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|
<!DOCTYPE html>
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>
Checkout
</title>
</head>
<body id="MasterPageBodyTag">
<form name="form1" method="post" action="https://www.cdw.com/shop/checkout/guest/BillingAndPayment.aspx" id="form1">
<div>
</div>
<div>
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="669B25B9">
<input type="hidden" name="__VIEWSTATEENCRYPTED" id="__VIEWSTATEENCRYPTED" value="">
</div>
<div>
<div>
<div>
</div>
<div>
<div>
</div>
<div id="newBillingAddressOptions">
<div>
<div>
<input value="" name="ctl00$ctl00$MainContentRoot$Body$addressOption" type="radio" id="sameAsShippingAddress" checked="checked"
title="overall type: UNKNOWN_TYPE
server type: NO_SERVER_DATA
heuristic type: UNKNOWN_TYPE
label: Use my Shipping Address as my Billing Address
parseable name: addressOption
field signature: 825932642
form signature: 11231346808802434240"
autofill-prediction="UNKNOWN_TYPE"
>
<label id="lbl1" for="sameAsShippingAddress">Use my Shipping Address as my Billing Address</label>
</div>
<div>
<input value="" name="ctl00$ctl00$MainContentRoot$Body$addressOption" type="radio" id="createNewAddress"
title="overall type: UNKNOWN_TYPE
server type: NO_SERVER_DATA
heuristic type: UNKNOWN_TYPE
label: Enter Billing Address
parseable name: addressOption
field signature: 825932642
form signature: 11231346808802434240"
autofill-prediction="UNKNOWN_TYPE"
>
<label id="lbl2" for="createNewAddress">Enter Billing Address</label>
</div>
</div>
</div>
<div id="newBillingAddress">
<fieldset>
<div>
<label for="firstName">First Name (required)</label>
<input name="ctl00$ctl00$MainContentRoot$Body$ctl00$firstName" type="text" id="firstName" maxlength="75"
title="overall type: NAME_FIRST
server type: NAME_FIRST
heuristic type: NAME_FIRST
label: First Name (required)
parseable name: ctl00$firstName
field signature: 759447197
form signature: 11231346808802434240"
autofill-prediction="NAME_FIRST"
>
</div>
<div>
<label for="lastName">Last Name (required)</label>
<input name="ctl00$ctl00$MainContentRoot$Body$ctl00$lastName" type="text" id="lastName" maxlength="75"
title="overall type: NAME_LAST
server type: NAME_LAST
heuristic type: NAME_LAST
label: Last Name (required)
parseable name: ctl00$lastName
field signature: 2226109235
form signature: 11231346808802434240"
autofill-prediction="NAME_LAST"
>
</div>
<div>
<label for="company">Company</label>
<input name="ctl00$ctl00$MainContentRoot$Body$ctl00$company" type="text" id="company" maxlength="100"
title="overall type: COMPANY_NAME
server type: COMPANY_NAME
heuristic type: COMPANY_NAME
label: Company
parseable name: ctl00$company
field signature: 474096225
form signature: 11231346808802434240"
autofill-prediction="COMPANY_NAME"
>
</div>
<div>
<label for="address1">Address Line 1 (required)</label>
<input name="ctl00$ctl00$MainContentRoot$Body$ctl00$address1" type="text" id="address1" maxlength="30"
title="overall type: ADDRESS_HOME_LINE1
server type: ADDRESS_HOME_LINE1
heuristic type: ADDRESS_HOME_LINE1
label: Address Line 1 (required)
parseable name: ctl00$address1
field signature: 3936848337
form signature: 11231346808802434240"
autofill-prediction="ADDRESS_HOME_LINE1"
>
</div>
<div>
<label for="address2">Address Line 2 </label>
<input name="ctl00$ctl00$MainContentRoot$Body$ctl00$address2" type="text" id="address2" maxlength="30"
title="overall type: ADDRESS_HOME_LINE2
server type: ADDRESS_HOME_LINE2
heuristic type: ADDRESS_HOME_LINE2
label: Address Line 2
parseable name: ctl00$address2
