File: autocomplete_creditcard_basic.html

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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 month: <input id="cc-exp-month" autocomplete="cc-exp-month"></label></p>
    <p><label>Expiration year: <input id="cc-exp-year" autocomplete="cc-exp-year"></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>