Checkout_BillingPaymentInfo.html (24661B)
1 <!DOCTYPE html> 2 <html> 3 <head> 4 <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"> 5 <title> 6 Checkout 7 </title> 8 </head> 9 <body id="MasterPageBodyTag"> 10 <form name="form1" method="post" action="https://www.cdw.com/shop/checkout/guest/BillingAndPayment.aspx" id="form1"> 11 <div> 12 </div> 13 <div> 14 <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="669B25B9"> 15 <input type="hidden" name="__VIEWSTATEENCRYPTED" id="__VIEWSTATEENCRYPTED" value=""> 16 </div> 17 <div> 18 <div> 19 <div> 20 </div> 21 <div> 22 <div> 23 </div> 24 <div id="newBillingAddressOptions"> 25 <div> 26 <div> 27 <input value="" name="ctl00$ctl00$MainContentRoot$Body$addressOption" type="radio" id="sameAsShippingAddress" checked="checked" 28 title="overall type: UNKNOWN_TYPE 29 server type: NO_SERVER_DATA 30 heuristic type: UNKNOWN_TYPE 31 label: Use my Shipping Address as my Billing Address 32 parseable name: addressOption 33 field signature: 825932642 34 form signature: 11231346808802434240" 35 autofill-prediction="UNKNOWN_TYPE" 36 > 37 <label id="lbl1" for="sameAsShippingAddress">Use my Shipping Address as my Billing Address</label> 38 </div> 39 <div> 40 <input value="" name="ctl00$ctl00$MainContentRoot$Body$addressOption" type="radio" id="createNewAddress" 41 title="overall type: UNKNOWN_TYPE 42 server type: NO_SERVER_DATA 43 heuristic type: UNKNOWN_TYPE 44 label: Enter Billing Address 45 parseable name: addressOption 46 field signature: 825932642 47 form signature: 11231346808802434240" 48 autofill-prediction="UNKNOWN_TYPE" 49 > 50 <label id="lbl2" for="createNewAddress">Enter Billing Address</label> 51 </div> 52 </div> 53 </div> 54 <div id="newBillingAddress"> 55 <fieldset> 56 <div> 57 <label for="firstName">First Name (required)</label> 58 <input name="ctl00$ctl00$MainContentRoot$Body$ctl00$firstName" type="text" id="firstName" maxlength="75" 59 title="overall type: NAME_FIRST 60 server type: NAME_FIRST 61 heuristic type: NAME_FIRST 62 label: First Name (required) 63 parseable name: ctl00$firstName 64 field signature: 759447197 65 form signature: 11231346808802434240" 66 autofill-prediction="NAME_FIRST" 67 > 68 </div> 69 <div> 70 <label for="lastName">Last Name (required)</label> 71 <input name="ctl00$ctl00$MainContentRoot$Body$ctl00$lastName" type="text" id="lastName" maxlength="75" 72 title="overall type: NAME_LAST 73 server type: NAME_LAST 74 heuristic type: NAME_LAST 75 label: Last Name (required) 76 parseable name: ctl00$lastName 77 field signature: 2226109235 78 form signature: 11231346808802434240" 79 autofill-prediction="NAME_LAST" 80 > 81 </div> 82 <div> 83 <label for="company">Company</label> 84 <input name="ctl00$ctl00$MainContentRoot$Body$ctl00$company" type="text" id="company" maxlength="100" 85 title="overall type: COMPANY_NAME 86 server type: COMPANY_NAME 87 heuristic type: COMPANY_NAME 88 label: Company 89 parseable name: ctl00$company 90 field signature: 474096225 91 form signature: 11231346808802434240" 92 autofill-prediction="COMPANY_NAME" 93 > 94 </div> 95 <div> 96 <label for="address1">Address Line 1 (required)</label> 97 <input name="ctl00$ctl00$MainContentRoot$Body$ctl00$address1" type="text" id="address1" maxlength="30" 98 title="overall