Created
January 21, 2015 20:14
-
-
Save aprohl5/323be61ff467d1d6436e to your computer and use it in GitHub Desktop.
example msk yaml form
This file contains bidirectional Unicode text that may be interpreted or compiled differently than what appears below. To review, open the file in an editor that reveals hidden Unicode characters.
Learn more about bidirectional Unicode characters
| <div class="node__content"> | |
| <form id="yamlform-100248" class="yamlform" enctype="multipart/form-data" action="/test-form/form" method="post" accept-charset="UTF-8"> | |
| <details id="edit-contact-information" class="form-wrapper" open="open"><summary role="button" aria-controls="edit-contact-information" aria-expanded aria-expanded>Contact Information</summary><div class="details-wrapper"><div class="form-item form-type-textfield form-item-first-name"> | |
| <label for="edit-first-name" class="form-required">First Name</label> | |
| <input type="text" id="edit-first-name" name="first_name" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-last-name"> | |
| <label for="edit-last-name" class="form-required">Last Name</label> | |
| <input type="text" id="edit-last-name" name="last_name" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-tel form-item-phone-number"> | |
| <label for="edit-phone-number" class="form-required">Phone</label> | |
| <input type="tel" id="edit-phone-number" name="phone_number" value="" size="30" maxlength="128" class="form-tel required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-email form-item-email-address"> | |
| <label for="edit-email-address" class="form-required">E-mail</label> | |
| <input type="email" id="edit-email-address" name="email_Address" value="" size="60" maxlength="254" class="form-email required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-address-line-1"> | |
| <label for="edit-address-line-1" class="form-required">Address line 1</label> | |
| <input type="text" id="edit-address-line-1" name="address_line_1" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-address-line-2"> | |
| <label for="edit-address-line-2">Address line 2</label> | |
| <input type="text" id="edit-address-line-2" name="address_line_2" value="" size="60" maxlength="255" class="form-text" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-address-line-3"> | |
| <label for="edit-address-line-3">Address line 3</label> | |
| <input type="text" id="edit-address-line-3" name="address_line_3" value="" size="60" maxlength="255" class="form-text" /> | |
| </div> | |
| <div class="form-item form-type-select form-item-state"> | |
| <label for="edit-state" class="form-required">State</label> | |
| <select id="edit-state" name="state" class="form-select required" required="required" aria-required="true"><option value="" selected="selected">- None -</option><option value="Alabama">Alabama</option><option value="Alaska">Alaska</option><option value="Arizona">Arizona</option><option value="Arkansas">Arkansas</option><option value="California">California</option><option value="Colorado">Colorado</option><option value="Connecticut">Connecticut</option><option value="Delaware">Delaware</option><option value="District of Columbia">District of Columbia</option><option value="Florida">Florida</option><option value="Georgia">Georgia</option><option value="Hawaii">Hawaii</option><option value="Idaho">Idaho</option><option value="Illinois">Illinois</option><option value="Indiana">Indiana</option><option value="Iowa">Iowa</option><option value="Kansas">Kansas</option><option value="Kentucky">Kentucky</option><option value="Louisiana">Louisiana</option><option value="Maine">Maine</option><option value="Maryland">Maryland</option><option value="Massachusetts">Massachusetts</option><option value="Michigan">Michigan</option><option value="Minnesota">Minnesota</option><option value="Mississippi">Mississippi</option><option value="Missouri">Missouri</option><option value="Montana">Montana</option><option value="Nebraska">Nebraska</option><option value="Nevada">Nevada</option><option value="New Hampshire">New Hampshire</option><option value="New Jersey">New Jersey</option><option value="New Mexico">New Mexico</option><option value="New York">New York</option><option value="North Carolina">North Carolina</option><option value="North Dakota">North Dakota</option><option value="Ohio">Ohio</option><option value="Oklahoma">Oklahoma</option><option value="Oregon">Oregon</option><option value="Pennsylvania">Pennsylvania</option><option value="Rhode Island">Rhode Island</option><option value="South Carolina">South Carolina</option><option value="South Dakota">South Dakota</option><option value="Tennessee">Tennessee</option><option value="Texas">Texas</option><option value="Utah">Utah</option><option value="Vermont">Vermont</option><option value="Virginia">Virginia</option><option value="Washington">Washington</option><option value="West Virginia">West Virginia</option><option value="Wisconsin">Wisconsin</option><option value="Wyoming">Wyoming</option></select> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-city"> | |
