Version: 51.0.2702.2 (Official Build) canary (64-bit)
OS: Mac OS X 10.11.4

What steps will reproduce the problem?
(1) Navigate to https://www.allivet.com/
(2) Add an item to your cart
(3) Proceed to checkout
(4) Proceed to checkout for really reals
(5) Create Account
(6) Attempt to autofill the form

What is the expected output?
  Time-saving convenience!

What do you see instead?
  No autofill, sad pandas.