">Apply for PayPal Credit <s mall class="rqrd" aria-hidden="true">(*Required)</small></h4>
488 <p>The information entered below will be sent to PayPal Credit.< /p>
489 <div>
490 <div class="form-row">
491 <div class="form-group"><label class="ifl" for=" BmlModel_FirstName">First name<em aria-hidden="true" class="rqrd">*</em></label> <span aria-hidden="true" class="field-validation-valid" data-valmsg-for="BmlMode l.FirstName" data-valmsg-replace="true"></span><input aria-required="true" data- val="true" data-val-regex="Please enter a valid First name.<!--EC:V15-->" data-v al-regex-pattern="[A-Za-z]{1,}[A-Za-z -]{0,}" data-val-required="Please enter a First name.<!--EC:V1-->" id="BmlModel_FirstName" name="BmlModel.FirstName" type= "text" value=""></div>
492 <div class="form-group"><label class="ifl" for=" BmlModel_LastName">Last name<em aria-hidden="true" class="rqrd">*</em></label><s pan aria-hidden="true" class="field-validation-valid" data-valmsg-for="BmlModel. LastName" data-valmsg-replace="true"></span><input aria-required="true" data-val ="true" data-val-regex="Please enter a valid Last name.<!--EC:V15-->" data-val-r egex-pattern="[A-Za-z]{2,}[A-Za-z -]{0,}" data-val-required="Please enter a Last name.<!--EC:V1-->" id="BmlModel_LastName" name="BmlModel.LastName" type="text" value=""></div>
493 </div>
494 <div id="guestBML">
495 <div class="form-row">
496 <div class="form-group bml-addre ss-line"><label class="ifl" for="BmlModel_BMLAddressLine1">Billing address<em ar ia-hidden="true" class="rqrd">*</em></label><span aria-hidden="true" class="fiel d-validation-valid" data-valmsg-for="BmlModel.BMLAddressLine1" data-valmsg-repla ce="true"></span><input aria-required="true" data-val="true" data-val-required=" Please enter a Billing address.<!--EC:V1-->" id="BmlModel_BMLAddressLine1" name= "BmlModel.BMLAddressLine1" type="text" value=""></div>
497 </div>
498 <div class="form-row">
499 <div class="form-group address-c ity"><label class="ifl" for="BmlModel_BMLCity">City<em aria-hidden="true" class= "rqrd">*</em></label><span aria-hidden="true" class="field-validation-valid" dat a-valmsg-for="BmlModel.BMLCity" data-valmsg-replace="true"></span><input aria-re quired="true" data-val="true" data-val-length="The field City must be a string w ith a maximum length of 30." data-val-length-max="30" data-val-regex="Please ent er a valid City.<!--EC:V15-->" data-val-regex-pattern="[A-Za-z., \-]{2,}" data-v al-required="Please enter a City.<!--EC:V1-->" id="BmlModel_BMLCity" maxlength=" 30" name="BmlModel.BMLCity" type="text" value=""></div>
500 <div class="form-group address-s tate"><label class="ifl" for="BmlModel_BMLStateCode">State/territory/province<em aria-hidden="true" class="rqrd">*</em></label><span aria-hidden="true" class="f ield-validation-valid" data-valmsg-for="BmlModel.BMLStateCode" data-valmsg-repla ce="true"></span><input aria-required="true" data-val="true" data-val-required=" Please enter a State/territory/province.<!--EC:V1-->" id="BmlModel_BMLStateCode" name="BmlModel.BMLStateCode" type="text" value=""></div>
501 <div class="form-group bml-addre ss-post-code"><label class="ifl" for="BmlModel_BMLPostalCode">Zip/Postal code<em aria-hidden="true" class="rqrd">*</em></label><span aria-hidden="true" class="f ield-validation-valid" data-valmsg-for="BmlModel.BMLPostalCode" data-valmsg-repl ace="true"></span><input aria-required="true" data-val="true" data-val-length="T he field Zip/Postal code must be a string with a maximum length of 10." data-val -length-max="10" data-val-regex="Please enter a valid Zip/Postal code.<!--EC:V15 -->" data-val-regex-pattern="[abcdefghijklmnopqrstuvwxyzABCDEFGHIJKLMNOPQRSTUVWX YZ0123456789 ,///-]{1,}" data-val-required="Please enter a Zip/Postal code.<!--E C:V1-->" id="BmlModel_BMLPostalCode" maxlength="10" name="BmlModel.BMLPostalCode " type="text" value=""></div>
502 </div>
503 <h4 id="countryDescription" class="legen d"></h4>