| <label for="edit-city" class="form-required">City</label> | |
| <input type="text" id="edit-city" name="city" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-zip-country-code"> | |
| <label for="edit-zip-country-code" class="form-required">Zip/Country code</label> | |
| <input type="text" id="edit-zip-country-code" name="zip_country_code" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-select form-item-country"> | |
| <label for="edit-country" class="form-required">Country</label> | |
| <select id="edit-country" name="country" class="form-select required" required="required" aria-required="true"><option value="" selected="selected">- None -</option><option value="United States of America">United States of America</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antarctica">Antarctica</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Bahamas">Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Bouvet Island">Bouvet Island</option><option value="Brazil">Brazil</option><option value="British Indian Ocean Territory">British Indian Ocean Territory</option><option value="British Virgin Islands">British Virgin Islands</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="China">China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling Islands">Cocos (Keeling Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote D'Ivoire">Cote D'Ivoire</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Faeroe Islands">Faeroe Islands</option><option value="Falkland Islands">Falkland Islands</option><option value="Fiji the Fiji Islands">Fiji the Fiji Islands</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Guiana">French Guiana</option><option value="French Polynesia">French Polynesia</option><option value="French Southern Territories">French Southern Territories</option><option value="Gabon">Gabon</option><option value="Gambia the">Gambia the</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadaloupe">Guadaloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard and McDonald Islands">Heard and McDonald Islands</option><option value="Holy See (Vatican City State">Holy See (Vatican City State</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hrvatska (Croatia">Hrvatska (Croatia</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea">Korea</option><option value="Kuwait">Kuwait</option><option value="Kyrgyz Republic">Kyrgyz Republic</option><option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macao">Macao</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="Netherlands Antilles">Netherlands Antilles</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Palestinian Territory">Palestinian Territory</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Island">Pitcairn Island</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Reunion">Reunion</option><option value="Romania">Romania</option><option value="Russian Federation">Russian Federation</option><option value="Rwanda">Rwanda</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia and Montenegro">Serbia and Montenegro</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="St. Helena">St. Helena</option><option value="St. Kitts and Nevis">St. Kitts and Nevis</option><option value="St. Lucia">St. Lucia</option><option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option><option value="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option><option value="Sudan the">Sudan the</option><option value="Suriname">Suriname</option><option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syrian Arab Republic">Syrian Arab Republic</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom of Great Britain and N. Ireland">United Kingdom of Great Britain and N. Ireland</option><option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option><option value="Uruguay">Uruguay</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Venezuela">Venezuela</option><option value="Viet Nam">Viet Nam</option><option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></select> | |
| </div> | |
| </div> | |
| </details> | |
| <details id="edit-example-fieldset" class="form-wrapper" open="open"><summary role="button" aria-controls="edit-example-fieldset" aria-expanded aria-expanded>Example Fieldset</summary><div class="details-wrapper"><div class="form-item form-type-date form-item-date-field"> | |
| <label for="edit-date-field">Date field</label> | |
