| 
<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>
 |