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Warranty Registration (HTML)

A warranty registration covering the fields that make post-purchase records awkward: a serial number with a checksum-shaped pattern, a purchase date bounded to the past, and a retailer list with an other option.

Preview — first 40 lineshtml
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Warranty registration - Novus Examples</title>
<meta name="description" content="Product, serial number, purchase date and retailer for a fictional product. SAMPLE test data only.">
<style>:root{--bg:#f6f7f9;--card:#fff;--fg:#1a1d23;--muted:#5b6472;--border:#d9dee6;--accent:#0f9d6b;--accent-d:#0c7f56;--err:#d33;--radius:10px}*{box-sizing:border-box}body{margin:0;font:16px/1.5 system-ui,-apple-system,'Segoe UI',Roboto,sans-serif;background:var(--bg);color:var(--fg);padding:2rem 1rem}.wrap{max-width:640px;margin:0 auto}.card{background:var(--card);border:1px solid var(--border);border-radius:16px;padding:1.75rem;box-shadow:0 1px 3px rgba(0,0,0,.05)}h1{margin:0 0 .25rem;font-size:1.55rem}.lead{margin:0 0 1.5rem;color:var(--muted)}form{display:grid;gap:1.1rem}.field{display:grid;gap:.35rem}label{font-weight:600;font-size:.92rem}.req{color:var(--err)}.hint{font-size:.8rem;color:var(--muted)}input,select,textarea{font:inherit;color:inherit;background:#fff;border:1px solid var(--border);border-radius:var(--radius);padding:.6rem .7rem;width:100%}input:focus,select:focus,textarea:focus{outline:2px solid var(--accent);outline-offset:1px;border-color:var(--accent)}textarea{resize:vertical;min-height:110px}input[type=range]{padding:0}input[type=color]{height:44px;padding:.25rem}input[type=file]{padding:.45rem}.group{display:grid;gap:.45rem}.opt{display:flex;align-items:center;gap:.55rem;font-weight:400}.opt input{width:auto}.inline{display:flex;flex-wrap:wrap;gap:1rem}fieldset{border:1px solid var(--border);border-radius:12px;padding:1rem;margin:0}legend{font-weight:600;padding:0 .4rem}.hp{position:absolute!important;left:-9999px;width:1px;height:1px;overflow:hidden}button{font:inherit;font-weight:700;cursor:pointer;border:0;border-radius:var(--radius);padding:.7rem 1.3rem}.btn{background:var(--accent);color:#fff}.btn:hover{background:var(--accent-d)}.btn-ghost{background:transparent;color:var(--muted);border:1px solid var(--border)}.actions{display:flex;gap:.6rem;flex-wrap:wrap;margin-top:.3rem}.ok{display:none;background:#e7f7ef;border:1px solid #b6e6cf;color:#0c7f56;border-radius:var(--radius);padding:.7rem .9rem;font-size:.9rem}.foot{margin-top:1.25rem;font-size:.78rem;color:var(--muted);text-align:center}@media(max-width:480px){body{padding:1rem .5rem}.card{padding:1.25rem}}.grid2{display:grid;gap:1.1rem;grid-template-columns:1fr}@media(min-width:560px){.grid2{grid-template-columns:1fr 1fr}}.note{font-size:.82rem;color:var(--muted);border-left:3px solid var(--border);padding:.15rem 0 .15rem .7rem;margin:.2rem 0}.steps{display:flex;gap:.4rem;flex-wrap:wrap;list-style:none;padding:0;margin:0 0 1.1rem;font-size:.8rem}.steps li{border:1px solid var(--border);border-radius:999px;padding:.2rem .7rem;color:var(--muted)}.steps li[aria-current=step]{border-color:var(--accent);color:var(--accent-d);font-weight:700}.vh{position:absolute!important;width:1px;height:1px;margin:-1px;padding:0;overflow:hidden;clip:rect(0 0 0 0);white-space:nowrap;border:0}table.matrix{width:100%;border-collapse:collapse;font-size:.85rem}table.matrix th,table.matrix td{border:1px solid var(--border);padding:.4rem .5rem;text-align:left}table.matrix th{background:#eef1f5;font-weight:600}[data-branch]{display:none}[data-branch].on{display:grid}input:read-only,textarea:read-only{background:#f1f3f6;color:var(--muted)}input:disabled,select:disabled,textarea:disabled{background:#eceff3;color:#9aa3af}</style>
</head>
<body>
<main class="wrap"><div class="card">
<h1>Register a warranty</h1>
<p class="lead">Product, serial number, purchase date and retailer for a fictional product. SAMPLE test data only.</p>
<form method="post" action="#" novalidate>
<div class="hp" aria-hidden="true"><label>Leave this field empty<input type="text" name="website" tabindex="-1" autocomplete="off"></label></div>
<fieldset><legend>Product</legend>
<div class="field"><label for="f-product">Product <span class="req">*</span></label><select id="f-product" name="product" required><option value="">Choose a product</option><option value="nx-100">Sample Widget 100</option><option value="nx-200">Sample Widget 200</option><option value="nx-pro">Sample Widget Pro</option></select></div>
<div class="field"><label for="f-serial">Serial number <span class="req">*</span></label><input id="f-serial" type="text" name="serial" placeholder="NX12345678K" pattern="[A-Z]{2}[0-9]{8}[A-Z]" title="Two capitals, eight digits and a final capital." required></div>
<div class="field"><label for="f-purchased_on">Purchase date <span class="req">*</span></label><input id="f-purchased_on" type="date" name="purchased_on" max="2026-08-07" value="2026-06-20" required></div>
</fieldset>
<fieldset><legend>Where it was bought</legend>
<div class="field"><label for="f-retailer">Retailer</label><select id="f-retailer" name="retailer"><option value="">Choose a retailer</option><option value="direct">Direct from the maker</option><option value="shop">A high-street shop</option><option value="online">An online marketplace</option><option value="other">Somewhere else</option></select></div>
<div class="field"><label for="f-retailer_other">If somewhere else, where?</label><input id="f-retailer_other" type="text" name="retailer_other" maxlength="80"></div>
<div class="field"><label for="f-price_paid">Price paid</label><input id="f-price_paid" type="number" name="price_paid" inputmode="decimal" min="0" step="0.01" value="129.99"></div>
</fieldset>
<fieldset><legend>Owner</legend>
<div class="field"><label for="f-owner">Owner name <span class="req">*</span></label><input id="f-owner" type="text" name="owner" autocomplete="name" required></div>
<div class="field"><label for="f-owner_email">Email <span class="req">*</span></label><input id="f-owner_email" type="email" name="owner_email" autocomplete="email" required></div>
</fieldset>
<label class="opt" for="f-extended"><input id="f-extended" type="checkbox" name="extended" value="yes"> Send me sample offers about extended cover</label>
<p class="hint" data-locked="notice">SAMPLE test data only - nothing is submitted, uploaded, or stored.</p>
<div class="ok" role="status">The sample registration validated locally - nothing was registered.</div>
<div class="actions"><button type="submit" class="btn">Register the sample warranty</button></div>
</form>
<p class="foot">Free example form from Novus Examples · works offline, no data leaves your browser.</p>
</div></main>
<script>document.querySelectorAll('form').forEach(function(f){f.addEventListener('submit',function(e){e.preventDefault();var hp=f.querySelector('.hp input');if(hp&&hp.value){return;}if(!f.checkValidity()){f.reportValidity();return;}var ok=f.querySelector('.ok');if(ok){ok.style.display='block';ok.scrollIntoView({block:'nearest'});}f.reset();});});</script>
</body>
</html>