| <input type="date" id="edit-date-field" name="date_field" class="form-date" /> | |
| </div> | |
| <div id="edit-file-upload-upload-ajax-wrapper"><div class="form-item form-type-managed-file form-item-file-upload"> | |
| <label for="edit-file-upload-upload">File uplaod</label> | |
| <div id="edit-file-upload-upload" class="form-managed-file"> | |
| <div id="edit-file-upload-upload-ajax-wrapper"><input type="file" id="edit-file-upload-upload" name="files[file_upload]" size="22" class="form-file" /> | |
| <input class="js-hide button form-submit" formnovalidate="formnovalidate" type="submit" id="edit-file-upload-upload-button" name="file_upload_upload_button" value="Upload" /> | |
| <input type="hidden" name="file_upload[fids]" /> | |
| </div> | |
| </div> | |
| </div> | |
| </div><fieldset id="edit-radio-button--wrapper" class="fieldgroup form-composite form-item form-wrapper"> | |
| <legend> | |
| <span class="fieldset-legend">Radio Button</span> | |
| </legend> | |
| <div class="fieldset-wrapper"> | |
| <div id="edit-radio-button" class="form-radios"><div class="form-item form-type-radio form-item-radio-button"> | |
| <input type="radio" id="edit-radio-button-1" name="radio_button" value="1" class="form-radio" /> | |
| <label for="edit-radio-button-1" class="option">Option 1</label> | |
| </div> | |
| <div class="form-item form-type-radio form-item-radio-button"> | |
| <input type="radio" id="edit-radio-button-2" name="radio_button" value="2" class="form-radio" /> | |
| <label for="edit-radio-button-2" class="option">Option 2</label> | |
| </div> | |
| <div class="form-item form-type-radio form-item-radio-button"> | |
| <input type="radio" id="edit-radio-button-3" name="radio_button" value="3" class="form-radio" /> | |
| <label for="edit-radio-button-3" class="option">Option 3</label> | |
| </div> | |
| <div class="form-item form-type-radio form-item-radio-button"> | |
| <input type="radio" id="edit-radio-button-4" name="radio_button" value="4" class="form-radio" /> | |
| <label for="edit-radio-button-4" class="option">Option 4</label> | |
| </div> | |
| </div> | |
| </div> | |
| </fieldset> | |
| <fieldset id="edit-mailchimp-subscribe--wrapper" class="fieldgroup form-composite form-item form-wrapper"> | |
| <legend> | |
| <span class="fieldset-legend">Mailchimp Subscribe</span> | |
| </legend> | |
| <div class="fieldset-wrapper"> | |
| <div id="edit-mailchimp-subscribe" class="form-checkboxes"><div class="form-item form-type-checkbox form-item-mailchimp-subscribe-yes"> | |
| <input type="checkbox" id="edit-mailchimp-subscribe-yes" name="mailchimp_subscribe[Yes]" value="Yes" class="form-checkbox" /> | |
| <label for="edit-mailchimp-subscribe-yes" class="option">Subscribe to newsletter</label> | |
| </div> | |
| </div> | |
| </div> | |
| </fieldset> | |
| <div class="form-item form-type-textarea form-item-text-area-plain"> | |
| <label for="edit-text-area-plain">Plain text Area</label> | |
| <div class="form-textarea-wrapper"> | |
| <textarea id="edit-text-area-plain" name="text_area_plain" rows="5" cols="60" class="form-textarea resize-vertical">The default value of the field</textarea> | |
| </div> | |
| </div> | |
| <p>This is an area to highlight information to the user</p></div> | |
| </details> | |
| <details id="edit-biiling-info" class="form-wrapper" open="open"><summary role="button" aria-controls="edit-biiling-info" aria-expanded aria-expanded>Billing Information'</summary><div class="details-wrapper"><div class="form-item form-type-textfield form-item-first-name-2"> | |
| <label for="edit-first-name-2" class="form-required">First Name</label> | |
| <input type="text" id="edit-first-name-2" name="first_name_2" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-last-name-2"> | |
| <label for="edit-last-name-2" class="form-required">Last Name</label> | |
| <input type="text" id="edit-last-name-2" name="last_name_2" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-tel form-item-phone-number-2"> | |
| <label for="edit-phone-number-2" class="form-required">Phone</label> | |
| <input type="tel" id="edit-phone-number-2" name="phone_number_2" value="" size="30" maxlength="128" class="form-tel required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-email form-item-email-address-2"> | |
| <label for="edit-email-address-2" class="form-required">E-mail</label> | |
| <input type="email" id="edit-email-address-2" name="email_Address_2" value="" size="60" maxlength="254" class="form-email required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-address-line-1-2"> | |
| <label for="edit-address-line-1-2" class="form-required">Address line 1</label> | |
| <input type="text" id="edit-address-line-1-2" name="address_line_1_2" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-address-line-2-2"> | |