field signature: 3389805014
form signature: 11231346808802434240"
autofill-prediction="ADDRESS_HOME_LINE2"
>
</div>
<div>
<div>
<label for="city">City (required)</label>
<input name="ctl00$ctl00$MainContentRoot$Body$ctl00$city" type="text" id="city" maxlength="25"
title="overall type: ADDRESS_HOME_CITY
server type: ADDRESS_HOME_CITY
heuristic type: ADDRESS_HOME_CITY
label: City (required)
parseable name: ctl00$city
field signature: 794505091
form signature: 11231346808802434240"
autofill-prediction="ADDRESS_HOME_CITY"
>
</div>
<div>
<label for="stateProvince">State (required)</label>
<select name="ctl00$ctl00$MainContentRoot$Body$ctl00$stateProvince" id="stateProvince"
title="overall type: ADDRESS_HOME_STATE
server type: NO_SERVER_DATA
heuristic type: ADDRESS_HOME_STATE
label: State (required)
parseable name: ctl00$stateProvince
field signature: 548222440
form signature: 11231346808802434240"
autofill-prediction="ADDRESS_HOME_STATE"
>
<option selected="selected" value="">Choose a state</option>
<option value="AL-US">AL-Alabama</option>
<option value="AK-US">AK-Alaska</option>
<option value="AS-AS">AS-American Samoa</option>
<option value="AZ-US">AZ-Arizona</option>
<option value="AR-US">AR-Arkansas</option>
<option value="AE-US">AE-Armed Forces Africa</option>
<option value="AA-US">AA-Armed Forces Americas</option>
<option value="AE-US">AE-Armed Forces Canada</option>
<option value="AE-US">AE-Armed Forces Europe</option>
<option value="AE-US">AE-Armed Forces Middle East</option>
<option value="AP-US">AP-Armed Forces Pacific</option>
<option value="CA-US">CA-California</option>
<option value="CO-US">CO-Colorado</option>
<option value="CT-US">CT-Connecticut</option>
<option value="DE-US">DE-Delaware</option>
<option value="DC-US">DC-District of Columbia</option>
<option value="FM-FM">FM-Federated States of Micronesia</option>
<option value="FL-US">FL-Florida</option>
<option value="GA-US">GA-Georgia</option>
<option value="GU-GU">GU-Guam</option>
<option value="HI-US">HI-Hawaii</option>
<option value="ID-US">ID-Idaho</option>
<option value="IL-US">IL-Illinois</option>
<option value="IN-US">IN-Indiana</option>
<option value="IA-US">IA-Iowa</option>
<option value="KS-US">KS-Kansas</option>
<option value="KY-US">KY-Kentucky</option>
<option value="LA-US">LA-Louisiana</option>
<option value="ME-US">ME-Maine</option>
<option value="MH-MH">MH-Marshall Islands</option>
<option value="MD-US">MD-Maryland</option>
<option value="MA-US">MA-Massachusetts</option>
<option value="MI-US">MI-Michigan</option>
<option value="MN-US">MN-Minnesota</option>
<option value="MS-US">MS-Mississippi</option>
<option value="MO-US">MO-Missouri</option>
<option value="MT-US">MT-Montana</option>
<option value="NE-US">NE-Nebraska</option>
<option value="NV-US">NV-Nevada</option>
<option value="NH-US">NH-New Hampshire</option>
<option value="NJ-US">NJ-New Jersey</option>
<option value="NM-US">NM-New Mexico</option>
<option value="NY-US">NY-New York</option>
<option value="NC-US">NC-North Carolina</option>
<option value="ND-US">ND-North Dakota</option>
<option value="MP-MP">MP-Norther Mariana Islands</option>
<option value="OH-US">OH-Ohio</option>
<option value="OK-US">OK-Oklahoma</option>
<option value="OR-US">OR-Oregon</option>
<option value="PA-US">PA-Pennsylvania</option>
<option value="PR-PR">PR-Puerto Rico</option>
<option value="PW-PW">PW-Palau</option>
<option value="RI-US">RI-Rhode Island</option>
<option value="SC-US">SC-South Carolina</option>
<option value="SD-US">SD-South Dakota</option>