type: ADDRESS_HOME_LINE1 99 server type: ADDRESS_HOME_LINE1 100 heuristic type: ADDRESS_HOME_LINE1 101 label: Address Line 1 (required) 102 parseable name: ctl00$address1 103 field signature: 3936848337 104 form signature: 11231346808802434240" 105 autofill-prediction="ADDRESS_HOME_LINE1" 106 > 107 </div> 108 <div> 109 <label for="address2">Address Line 2 </label> 110 <input name="ctl00$ctl00$MainContentRoot$Body$ctl00$address2" type="text" id="address2" maxlength="30" 111 title="overall type: ADDRESS_HOME_LINE2 112 server type: ADDRESS_HOME_LINE2 113 heuristic type: ADDRESS_HOME_LINE2 114 label: Address Line 2 115 parseable name: ctl00$address2 116 field signature: 3389805014 117 form signature: 11231346808802434240" 118 autofill-prediction="ADDRESS_HOME_LINE2" 119 > 120 </div> 121 <div> 122 <div> 123 <label for="city">City (required)</label> 124 <input name="ctl00$ctl00$MainContentRoot$Body$ctl00$city" type="text" id="city" maxlength="25" 125 title="overall type: ADDRESS_HOME_CITY 126 server type: ADDRESS_HOME_CITY 127 heuristic type: ADDRESS_HOME_CITY 128 label: City (required) 129 parseable name: ctl00$city 130 field signature: 794505091 131 form signature: 11231346808802434240" 132 autofill-prediction="ADDRESS_HOME_CITY" 133 > 134 </div> 135 <div> 136 <label for="stateProvince">State (required)</label> 137 <select name="ctl00$ctl00$MainContentRoot$Body$ctl00$stateProvince" id="stateProvince" 138 title="overall type: ADDRESS_HOME_STATE 139 server type: NO_SERVER_DATA 140 heuristic type: ADDRESS_HOME_STATE 141 label: State (required) 142 parseable name: ctl00$stateProvince 143 field signature: 548222440 144 form signature: 11231346808802434240" 145 autofill-prediction="ADDRESS_HOME_STATE" 146 > 147 <option selected="selected" value="">Choose a state</option> 148 <option value="AL-US">AL-Alabama</option> 149 <option value="AK-US">AK-Alaska</option> 150 <option value="AS-AS">AS-American Samoa</option> 151 <option value="AZ-US">AZ-Arizona</option> 152 <option value="AR-US">AR-Arkansas</option> 153 <option value="AE-US">AE-Armed Forces Africa</option> 154 <option value="AA-US">AA-Armed Forces Americas</option> 155 <option value="AE-US">AE-Armed Forces Canada</option> 156 <option value="AE-US">AE-Armed Forces Europe</option> 157 <option value="AE-US">AE-Armed Forces Middle East</option> 158 <option value="AP-US">AP-Armed Forces Pacific</option> 159 <option value="CA-US">CA-California</option> 160 <option value="CO-US">CO-Colorado</option> 161 <option value="CT-US">CT-Connecticut</option> 162 <option value="DE-US">DE-Delaware</option> 163 <option value="DC-US">DC-District of Columbia</option> 164 <option value="FM-FM">FM-Federated States of Micronesia</option> 165 <option value="FL-US">FL-Florida</option> 166 <option value="GA-US">GA-Georgia</option> 167 <option value="GU-GU">GU-Guam</option> 168 <option value="HI-US">HI-Hawaii</option> 169 <option value="ID-US">ID-Idaho</option> 170 <option value="IL-US">IL-Illinois</option> 171 <option value="IN-US">IN-Indiana</option> 172 <option value="IA-US">IA-Iowa</option> 173 <option value="KS-US">KS-Kansas</option> 174 <option value="KY-US">KY-Kentucky</option> 175 <option value="LA-US">LA-Louisiana</option> 176 <option value="ME-US">ME-Maine</option> 177 <option value="MH-MH">MH-Marshall Islands</option> 178 <option value="MD-US">MD-Maryland</option> 179 <option value="MA-US">MA-Massachusetts</option> 180 <option value="MI-US">MI-Michigan</option> 181 <option value="MN-US">MN-Minnesota</option> 182 <option value="MS-US">MS-Mississippi</option> 183 <option value="MO-US">MO-Missouri</option> 184 <option value="MT-US">MT-Montana</option> 185 <option value="NE-US">NE-Nebraska</option> 186 <option value="NV-US">NV-Nevada</option> 187 <option value="NH-US">NH-New Hampshire</option> 188 <option value="NJ-US">NJ-New Jersey</option> 189 <option value="NM-US">NM-New Mexico</option> 190 <option value="NY-US">NY-New York</option> 191 <option value="NC-US">NC-North Carolina</option> 192 <option value="ND-US">ND-North Dakota</option> 193 <option value="MP-MP">MP-Norther Mariana Islands</option> 194 <option value="OH-US">OH-Ohio</option> 195 <option value="OK-US">OK-Oklahoma</option> 196 <option value="OR-US">OR-Oregon</option> 197 <option value="PA-US">PA-Pennsylvania</option> 198 <option value="PR-PR">PR-Puerto Rico</option> 199 <option value="PW-PW">PW-Palau</option> 200 <option value="RI-US">RI-Rhode Island</option> 201 <option value="SC-US">SC-South Carolina</option> 202 <option value="SD-US">SD-South Dakota</option> 203 <option value="TN-US">TN-Tennessee</option> 204 <option value="TX-US">TX-Texas</option> 205 <option value="UT-US">UT-Utah</option> 206 <option value="VT-US">VT-Vermont</option> 207 <option value="VI-US">VI-Virgin Islands</option> 208 <option value="VA-US">VA-Virginia</option> 209 <option value="WA-US">WA-Washington</option> 210 <option value="WV-US">WV-West Virginia</option> 211 <option value="WI-US">WI-Wisconsin</option> 212 <option value="WY-US">WY-Wyoming</option> 213 </select> 214 </div> 215 <div> 216 <label for="zipCode">ZIP Code (required)</label> 217 <input name="ctl00$ctl00$MainContentRoot$Body$ctl00$zipCode" type="text" id="zipCode" maxlength="5" 218 title="overall type: ADDRESS_HOME_ZIP 219 server type: ADDRESS_HOME_ZIP 220 heuristic type: ADDRESS_HOME_ZIP 221 label: ZIP Code (required) 222 parseable name: ctl00$zipCode 223 field signature: 4227103349 224 form signature: 11231346808802434240" 225 autofill-prediction="ADDRESS_HOME_ZIP" 226 > 227 </div> 228 <div> 229 <label for="zipCodeExtn">ZIP Extn</label> 230 <input name="ctl00$ctl00$MainContentRoot$Body$ctl00$zipCodeExtn" type="text" id="zipCodeExtn" maxlength="4" 231 title="overall type: UNKNOWN_TYPE 232 server type: NO_SERVER_DATA 233 heuristic type: UNKNOWN_TYPE 234 label: ZIP Extn 235 parseable name: ctl00$zipCodeExtn 236 field signature: 2328453303 237 form signature: 11231346808802434240" 238 autofill-prediction="UNKNOWN_TYPE" 239 > 240 </div> 241 </div> 242 </fieldset> 243 </div> 244 </div> 245 <div> 246 <div> The billing address above must match what appears on this credit card's statement.