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<TR>
<TH ALIGN="right" VALIGN="center"><% mt('Address') |h %></TH>
<TD><INPUT TYPE="text" NAME="address" SIZE=54></TD>
</TR>
<TR>
<TH ALIGN="right" VALIGN="center"><% mt('City') |h %></TH>
<TD>
<& /elements/city.html,
disable_empty => 0,
empty_label => '(all)',
disable_text => 1,
&>
</TD>
</TR>
<TR>
<TH ALIGN="right" VALIGN="center"><% mt('County') |h %></TH>
<TD>
<& /elements/select-county.html,
disable_empty => 0,
empty_label => '(all)',
&>
</TD>
</TR>
<TR>
<TH ALIGN="right" VALIGN="center"><% mt('State') |h %></TH>
<TD>
<& /elements/select-state.html,
disable_empty => 0,
empty_label => '(all)',
&>
</TD>
</TR>
<TR>
<TH ALIGN="right" VALIGN="center"><% mt('Zip') |h %></TH>
<TD><INPUT TYPE="text" NAME="zip" SIZE=12></TD>
</TR>
<TR>
<TH ALIGN="right" VALIGN="center"><% mt('Country') |h %></TH>
<TD>
<& /elements/select-country.html,
disable_empty => 0,
state_disable_empty => 0,
state_empty_label => '(all)',
&>
</TD>
</TR>
<TR>
<TH ALIGN="right" VALIGN="center"><% mt('Search historical addresses') %></TH>
<TD><INPUT TYPE="checkbox" NAME="location_history" VALUE="1"></TD>
|