504 <div id="divBMLGuestPhoneInputFields" st yle="display:">
505 <div class="form-row">
506 <div class="form-group">
507 <div class="grou p-label">Phone prefix<em class="rqrd" aria-hidden="true">*</em></div>
508 <label for="BmlM odel_BMLPhoneCountryAccessCode" class="visuallyhidden">Phone Country</label>
509 <div class="sele ctor fixedWidth" id="uniform-BmlModel_BMLPhoneCountryAccessCode"><span aria-hidd en="true" style="-webkit-user-select: none;">United States</span><select id="Bml Model_BMLPhoneCountryAccessCode" name="BmlModel.BMLPhoneCountryAccessCode" class ="preproc"><option value="US">United States</option>
510 <option value="CA">Canada</option>
511 <option value="GB">United Kingdom</option>
512 <option value="AF">Afghanistan</option>
513 <option value="AL">Albania</option>
514 <option value="DZ">Algeria</option>
515 <option value="AS">American Samoa</option>
516 <option value="AD">Andorra</option>
517 <option value="AO">Angola</option>
518 <option value="AI">Anguilia</option>
519 <option value="AQ">Antarctica</option>
520 <option value="AG">Antigua and Barbuda</option>
521 <option value="AR">Argentina</option>
522 <option value="AM">Armenia</option>
523 <option value="AW">Aruba</option>
524 <option value="AU">Australia</option>
525 <option value="AT">Austria</option>
526 <option value="AZ">Azerbaijan</option>
527 <option value="BS">Bahamas</option>
528 <option value="BH">Bahrain</option>
529 <option value="BD">Bangladesh</option>
530 <option value="BB">Barbados</option>
531 <option value="BY">Belarus</option>
532 <option value="BE">Belgium</option>
533 <option value="BZ">Belize</option>
534 <option value="BJ">Benin</option>
535 <option value="BM">Bermuda</option>
536 <option value="BT">Bhutan</option>
537 <option value="BO">Bolivia</option>
538 <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
539 <option value="BA">Bosnia and Herzegovina</option>
540 <option value="BW">Botswana</option>
541 <option value="BR">Brazil</option>
542 <option value="IO">British Indian Ocean Territory</option>
543 <option value="VG">British Virgin Islands</option>
544 <option value="BN">Brunei</option>
545 <option value="BG">Bulgaria</option>
546 <option value="BF">Burkina Faso</option>
547 <option value="BI">Burundi</option>
548 <option value="KH">Cambodia</option>
549 <option value="CM">Cameroon</option>
550 <option value="CV">Cape Verde</option>
551 <option value="KY">Cayman Islands</option>
552 <option value="CF">Central African Republic</option>
553 <option value="TD">Chad</option>
554 <option value="CL">Chile</option>
555 <option value="CN">China, People's Republic of</option>
556 <option value="CX">Christmas Island</option>
557 <option value="CC">Cocos (Keeling) Islands</option>
558 <option value="CO">Colombia</option>
559 <option value="KM">Comoros</option>
560 <option value="CG">Congo</option>
561 <option value="CD">Congo, Democratic Republic of the (Zaire)</option>
562 <option value="CK">Cook Islands</option>
563 <option value="CR">Costa Rica</option>
564 <option value="CI">Cote d'ivoire</option>
565 <option value="HR">Croatia</option>
566 <option value="CU">Cuba</option>
567 <option value="CW">Curaçao</option>
568 <option value="CY">Cyprus</option>
569 <option value="CZ">Czech Republic</option>
570 <option value="DK">Denmark</option>
571 <option value="DG">Diego Garcia</option>
572 <option value="DJ">Djibouti</option>
573 <option value="DM">Dominica</option>
574 <option value="DO">Dominican Republic</option>
575 <option value="TP">East Timor</option>
576 <option value="EC">Ecuador</option>
577 <option value="EG">Egypt</option>
578 <option value="SV">El Salvador</option>
579 <option value="GQ">Equatorial Guinea</option>
580 <option value="ER">Eritrea</option>
581 <option value="EE">Estonia</option>
582 <option value="ET">Ethiopia</option>
583 <option value="FK">Falkland Islands</option>
584 <option value="FO">Faroe Islands</option>
585 <option value="FJ">Fiji</option>