</div> 247 <div> 248 <div> 249 <label for="creditCardType">Card Type (required)</label> 250 <select name="ctl00$ctl00$MainContentRoot$Body$creditCardType" id="creditCardType" 251 title="overall type: CREDIT_CARD_TYPE 252 server type: NO_SERVER_DATA 253 heuristic type: CREDIT_CARD_TYPE 254 label: Card Type (required) 255 parseable name: creditCardType 256 field signature: 4008988516 257 form signature: 11231346808802434240" 258 autofill-prediction="CREDIT_CARD_TYPE" 259 > 260 <option value="Select Type">Select Type</option> 261 <option value="American Express">American Express</option> 262 <option value="Discover Network">Discover Network</option> 263 <option value="MasterCard">MasterCard</option> 264 <option value="Visa">Visa</option> 265 </select> 266 </div> 267 <div> 268 <label for="creditCardNumber">Credit Card Number (req)</label> 269 <input name="ctl00$ctl00$MainContentRoot$Body$creditCardNumber" type="text" id="creditCardNumber" maxlength="16" autocomplete="off" 270 title="overall type: CREDIT_CARD_NUMBER 271 server type: NO_SERVER_DATA 272 heuristic type: CREDIT_CARD_NUMBER 273 label: Credit Card Number (req) 274 parseable name: creditCardNumber 275 field signature: 466166649 276 form signature: 11231346808802434240" 277 autofill-prediction="CREDIT_CARD_NUMBER" 278 > 279 <input name="ctl00$ctl00$MainContentRoot$Body$creditCardNumber_en" type="hidden" id="creditCardNumber_en" keydelimiter="**" exponent="010001" clearonsubmit="true" > 280 </div> 281 <div> 282 <label for="expiryMonth">Expiration Date (req)</label> 283 <span> 284 <select name="ctl00$ctl00$MainContentRoot$Body$expiryMonth" id="expiryMonth" 285 title="overall type: CREDIT_CARD_EXP_MONTH 286 server type: CREDIT_CARD_EXP_MONTH 287 heuristic type: CREDIT_CARD_EXP_MONTH 288 label: Expiration Date (req) CVV (req) 289 parseable name: expiryMonth 290 field signature: 1744226145 291 form signature: 11231346808802434240" 292 autofill-prediction="CREDIT_CARD_EXP_MONTH" 293 > 294 <option value="">mm</option> 295 <option value="1">01</option> 296 <option value="2">02</option> 297 <option value="3">03</option> 298 <option value="4">04</option> 299 <option value="5">05</option> 300 <option value="6">06</option> 301 <option value="7">07</option> 302 <option value="8">08</option> 303 <option value="9">09</option> 304 <option value="10">10</option> 305 <option value="11">11</option> 306 <option value="12">12</option> 307 </select> 308 <select name="ctl00$ctl00$MainContentRoot$Body$expiryYear" id="expiryYear" 309 title="overall type: CREDIT_CARD_EXP_4_DIGIT_YEAR 310 server type: NO_SERVER_DATA 311 heuristic type: CREDIT_CARD_EXP_4_DIGIT_YEAR 312 label: Expiration Date (req) 313 parseable name: expiryYear 314 field signature: 3338586057 315 form signature: 11231346808802434240" 316 autofill-prediction="CREDIT_CARD_EXP_4_DIGIT_YEAR" 317 > 318 <option value="">yy</option> 319 <option value="2017">17</option> 320 <option value="2018">18</option> 321 <option value="2019">19</option> 322 <option value="2020">20</option> 323 <option value="2021">21</option> 324 <option value="2022">22</option> 325 <option value="2023">23</option> 326 <option value="2024">24</option> 327 <option value="2025">25</option> 328 <option value="2026">26</option> 329 </select> 330 </span> 331 </div> 332 <div> 333 <label for="expiryMonth">CVV (req)</label> 334 <input name="ctl00$ctl00$MainContentRoot$Body$CreditCardCvvText" type="text" id="CreditCardCvvText" maxlength="4" 335 title="overall type: CREDIT_CARD_VERIFICATION_CODE 336 server type: NO_SERVER_DATA 337 heuristic type: CREDIT_CARD_VERIFICATION_CODE 338 label: CVV (req) 339 parseable name: CreditCardCvvText 340 field signature: 2577719477 341 form signature: 11231346808802434240" 342 autofill-prediction="CREDIT_CARD_VERIFICATION_CODE" 343 > 344 <div> 345 <i> 346 </i> 347 <div> 348 <div> 349 <div> 350 <span>What is a CVV?