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+<!DOCTYPE html>
+<html>
+<head>
+ <meta charset="utf-8">
+ <title>Form Autofill Credit Card Demo Page</title>
+</head>
+<body>
+ <h1>Form Autofill Credit Card Demo Page</h1>
+ <form id="form">
+ <p><label>Name: <input id="cc-name" autocomplete="cc-name"></label></p>
+ <p><label>Card Number: <input id="cc-number" autocomplete="cc-number"></label></p>
+ <p><label>Expiration string: <input id="cc-exp" autocomplete="cc-exp"></label></p>
+ <p><label>CSC: <input id="cc-csc" autocomplete="cc-csc"></label></p>
+ <p><label>Card Type: <select id="cc-type" autocomplete="cc-type">
+ <option></option>
+ <option value="discover">Discover</option>
+ <option value="jcb">JCB</option>
+ <option value="visa">Visa</option>
+ <option value="mastercard">MasterCard</option>
+ <option value="gringotts">Unknown card network</option>
+ </select></label></p>
+ <p>
+ <input type="submit" value="Submit">
+ <button type="reset">Reset</button>
+ </p>
+ </form>
+</body>
+</html>