586 <option value="FI">Finland</option>
587 <option value="FR">France</option>
588 <option value="GF">French Guiana</option>
589 <option value="PF">French Polynesia</option>
590 <option value="GA">Gabon</option>
591 <option value="GM">Gambia</option>
592 <option value="GE">Georgia</option>
593 <option value="DE">Germany</option>
594 <option value="GH">Ghana</option>
595 <option value="GI">Gibraltar</option>
596 <option value="GR">Greece</option>
597 <option value="GL">Greenland</option>
598 <option value="GD">Grenada</option>
599 <option value="GP">Guadeloupe</option>
600 <option value="GU">Guam</option>
601 <option value="GT">Guatemala</option>
602 <option value="GN">Guinea</option>
603 <option value="GW">Guinea-Bissau</option>
604 <option value="GY">Guyana</option>
605 <option value="HT">Haiti</option>
606 <option value="HN">Honduras</option>
607 <option value="HK">Hong Kong</option>
608 <option value="HU">Hungary</option>
609 <option value="IS">Iceland</option>
610 <option value="IN">India</option>
611 <option value="ID">Indonesia</option>
612 <option value="IR">Iran</option>
613 <option value="IQ">Iraq</option>
614 <option value="IE">Ireland</option>
615 <option value="IL">Israel</option>
616 <option value="IT">Italy</option>
617 <option value="JM">Jamaica</option>
618 <option value="JP">Japan</option>
619 <option value="JO">Jordan</option>
620 <option value="KZ">Kazakhstan</option>
621 <option value="KE">Kenya</option>
622 <option value="KI">Kiribati</option>
623 <option value="KP">Korea, North</option>
624 <option value="KR">Korea, South</option>
625 <option value="KW">Kuwait</option>
626 <option value="KG">Kyrgyzstan</option>
627 <option value="LA">Laos</option>
628 <option value="LV">Latvia</option>
629 <option value="LB">Lebanon</option>
630 <option value="LS">Lesotho</option>
631 <option value="LR">Liberia</option>
632 <option value="LY">Libya</option>
633 <option value="LI">Liechtenstein</option>
634 <option value="LT">Lithuania</option>
635 <option value="LU">Luxembourg</option>
636 <option value="MO">Macau</option>
637 <option value="MK">Macedonia (FYROM)</option>
638 <option value="MG">Madagascar</option>
639 <option value="MW">Malawi</option>
640 <option value="MY">Malaysia</option>
641 <option value="MV">Maldives</option>
642 <option value="ML">Mali</option>
643 <option value="MT">Malta</option>
644 <option value="MH">Marshall Islands</option>
645 <option value="MQ">Martinique</option>
646 <option value="MR">Mauritania</option>
647 <option value="MU">Mauritius</option>
648 <option value="YT">Mayotte</option>
649 <option value="MX">Mexico</option>
650 <option value="FM">Micronesia</option>
651 <option value="MD">Moldova</option>
652 <option value="MC">Monaco</option>
653 <option value="MN">Mongolia</option>
654 <option value="ME">Montenegro</option>
655 <option value="MS">Montserrat</option>
656 <option value="MA">Morocco</option>
657 <option value="MZ">Mozambique</option>
658 <option value="MM">Myanmar (Burma)</option>
659 <option value="NA">Namibia</option>
660 <option value="NR">Nauru</option>
661 <option value="NP">Nepal</option>
662 <option value="NL">Netherlands</option>
663 <option value="NC">New Caledonia</option>
664 <option value="NZ">New Zealand</option>
665 <option value="NI">Nicaragua</option>
666 <option value="NE">Niger</option>
667 <option value="NG">Nigeria</option>
668 <option value="NU">Niue</option>
669 <option value="NF">Norfolk Island</option>
670 <option value="MP">Northern Mariana Islands</option>
671 <option value="NO">Norway</option>
672 <option value="OM">Oman</option>
673 <option value="PK">Pakistan</option>
674 <option value="PW">Palau</option>
675 <option value="PS">Palestinian Territories</option>
676 <option value="PA">Panama</option>
677 <option value="PG">Papua New Guinea</option>
678 <option value="PY">Paraguay</option>
679 <option value="PE">Peru</option>
680 <option value="PH">Philippines</option>
681 <option value="PN">Pitcairn</option>