</span> 351 <br> 352 <span>For Visa, MasterCard & Discover, the three digits on the back of your card.</span> 353 <br> 354 <span> For American Express, the 4 digits on the front of your card.</span> 355 <br> 356 </div> 357 </div> 358 </div> 359 </div> 360 </div> 361 </div> 362 </div> 363 <div> 364 <input type="submit" name="ctl00$ctl00$MainContentRoot$Body$saveButton" value="Next" id="saveButton"> 365 <div> 366 <a 367 title="Go to Verisign"> 368 <img src="./Checkout-BillingPaymentInfo_files/verisign.gif" alt="Verisign Secured" border="0"> 369 </a> 370 </div> 371 <div> 372 <a target="_blank" 373 title="Go to BBB"> 374 <img src="./Checkout-BillingPaymentInfo_files/BetterBusinessBureau-horizontal" alt="BBB Accredited Busines"> 375 </a> 376 </div> 377 </div> 378 </div> 379 <div> 380 <ul> 381 <li id="shippingAddressStep"> 382 <a id="shippingAddressEdit">Edit</a> 383 <div id="shippingAddressStepDetails"> 384 </div> 385 </li> 386 <li id="shippingMethodStep"> 387 <a id="shippingMethodEdit">Edit</a> 388 <div id="shippingMethodStepDetails"> 389 <div>Shipping Method</div> 390 <div> 391 <div id="shippingMethodName">UPS Ground (2-3 days)</div> 392 <div id="shippingMethodDesc">2-3 business days</div> 393 <div id="shippingMethodCost">$19.99</div> 394 </div> 395 </div> 396 </li> 397 <li id="billingAndPaymentStep"> 398 <a id="billingAndPaymentEdit">Edit</a> 399 <div id="billingAndPaymentStepDetails"> 400 <div> 401 Billing Address 402 </div> 403 <div> 404 <div> 405 <span id="billingAddressFirstName"> 406 </span> 407 <span id="billingAddressLastName"> 408 </span> 409 </div> 410 <div id="billingAddressEmail"> 411 </div> 412 <div id="billingAddressLine1"> 413 </div> 414 <div id="billingAddressLine2"> 415 </div> 416 <div> 417 <span id="billingAddressCity"> 418 </span>, 419 <span id="billingAddressState"> 420 </span> 421 <span id="billingAddressPostalCode"> 422 </span> 423 </div> 424 </div> 425 <div>Payment Method</div> 426 <div id="paymentMethod"> 427 </div> 428 </div> 429 </li> 430 <li> 431 </li> 432 </ul> 433 </div> 434 <input type="text" name="Representative" id="Representative" value="" 435 title="overall type: UNKNOWN_TYPE 436 server type: NO_SERVER_DATA 437 heuristic type: UNKNOWN_TYPE 438 label: Billing and Payment 439 parseable name: Representative 440 field signature: 716948211 441 form signature: 11231346808802434240" 442 autofill-prediction="UNKNOWN_TYPE" 443 > 444 </div> 445 <input id="__RequestVerificationTokencw" name="__RequestVerificationTokencw" type="hidden" > 446 </form> 447 <div> 448 <div> 449 <div> 450 </div> 451 <ul> 452 <li> 453 <a id="button-log-on">Account Log On</a> 454 <span> or </span> 455 <a tabindex="2" id="button-create-account">Create Account</a> 456 </li> 457 <li> 458 <a id="button-cart"> 459 <i> 460 </i> Cart (<span id="headerCartCount">1</span>) 461 <span id="headerCartTotal"> - $6,568.99</span> 462 </a> 463 </li> 464 </ul> 465 </div> 466 <input type="hidden" id="HdnFreeShippingProductCartIndicator" clientidmode="static" value="0"> 467 </div> 468 </body> 469 </html>