Specifications

Fields
9
Use Case
retail-returns
Validation
HTML5 native
Honeypot
true
Standalone
true
Dependencies
none
Serial Pattern
true
Past Dates Only
true

What is a .html file?

HTML (HyperText Markup Language) is the structural markup language of the web, using nested tags to define document content, semantics, and links. It is typically paired with CSS for presentation and JavaScript for behavior. It is the foundational format rendered by browsers.

How to use this file

Use an example HTML file to test parsers, DOM construction, sanitization of untrusted markup, and rendering or scraping pipelines.

How to use this file for testing

“Warranty Registration (HTML)” is a deterministic Novus Examples fixture for Form testing, Form parsing, Autofill testing, HTML parsing. HTML and PDF form files for testing scrapers, autofill, validators, and PDF form fillers across real-life use cases.

Documented properties for this file: 9 fields. Compare results against paired or grouped companions on this page when present (clean↔damaged, searchable↔scanned, or format twins) so scores stay reproducible across runs.

Download the file once, keep the path stable in CI or local scripts, and treat the spec table as the contract: dimensions, seeds, field lists, and roles are intentional. Corrupt or invalid samples are labelled as such — expect parsers to fail loudly rather than silently accept them.

This form is fictional SAMPLE content for tooling tests (autofill, scrapers, PDF fillers). It is not an official government, bank, or clinic form. Open the HTML offline or fill the PDF in any viewer; the demo submit path never stores data.

Embed this form

It's a single self-contained HTML file (inlined CSS, native validation, no external requests). Download it, host it on your own site, and drop it into any page with an iframe.

iframe embed
<!-- Download warranty-registration.html, host it on your site, then embed the form anywhere: -->
<iframe
  src="/path/to/warranty-registration.html"
  title="Warranty Registration (HTML)"
  width="100%"
  height="640"
  loading="lazy"
  style="border:0">
</iframe>

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