682 <option value="PL">Poland</option>
683 <option value="PT">Portugal</option>
684 <option value="PR">Puerto Rico</option>
685 <option value="QA">Qatar</option>
686 <option value="RE">Reunion</option>
687 <option value="RO">Romania</option>
688 <option value="RU">Russia</option>
689 <option value="RW">Rwanda</option>
690 <option value="GS">South Georgia and the South Sandwich Islands</option>
691 <option value="BL">Saint Barthélemy</option>
692 <option value="KN">Saint Kitts and Nevis</option>
693 <option value="LC">Saint Lucia</option>
694 <option value="MF">Saint Martin (France)</option>
695 <option value="VC">Saint Vincent and the Grenadines</option>
696 <option value="WS">Samoa</option>
697 <option value="SM">San Marino</option>
698 <option value="ST">Sao Tome and Principe</option>
699 <option value="SA">Saudi Arabia</option>
700 <option value="SN">Senegal</option>
701 <option value="RS">Serbia</option>
702 <option value="SC">Seychelles</option>
703 <option value="SL">Sierra Leone</option>
704 <option value="SG">Singapore</option>
705 <option value="SX">Sint Maarten (Netherlands)</option>
706 <option value="SK">Slovakia</option>
707 <option value="SI">Slovenia</option>
708 <option value="SB">Solomon Islands</option>
709 <option value="SO">Somalia</option>
710 <option value="ZA">South Africa</option>
711 <option value="SS">South Sudan</option>
712 <option value="ES">Spain &amp; Canary Islands</option>
713 <option value="LK">Sri Lanka</option>
714 <option value="SH">Saint Helena</option>
715 <option value="PM">Saint Pierre and Miquelon</option>
716 <option value="SD">Sudan</option>
717 <option value="SR">Suriname</option>
718 <option value="SJ">Svalbard and Jan Mayen Islands</option>
719 <option value="SZ">Swaziland</option>
720 <option value="SE">Sweden</option>
721 <option value="CH">Switzerland</option>
722 <option value="SY">Syria</option>
723 <option value="TW">Taiwan</option>
724 <option value="TJ">Tajikistan</option>
725 <option value="TZ">Tanzania</option>
726 <option value="TH">Thailand</option>
727 <option value="TG">Togo</option>
728 <option value="TK">Tokelau</option>
729 <option value="TO">Tonga</option>
730 <option value="TT">Trinidad and Tobago</option>
731 <option value="TN">Tunisia</option>
732 <option value="TR">Turkey</option>
733 <option value="TM">Turkmenistan</option>
734 <option value="TC">Turks and Caicos Islands</option>
735 <option value="TV">Tuvalu</option>
736 <option value="UG">Uganda</option>
737 <option value="UA">Ukraine</option>
738 <option value="AE">United Arab Emirates</option>
739 <option value="UM">United States Minor Outlying Islands</option>
740 <option value="UY">Uruguay</option>
741 <option value="UZ">Uzbekistan</option>
742 <option value="VU">Vanuatu</option>
743 <option value="VA">Vatican City State (Holy See)</option>
744 <option value="VE">Venezuela</option>
745 <option value="VN">Vietnam</option>
746 <option value="VI">U.S. Virgin Islands</option>
747 <option value="WF">Wallis and Futuna</option>
748 <option value="YE">Yemen</option>
749 <option value="ZM">Zambia</option>
750 <option value="ZW">Zimbabwe</option>
751 </select></div>
752 </div>
753 </div>
754 <div class="form-row">
755 <div class="form-group"> <label class="ifl" for="BmlModel_BMLPhoneNumber">Phone number<em aria-hidden="tr ue" class="rqrd">*</em></label><span aria-hidden="true" class="field-validation- valid" data-valmsg-for="BmlModel.BMLPhoneNumber" data-valmsg-replace="true"></sp an><input aria-required="true" data-val="true" data-val-regex="Please enter a va lid Phone number.<!--EC:V15-->" data-val-regex-pattern="[0-9 .+\\()/-]{6,}" data -val-required="Please enter a Phone number.<!--EC:V1-->" id="BmlModel_BMLPhoneNu mber" name="BmlModel.BMLPhoneNumber" type="text" value=""></div>