| <label for="edit-address-line-2-2">Address line 2</label> | |
| <input type="text" id="edit-address-line-2-2" name="address_line_2_2" value="" size="60" maxlength="255" class="form-text" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-address-line-3-2"> | |
| <label for="edit-address-line-3-2">Address line 3</label> | |
| <input type="text" id="edit-address-line-3-2" name="address_line_3_2" value="" size="60" maxlength="255" class="form-text" /> | |
| </div> | |
| <div class="form-item form-type-select form-item-state-2"> | |
| <label for="edit-state-2" class="form-required">State</label> | |
| <select id="edit-state-2" name="state_2" class="form-select required" required="required" aria-required="true"><option value="" selected="selected">- None -</option><option value="Alabama">Alabama</option><option value="Alaska">Alaska</option><option value="Arizona">Arizona</option><option value="Arkansas">Arkansas</option><option value="California">California</option><option value="Colorado">Colorado</option><option value="Connecticut">Connecticut</option><option value="Delaware">Delaware</option><option value="District of Columbia">District of Columbia</option><option value="Florida">Florida</option><option value="Georgia">Georgia</option><option value="Hawaii">Hawaii</option><option value="Idaho">Idaho</option><option value="Illinois">Illinois</option><option value="Indiana">Indiana</option><option value="Iowa">Iowa</option><option value="Kansas">Kansas</option><option value="Kentucky">Kentucky</option><option value="Louisiana">Louisiana</option><option value="Maine">Maine</option><option value="Maryland">Maryland</option><option value="Massachusetts">Massachusetts</option><option value="Michigan">Michigan</option><option value="Minnesota">Minnesota</option><option value="Mississippi">Mississippi</option><option value="Missouri">Missouri</option><option value="Montana">Montana</option><option value="Nebraska">Nebraska</option><option value="Nevada">Nevada</option><option value="New Hampshire">New Hampshire</option><option value="New Jersey">New Jersey</option><option value="New Mexico">New Mexico</option><option value="New York">New York</option><option value="North Carolina">North Carolina</option><option value="North Dakota">North Dakota</option><option value="Ohio">Ohio</option><option value="Oklahoma">Oklahoma</option><option value="Oregon">Oregon</option><option value="Pennsylvania">Pennsylvania</option><option value="Rhode Island">Rhode Island</option><option value="South Carolina">South Carolina</option><option value="South Dakota">South Dakota</option><option value="Tennessee">Tennessee</option><option value="Texas">Texas</option><option value="Utah">Utah</option><option value="Vermont">Vermont</option><option value="Virginia">Virginia</option><option value="Washington">Washington</option><option value="West Virginia">West Virginia</option><option value="Wisconsin">Wisconsin</option><option value="Wyoming">Wyoming</option></select> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-city-2"> | |
| <label for="edit-city-2" class="form-required">City</label> | |
| <input type="text" id="edit-city-2" name="city_2" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-textfield form-item-zip-country-code-2"> | |
| <label for="edit-zip-country-code-2" class="form-required">Zip/Country code</label> | |
| <input type="text" id="edit-zip-country-code-2" name="zip_country_code_2" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-select form-item-country-2"> | |
| <label for="edit-country-2" class="form-required">Country</label> | |
| <select id="edit-country-2" name="country_2" class="form-select required" required="required" aria-required="true"><option value="" selected="selected">- None -</option><option value="United States of America">United States of America</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antarctica">Antarctica</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Bahamas">Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Bouvet Island">Bouvet Island</option><option value="Brazil">Brazil</option><option value="British Indian Ocean Territory">British Indian Ocean Territory</option><option value="British Virgin Islands">British Virgin Islands</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="China">China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling Islands">Cocos (Keeling Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote D'Ivoire">Cote D'Ivoire</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Faeroe Islands">Faeroe Islands</option><option value="Falkland Islands">Falkland Islands</option><option value="Fiji the Fiji Islands">Fiji the Fiji Islands</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Guiana">French