bsp;&nbsp;
              <input name="T1" size="60" type="text">
              </p><p align="left"><font color="#FFFFFF">Address</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
              <input name="T2" size="60" type="text"></p><p align="left"><font color="#FFFFFF">City,
                State, Zip</font><input name="city" size="20" value="city" type="text"><select id="state0" name="05_state">
                                  <option selected="selected">Alabama</option>
                  