756 <div class="form-group"> <label class="ifl" for="BmlModel_BMLPhoneExtension">Extension (Optional)</label> <span aria-hidden="true" class="field-validation-valid" data-valmsg-for="BmlMode l.BMLPhoneExtension" data-valmsg-replace="true"></span><input data-val="true" da ta-val-regex="Please enter a valid Extension (Optional).<!--EC:V15-->" data-val- regex-pattern="[A-Za-z0-9 ]+" id="BmlModel_BMLPhoneExtension" name="BmlModel.BML PhoneExtension" type="text" value=""></div>
757 </div>
758 <div class="form-row">
759 <div class="form-group" id="guest-bml-email"><label class="ifl" for="BmlModel_BMLEmail">Email address<em aria-hidden="true" class="rqrd">*</em></label><span aria-hidden="true" class="f ield-validation-valid" data-valmsg-for="BmlModel.BMLEmail" data-valmsg-replace=" true"></span><input aria-required="true" data-val="true" data-val-length="The fi eld Email address must be a string with a maximum length of 75." data-val-length -max="75" data-val-regex="Please enter a valid Email address.<!--EC:V15-->" data -val-regex-pattern="^( ?)([\w\.\-_]+)@([\w\-]+)((\.([\w\-]{2,}))?)+$" data-val-r equired="Please enter a Email address.<!--EC:V1-->" id="BmlModel_BMLEmail" maxle ngth="75" name="BmlModel.BMLEmail" type="text" value=""></div>
760 </div>
761 </div>
762 <div id="divBMLGuestSelectedPhoneData" c lass="form-row"></div>
763 </div>
764
765 </div>
766 <div class="form-row">
767 For verification purposes , please enter your date of bi rth and the last four digits of your Social Security Number.
768 </div>
769 <div class="form-row">
770 <div class="form-group bml-birth-month">
771 <div class="group-label">Date of birth<em class= "rqrd" aria-hidden="true">*</em></div>
772 <span aria-hidden="true" class="field-validation -valid" data-valmsg-for="BmlModel.DobMonth" data-valmsg-replace="true"></span>
773 <label for="BmlModel_DobMonth" class="visuallyhi dden">Date Of Birth Month</label>
774 <div class="selector fixedWidth" id="uniform-Bml Model_DobMonth"><span aria-hidden="true" style="-webkit-user-select: none;">Mont h</span><select data-val="true" data-val-required="Please enter a Month.<!--EC:V 1-->" id="BmlModel_DobMonth" name="BmlModel.DobMonth" class="preproc"><option va lue="">Month</option>
775 <option value="1">01 - January</option>
776 <option value="2">02 - February</option>
777 <option value="3">03 - March</option>
778 <option value="4">04 - April</option>
779 <option value="5">05 - May</option>
780 <option value="6">06 - June</option>
781 <option value="7">07 - July</option>
782 <option value="8">08 - August</option>
783 <option value="9">09 - September</option>
784 <option value="10">10 - October</option>
785 <option value="11">11 - November</option>
786 <option value="12">12 - December</option>
787 </select></div>
788 </div>
789 <div class="form-group date-day">
790 <div class="group-label">&nbsp;</div>
791 <div class="form-group"><label class="ifl" for=" BmlModel_DobDay">DD<em aria-hidden="true" class="rqrd">*</em></label><span aria- hidden="true" class="field-validation-valid" data-valmsg-for="BmlModel.DobDay" d ata-valmsg-replace="true"></span><input length="2" aria-required="true" data-val ="true" data-val-regex="Please enter a valid DD.<!--EC:V15-->" data-val-regex-pa ttern="(0[1-9]|[12]\d|3[01])" data-val-required="Please enter a DD.<!--EC:V1-->" id="BmlModel_DobDay" name="BmlModel.DobDay" type="text" value=""></div>
792 </div>
793 <div class="form-group bml-birth-year">
794 <div class="group-label">&nbsp;</div>
795 <div class="form-group"><label class="ifl" for=" BmlModel_DobYear">YYYY<em aria-hidden="true" class="rqrd">*</em></label><span ar ia-hidden="true" class="field-validation-valid" data-valmsg-for="BmlModel.DobYea r" data-valmsg-replace="true"></span><input length="4" aria-required="true" data -val="true" data-val-range="Date of Birth year cannot be greater than cuurent ye ar." data-val-range-max="2014" data-val-range-min="1880" data-val-required="Plea se enter a YYYY.<!--EC:V1-->" id="BmlModel_DobYear" name="BmlModel.DobYear" type ="text" value=""></div>
796 </div>
797
798 <div class="form-group ssn-last-four">
