der="1000 Santa Monica Blvd, Santa Monica, CA 90401, United States" required></textarea>
                <small id="addressError" class="text-red-500"></small>
            </div>
            <div class="mb-4">
                <label for="password" class="block text-gray-700 text-sm font-bold mb-2">Password</label>
                <input type="password" name="password" class="shadow appearance-none border rounded w-full py-2 px-3 text-gray-700 mb-3 leading-tight focus:outline-none focus:shadow-outline" id="p