<table align="center"> 
 
<tr> 
<th><?php $form->AddLabelPart(array("FOR"=>"address")); ?></th> 
<td><?php $form->AddInputPart("address"); ?> 
<?php 
        if(IsSet($verify["map"])) 
        { 
?> 
 [Verify] 
<?php 
        } 
?></td> 
</tr> 
 
<tr> 
<th><?php $form->AddLabelPart(array("FOR"=>"country")); ?></th> 
<td><?php $form->AddInputPart("country"); ?> 
<?php 
        if(IsSet($verify["country"])) 
        { 
?> 
 [Verify] 
<?php 
        } 
?> 
  
<?php $form->AddInputPart("locate_address"); ?></td> 
</tr> 
 
</table> 
 
<fieldset> 
<legend><b><?php $form->AddLabelPart(array("FOR"=>"map")); ?></b></legend> 
<div align="center"><?php $form->AddInputPart("map"); ?> 
<?php 
        if(IsSet($verify["map"])) 
        { 
?> 
 [Verify] 
<?php 
        } 
?></div> 
</fieldset> 
<hr /> 
<div align="center"><?php $form->AddInputPart("refresh"); ?> <?php $form->AddInputPart("doit"); ?></div>
 
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