<label class="inputLabel" for="stateZone" id="zoneLabel">State/Province:</label>
<select name="zone_id" id="stateZone">
<option value="">Please select ...</option>
<option value="182">Australian Capital Territory</option>
<option value="183">New South Wales</option>
<option value="184">Northern Territory</option>
<option value="185">Queensland</option>
<option value="186">South Australia</option>
<option value="187">Tasmania</option>
<option value="188">Victoria</option>
<option value="189">Western Australia</option>
</select>
<span class="alert">*</span>
<br class="clearBoth" id="stBreak" />
<label class="inputLabel" for="state" id="stateLabel"></label>
<input type="text" name="state" value="" size = "33" maxlength = "32" id="state" /> <span class="alert" id="stText">*</span><br class="clearBoth" />