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<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN">
<!-- Autofill credit card test form where autocomplete is off for the card number field. -->
<html>
<head>
<title>Autofill Credit Card Test Form</title>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
</head>
<body>
<form action="" id="cc_submit" method="post">
<table>
<tbody>
<tr>
<td>
<label for="nameoncard">Name on Card</label>
</td>
<td>
<input size="40" id="CREDIT_CARD_NAME"/>
</td>
</tr>
<tr>
<td>
<label for="card_number">Card Number</label>
</td>
<td>
<input autocomplete="off" size="40" id="CREDIT_CARD_NUMBER" name="card_number"/>
</td>
</tr>
<tr>
<td>
<label>Expiration Date</label>
</td>
<td>
<input size="2" name="ccmonth" id="CREDIT_CARD_EXP_MONTH"> <input size="4" name="ccyear" id="CREDIT_CARD_EXP_4_DIGIT_YEAR" />
</td>
</tr>
</tbody>
</table>
<input type="submit" value="Submit">
</form>
</body>
</html>
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