799 <div class="group-label">Social Security Number< em class="rqrd" aria-hidden="true">*</em></div>
800 <span class="ssn-hash">#### - ### -</span> <div class="form-group"><label class="ifl" for="BmlModel_SocialSN">Last 4 digits<em a ria-hidden="true" class="rqrd">*</em></label><span aria-hidden="true" class="fie ld-validation-valid" data-valmsg-for="BmlModel.SocialSN" data-valmsg-replace="tr ue"></span><input aria-required="true" autocomplete="off" data-privacy="no-captu re" data-val="true" data-val-regex="Invalid Social Security Number - last 4 digi ts" data-val-regex-pattern="^\d{4}$" data-val-required="Last 4 digits" id="BmlMo del_SocialSN" name="BmlModel.SocialSN" type="text" value=""></div>
801 </div>
802 </div>
803 <p>You must read the E-Sign consent of the Terms and Conditions listed below prior to checking the following box: <a href="https://www.united.co m/web/en-US/content/booking/flight/FNGENP36.pdf" target="_blank">See E-Sign prin ter-friendly version</a></p>
804 <div class="form-row">
805 <div class="form-group group-type-checkbox">
806 <span aria-hidden="true" class="field-validation -valid" data-valmsg-for="BmlModel.IfBMLTermsElectronicAccepted" data-valmsg-repl ace="true"></span><div class="checker" id="uniform-BmlModel_IfBMLTermsElectronic Accepted"><span><input class="type-checkbox type-checkbox preproc" data-val="tru e" data-val-mandatory="Please make a selection.<!--EC:V152-->" data-val-required ="The IfBMLTermsElectronicAccepted field is required." id="BmlModel_IfBMLTermsEl ectronicAccepted" name="BmlModel.IfBMLTermsElectronicAccepted" type="checkbox" v alue="true"></span></div><input name="BmlModel.IfBMLTermsElectronicAccepted" typ e="hidden" value="false"><label class="checkbox" for="BmlModel_IfBMLTermsElectro nicAccepted"></label>
807 <label for="BmlModel_IfBMLTermsElectronicAccepte d">I agree to have the <a href="https://www.united.com/web/en-US/content/booking /flight/bmlTerms.aspx" target="_blank">PayPal Credit terms and conditions</a> pr esented electronically</label>
808 <div class="inline-validation-msg"></div>
809 </div>
810 </div>
811 <div class="form-row ">
812 <div>
813 <iframe src="https://www.securecheckout.billmela ter.com/paycapture-content/fetch?hash=AU631DB5&amp;content=/bmlweb/bmlwebtnc_ifr ame.html" width="100%" height="100%" class="terms"></iframe>
814 </div>
815 </div>
816 <div class="form-row">
817 <div class="form-group group-type-checkbox">
818 <span aria-hidden="true" class="field-validation -valid" data-valmsg-for="BmlModel.IfBMLTermsAccepted" data-valmsg-replace="true" ></span><div class="checker" id="uniform-BmlModel_IfBMLTermsAccepted"><span><inp ut class="type-checkbox type-checkbox preproc" data-val="true" data-val-mandator y="Please make a selection.<!--EC:V152-->" data-val-required="The IfBMLTermsAcce pted field is required." id="BmlModel_IfBMLTermsAccepted" name="BmlModel.IfBMLTe rmsAccepted" type="checkbox" value="true"></span></div><input name="BmlModel.IfB MLTermsAccepted" type="hidden" value="false"><label class="checkbox" for="BmlMod el_IfBMLTermsAccepted"></label>
819 <label for="BmlModel_IfBMLTermsAccepted">I agree to the <a href="https://www.united.com/web/en-US/content/booking/flight/bmlTerm s.aspx" target="_blank">PayPal Credit terms and conditions</a></label>
820 <div class="inline-validation-msg"></div>
821 </div>
822 </div>
823 </fieldset>
824 </div>
825
826 <div class="panel-body-section">
827 <fieldset>
828 <legend class="v isuallyhidden">Purchaser contact information</legend>
829 <h3 class="legen d">Purchaser contact information</h3>
830 <div id="divEmai lAddressList" class="form-row" style="display:none">
831 <div cla ss="form-group">
832 <div class="selector fixedWidth" id="uniform-EmailAddressList"><span aria-hidden ="true" style="-webkit-user-select: none;"></span><select id="EmailAddressList" name="EmailAddressList" class="saved-emails-list-sync preproc" onchange="UA.Acco unt.EmailList.getSelectedEmailData('#EmailAddressList','','#hdnEmailAddressList' ,'#divEmailAddressList','#divEmailAddressInputFields','#divSelectedEmailAddressD ata','/ual/en/us/flight-search/book-a-flight/billinginfo/rev/')"></select></div>