Guiana</option><option value="French Polynesia">French Polynesia</option><option value="French Southern Territories">French Southern Territories</option><option value="Gabon">Gabon</option><option value="Gambia the">Gambia the</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadaloupe">Guadaloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard and McDonald Islands">Heard and McDonald Islands</option><option value="Holy See (Vatican City State">Holy See (Vatican City State</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hrvatska (Croatia">Hrvatska (Croatia</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea">Korea</option><option value="Kuwait">Kuwait</option><option value="Kyrgyz Republic">Kyrgyz Republic</option><option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macao">Macao</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="Netherlands Antilles">Netherlands Antilles</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Palestinian Territory">Palestinian Territory</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Island">Pitcairn Island</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Reunion">Reunion</option><option value="Romania">Romania</option><option value="Russian Federation">Russian Federation</option><option value="Rwanda">Rwanda</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia and Montenegro">Serbia and Montenegro</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="St. Helena">St. Helena</option><option value="St. Kitts and Nevis">St. Kitts and Nevis</option><option value="St. Lucia">St. Lucia</option><option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option><option value="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option><option value="Sudan the">Sudan the</option><option value="Suriname">Suriname</option><option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syrian Arab Republic">Syrian Arab Republic</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom of Great Britain and N. Ireland">United Kingdom of Great Britain and N. Ireland</option><option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option><option value="Uruguay">Uruguay</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Venezuela">Venezuela</option><option value="Viet Nam">Viet Nam</option><option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></select> | |
| </div> | |
| </div> | |
| </details> | |
| <details id="edit-credit-card-info" class="form-wrapper" open="open"><summary role="button" aria-controls="edit-credit-card-info" aria-expanded aria-expanded>Credit Card Information</summary><div class="details-wrapper"><div class="form-item form-type-select form-item-type-of-card"> | |
| <label for="edit-type-of-card">Type of Card</label> | |
| <select id="edit-type-of-card" name="type_of_card" class="form-select"><option value="" selected="selected">- Select -</option><option value="visa">Visa</option><option value="mastercard">MasterCard</option><option value="amex">American Express</option></select> | |
| </div> | |
| <div class="form-item form-type-number form-item-card-number"> | |
| <label for="edit-card-number" class="form-required">Card number</label> | |
| <input type="number" id="edit-card-number" name="card_number" value="" step="1" class="form-number required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="form-item form-type-number form-item-civ-number"> | |
| <label for="edit-civ-number" class="form-required">Civ number</label> | |
| <input type="number" id="edit-civ-number" name="civ_number" value="" step="1" class="form-number required" required="required" aria-required="true" /> | |
| </div> | |
| <div class="markupInHereCouldBeAnything"><h2>What is a CIV number?</h2><p> The CIV number is the last <strong>3 or 4 digit number</strong> located on the signature panel...</p><img src="http://placekitten.com/g/300/210" /></div><div class="form-item form-type-date form-item-exp-date"> | |
| <label for="edit-exp-date" class="form-required">Expiration date</label> | |
| <input type="date" id="edit-exp-date" name="exp_date" class="form-date required" required="required" aria-required="true" /> | |
| </div> | |
| </div> | |
| </details> | |
| <input type="submit" id="edit-actions-submit" name="op" value="Submit" class="button form-submit" /> | |
| <input type="hidden" name="form_build_id" value="form-WD0F-vjfF7sg8KzvXQfPkuyUFEeSNzujvUEihyq93W0" /> | |
| <input type="hidden" name="form_token" value="rGTgYL4F__UOW1hTYEyhhPa21jAYG0O03LXmpfNkjKo" /> | |
| <input type="hidden" name="form_id" value="yamlform_submission_form" /> | |
| </form> | |
| <!-- MSK TEMPLATES CONTENT --> | |
| </div> |
Sign up for free
to join this conversation on GitHub.
Already have an account?
Sign in to comment