<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<input name="cc-name" x-autocompletetype="cc-name" type="text" placeholder="Full Name" required />
<input name="cc-name" autocomplete="cc-number" type="text" placeholder="Credit Card Number" required />
<input name="cc-name" autocomplete="cc-exp" type="text" placeholder="Expire Date" required />
<input type="submit" name="submit" value="Send my personal info to this person.." />