833 <input type="hidden" id="hdnEmailAddressList" value="1st">
834 </div>
835 <div cla ss="form-group">
836 <aside>Your email address will be used to contact you about this reservation onl y.</aside>
837 </div>
838 </div>
839 <div class="form -row" id="divEmailAddressInputFields" style="display:">
840 <div cla ss="form-group"><label class="ifl visuallyhidden" for="PurchaserEmailAddress">Em ail address<em aria-hidden="true" class="rqrd">*</em></label><span aria-hidden=" true" class="field-validation-valid" data-valmsg-for="PurchaserEmailAddress" dat a-valmsg-replace="true"></span><input aria-required="true" data-val="true" data- val-length="Email address must be no more than 75 characters.<!--EC:V142-->" dat a-val-length-max="75" data-val-regex="Please enter a valid Email address.<!--EC: V15-->" data-val-regex-pattern="^( ?)([\w\.\-_]+)@([\w\-]+)((\.([\w\-]{2,}))?)+$ " data-val-required="Please enter a Email address.<!--EC:V1-->" id="PurchaserEma ilAddress" maxlength="75" name="PurchaserEmailAddress" type="text" value="homer. simpson.duffman@gmail.com"></div>
841 <div cla ss="form-group">
842 <aside>Your email address will be used to contact you about this reservation onl y.</aside>
843 </div>
844 </div>
845 <ul id="divSelec tedEmailAddressData" class="field-edit-links">
846 <li><a h ref="#" class="btn-edit-email">Edit email address</a></li>
847 <li><a h ref="#" class="btn-add-email">Add new email address</a></li>
848 </ul>
849 <div id="divPhon eList" class="form-row" style="display:none">
850 <div cla ss="selector fixedWidth" id="uniform-PhoneList"><span aria-hidden="true" style=" -webkit-user-select: none;"></span><select id="PhoneList" name="PhoneList" class ="saved-phones-list-sync preproc" onchange="UA.Account.PhoneList.getSelectedPhon eData('#PhoneList','','#hdnPhoneList','#divPhoneList','#divPhoneInputFields','#d ivSelectedPhoneData','/ual/en/us/flight-search/book-a-flight/billinginfo/rev/')" ></select></div>
851 <input t ype="hidden" id="hdnPhoneList" value="1st">
852 </div>
853 <div id="divPhon eInputFields" style="display:">
854 <div cla ss="form-row">
855 <div class="form-group"><span aria-hidden="true" class="field-validation-valid" data-valmsg-for="PhoneCountryCode" data-valmsg-replace="true"></span><div class= "selector fixedWidth" id="uniform-PhoneCountryCode"><span aria-hidden="true" sty le="-webkit-user-select: none;">United States</span><label class="ifl visuallyhi dden" for="PhoneCountryCode">Country</label><select aria-label="Country" class=" phone-country-list preproc" id="PhoneCountryCode" name="PhoneCountryCode"><optio n value=""></option>
856 <option selected="selected" value="US">United States</option>
857 <option value="CA">Canada</option>
858 <option value="GB">United Kingdom</option>
859 <option value="AF">Afghanistan</option>
860 <option value="AL">Albania</option>
861 <option value="DZ">Algeria</option>
862 <option value="AS">American Samoa</option>
863 <option value="AD">Andorra</option>
864 <option value="AO">Angola</option>
865 <option value="AI">Anguilia</option>
866 <option value="AQ">Antarctica</option>
867 <option value="AG">Antigua and Barbuda</option>
868 <option value="AR">Argentina</option>
869 <option value="AM">Armenia</option>
870 </select></div></div>
871 </div>
872 </div>
873 </fieldset>
874 </div>
875 </div>
876 <input id="CartId" name="CartId" type="hidden" value="83029498-98C8-4043-AA9B-10 6E1F89C4BF"><input id="PageError" name="PageError" type="hidden" value="False">< input id="TripInsurancePurchased" name="TripInsurancePurchased" type="hidden" va lue="False"><input id="AdditionalData" name="AdditionalData" type="hidden" value =""></form>
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