<option value="TN-US">TN-Tennessee</option>
<option value="TX-US">TX-Texas</option>
<option value="UT-US">UT-Utah</option>
<option value="VT-US">VT-Vermont</option>
<option value="VI-US">VI-Virgin Islands</option>
<option value="VA-US">VA-Virginia</option>
<option value="WA-US">WA-Washington</option>
<option value="WV-US">WV-West Virginia</option>
<option value="WI-US">WI-Wisconsin</option>
<option value="WY-US">WY-Wyoming</option>
</select>
</div>
<div>
<label for="zipCode">ZIP Code (required)</label>
<input name="ctl00$ctl00$MainContentRoot$Body$ctl00$zipCode" type="text" id="zipCode" maxlength="5"
title="overall type: ADDRESS_HOME_ZIP
server type: ADDRESS_HOME_ZIP
heuristic type: ADDRESS_HOME_ZIP
label: ZIP Code (required)
parseable name: ctl00$zipCode
field signature: 4227103349
form signature: 11231346808802434240"
autofill-prediction="ADDRESS_HOME_ZIP"
>
</div>
<div>
<label for="zipCodeExtn">ZIP Extn</label>
<input name="ctl00$ctl00$MainContentRoot$Body$ctl00$zipCodeExtn" type="text" id="zipCodeExtn" maxlength="4"
title="overall type: UNKNOWN_TYPE
server type: NO_SERVER_DATA
heuristic type: UNKNOWN_TYPE
label: ZIP Extn
parseable name: ctl00$zipCodeExtn
field signature: 2328453303
form signature: 11231346808802434240"
autofill-prediction="UNKNOWN_TYPE"
>
</div>
</div>
</fieldset>
</div>
</div>
<div>
<div> The billing address above must match what appears on this credit card's statement.</div>
<div>
<div>
<label for="creditCardType">Card Type (required)</label>
<select name="ctl00$ctl00$MainContentRoot$Body$creditCardType" id="creditCardType"
title="overall type: CREDIT_CARD_TYPE
server type: NO_SERVER_DATA
heuristic type: CREDIT_CARD_TYPE
label: Card Type (required)
parseable name: creditCardType
field signature: 4008988516
form signature: 11231346808802434240"
autofill-prediction="CREDIT_CARD_TYPE"
>
<option value="Select Type">Select Type</option>
<option value="American Express">American Express</option>
<option value="Discover Network">Discover Network</option>
<option value="MasterCard">MasterCard</option>
<option value="Visa">Visa</option>
</select>
</div>
<div>
<label for="creditCardNumber">Credit Card Number (req)</label>
<input name="ctl00$ctl00$MainContentRoot$Body$creditCardNumber" type="text" id="creditCardNumber" maxlength="16" autocomplete="off"
title="overall type: CREDIT_CARD_NUMBER
server type: NO_SERVER_DATA
heuristic type: CREDIT_CARD_NUMBER
label: Credit Card Number (req)
parseable name: creditCardNumber
field signature: 466166649
form signature: 11231346808802434240"
autofill-prediction="CREDIT_CARD_NUMBER"
>
<input name="ctl00$ctl00$MainContentRoot$Body$creditCardNumber_en" type="hidden" id="creditCardNumber_en" keydelimiter="**" exponent="010001" clearonsubmit="true" >
</div>
<div>
<label for="expiryMonth">Expiration Date (req)</label>
<span>
<select name="ctl00$ctl00$MainContentRoot$Body$expiryMonth" id="expiryMonth"
title="overall type: CREDIT_CARD_EXP_MONTH
server type: CREDIT_CARD_EXP_MONTH
heuristic type: CREDIT_CARD_EXP_MONTH
label: Expiration Date (req) CVV (req)
parseable name: expiryMonth
field signature: 1744226145
form signature: 11231346808802434240"
autofill-prediction="CREDIT_CARD_EXP_MONTH"
>
<option value="">mm</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<select name="ctl00$ctl00$MainContentRoot$Body$expiryYear" id="expiryYear"
title="overall type: CREDIT_CARD_EXP_4_DIGIT_YEAR
server type: NO_SERVER_DATA
heuristic type: CREDIT_CARD_EXP_4_DIGIT_YEAR
label: Expiration Date (req)
parseable name: expiryYear
field signature: 3338586057
