registrationExample.html

<span>
  <p>
    <label>
      Address
    </label>
    <input type="text" id="address1" name="address1" value="" size="73">
  </p>
  
  <p>
    <label>
      Address 2
    </label>  
    <input type="text" id="address2" name="address2" value="" size="73">
  </p>          
  
  <p class="left">
    <label>
      City/Village
    </label>
    <input type="text" id="cityVillage" name="cityVillage" value="" size="15">
  </p>

  <p class="left">
    <label>
      State/Province
    </label>
    <input type="text" id="stateProvince" name="stateProvince" value="" size="15">    
  </p>
  
  <p class="left">
    <label>
      Country
    </label>
    <input type="text" id="country" name="country" value="" size="15">
  </p>
  
  <p class="left">
    <label>
      Postal Code
    </label> 
    <input type="text" id="postalCode" name="postalCode" value="" size="15">
  </p>
  
  <p class="left clear">
    <label>
      Latitude
    </label>
    <input type="text" id="latitude" name="latitude" value="" size="15">
  </p>
  
  <p class="left">
    <label>
      Longitude
    </label>
    <input type="text" id="longitude" name="longitude" value="" size="15">
  </p>
  
  <p class="left clear">
    <label>
    	Start Date
	  </label>
  	<input type="text" id="startDate" name="startDate" value="" size="15">
  </p>
    
  <p class="left">
    <label>
      End Date
    </label>
    <input type="text" id="endDate" name="endDate" value="" size="15">
  </p>
</span>