 value="West Springfield, MA">West Springfield, MA</option>
</select>
</label>
<label class="name contact-firstName">
<span>First Name<em>*</em></span>	
<input name="contact.firstName" class="text ui-widget-content ui-corner-all required" tabindex="3" required="required" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" type="text">
</label>
<label class="name contact-lastName">
<span>Last Name<em>*</em></span>	
<input name="contact.las