form signature: 11231346808802434240"
autofill-prediction="CREDIT_CARD_EXP_4_DIGIT_YEAR"
>
<option value="">yy</option>
<option value="2017">17</option>
<option value="2018">18</option>
<option value="2019">19</option>
<option value="2020">20</option>
<option value="2021">21</option>
<option value="2022">22</option>
<option value="2023">23</option>
<option value="2024">24</option>
<option value="2025">25</option>
<option value="2026">26</option>
</select>
</span>
</div>
<div>
<label for="expiryMonth">CVV (req)</label>
<input name="ctl00$ctl00$MainContentRoot$Body$CreditCardCvvText" type="text" id="CreditCardCvvText" maxlength="4"
title="overall type: CREDIT_CARD_VERIFICATION_CODE
server type: NO_SERVER_DATA
heuristic type: CREDIT_CARD_VERIFICATION_CODE
label: CVV (req)
parseable name: CreditCardCvvText
field signature: 2577719477
form signature: 11231346808802434240"
autofill-prediction="CREDIT_CARD_VERIFICATION_CODE"
>
<div>
<i>
</i>
<div>
<div>
<div>
<span>What is a CVV?</span>
<br>
<span>For Visa, MasterCard & Discover, the three digits on the back of your card.</span>
<br>
<span> For American Express, the 4 digits on the front of your card.</span>
<br>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div>
<input type="submit" name="ctl00$ctl00$MainContentRoot$Body$saveButton" value="Next" id="saveButton">
<div>
<a
title="Go to Verisign">
<img src="./Checkout-BillingPaymentInfo_files/verisign.gif" alt="Verisign Secured" border="0">
</a>
</div>
<div>
<a target="_blank"
title="Go to BBB">
<img src="./Checkout-BillingPaymentInfo_files/BetterBusinessBureau-horizontal" alt="BBB Accredited Busines">
</a>
</div>
</div>
</div>
<div>
<ul>
<li id="shippingAddressStep">
<a id="shippingAddressEdit">Edit</a>
<div id="shippingAddressStepDetails">
</div>
</li>
<li id="shippingMethodStep">
<a id="shippingMethodEdit">Edit</a>
<div id="shippingMethodStepDetails">
<div>Shipping Method</div>
<div>
<div id="shippingMethodName">UPS Ground (2-3 days)</div>
<div id="shippingMethodDesc">2-3 business days</div>
<div id="shippingMethodCost">$19.99</div>
</div>
</div>
</li>
<li id="billingAndPaymentStep">
<a id="billingAndPaymentEdit">Edit</a>
<div id="billingAndPaymentStepDetails">
<div>
Billing Address
</div>
<div>
<div>
<span id="billingAddressFirstName">
</span>
<span id="billingAddressLastName">
</span>
</div>
<div id="billingAddressEmail">
</div>
<div id="billingAddressLine1">
</div>
<div id="billingAddressLine2">
</div>
<div>
<span id="billingAddressCity">
</span>,
<span id="billingAddressState">
</span>
<span id="billingAddressPostalCode">
</span>
</div>
</div>
<div>Payment Method</div>
<div id="paymentMethod">
</div>
</div>
</li>
<li>
</li>
</ul>
</div>
<input type="text" name="Representative" id="Representative" value=""
title="overall type: UNKNOWN_TYPE
server type: NO_SERVER_DATA
heuristic type: UNKNOWN_TYPE
label: Billing and Payment
parseable name: Representative
field signature: 716948211
form signature: 11231346808802434240"
autofill-prediction="UNKNOWN_TYPE"
>
</div>
<input id="__RequestVerificationTokencw" name="__RequestVerificationTokencw" type="hidden" >
</form>
<div>
<div>
<div>
</div>
<ul>
<li>
<a id="button-log-on">Account Log On</a>
<span> or </span>
<a tabindex="2" id="button-create-account">Create Account</a>
</li>
<li>
<a id="button-cart">
<i>
</i> Cart (<span id="headerCartCount">1</span>)
<span id="headerCartTotal"> - $6,568.99</span>
</a>
</li>
</ul>
</div>
<input type="hidden" id="HdnFreeShippingProductCartIndicator" clientidmode="static" value="0">
</div>
</body>
</html>
|
