<div class="page hidden" id="autofill-edit-credit-card-overlay"> <h1 id="autofill-credit-card-title"></h1> <div class="content-area"> <div class="input"> <label> <span i18n-content="nameOnCardLabel"></span><br> <input type="text" id="name-on-card"> </label> </div> <div class="input"> <label> <span i18n-content="creditCardNumberLabel"></span><br> <input type="text" id="credit-card-number"> </label> </div> <div class="input"> <label> <span i18n-content="creditCardExpirationDateLabel"></span><br> <select id="expiration-month"></select> <select id="expiration-year"></select> </label> </div> </div> <div class="action-area button-strip"> <button type="reset" id="autofill-edit-credit-card-cancel-button" i18n-content="cancel"></button> <button type="submit" id="autofill-edit-credit-card-apply-button" disabled i18n-content="ok"></button> </div> </div>