Bootstrap form for selecting state and entering region / city

gistfile1.html

<form class="form-horizontal" action="../action-add-region" method="post">
<fieldset>

<!-- Form Name -->
<legend>Form Name</legend>

<!-- Select Basic -->
<div class="form-group">
  <label class="col-md-4 control-label" for="state">Select State</label>
  <div class="col-md-4">
    <select id="state" name="state" class="form-control">
<option>Alabama</option>
<option>Alaska</option>
<option>Arizona</option>
<option>Arkansas</option>
<option>California</option>
<option>Colorado</option>
<option>Connecticut</option>
<option>Delaware</option>
<option>Florida</option>
<option>Georgia</option>
<option>Hawaii</option>
<option>Idaho</option>
<option>Illinois</option>
<option>Indiana</option>
<option>Iowa</option>
<option>Kansas</option>
<option>Kentucky</option>
<option>Louisiana</option>
<option>Maine</option>
<option>Maryland</option>
<option>Massachusetts</option>
<option>Michigan</option>
<option>Minnesota</option>
<option>Mississippi</option>
<option>Missouri</option>
<option>Montana</option>
<option>Nebraska</option>
<option>Nevada</option>
<option>New Hampshire</option>
<option>New Jersey</option>
<option>New Mexico</option>
<option>New York</option>
<option>North Carolina</option>
<option>North Dakota</option>
<option>Ohio</option>
<option>Oklahoma</option>
<option>Oregon</option>
<option>Pennsylvania</option>
<option>Rhode Island</option>
<option>South Carolina</option>
<option>South Dakota</option>
<option>Tennessee</option>
<option>Texas</option>
<option>Utah</option>
<option>Vermont</option>
<option>Virginia</option>
<option>Washington</option>
<option>West Virginia</option>
<option>Wisconsin</option>
<option>Wyoming</option>
</select>
  </div>
</div>

<!-- Text input-->
<div class="form-group">
  <label class="col-md-4 control-label" for="region">Region</label>  
  <div class="col-md-4">
  <input id="region" name="region" type="text" placeholder="city" class="form-control input-md" required="">
  <span class="help-block">The city or region name</span>  
  </div>
</div>

<!-- Button -->
<div class="form-group">
  <label class="col-md-4 control-label" for="singlebutton">Add Region</label>
  <div class="col-md-4">
    <button id="submit" name="submit" class="btn btn-primary">Submit</button>
  </div>
</div>

</fieldset>
</form>